Showing posts with label physical examination. Show all posts
Showing posts with label physical examination. Show all posts

Thursday, December 15, 2011

Secrets of the Pulse: The Ancient Art of Ayurvedic Pulse Diagnosis Review

Secrets of the Pulse: The Ancient Art of Ayurvedic Pulse Diagnosis
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Clear and practical instruction on a "difficult" subject
Dr. Vasant Lad is a world-renowned ayurvedic physician, born and educated in India, with more than forty years of clinical experience. He is one of the world's leading teachers and scholars of ayurveda, and served as professor of clinical medicine at the University of Pune College of Ayurvedic Medicine & Surgery as well as director of its affiliated hospital. Currently, he is president of and a senior faculty member at the Ayurvedic Institute, in Albuquerque, New Mexico. Vasant Lad is the author of several professional texts and popular works on ayurveda and has written countless articles on the subject.
Long ago, in India's remote past, ayurveda's sages described the means by which the radial pulse could be utilized to interpret the status of the physical and psychological constitutions of its possessor as well as to assess the overall state of health (or its absence). In the hands of an experienced and sensitive practitioner, pulse diagnosis (nadi pareeksha) can yield up a wealth of information of a very specific character well beyond the simple determination of prakruti and vikruti. It can lend assistance to locating the precise site(s) of pathology, the tissues affected and the state of the disease's progress and development, as well as the presence or absence of reactive systemic toxins that may lead to disease. Because pulse diagnosis requires a great sensitivity and deftness of the sense of touch that comes only with practice, it is as much an "art" as a science.
While pulse diagnosis has been cursorily described in several popular works on ayurveda, Dr. Lad has produced the first text on pulse diagnosis for the Western student practitioner, and "Secrets of the Pulse" provides a clear and straightforward method by which one can learn to assess the meanings of the pulse. With practice and the guidance afforded by this book, one can acquire the proficiency to read pulses accurately
This new edition has been revised and expanded in response to the feedback of many students and teachers who use this book in ayurvedic schools and clinics.
"Secrets of the Pulse" offers very practical and very clear instruction on pulse analysis that the author received from his own guru, describing a unique method that augments the practitioner's sensitivity and awareness while cultivating one's ability to directly perceive fundamental paradigms affecting the body.
Along with several other of Dr. Lad's works, I am certain that "Secrets of the Pulse" is destined to become a definitive textbook in English-language training programs for aspiring ayurvedic practitioners. It is an excellent effort, delivering practical instruction on a "difficult" subject matter with clarity and elegance. I heartily recommend it to anyone hoping to become involved in ayurveda.

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Thousands of years ago, Ayurveda described multiple levels of the radial pulse that could be used to interpret the status of the organs and systems of the body as well as the mental and physical constitutions of the individual. As the first text on pulse diagnosis for the Western student, this book provides a method by which anyone can learn to read his own pulse. Imbalances and potential disease states can be detected in their early stages, giving one the opportunity to correct them before they affect the quality of life. With practice and guidance, one can acquire the proficiency to use this knowledge to heal self and others.

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Monday, August 22, 2011

Symptoms of Unknown Origin: A Medical Odyssey Review

Symptoms of Unknown Origin: A Medical Odyssey
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This book is about thinking outside of the box when confronting human illness. It consists of a collection of very entertaining medical enigmas from Dr. Meador's career that serve as parables to illustrate the inadequacies of the prevailing "biomolecular" approach to understanding and treating illness.
Although the biomolecular model of Dr. Meador's day has since been supplanted by the biopsychosocial model in academic circles, in actual clinical practice this transition has yet to occur. Instead of searching for root causes, we learn to blame our patients for their refractory illnesses by characterizing them as "problem patients", "difficult", or "noncompliant". Those labels are often true, but they don't encourage or help us to address the underlying problems. Dr. Meador's book does.
Whether you're a dedicated "never-give-up" doctor who wants to help even your most trying patients, a frustrated clinician who is sick of losing battles with chronic disease day in and day out, or simply a perceptive soul who snickers at the thought of trying to reduce a whole patient into a set of ICD-9 codes, I think you will find this instructive and compassionate little book to be full of insights that will make it worth reading and re-reading on a regular basis.


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For years after graduating from medical school, Dr. Clifton K. Meador assumed that symptoms of the body, when obviously not imaginary, indicate a disease of the body--something to be treated with drugs, surgery, or other traditional means. But, over several decades, as he saw patients with clear symptoms but no discernable disease, he concluded that his own assumptions were too narrow and, indeed, that the underlying basis for much of clinical medicine was severely limited.Recounting a series of fascinating case studies, Meador shows in this book how he came to reject a strict adherence to the prevailing biomolecular model of disease and its separation of mind and body. He studied other theories and approaches--George Engel's biopsychosocial model of disease, Michael Balint's study of physicians as pharmacological agents--and adjusted his practice accordingly to treat what he called "nondisease." He had to retool, learn new and more in-depth interviewing and listening techniques, and undergo what Balint termed a "slight but significant change in personality."In chapters like "The Woman Who Believed She Was a Man" and "The Diarrhea of Agnes," Meador reveals both the considerable harm that can result from wrong diagnoses of nonexistent diseases and the methods he developed to help patients with chronic symptoms not defined by a medical disease. Throughout the book, he recommends subsequent studies to test his observations, and he urges full application of the scientific method to the doctor-patient relationship, pointing out that few objective studies of these all-important interactions have ever been done.

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