Methods of Disease Detection with Outgoingqi

There ate a variety of methods concerning the diagnosis of diseases by induction of qi between the therapist and the patient and by specific physiological functions, such as perspective, remote sensing, hand detection and physical (body) observation.

(1) Flat-palm Detection (Hand Sensing Method)

There is a qi field around everybody, and when certain organs and tissues are affected, changes will take place in the corrresponding regions of the qi field around the body surface. Detection of the changes with the palm for diagnosis is termed flat-palm detection.

The following is the procedure of flat-palm detection.- Ask the patient to take a standing, upright sitting or lying posture and set the whole body relaxed, mind concentrated and breath natural. Position the palm 10 - 100 centimeters from the patient with the Inner Laogong (P 8) or the fingertips facing the patient's body surface. Emit qi faintly and then conduct slow pushing, pulling and leading manipulations to detect qi of the patient from, firstly, the upper and lower, left and right and anterior and posterior aspects, and then from the body surface of the corresponding regions of the internal organs and tissues. Make comparisons between the sensations gained in different places to find out the part where qi is felt abnormal and decide the nature of it. Analyze the sensations on the basis of the relationship between the eight principles (yin and yang, exterior and interior, cold and heat, deficiency and excess) and the Yao image (yin and yang lines) and the parts, internal organs and the healthy and pathogenic factors to deduce the location, na ture and severity pf the disease.

For example, a great difference in intensity of qi between the two sides of the Stomach Channel of Foot-Yangming in the anterior aspect of the body means the imbalance of qi circulation between the left and right side. The deficiency and cold syndrome of the spleen and stomach may be manifested by a cold and contracted sensation in the epigastric region.

The location and nature such as pathogenic or healthy, cold or heat, deficiency or excess and so forth can be expressed by the six Yao image (yin and yang lines) which constitute the sixty-four diagrams (hexagrams). Specifically, the hexagram Qian ||!f (the 1st of the sixty-four hexagrams; yang lines)

symbolizes the qualities of the yang aspects-male, fu—organs

(hollow organs),positive and so forth;KunS 3 symbolizes the opposite qualities-female, zang-organs (solid organs), negative, etc. This principle is used to indicate the status of qi equilibrium. Then the symbol "O" is used to symbolize the qi sensation in or around the body, which, with the symbol "—"(taken as the diaphragm) added to it, indicates the region of the chest and abdomen; with the symbol" | "at its top on the middle, indicates the head; with " = " added to each of its sides,indicating the upper and lower limbs. In this way,the position of the three Yao at the head, three at the chest and abdomen, three at the lower limbs and three at the upper limbs are illustrated clearly. Then words such as male, female, zang-organs or fu-organs are written below the related one of the six hexagrams like Qian and Kun to express the qualities of the diagram in terms of male, female, zang-organs, fu-organs and the parts of the body.

The location and the nature of qi detected with outgoing-qi are expressed with the moving lines of the six hexagrams,of which the position of the lines symbolizes the specific part or organs of the body, and the principle of the lines (yin or yang) symbolizes the attributes as to whether they are pathogenic or healthy, negative or positive. To add "+", "++" and "44+" inside "©" indicates the extent of the healthy qi in terms of weak, moderate, strong; while to add "-", " =" and "=" in "O" indicates the extent of pathogenic qi in terms of mild, moderate and severe. And when the above symboles are added on the right of the moving lines (the lines corresponding with the parts or organs where qi is sensed), they express the nature of qi (pathogenic or healthy) and its extent.

For instance, moderate extent of densified and cold qi is detected at the surface of the thoracic region of a male patient. As Qian represents male and the 5th Yao line correspondes to the thoracic region, the nine-five line of Qian553 hexagram moves to the position of six—five (yang turns into yin because cold means yin) and the hexagram becomes Dayou sg. So^s should be recorded and then "O" should be drawn below it to express that the record is taken with six Yao lines as a whole, and * = " should be drawn to the right of the six—five line to express that the pathogenic qi detected is moderate. If moderately dense and dry-hot pathogenic qi is detected in this patient, the record should be taken with the same method except that the nine—five line remains unmoved as the original Qian hexagram, which means that the pathogenic evil at the nine—five region is of yang nature and is moderate. The method may also be used to record the results of qi detection at the

3rd Yao of the upper limbs and of the head, the 3rd Yad of the abdomen—chest and the head, the 3rd Yao of the lower limbs and the abdomen-chest or the results detected on the right and left and at the anterior and posterior aspects of the body based on the six Yao lines. Again, strong dry-heat, densified, aching and distending qi is detected at the hepatic region or at the related points of a female patient. As Kun represents female and the six-three line matches with the liver, the six-three line of the Kun hexagram | | moves to the position of the nine— three Yao and the hexagram becomes Qian|§-§ (the 15th of the sixty-four hexagrams). After this is taken, the word "female" is written below the hexagram to show the sex and " = "drawn to the right of the nine-three line to indicate the severe extent of pathogenic yang (yang Yao).

(2) Body Detection Based on Biological Correspondence

According to the law of bio-hologram, a bit of qi of the patient may be a message of the whole qi system. When the therapist receives a little amount of qi of the patient and infuses it through out his body, he may get some abnormal feelings in the locations that correspond to that of the patient, the feelings by which he judges the location and nature of diseases.

The following is the procedure of this method: Stand facing the patient. Emit qi by will toward the Baihui (Du 20) point of the patient and infuse it from Baihui (Du 20) to Yongquan (K 1). Then lead qi from the patient's Yongquan (K 1) to yours and guide it to flow upward to your Baihui (Du 20) to form one circulatory cycle of qi between you and the patient. Then infuse qi of this cycle throughout your body and try to feel the reaction of it carefully. The locality where you have abnormal —288—

feelings and the feature of the feelings are representative of the locality and nature of the illness that the patient suffers from. The versed therapist may emit qi out of his Laogong (P 8) of one hand toward a certain point of the patient, and accept qi with Laogong (P 8) of another hand and infuse it all over the body to make the diagnosis.

(3) Hand Diagnosis, Foot Diagnosis and Ear Diagnosis

The law of bio-hologram holds that one part of the body contains the message of the whole (including various parts, the viscera, qi and blood), and the local message may reflect the condition of the whole body. Such parts may include the hand, foot, eye, nose, ear, face, etc. The locations on these parts that represent the other different parts and organs are termed as points or zones, or respectively, as hand points (Fig. 7—1), foot points (Fig. 7—2), ear points (Fig. 7-3) and so forth.

The following is their procedure: Take the diagnosis through hand points as an example. The therapist first swings his hands or rubs one of his hands with which he is going to detect diseases gently with another to get its sensitivity even; then he leads qi of the patient by will into the palm, spreads qi over it (concentration on one point should be avoided) and try carefully to sense the reaction of the patient' s illness on his palm. He may then get some kinds of special sensation at the points on his palm, which indicates the location of the diseases of the patient. The different sensations such as distention, heaviness, numbness, hotness, itching and throbbing correspond with the feature of the diseases the patient suffers from.

Fig. 7—1 An Illustration of Points for Hand Diagnosis

I.spleen-earth 2.1iver-wood 3.heart-fir 4.1ung-metal 5.kidney-water 6 /13 / 26 / 35.1arge intestine 7-left brain 8.brain 9.right brain 10/12/31 .small intestine

II.gallbladder 14 / 37.urinary bladder 15.1eft shoulder 16.1eft cheek 17.nose 18.mouth 19.right cheek 20.right shoulder 21.stomach 22.1eftlung 23.rightlung 24.the whole body 25.heart 27.vitality / mentality 28.'navel 29 .veneral diseases 30.uterus 32.elbow 33.1eft kidney 34.right kidney 36.knee 38.reproductive organs 39.hip

40.waist 41.left lower limb 42.right lower limb 43 .the back of the head 44.cervical vertebra 45 .chest 46.sacrolumbar region

Fig. 7—1 An Illustration of Points for Hand Diagnosis

I.spleen-earth 2.1iver-wood 3.heart-fir 4.1ung-metal 5.kidney-water 6 /13 / 26 / 35.1arge intestine 7-left brain 8.brain 9.right brain 10/12/31 .small intestine

II.gallbladder 14 / 37.urinary bladder 15.1eft shoulder 16.1eft cheek 17.nose 18.mouth 19.right cheek 20.right shoulder 21.stomach 22.1eftlung 23.rightlung 24.the whole body 25.heart 27.vitality / mentality 28.'navel 29 .veneral diseases 30.uterus 32.elbow 33.1eft kidney 34.right kidney 36.knee 38.reproductive organs 39.hip

40.waist 41.left lower limb 42.right lower limb 43 .the back of the head 44.cervical vertebra 45 .chest 46.sacrolumbar region

Fig. 7—2 An Illustration of Points for Foot Diagnosis 1 / 2.head 3 / 4.thyroid gland 5/6.shoulder 7/8.1ung 9 / lO.elbow joint 11 / 12.adrenal gland 13.spine 14.1iver 15.gallbladder 16.stomach 17heart 18.spleen 19/20.kidney 21 .pancreas 22.duodenum 23 / 24 / 25.1arge intestine 26 / 27 / 28. small intestine 29 / 30.urine duct 31 / 32.knee cap 33 / 34.thigh 35.urinary bladder 36.right foot 37.left foot

Fig. 7-3 An Illustration of Points for Ear Diagnosis l-6.helix 7.earapex 8.uterus 9.Shenmen (H 7)of Hand— Shaoyin lO.sympathetic nerve 11.external reproductive organ 12.sacrolumbar vertebra 13.urinary bladder 14.urinary tract 15.the lower segment of rectum 16.kidney 17.small intestine 18.1arge intestine 19.duodenum 20.gallbladder 21.stomach 22.diaphragm 23.esophagus 24.1iver 25.spleen 26/28.1ung 27.heart 29.trachea 30.antilobium apex 31.adrenal gland 32thyroid gland 33.endocrime system 34/35.eye 36.tongue 37 .eye 38.cheek 39.teeth 40.Pingchuan (Extra) 41.subcortical system 42.cervical vertebra 43.thoracic vertebra Alternatively, the therapist may ask the patient to get breathe evenly, concentrated and turn one of his palms upward while keeping it relaxed. He then moves his index or middle finger (5 - 10 cm off the patient' s palm) gently from one hand point of the patient to another. The point where he gets the special feeling represents the location of diseases of the patient, and different feelings represent different features of the disorders.

Another method is to make the diagnosis while the patient is waiting to see the doctor. The therapist leads the patient's qi by will to his own hand, foot or ear to feel the reaction on the points to make diagnosis.

(4) Diagnosis by Observing Qi

Ask the patient to take a sitting or standing posture with the whole body relaxed, breath even, distractions expelled and mind concentrated on the location of his disorder. Observe with the naked eyes the space within 30 cm radius around te patient while concentrating the mind on the Upper Dantian. Then transparent or opaque qi flow or mass of different density and colour (red, white, yellow, green, blue, black, etc.) may be observed, Which may be taken as the basis for determination of the location and feature of diseases.

(5) Detection by Will

It refers to diagnosis through observation of the image of the patient by will. The therapist firstly observes the image of the patient as a whole, then imagines a sketch picture of the patient in mind and further imagines his interior. If the part or organ that the therapist imagines is darkish or gives him a feeling of turbibness, it Will be the location of diseases.

The sense of smell, the sense of taste, straight perspective and remote sensing are also useful diagnostic techniques. The points and zones for diagnosis are also indicated in emission of qi or in stimulation by pressing, kneading and needling,

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