Taking Pulse, Taking Pulse, Taking Pulse all day Right and left, front and back, and so many other ways Hey! Taking Pulse, Taking Pulse, Taking Pulse all day Wiry, slippery, what does that mean anyway? Did you guys like that? Welcome, welcome, welcome from all around the world If it's your first time here, I'm Clara.
I create Chinese medicine and acupuncture content for students and practitioners and TCM lovers and TCM rock stars all over the world. I try to make it fun to learn and easy to grasp. I hope you had fun in this introduction.
I love to sing. I know I'm not a rock star. I know I can't sing, but I don't care.
Hi, guys. I can see you guys. Everybody is here. So.
Before I connect with you, I'm going to talk to people that are watching the replay. So if you're watching the replay, below this video in the description will be the class time and you can go towards the start of the class so you can bypass the time that I connect with everybody that took the time to come in while it is live. Without further ado, let's connect with everybody. Hi guys! I was reading everything while I was setting up the last minute little tech thing because I don't know if you know but it's raining in Vancouver again!
This is my third YouTube live and every single time it's been raining. I don't know if you can see it behind me, the mountain, but it's just... it never rains in Vancouver except when I go YouTube live.
No, no, it rains a lot. The lighting here is not that great, but I'm sure you guys can see everything. Make sure you put the lights in your device so you can see, because of course there's not great lighting because it's not sunny again.
Thank you for being here, you guys. You rock, absolutely. I hope you really enjoy the singing and, you know, why not?
I see that everybody's coming from all over the world, so... This is so cool to see. I love your little emojis. Everybody's putting great emojis. Hi guys.
I know some of my students are also watching today and are joining today, which is crazy because it is in between Christmas and New Year's, so there's no school right now. Hi Alina. So it's like, you know, some of those people and some of you that are on, I know you because I've met you because some of you are my students or past students. And some of you, I know you because I feel like we connected on social media and all those platforms where I feel like we are connected through Chinese medicine. So it's really cool to see everybody.
And I know some of you, it is late or it is early. So it's, you know, I'm really thankful you took the time to come in and to join today's class. So thank you, everybody, for being here. Look at that.
Oh, I move too much. I move. Oh, I move too much.
Look at me. Let me put this back up a little bit. Here we go.
So you guys can see what's going on. I'm just going to make it a little bit smaller. Here we go. Beautiful. Hi, Mark.
Well, you are here. No problem. Like everybody is here. There are people that I totally know and recognize.
Hi you guys from everywhere! South Africa, wow, that is far away from me. And of course we've got Obrigado Paula from Portugal, hi! We've got people from all over the world, as usual.
Wash hands, yes! I like that, Nala, that's very funny. Wow, Lily, bonjour de Paris! Yay!
I love it that we have French people and a lot of people ask me for translation or for different languages, unfortunately. I can't do that right now because I checked into it and it cost a lot so English is the language of choice which is not my language as you know is my second language as you can hear so yeah hopefully we understand each other so hi you guys I'm so so happy you are here Elisa Angela I know you're from Brazil but you live in Victoria I remember that everything you guys tell me so there's A lot of people that are coming from Mexico, which is so cool. Oh, my God. Okay. From Australia.
Kia. That's crazy because what time is it in Australia right now? Like 7 a.m.?
So you just woke up really, really early. That's great. So, yay. So thank you guys for coming. I have, or I wanted, before we started, because, of course, you know, I can connect all day, which is awesome.
But before we started, I wanted to ask a question. And before I ask you a question, I'm going to give you a little bit of a context why I'm asking that question. So basically, think of the five senses, right? Think of your five senses, right?
Auditory, visual, taste, smell, and touch. Years ago, before I went into TCM, when I was much, much, much younger, I used to work in the fitness industry and I used to teach dance. Yes, I used to teach hip-hop dance.
Yes, I did. And I was teaching aerobics as well. And when I was teaching...
dance and aerobics, I've had to learn to give clues to how you teach, right? So when you're using your music for all that kind of background and trying to teach so people follow and they're enjoying themselves and they're not all over the place, right? So I had a lot of people that were very auditory. I had to have really good auditory cues. So I would say right, left, front, back, you know, I would...
Give them clues. And I would say four, three, two, one, when we change beat, when things change, when the phrasing changes, if you're into music or if you know how, you know, dance beat work. So I was giving a lot of auditory cues and some of those people never even looked at me.
They were listening and just following me very well with those listening skills. So those people are very auditory. I think the content that I provide is very visual. Right. So.
So, very much for a lot of people, visual is their biggest sense, right? Because we all can see. Well, I had an attendee or a person that was doing my aerobics classes years ago who was deaf.
So, she could not hear me. She could hear the bass because it was loud enough and she would sit in front of the speaker and she could hear the bass. And when she heard the bass… She would hear the beat, right?
It's kind of like a noise that she doesn't hear but feel. She feels the bass through her body. So my cues for her had to be very visual because she could not hear me.
So my cues were I would put fingers and I would count 4, 3, 2, 1, right? And then I would hit my right leg, my left leg, depending which side. I would point right, left, front, back.
So she would know when things were going to change. And we developed this whole... I guess, a way of communicating so she could do the class and really enjoy it. She was very, very energetic and very good at it.
So her cues for me, for her, had to be visual. So the reason I'm asking this is because I want to ask you a question, you guys. What is your favorite sense out of the five senses, right?
So vision, hearing, auditory, taste. I love food. I'm from France. Smell or touch.
What's your favorite sense? I would like to know that. So can you share that with me and let me know what your favorite sense is?
That would be really cool. So share it in the comments because that's something that I would like to see. In the meantime, if you haven't subscribed to my channel, make sure you do.
And hit the bell because that way you get reminded when I come out with new videos. And I intend to come out with a lot of... videos in 2021 so I don't want you guys to miss out.
So what is your favorite sense? Oh my sixth sense intuition. Good one Elisangela. That's awesome. Okay so smell, touch and auditory.
Touch, touch. Wow I could see that physiotherapist and massage therapist will say touch for sure. Vision for some people.
Touch is a big one right. I could see that. I could see you guys are very much touch feely kind of people which is so... cool to see. My husband's very visual, right?
So a lot of people are very visual and auditory. Yes, that's very common, right? So I could see that the sight, the vision is probably the first one. Hey, there's someone that loves taste. Not everybody likes the, you know, is connecting to the taste or the smell.
But for me, all five senses, of course, are very powerful. But I will say that my favorite sense is the sense of touch, right? So we got sight, intuition.
I love it. that's a great sense that's the sixth sense right okay simona's got touch and vision i love that so you guys are all having your favorite one and a lot of you touch comes back which is really cool because this is our profession right uh there are many many people in here that can probably are very tactile because they are massaging maybe you're a massage therapist maybe you do acupressure maybe you do a lot that has to do with touch like if you're a physiotherapist it has to do with touch a lot right so Laura goes, a good mix of the best. I love that.
All of them, right? So love taste, okay? Yeah, no, I love food too because I'm an earth person and wood.
So I would say vision is pretty good. But touch and tactile is probably my favorite one. A bit of everything.
See, you're so balanced. Hi, Alima. So the reason I'm talking about this is to get the segue. to get into talking about the pulse. The pulse in TCM.
This is time to start class. Yay! The pulse in Chinese medicine is probably one of the hardest skills to master, right?
It is so hard when I teach it to my students. Everybody gets the tongue because it's visual observation, looking at the face, looking at the hair, looking at the nails. Inquiry, right? Asking questions.
Everybody can smell and understand the smelling or the tasting. Not that we use taste much in Chinese medicine consultation, but we ask for questions regarding taste, right? So we do ask questions about that.
But the pulse is the one that makes it very difficult because it is very tactile, right? Anything that's going to be tactile is harder to describe. So when I teach the pulse... I always think that, think of explaining, when I try to explain the pulse, I always think, think of explaining to a blind person colors, okay?
Think of that. How do you explain a red color, a green color, a blue color to someone that cannot see and is never seen in their life? They're a blind person born. And so imagine trying to describe color to them.
It's very difficult because they can't see it. So you have to come up with an idea or a way for them to connect to that color, right? Well, the pulse is the same thing.
When you hear that a pulse is like wiry or slippery or it's soft or it's tympanic or it's bird pecking or whatever the word translated for me, the Chinese word, is very hard for people. Like, okay, what's a tense? What's a knotted pulse? What is a choppy pulse? What is a...
feel like and it's hard to describe like describing colors for blind people it is very hard to describe a quality of a pulse to students so when i teach i know it makes it really hard so having said that the pulse and to get better at the pulse you have to keep it simple that's my motto always keep things simple and start with basics don't start at the end where it's like oh my god it's too much right start basic we keep it simple And we practice, practice, practice, right? It's like anything you're going to have to practice because if you don't, you can't get better. When you guys first drive a car, if you're all driving, the first time you drive, it's like, oh my God, you're like sitting there, you're so tense, you can't talk, you're just focused, there's so many things, it's so difficult.
But you practice, practice, practice, and eventually it becomes second nature, you become a great driver. hopefully. And you know, you can talk while driving. You can have, you know, not texting or be on the phone, but you can talk, you can listen to music. You don't have to focus 100% of your energy on the road because it's automatic the way you change gear, the way you stop, the way you go, right?
Well, pulse taking is practice. The more we practice, the better we come. I want to say something before I start teaching this class.
I am not a pulse master. I am not super, super efficient in pulses. Absolutely not. I've been practicing since 2003 now, so we're to 20, so 17 years. And I have to say that I've got better and better and better, 17 years of taking pulses with my patients.
Definitely much better, but I'm not a pulse master. I know some people are just like very, very, very good at it and a master of pulses. And I've met Chinese people from China who are pulse masters who blew me away with... Ah!
what they can find with the pulse. I'm not one of those. I like to keep it basic.
I like to keep it simple, just like everything I teach, right? So that's what we're doing today. So today we're going to look at pulse taking, how to take the pulse properly, all that has to do with pulse taking.
We're going to talk about pulse position, including controversial pulse positions. Because in TCM, as you know, there's a lot of school of thoughts and there's a lot of different opinion and different... a classic that will tell you different things and you're like, I'm going to pull the hair out of my head. Nobody agrees on something.
But when people don't agree on something, what we have to think is then we can make our own opinion by practicing and seeing what we... connect with, how we relate to, right? It's everybody is different. Like some people love to do cupping all the time.
They love cupping. Some other people are like, I don't really relate to cupping. I might do it for my patients, but it's not my favorite thing, right?
Everybody is different to what you relate to and what you connect with. That's your intuition, right? Your sixth sense.
We're going to talk about pulse quality. And again, we're going to make it basic so you guys can really take home. this perspective and do it with your patience over and over and over until you feel more confident and you feel like your skills are Improving that makes sense good. Okay. Awesome.
So you still with me good. Everybody is here. Okay Let's start it up. So first of all, let's talk about When we take the pulse the pulse position so in this pictures There's two different pulse positions. One has obviously two fingers on the little graphic, and then the picture is actually my fingers taking the pulse on a friend of mine.
So those three fingers versus the two fingers. It's not the number of fingers, but one is right and one is wrong way of taking the pulse. So when we take the pulse, we want to make sure that we are always, always putting The fingers, for me, I would put it around my wrist this way, okay? Because we are not going to cross the body.
I'm not going to cross the body. So on the cross there, you'll see the person cross the body. So if you see this, the hand of the practitioner is crossing over the wrist of the patient, okay? You do not want to cross over. So that's it, right?
Like, oh, I'm sorry you guys can't see, but you don't want to cross over, meaning you don't want to put your hand over. the wrist. So I'm going to do that again so you guys can see. We're not going to do this, right? Because that's crossing over.
We have to come from this angle, not crossing over, okay? So we're not crossing over. We are going to make sure that we are taking the pulse from... So when you take your own pulse, you would have to cup your wrist, okay?
Because you can't go from this angle, so you have to cup your wrist. So that's the first thing is you want to make sure you take pulse from not crossing over. We want to do it the right way, right?
That's pretty much the way we wanted to do it. So we're going to look at position of the pulse but before we do, in that perspective, let's talk about the way we take the pulse before we take the pulse is to make sure of a couple of things. The pulse is very subjective because compared to the tongue, compared to the rest of the observation skills that we get and we accumulate over the years, the pulse is very subjective because it can be changed or it can change very quickly.
If someone comes into your office and they haven't slept really well in three nights, their pulse may be a bit rapid. If they've had coffee before they came, if they had a big meal before they came, or the opposite. They haven't eaten since this morning and it's 6 p.m.
and their pulse feels faint. Well, the blood sugar's probably dropped, right? But that's temporary. So the problem with the pulse is that it's a great tool to have, but it's very subjective. So what's important is when you take the pulse, you want to make sure that you, as a practitioner, are very calm.
You don't need to talk during pulse taking. You want to be calm and collected and really pay attention to your... tactile, right?
Like really focus on the pulse. And then your patient should be calm as well. So in a consultation, I will ask all my questions, depending if it's a follow-up or an initial consultation, but I will ask all my questions, do some observation, do the tongue, and then you could start doing the pulse at the end when the person hopefully is more calm, right? But if it's their first time, maybe they're very anxious about being needled and maybe they're scared of needling. And so that might raise the pulse as well.
So a lot can be affecting the pulse in general. So that makes it a bit difficult. So we want to make sure the patient's calm and relaxed when we take the pulse. The second thing is we want to make sure the hand of the patient that we're taking the pulse of is not above their heart.
It has to be below their heart. So sitting on the desk, but at the heart level or below, but not above. If you're doing a pulse while the person is laying down on the table, the treatment table, you could... but make sure the hand is not across the heart.
It is down on the side of the patient when the supine are facing up and you are taking the pulse. I'd rather the person sits, right, with their hand resting gently on the little pillow or on the desk, but make sure it's lower than the heart, not higher. And the person is calm.
So this is all subjective, right? So that makes it very difficult to take the pulse and it makes it... hard to read the pulse. But if you see someone on a regular basis and you take the pulse regularly, you will feel the change.
Kind of like when you look at the tongue of a patient for the first time and as you see it every week, you will see the change and that gives you a baseline to work from. Does that make sense? Good. Yes! I love how you guys are going...
It's like playing guitar. Yes, it is like playing guitar. Damina, I love that you're saying it's like playing guitar to take the pulse.
Because when we take the pulse, what we want to do is we literally want to rest our fingers and we are going to play our fingers like we play guitar. Or like we play piano, I don't know if you play an instrument. So when you are going to take the pulse, the first thing we want to do is we want to make sure that the index finger is always on the first position. The middle finger is on the second position and the ring finger is on the third position.
So let's go back to this part here. So the index finger is on the first position of the pulse. And then the other two follow.
Okay? So the index is always on the first. Now, when we take the pulse, the middle finger is always going to be on the styloid process of the radius.
Right? So you found your radius styloid process, and that's in line with where the middle finger is going to rest. Okay?
If you're not sure where to put your fingers on your wrist, you want to make sure that your styloid process, so for me it's here, that would be where my middle finger is. And then... and my index would be in front, and my wing finger would be in the back.
So your middle finger is at the level of the styloid process of the radius. Make sense? Okay, so all this is really important because we want to do this right, right? That's just basic stuff. Basic, basic, basic stuff.
Okay, so that's the best way to take the pulse. Now, another thing, if you look at this picture as well, is that when you're taking a pulse, you maybe, you, I don't know, but... You may be, well that's okay that you're late. You're here, it's all good from the Philippines. I know it's the middle of the night over there so no worries.
I love when people apologize. You guys, awesome. So when you're taking the pulse, let's say you're five feet. You're a short person, right?
You're five foot one and your patient is six foot four, right? That's a long person and then you probably or you may have very small thin fingers. So if you have very small thin fingers, and your patient's very tall and very big, you might have to spread your fingers a little bit. They can't be too close to each other. They might have to be spread a little bit because your fingers are very tiny and this person is very tall.
So you might have to do that. On the other hand, if you are someone that's bigger, taller, have bigger fingers, and you're taking the pulse of someone that's very small, very thin, or younger, like a 12-year-old child, right? You are going to use probably one finger and you're gonna have to move it slightly.
Or two fingers and move them slightly because three fingers will be much too long. So you have to take this in consideration as well from your side. Mark is asking if it is from long eight. Usually you would put your index finger on long nine and then long eight would be your middle finger.
Yes, that would make sense. Yes. That's... pretty much how we would go about it, right?
That answered your question? That's awesome. So does that make sense?
Okay, so you're going to have to adapt depending on your size and the patient's size. So that's also something we have to take in consideration when we do take the pulse. Now, when we take the pulse, we are going to rest our fingers on the pulse, right?
And that is the superficial level, okay? So the superficial level is we're going to rest on it, just kind of lightly rest or sit on it. Then you're going to press lightly to get to a little bit below that, which is the middle position.
And then you're going to press really hard to get to the deep position. Okay, so let's look at this in that perspective. So... I put right and left.
If you look at the position, the front position in Chinese is called the tsun. The middle position is called the guan, and the rear position is called the che. My Chinese is horrible, so don't quote me on the tone, because I suck at the tone in Mandarin, because that's such a hard language. English was a hard language for me, too. So tsun, guan, che, which is front, middle, and back position, right?
So you can see that, the three positions on each side. Now, there are eight... 18 positions of pulse or 18 locations of pulses because there is 3 on the right, 3 on the left, which makes 6, right?
But there's 3 depths to each of the pulses. So 3... by six is 18. So every time you take the pulse, if you put your index finger on the first front position in the right hand, let's say, you are going to look at the superficial level by resting your finger.
Then you're going to press a little bit to get to the middle level. And then you can press really hard to get to the deep level. Okay.
So that's three level for the depth. And then we have six positions. So six location.
Three level, 18 pulses. Crazy! I know.
We all say it's good that you clarify the body constitution. I'm going to put this up. Yeah, I totally understand that.
Yeah, absolutely. So, yeah, so that's what we all said. It's good that you clarify the body constitution based on the size.
I always thought that they are the same. Yes, so you want to make sure that your size and the patient's size Not the same. You're going to have to adapt, especially if you're taking pulse for children, right?
And pulse for children are also going to be more rapid in general. So, okay. So we've got all our six position on each side, right?
Right and left. And then we put our index finger. Easy, peasy, no problem.
Let's look at, sorry, here we go. So let's look at the position themselves, right? So When we look at those positions, we're going to look at right and left, right? So when it comes to pulse position for organs, because what does the pulse reflect in the end? In the end, the pulse reflects the state of qi, blood, yin, yang, and the organs, okay?
The pulse reflects the state of qi, blood, yin, yang, and the organs. So it really reflects the internal part, but also what's happening externally. It reflects everything.
Now, There are many classics, like I said at the beginning, there's many classics that are going to show you different positions for different organs. And different classics are going to have different opinions, right? So what I found for perspective-wise, what I found personally, is it is different position if you're going in to take the pulse from a perspective of doing or giving herbs. So as a herbalist slash nutritionist, so when you recommend herbs, formulas, or nutrition advice, the pulse position would be different than from a meridian channel acupuncture perspective. Okay.
So, and then I have another one too, which is from another classic, which is more looking at the five elements and taking the pulse from the five elements theory. So there's a lot of different ways of taking the pulse, but there's also lots of different positions that the organs are going to be into. So that makes it fascinating, right? So I'll share those, and then I'm going to show you something on the board in a minute.
So the one that is very common is where the heart and the lung are at the front position, right and left. The liver and the spleen are in the middle position, and the kidney yin and kidney yang are at the rear position. This is specifically from a meridian acupuncture point of view.
Now, the small intestine, large intestine, gallbladder, stomach, the bladder, and the mingman fire are associated with each of the related meridian in that perspective. So when you look at those three on the left hand, right, heart, liver, kidney, yin, and then you have the other one, which are on the right hand, lung, spleen, and kidney, yang. That's why Mingmen fire, the fire is on the right side because it is fire. It's much more yang, right?
But in general when you look at this the left hand is more related to blood and yin, right? The heart moves blood, the liver stores blood and of course can yin, right? It's related to yin, right? So which is Makes sense, right?
On the right side, it's more related to qi and yang. So left side blood and yin right side qi and yang. So long will be more qi because it breathes air in and it's in control of wei qi, defensive qi. So it's an yin organ, but it's very external almost.
It's so much related to the external part of who we are, right? It's related to the skin, to the wei qi. So it's almost a yang organ within the yin organs, if you follow my drift on this. So The lung is more related to qi. And then spleen, of course, produces energy or produce qi by transforming, transporting nutrients into energy.
And it raises qi for preventing organ prolapse. And it sends clear qi to the mind for clear thinking. So spleen is really related to qi, so is lung. And of course, qi and yang are related to yang. So you have the yang side and the yin side.
The yang and qi and the yin and blood. Make sense? So that's from a perspective of meridian view, okay, when we look at it from that perspective.
And then you also have, from the meridian view perspective, you have the chest area, which is heart and lung at the top. Then you have the liver, gallbladder, spleen, stomach in the middle, right? So middle of the body. And then you have the kidneys and the amygdala and the bladder.
The amygdala, which is in charge of reproductive system as well, is more in the lower part, right? So it's kind of like the tongue, right? The tongue has three parts. That is the front, the tip, the front, the middle with the side, and the back, the root.
So this is kind of like the same thing. It kind of goes down with the chest area. Make sense?
Okay. Now let's look at the different one. This is an interesting one. This is more of a five element theory view. So it's again related to meridian and it's related to acupuncture more than herb for sure.
And it's one of the five elements. theory point of view. Now this one, the first four are the same, right, on right and left, but the last two are different.
The pericardium and the sanjiao end up being in the back or in the rear of the pulse, and the bladder and the kidney are in the back, kidney yin and kidney yang on both sides together with the bladder on the left side. So that's a little bit of a different perspective, right, from the five element theory. So I wanted to show you something that I think is very, very cool. So I'm going to switch to my whiteboard.
You guys are good? No questions? Okay, so I'm gonna switch to my whiteboard so you can see my drawing which is, you know, not great at all. But I'm going to show you something that I think is very, very cool. So we're gonna, I'm gonna show you the five element theory from what we just looked at.
So this is my thumb, okay. We're gonna do my hand and then from that perspective, sorry. I'm gonna make this a little bit longer. That'll be better.
Okay, here we go. No. Oh my God, I'm the worst. Okay, stay with me on this. Here we go, the thumb.
Here we go. That's better. And then we'll pretend that this is the pulse. Right? Pretty good?
Did you like that? Okay, hopefully you can see that. Okay, I know it's green, so it's not the best, but, and then we're gonna go and we're gonna do the same thing on the other side. So, up, doop, doop, doop, doop. Right, you can see that.
Okay, make it a little bit higher up. That's the thumb, oh my god. That's the thumb, here we go.
My god, this is like the worst. Stay with me on this. Okay, so those are the three positions on each side, right? So, this is the left side, this is the right side. With me with this, okay.
Then let's look at the five elements. So we have the fire element. We'll put at the top.
And then we'll go down to fire, generate earth, right? Earth generates metal, yes? So we'll put an arrow there and an arrow there.
So you've got earth generates metal, metal generates water, water generates wood. and who generates fire. If you can read my writing, good for you. Okay, so what's really cool about this is this is the way the five element theory kind of reorganizes the pulse. We're putting the pericardium and the sanjiao in the rear position on the left hand.
So fire element has smantestan and heart, but it also has pericardium and sanjiao, which is still part of the Fire element because the pericardium is of course the cover of the heart, the protector of the heart. So the fire from the left side, which is pericardium and sanjiao, will be in this position right here. The earth is here in the middle and the metal is in the front. Okay, so long and large intestine, spleen and stomach, pericardium and sanjiao in the back.
Okay, if you continue on your wheel here, Water is going to be here, which is kidney. Wood is in the middle. And then fire, which is heart and small intestine, is in the front. How's that for cool?
I think that's so cool. That's very much five elements. So you stick with me, right?
Pericardium, sand gel in the back. This is literally the five element generating sequence apply or applicable to the pulse and putting in that perspective of acupuncture. So this is something that a lot of people use as well in their practice.
practice using the five elements. Specifically, a lot of people do five element acupuncture. I understand that, right?
So it's very different to look at it, but I love this. I think it makes so much sense. It's really, really cool. Okay.
So that's awesome. Yes. Yes, it does. Yeah. I could see someone said, Asa said, pericardium shared a position with kidney young.
Yes, it does. Wow, Paul's like, wow, mind blown. I'm always blown by everything. You're very welcome.
So let's go back to the presentation so you guys can see that. So I hope you like that graphic to show you from the perspective of the five element theory. Now, one more perspective is from the herbal nutrition view.
OK, so basically this one is kind of like the tongue. it is going to put everything that's in the lower jowl in the rear part of the pulse. So what's in the upper jowl is the heart and lung.
In the middle jowl, we'll put the spleen, stomach, liver, and gallbladder. And in the lower jowl, we'll put the large intestine, the small intestine, the main man fire, the kidneys, and the bladder. It's kind of like the tongue, right?
When you look at the tongue, everything that's in the root or in the back is the same as the rear position in the pulse. Anything that's on the side and center is the same as the middle, and anything that's in the front and tip is in the front on the pulse. So this one is much more something that I use when we just want to talk about nutrition.
Let's say someone has really issues with digestion specifically, and we're talking about herbs. That usually is the pulse position that I would use. So I don't do a lot of five element theory acupuncture, so I don't use the one that I just showed you that I think is really cool because I think it's awesome.
So in my practice, I use a lot the first one. So let's go back to that one. That's the one that I use the most in my practice, I will say. And then when it comes to herb and nutrition, this is probably a better one to use, right?
So, yes. So that would give you three different ways. And those three different ways come from three different TCM classics. So everybody has their own way of thinking.
What you have to do is go and try to practice and see what you feel really connect with you. Okay? So that's how we go about it.
So having said that, this is the one that I use the most for acupuncture purposes. And since I know there's a lot more people doing acupuncture in here, I'm going to mind-blow. Karen is like mind-blown. I love that. That's exactly what I want to do.
Every time I come to teach, I want to give you something you've never seen before, you've never heard before, and you come out with something new. That's my goal. So you feel like you're inspired and TCM is blowing you.
It blows me away all the time. All the time. And it still does 17 years later. So those are the positions that I use the most.
And like I said before, the left hand is more yin. blood side and the right hand is more yang chi side because of the meridian slash system that are connected to okay all right so as we said before like this is putting it all together is like really tcm diagnosis when it comes to the palpation or the pulse specifically it reflects everything inside again the yang the blood the chi all the organs it has 18 pulse position which is three on each side and three you depth or three levels. Okay.
Make sure when you do the levels, you are going to rest your finger. That is superficial. You press a little bit, that's middle and you press hard, that's deep.
That's always, always the same way. Okay. And again, practice on yourself. Like take your pulse right now and practice on yourself. Grab your wrist and then play piano, right?
You don't have to rest all three fingers at once. Just take the one, take the second one, take the third one. So one at a time you're playing piano kind and if you take one at a time and you switch you can compare It sees that way you can compare you like oh this doesn't feel the same as this and it doesn't feel the same as this Right. So that's also the way to compare it good Yay!
I'm glad everybody's learning something. Okay, let's continue. Let's talk about normal pulses.
So first of all, what's a normal pulse? When we take the pulse, what's a normal pulse? Well, a normal pulse is gentle, it's calm, it's usually four beats to a respiratory cycle. Okay, so you're breathing, you breathe. not deep, but you breathe in and out normally.
So in and out, that should be about four beats. So it has some strength, but it's not pushing against your fingers, right? It's usually in the middle position and it can be felt at the middle position mostly, but also at the deep position as well. Okay.
So that's where we would feel that would be a normal pulse. Now, of course, the pulse that when you go to a hospital and the nurse has to take your pulse, it is to look at the beat and the amount and the count of the beats, right? We do that to MTCM as well.
We go a little bit more in depth, but we look at the beats and of course. So a 75 beats per minute is considered normal in an adult. As a person gets older, it's okay if it's a little bit lower, like maybe 70 beats per minute, it's okay. If it's too high, that's not good, right?
For children, their pulse is going to be much higher the younger the child. Okay, so in TCM, anybody above 12 years old is considered an adult. So their pulse should be around 75 beats per minute. So, but when it comes to kids, you know, having 100 beats per minute on a two-year-old is normal.
Okay, we wouldn't panic. So, by the way, I'm not going to go through all the beats for all the ages. But you will get that because I got a surprise for you.
You guys showed up live and I got a surprise for you. This is the surprise before we continue. Below this video in the description, I have put a link so you can get the PDF from the slide today. Yay! Plus all the explanation that we're talking about today will be in there as well.
So not all my talking, but the basic stuff. So you don't have to worry about how many... beats per minute a two-year-old has, it's in there. So you can go thereafter, get the PDF, and enjoy it for me.
Yay! You know, just want to make sure you have that. So normal pulses as well.
So there's a couple more normal pulses that we look for is a slippery pulse for women that are menstruating and for pregnancy or for pregnant women. Kelsey says, I love surprises. Well, that was a surprise. I know.
I figure I'm going to give you guys a surprise for showing up, for being here, because I know everybody's time is valuable. So thank you for being here. And that's my little gift to you guys.
So I put it in a nice little PDF. That's what I was doing this morning. You're very welcome. While I was setting up this.
You're very welcome, you guys. I hope you benefit from it. So it's awesome. So slippery pulse.
We're going to talk about what does that feel like? But when a woman is menstruating or pregnant, the pulse is slippery and that's normal. We don't have to worry about it.
That's a normal pulse to be slippery. Now, each season, the pulse may be a little bit slightly different. So it is a bit more superficial in the fall.
It's a bit more deeper in the winter. It's a little bit more wiry in the spring because it's connected to liver, right? And because it's hotter in the summer, it's a little bit more rapid. in the summer, but not a lot, just slightly on each of those seasons. So that's something we have to take in consideration because if it's really hot outside and the pulse is a bit more rapid on your patient, you have to kind of take that in consideration.
You are very welcome, you guys. You guys are awesome. Thank you for saying thank you.
No problem. Enjoy the PDF for me. Sandra says, thanks a million, Clara.
You are very welcome, you guys. You guys showed up. I love to connect with you.
This is so cool. I feel like, you know. we know each other so okay so normal pulses that is going to be what we want to look at okay now that we've talked about normal pulses let's talk about the 27 kind of pulse yes i actually said it the 27 kind of pulse so think of this we have 18 pulse position you and 27 kind of pulse. That's crazy.
So I don't want to go through all 27. We're not going to talk about bird pecking and tympanic and all those that are just like rarer, less common. I want to do this as a basic. Remember we said basics is what we want to do.
So I'm going to do this basic. How do you do this basic with the basic most common pulse that we have around? Because that's how we practice and we get... the best you start by driving a car and if you want to drive a truck or drive a you know a cement truck or you know a fire truck you would have to learn more right that makes sense so we're gonna go with basic driving um what if you said you love my clarity and energy thank you girl i really appreciate that i love that i'm gonna post that up because that made me feel good to see that. So, awesome!
Okay, so yes, you guys are still with me? Okay, so let's go back to the presentation and talk about basic stuff we start. Is it too rapid? Is it too slow?
Start with that. That's basic, right? If it's rapid, more than 75 beats on an adult, or if it's too slow, which means it would be less than 60 beats in an adult, that's either heat or cold.
Start with that because counting the beat we all can do that, right? That's easy tactile, right? So we can all do that. Oh, I'm gonna humor.
I'm gonna talk about slippery and wiry not to worry Humira said can you please define a little bit more slippery and why are you we're gonna talk about this in a minute? No to worry. We're gonna talk about that when we take the pulse We want to look at the speed first, then I'll get to the quality of the pulse. Don't worry girl. I'm coming.
So Heat versus cold, right? So if you're taking a pulse that's really rapid, it's either an excess yin, right? Or it's a yin deficiency. It could be external or internal, but it's yin deficiency or excess heat.
It's either a deficiency or an excess. Easy, right? If the pulse is too slow, it's either an excess yin, meaning excess cold, or a yang deficiency. It's either an excess cold or a young deficiency, right?
That is definitely the basics. So once you know that this pulse is rapid, right? It's going faster. Wherever the pulse is, it's faster. Does it feel really big under your finger?
Does it feel forceful? Like it's pushing, it's bounding, it's big, it's large. It just feels like, wow, look at this pulse is full of energy. Like me! That's excess heat, excess yang.
That's an excess, right? What about if this pulse is rapid, but you barely can feel it? It feels small.
If it feels like it's barely there, you're like, wow, I can feel it, but it feels so thin, right? It doesn't feel fat or big or large or bounding. It feels thin. So that's a yin deficiency. That's the basics.
Think of that. That's why you have to play piano. Is this one?
Oh, this one feels really thin. But the middle one? Yeah, not thin at all. It feels bigger, right?
Compare each side. That also will help you. If you take both sides and compare, you'll see the difference. It's about comparing, right? So, rapid, either in excess, which is really big and large and pushing against your fingers, or it's deficiency, which is thin, like thready, really thin and small between your fingers.
Make sense? Okay, same thing for cold, right? If it's too slow, if it's like boom, boom, boom, right? Is this a young deficiency?
So if it's a young deficiency, the person has no fire. If they have no fire, the pulse is going to be deep, weak. There's no strength to it.
So you're trying, you're like, where is it? And you're pressing and you're pressing. You're like, where is it?
It's super deep. Oh my God, I can barely feel it. It's so faint.
And it's like, boom, boom. And it has no energy to it. That's a yang deficiency. On the other hand, if the pulse is slow, but you can feel it, it feels almost like a tight rope. So that's a tense pulse.
A tense pulse is like a tight rope. So it feels hard, right? It's hard, it's big like a rope under the finger, and it's slow.
That's excess yin or excess cold, whatever you want to call it. Okay? So that's easy.
Basic stuff. Rapid versus slow. Yes? You with me? Okay.
Let's do the second one. So that we can all do. Second one is the depth, right? Is this superficial, which is more external syndrome, or is the problem more deep, or is the pulse more deep?
So it's an internal syndrome, right? Superficial is more external, meaning it's a pathogen invasion and it's still on the surface and hopefully hasn't penetrated. Okay.
Like a virus and a bacteria. That's a current subject if I can see one. Or is it really deep?
If it's deep, it's more internal syndrome. Make sense? Okay. So that's also not hard to figure out, right?
You put your finger and you rest, gently you rest your finger on top, and you feel the pulse. Wow, I feel it right there. That's an external syndrome.
That's a superficial. So usually, most of the cases, it's going to be because someone has a cold or a flu and this external pathogen is trying to penetrate the body, right? So that's usually if the pulse, when the pulse is superficial.
Now, of course, if it's rapid and superficial and it's big, like we said earlier, it's excess heat, but it's external excess heat, right? If it's... slow, but tense, like a tightrope, and superficial, then it's excess cold, but again, it's superficial, so it's external pathogen.
So hopefully your body can fight it, or the patient's body can fight it, push it out, and goes away. Okay? When a pulse is deep, it's always internal.
That means that the problem is chronic. When a pulse is deep, it's always internal. That means the problem is chronic. When it's external, the problem is acute.
Yes, it makes sense. External, superficial, acute, deep, internal, chronic. Yes, that's yin and yang basis, right?
So if the pulse is deep, meaning you have to press really hard, really hard, and you're like, oh, where is it? Where is it? So if it's deep, usually it's a deficiency. Most of the time, it's a deficiency when it's deep and barely there.
Faint or barely feeling or you're like, oh my God, where is it? Okay, that's usually a deficiency, right? It can be deep and quite forceful.
Like you press, you press, you're like, oh yeah, okay, I got it. Right? I got it.
Yeah. Yeah. Got it.
But boy, it's strong at the deep level. That's usually an excess chronic condition like phlegm or damp that's been seated in the person's body for a long time. Okay?
So, yes. So we've got, let's go back, recap. This is basic stuff and it'll help you if you start with the basic.
Rapid heat. Either excess heat and it's big and forceful, or thin and thready and rapid, that's yin deficiency. Or it is cold due to slow. So slow can be excess cold because it's tense and tight like a rope, or it could be very weak, very deep, no strength to it, and that is a yang deficiency.
And then we have The superficial, which is more acute, external pathogen, and the one that's internal, that's chronic, and that's more chronic, internal issues. Yes? That's simple.
I know that you can do, guys, right? That's simple. Now here comes the thing that everybody dreads. Talking about not just the rhythm or the speed, but talk about the quality of the pulse. So let's look at the basic quality.
Deep means deficiency because it comes from an anterior passage. No. So let me, I'm confused. It's not a yin deficiency pulse, always superficial. No.
So let me, let me answer those questions. So Lothar says, is it not a yin deficiency pulse, always superficial? No. A yin deficiency means it's a deficiency, which means it's a chronic issue. So it would not be superficial unless, unless.
unless there's a pathogen. So let's say you have a flu, but you also have yin deficiency. It could show on the superficial level, but yin deficiency, usually let's say a kidney yin deficiency would be at the rear left position and it would be deep, thin, and rapid, but it would be on the deep side most of the time because that's a deficiency, right?
So it would be more deep. And then, ah. We have rule ask, deep means deficiency because it comes from an interior pathogen.
Not necessarily. So deep means that is interior syndrome, but it could be a deficiency like a qi deficiency, a blood deficiency, a yin deficiency, a yang deficiency. And if it was internal pathogen, it could be phlegm, it could be damp, yes, but that would make it big. So it would be deep and big, large forceful, right? If it was small or thin or weak or had no strength to it and it's deep, then it's a deficiency.
Hopefully I explained that properly for you guys. Okay, so what's a forceful pulse? A forceful pulse is a pulse that's big, it's vigorous, it's like a wave surging, right?
It's strong, it's bounding. That's always an excess pulse. It's always showing excess. So if it's forceful through the finger, you're like, oh my God, this person's pulse is like, vroom, vroom. Ah, that's just massive.
Oh, thank you, Elisangela. I love it. She said, I wish my diagnosis teacher had made it that easier to understand. Oh, obrigada, Clara, which is thank you very much in Portuguese for my Brazilian girl that lives in Victoria. I love it.
So I'm so glad this is resonating with you guys. I'm so happy. That's the whole point of doing this. Um, so.
A forceful pulse is the opposite of a thready pulse. A thready pulse, if you're sewing, if you're a sewing person, a thready pulse feels like a thread, like a silk thread, right? So if you've ever sewn, you know what a thread feels like because you have to sew and you have to take the thread.
That's what it feels like. It's very thin. A thready pulse is always a deficiency of either body fluid, yin, or blood.
Body fluid, yin, and blood. Because it has no water, no liquid, so it's very thin, thin, thin, thin. It's like depleted, right? It's like all dried up. So it's very, very thready.
On the other hand, a forceful pulse is big. It's large. It's pushing through your fingers.
That's always an excess pulse. Yes? Okay. Sometimes in some books you'll see thin pulse.
Thin pulse is a little thicker than a thready pulse. So if we look at thickness, right, the thickness of things, but think of something like a thread, right? Very, very thin.
And usually, a thready pulse may be rapid if it's a yin deficiency, right? A slippery pulse. This is the one that everybody has a hard time with, right?
So we said a slippery pulse is normal in pregnancy and for women menstruating. But a slippery pulse usually indicates dampness or phlegm in general. If it's rapid, it could also be in digestion as well after a big meal.
So what I recommend, I know we just are doing the holidays for people that are here right now in the live play. I would recommend if you ever had a big meal, like where you ate too much, take your pulse. Because after a big meal, your pulse may be rapid, but it also will show excess dampness because you ate too much, right?
Especially if it's greasy or too much food. Take your pulse. You will feel, take some family member's pulse that eat too much and then feel the pulse. That is usually slippery. Otherwise, find a pregnant woman or a menstruating woman or yourself if you are a woman menstruating.
Take your pulse at menstruation to feel the slippery. Slippery feels like the pulse itself feels like if you have a pearl or a bead, you know, a pearl necklace or a bead. you put it on your finger and you roll your finger around it. That's what it feels like. Almost like a hard bead.
Or if you want, you could say it feels like almost like a piece of cloth. A cloth, a blood clot, you know, like a little blood clot. It's rolling, but like a hard cyst is going underneath your fingers. So if you've ever had a cyst, like a ganglion cyst, or you had anybody that you've ever palpated.
that has a cyst, this feels a little bit like that. That's what slippery is. The pulse is kind of like that little bead or that cyst rolling through your fingers, like rolling. It's doing a little flip and it's rolling. That's what slippery feels like.
Be quiet, put your fingers, relax, close your eyes and feel it. Try to find a slippery pulse in people that you know for sure have a slippery pulse and practice. Eventually you'll get it. Every time it's like anything right the more you practice the better you become Wiry so why are we is liver cheese stagnation, right?
This is usually a leverage stagnation It could be also a little young rising if it was a bit rapid with wiry, of course, so why repulse is Feels like a guitar string. So if you play guitar or if you play violin, it's kind of like a guitar string, right? so It's definitely the way a wiry feels like. So a thready feels like a thread, like your sewing thread, but your wiry, if you take it, you're like, oh yeah, that's like a guitar string.
I feel the guitar right inside. If you've ever played, like I said, an instrument, you would know what it feels like. That's a wiry pulse.
And it's usually a liver cheese stagnation. A lot of us can be affected by liver cheese stagnation. So wiry is very, very common.
So you can found those. It's one of the most common pulse out there. It will... Often show on the middle position, right?
It's very common to show on the middle position because of liver Being affected. A tense pulse is the same as a wiry pulse, but it's thicker It's like a rope. So if you've ever climbed if you go rock climbing, it's like that.
It's like a rope. It's thick thick ropey kind of Pulse that's what it feels like and if it's slow on top of it, which most of the time it is then it's that excess cold, right? It's cold in the channel, it's cold blockage, right?
Yeah, so good question by Jan. Jan has a question. Do you feel slippery only on the liver position or on every position?
So when you take your time, sometimes you'll find slippery on the spleen position. So on the right spleen position, it's one of the most common ones because slippery is often... excess dampness or excess phlegm, which affects the spleen, right? So that will be where you can feel it.
Now, if slippery is normal, let's say it's a pregnant woman, usually the middle position on either side is going to be slippery, but the kidney will not. So the kidney will show you the kidney strength of the pregnant woman if she has strong kidneys while she's carrying the baby or her kidneys are being depleted, right? So this is pretty much, hopefully I answered your question, Jan, on that perspective.
Yes, on the very, on the liver. Yeah, so you asked that. Do you feel slippery on the liver position or every position, right?
So, no, you can definitely slippery, like I said, honestly. Okay? So, the tense pulse is a rope. And then the last one, but not least, is the choppy pulse. So, choppy pulse is a pulse that feels like that would be really bad to do.
But if you had put your fingers over a seesaw, You know a saw which has jagged edge over a knife? That has jagged edge. Don't cut yourself. That's not what I'm saying. But if you go and feel that, it's exactly what that pulse feels.
It feels like it's not able to go through. So it's like tick, tick, tick, tick, tick. And it's like tick, tick, tick, tick, tick.
Yes, with the sound effect. The pulse does the sound effect. Tick, tick, tick, tick, tick. I know it doesn't. Oh my God, craziness.
But it's kind of like tick, tick, tick, tick. It's not smooth. It's the opposite of slippery. Slippery is like that bead, that smooth little round bead.
The choppy is like eh, eh, eh, eh. It cannot go through or it has a hard time going through. Those are the most common pulse.
So let's start again. Forceful, big, strong, goes through pushing against your fingers. That's a big pulse.
That's excess, right? Thready, like a thread, very thin. That's a deficiency, usually body fluid, yin, or blood.
So very opposite, right? Slippery, the bead, the big round clot, the little cyst that goes through your finger and rolls right through. Wiry, like a guitar string, right? That's a liver cheese stagnation, while slippery is more dampness and phlegm.
Tense is like a rope, which is a cold, usually it's related to cold pathogen. and it relates to blood issues. So if it's choppy and really thin, that's a blood deficiency. If it's choppy and it's wiry, like it's like the wire, like we said, like the guitar string, but it goes through your fingers, even though it's tight like a wire, that's a stagnation or blood stasis.
Okay? So choppy, wiry, blood stasis. Choppy, thready, or thin, blood deficiency.
Yes? So every type of pulse has a dedicated organ position? Yes, Zara, yes it does.
I don't know if you came later, but yes, I talked about that earlier, so yes it does. Yep. So I see what you're asking. So liver equals wiry or slippery equals spleen? Not always.
You can have a wiry pulse on the spleen side. Yes, you can. And the reason why you would have a wiry pulse on the spleen side is if you have liver over-controlling spleen.
The five element theory, when wood overacts or over controls on earth, liver stress is stagnated and it depletes the spleen and that can show on the spleen side. So often that can be the case as well. So it's not always right and left because depending on the root cause.
Sound effects or life. Kelsey likes my sound effect. So let's resume.
I hope you guys, like I said, don't forget that you do have the PDF of all the slides we did today, plus my explanation below. You can sign up, click the link below, and get to download the slide. Don't forget that, for sure. So let's recap.
And by the way, if you haven't subscribed, hit the subscribe button. Ding, ding, ding. Don't miss out all the videos that are coming.
into 2021 with i'm going to have much more or much many more videos in 2021 so to recap start with slow versus fast right rapid versus slow that's heat or cold surface or superficial which is more external and acute versus deep which is more internal and chronic that's easy and then go on the position right ready deficiency of blood body fluid or yin force for excess, right? So if it's forceful and it's superficial, it's excess syndrome. That's acute.
That's an external pathogen. But if it's at the middle position and it's forceful, now it's internal, right? It's more internal.
Okay. And it's usually more chronic. Then you have wiry, which is a guitar string versus tense, which is a rope, right?
Which is more excess cold. The wiry is liver cheese stagnation. Slippery is dampness and phlegm.
And it feels like a little sister, a little bead rolling hard. under your finger. It's round. The opposite of choppy which is jagged edge. That's the jagged edge of my sound system.
Wow, that is all on the pulse, as much as I could give you guys. I hope, I hope it was a lot of information and you grasped it up. Don't forget that on my website, I've got tons and tons of TCM resources right here.
And you can see treatment protocols, you can see acupuncture theory, TCM foundation, diagnosis, and online courses. So I've got tons and tons on my website, so don't forget that. There's lots of links below. that you can look at to see if that's something that, you know, resonates with you guys. In the meantime, I am so happy you guys came in.
I hope you enjoyed this pulse craziness. Practice, practice, practice. That makes us better at everything.
I hope it made or I broke it down in the basics that you guys could really grasp and have fun doing this because that's what I like. to do. So thank you everyone for coming in today.
Yes, good question. So for question purposes, hold on, I'm going to put that up here because I wanted to see that for peep. Do you check for pulse change after needling?
Yes, I do. In certain, not all the time, but I will specifically if there is. if someone is coming from an acute condition perspective and maybe the first day. And then sometimes I do, sometimes I don't. It depends on how often I see the patient. That also.
But that's a great question because often I do and sometimes I don't. So it's the sixth sense, the intuition, depending where my gut feeling is. Any difference between male or female pulse? Yes, the male pulse is always a little bit bigger and the female pulse is a little bit smaller, so thinner. In general, specifically if a female is anemic or in TCM perspective, blood deficient, her pulse will be much thinner.
Men that are bigger, that are more excess in general, their pulse may be bigger as well. But in general, if everybody is healthy, that's often the case. So you're very welcome, Carmela. Oh, my goodness.
I am moving things a little bit too much in that perspective. I wanted you guys to see this and I'm not doing well. Here we go.
You're very welcome. I just love your energy, Clara. Thanks, Mark. You break down pulse diagnosis in such a practical way.
Yay! Thank you. Awesome.
I'm glad you enjoyed the class. Titi Lyo. I love that name. Please answer the question on best time of the day to take the pulse. Yes.
Not after meals. Definitely not. The best time is in the morning, but we can't always do that because... Patients don't always come an hour after they wake up. So it's best to do it in between meals, not after a big meal, not if someone hasn't eaten in a long time either.
So kind of like in the middle. Awesome. Thank you very much, you guys. I'm so glad. Replay.
Anna, oui, oui, oui. Anna's asking for a replay because I'm speaking so fast, right? Yes, the replay will be available today, later on today, or tomorrow for you, because I know it's later in France right now. But yes, Anna, pas de problème. Ça sera sur mon YouTube.
Sans problème. I'm so glad, Tamina. You really enjoyed it.
That's great, you guys. Thank you very much. I'm glad things were clarified. Yay!
Thank you, guys. You guys are rock stars. Thank you for showing up today. You guys are amazing. I'm going to continue in 2021 to do more live classes as well as more stuff coming your way.
Thank you, Gary. Gary says, Kylie, your energy and effort. Much appreciated.
Thank you. I'm so glad you guys are enjoying it and appreciate the time and effort. Alice says, my teacher says the depth of the pulse depends on the different elements. That if you are learning from the five element theory, right?
So it depends if you're using the five elements theory or not. If you are, yes. Not everybody practices through that perspective. So yes, from that perspective, you are correct.
Your teacher is awesome. Rocking it as always. Yes, the PDF without me is not the same, but you can watch me and get the PDF and all together. Obrigado, Asa. Thank you very much.
ah Charlie how are you girl I didn't know you were here hi Charlie you're very welcome thank you guys thank you for everything I'm just like so happy you guys showed up that was a lot of people today I think the pulse is a very very popular, popular subject. So very helpful. I'm glad Angela, it was helpful. I know there was a lot of students today. I know Leon Chu's students, some of you were here as well.
So thank you for showing up between Christmas and New Year because this is usually chill out time for most people. So thank you. Thank you, Deirdre.
Hey, awesome. I'm so glad you enjoyed the presentation. I know you told me you were going to be here. Don't forget to talk about your book. Elisangela says, I got mine for Christmas from your hobby.
That's so nice. That's so awesome. Okay, well, because Elisangela said I should talk about my book, here's the book here, here's the PDF here.
This is all on acupuncture point because today we didn't talk about acupuncture. I didn't talk about this, but yes, that's the book, and that's the PDF if you'd rather have the digital. which, you know, is very useful as well.
So thank you, Alessandra, for mentioning the book. And I'm so glad your hubby gave you a great Christmas present. That's awesome.
You guys rock it. Great book. Love it.
Joe, I haven't seen you in a while. Can we review this presentation? It will be on your YouTube channel.
Yes. I will have it later today on the channel. It will stay there so you guys can watch it over and over and over if you want to. Haha, B-Dog goes, me too. I got the book for Christmas for my hubby.
You guys have great husbands. My goodness, keep those guys. They're awesome. That's great.
I love that. That's awesome, you guys. Yes, Tamina, you are right.
I forgot to mention that. I know some medication has an effect on the pulse. Yes, that is correct. A lot of medication can affect the pulse. That's why it's hard to take the pulse because a lot can...
Jar the pulse or change the effect that when you take the pulse so it makes it very difficult because it does get affected and Influences by many things including medication or the pill for example, so it can change for everybody So that that is something to take in consideration that makes it tough Happy New Year's 2012 2012 Yeah, well, maybe we should go back to 2012 because you never know what's going to happen in 2021. So thank you. How do we get the PDF? Below, really, in the description of the video, below it, there is a link. Just click below. You'll see all the links.
And there is a link to get to download the PDF. So this was so helpful. I'm so happy, you guys.
This is awesome. You're the best. You guys make me so happy. You are the best.
Thank you. Merci. Obrigado. I know that in many languages.
Gracias. Grazie. Spasiba.
Thank you. Come on. Give me some languages.
Trying to say thank you. Vala when I was in Croatian. In Turkish it's Teşekkür ederim. Look at this.
I'm getting thank you in a lot of languages. Thank you, guys. Clarified.
Haha. Very funny. You guys are great.
Have a fantastic new year. I will see you next year for more fun, easy to grasp, and fun to learn TCM. Awesome, you guys.
Bye. Thank you very much. Bye, guys. Thank you. You're the best.
You are awesome. awesome thank you very much that's awesome you guys look at that yay happy new year happy 2021 you're very welcome merci infiniment pour la conférence dr hamid absolutely thank you very much city uh thank you i know you said you were going to come in and be here today so uh thanks mark I gotta say that better. Thank you Myrtia, you're the best, you rock, you're awesome.
My TCM brother from Romania. Will, thank you for coming from the Philippines. I know it's super early in the morning so I really appreciate you being here you guys. Awesome, awesome, awesome.
Thank you guys. Chris is like 2021, 2 0 2 10 equal 5 earth. Yeah, love that Chris.
Thank you for sharing that. That's a great way to finish this class. You guys are awesome. Love you guys. The book looks very interesting.
Well, check it out. The link is below for the book as well. If you want the book or the PDF, the link is below.
It took me two years to make. It's got over 365 graphics of all the acupuncture points. So it is a big, big, big PDF.
800 pages of a PDF and reformatted in the book. Yes! Yes, Mercha!
That's awesome, you guys! Thank you! You can have both if you want to! That's awesome!
You guys'support means the... like the... really, really means the world to me. You guys are so supportive and it's so positive.
That's what I love. I love that you guys are so positive and thankful and grateful. This is awesome!
I'm not able to find the link for the PDF. Get up below this video. On your right-hand side, there's a little arrow. If you're on your phone, click that, and all the description of this video is below, and it has all the link. It'll say Acupoint Made Easy PDF in there.
If not, go to my website, acupointacademy.com, and you can find it there as well. Yes? That makes sense? Thank you, guys. Shukran!
Rubina, of course, I knew Shukran! I knew that. I knew how to say thank you in Arabic.
Darn, I forgot that. Yes, thank you. That's awesome, you guys.
Bedank in Dutch. I said that right? Bedank. Or in German, danke.
Danke. Here we go. Oh, my God, you guys. It's awesome. In Gaelic, tapadliet.
Did I say that good, Paul? Probably not, right? Oh, my God, I love Gaelic. I love Gaelic music. That's awesome.
Your book is a handbook every acupuncturist should have. Oh, Elias, thank you. That is so sweet.
Thank you very much. I love that. That is very sweet. Thank you for saying that.
Awesome, you guys. Doi doi. I love that.
Doi doi. That's great. I'm learning every language.
In Persian, it's banoon. Oh, but Lily, don't you say merci in Persian? I know you use French word.
But mamnoun. Mamnoun. I don't know. Mamnoun. Okay, mamnoun.
Yes, that sounded almost there. Right? Almost.
Teşekkür ederim. Yes, in Turkish. Right? I've been to Turkey and I remember teşekkür ederim. Teşekkür ederim.
Excellent. Look at that. Oh my. Isa du Pol Nord. Oh my god, I love it that yours is French from the North Pole.
I love it, Isa. Oh, that's awesome, you guys. Thank you. I think we could stay here and talk all day.
But, uh, Happy New Year. Moult-tu-mèche in Romanian. Adrienne, did I say that right?
Moult, no, moult, moult-tu-mèche in Romanian. Look at me. Maraming salamat. Haha, did you see that, Carmela?
Madame Salamat! Oh, this is awesome, you guys! You guys rock everything! Domo arigato!
Thank you, Karen, for saying that! Domo arigato! I love it! You guys are teaching me languages! Oh, Mircea!
Moultoumeche! Excellent! Si?
That's fantastic! Very, very thank you, you guys! I'm going to go off and have lunch now, and I will see you in the next video.
Bye, guys!