How would you explain this? 5/5 (33)

I graphed a patient a few days ago. 37 year-old female, thin build, complaining of low back pain, abdominal bloating and discomfort, poor digestion, constipation, and overall exhaustion. Here’s her graph. It looks great, yet she is really suffering and feeling quite ill.

How would you explain it? More importantly, what is your next move?

Leave a comment with your thoughts and I’ll post the rest of the case tomorrow.

Please rate this



Dr. Adrian Larsen

Adrian P. Larsen, D.C., F.A.S.A., C.Ac. Dr. Larsen is President of Miridia Technology Inc., and one of the developers of the AcuGraph Digital Meridian Imaging system. He currently divides his time between research, product development, and teaching. Dr. Larsen also holds certifications in Applied Kinesiology and CPK, and has specialized training in SOT and craniopathy. He, his wife, and 7 children reside in Meridian, Idaho.

39 Replies to “How would you explain this?

  1. the graph may show all green as a statistical average, however the peaks and troughs show many variances. Overall Qi is on the low side and from the symptoms and signs suggesting some blockage in the qi mechanism, mostly middle jiao. Spleen and pericardium are just a low as the Large intestine suggesting spleen energy unable to push through the large intestine creating constipation, bloating and fullness. The gall Bladder isn’t far off low either. I would suggest shortening the parameters for variances and the colours would show clearer. Low PC she is having poor sleep or is depressed. First thing would be to trust my instincts and follow the S&S, and wait for the graph to show differences on the following treatment.

  2. Hello Mr. Larsen, interesting post, so I decided to reply with following:

    a)First I will perform second AcuGraph Tsing-Points test as well, to see what may be hidden. Than I will do holistic treatment.

    b) Will follow AcuGraph points recomendation to give a client homework to do an Acupressure massage of these points (as I am not Acupuncturist I can’t be using needles and AcuHerbs unfortunatelly).

    c)It looks to me, that this lady has been very stressed, worried, so I will do everything to relax her life in that regard. Recom. good book, movie (“The Shift” from Dr. Wayne Dyer for example), see some good uplifting friends etc…., (Earth is lowest element and the Water highest I think).

    d) As kinesiologist by degree, I will probably do some ICV treatment (high Si and Low Li)

    e) nutritional advice: Magnesium (or Triamin from Key Company as Dr. Baker recomended) – to support also heart in the times of high stress and exhaustion, Vit C (1000mg/day) and Vit B 3,5 for at least a course of one months. Good water intake (200ml/hr is a optimum).

    f)Also as part of treatment or homework, I will do some massage of lymphatic system for LI, SI and Spleen meridian.

    There is of course a lot more, I could do with this client, but this is my way of treating clients and they usually do very well after few days.

    Kindly Elsa

  3. This sort of case is why I do not use a single method of diagnosis. Traditional tongue and pulse will tell you which direction to take. I do not find it that unusual to have a very sick patient test out well balanced – I have charts for example of cancer patients whose charts look similar – although the energy here is a little higher than ususal for a very ill patient.

  4. First, I would take a jing well exam. There is a potential block between the Lung and the Large Intestine meridians so I would use the Luo point on LI to open the channel between them. Symptoms of discomfort in the bowels may be due to this deficiency. A lot depends on what the jing well graph looks like. I would probably add the shu and mu points of the LI.

  5. She might be suffering from psychosomatic problems..
    Just give her therapeutic points according to the graph and some additional symptomatic points I think.

  6. Take MRI of the patient and u vil find the problems.
    The patient is having problem with hid T7 to T10 and with L3 to L5.
    Check and u vil find lump forming or hardened muscle abv the nasal.
    She also vil b having pain just approximately one inch below the nasal and one inch on the right side of the nasal. I mean the meeting place of these 2 points.
    It will take approximataely 4 weeks to cure the patient or maybe less.

  7. Based on her syphtoms she does not diggest what she is currently living with her couple. She is lacking inspiration in life and she is looking for recognition from her family. This is the way her body and her emotions yield for attention.
    Her nervious central system is also having problems. She is tired of what she is currently living. I can asure that she is having problems to read as well.

  8. Hello,I think she is blood type A,back pain from stomach low energy,exhaustation from the speen also a bit of emotional breakdown

  9. I have had this a few times in clinic, and here are some thoughts:

    1) We don’t know the severity of any particular imbalance in the graph. A LI(-) could be mild constipation or colon cancer…we can’t tell just from the graph. In the above case, we might determine that the LI(-) is the source of most of her complaints. Certainly all of the digestive/abdominal sx can be blamed on a LI(-). Back pain could be unrelated…or seen as muscles suffering from malnutrition, as they often do. One meridian imbalance can cause severe problems while all the others are fine.

    2) Theoretically speaking, problems aren’t always reflected in the meridian system…well, I should say that they aren’t always reflected in the source points. East Asian Medicine diagnoses are always made from a constellation of findings. With acugraph, we are measuring electrical resistance as a surrogate for qi. This comes with some inconsistencies…it has to. A balanced graph doesn’t mean balanced qi, it means balanced qi AS WE MEASURE IT. The above case does show a clinically relevant imbalance, though very slight, but some don’t. In those cases we can say that the meridian system AS WE MEASURE IT is in a state of balance, and we’d have to look to the traditional methods for our diagnosis. No single diagnostic method can catch all diseases.

    3) Finally, a broken clock is correct twice every day. A single graph is subject to random acts of balance and harmony. The meridian system is in constant flux. The meridians change with time, emotion, and of course, disease patterns. I have had several patients with random near-perfect graphs. I always ask what they are doing that day that is different from most days…usually nothing of note. Random balance points can tell us something if they seem to have a pattern. For example, one patient of mine graphs near-perfect in the am, but is a train wreck after 1pm. Her CC is foot pain. With rest, she’s balanced (though in pain). After a busy morning, she graphs out of balance (no change in pain).

    Next move? I would complete a thorough EAM intake. If the other diagnostic methods confirm a LI(-) and don’t reveal any complications, I would tell the patient that we may be dealing with a very simple problem. I would tonify LI and treat ST and SP points.

  10. In this case,one approach would be to tell the pt that her body has now accepted the condition that she is in as being the normal state for her. Not a good state, just normal for her. The treatment protocol would include general symptomatic treatment to start shaking things up, for the first visit, and then regraph and get into the changes that will start to appear.

    Being lucky enough to also be a chiropractor, I would definitely palpate her spine, find the areas that will definitely be subluxed and adjust her at the same time. The next graph will be different.

  11. your graph shows a weakness in just evaluating points by using an arathmetic mean for your base line.this has always been a problem since I first studued Dr Nakatanis work in 74 and had to do mathamathical calculations and graphing by hand.
    i have established an ideal range and compare the graph to that as well as using 10point split differentials to determine side to side and paired meridian balances. using these criteria your graph is not normal and become easy to treat

  12. the flow of chi in the the last 3 chakras is blocked which explains the low back pain,bloating and constipation,poor digestion

  13. We need to see the five alement chart to finde the highest and the lowest meridian scour .
    Then we need to treat the most common issu regarding the symptom .
    If it not ew need to disable the intella option and edet the split avrige after that every thing it will be clear .
    please keep like this test for more learning

  14. dear dr,
    I have not yet understood how much to rely on acugraph obviously you are you are correlating electrical resistance at the source points and meridian Qi. the results can well be used where triple heater mechanism is working up to the mark and the disease has not yet affected the functioning of internal organs.
    On the other hand the measurement at well points will give to understand yang intensity of meridian nothing much absolute about generation of Qi or transfer of Qi from generating organ to other organs.
    therefore, I am sorry to say that for chronic diseases one cannot and should not depend on acugraph results.
    better would be to diagnose through 5 points of cv and two points of stomach meridian (which I suppose you know and I am not enumerating for obvious reasons) which gives true picture of triple heater generation disorders.
    so far as this present case is concerned it appears to be a case of yin deficiency. Check for Liv Qi stagnation as well.I appreciate Dr rechard cohen and jacob Godwin’s comments.
    More dependable are tongue and pulse diagnosis.A software can be generated with alarm points as well as…..

  15. In your heading “how would you explain this” I would like in form you that Constipation&Indigetion are the two wheels for the graveyard, If the patient is.corrected with her constipations,she will be OK within a week time,also no drinking of water before,during &after break-fast or lunch or dinner.

  16. I am a Vietnamese, so English is language very hard to understand this case well. I am a Vietnamese Traditional Medicine specialist, i want to join in this page, may i write all my think in Vietnamese ?
    Thank so much.

    1. I’m sorry but we won’t be able to understand what you say if you write in Vietnamese. Perhaps you can write in Vietnamese and then use an online translator tool to post in English?

  17. I think Acugraph4 intelligence will definitely show the imbalance if ryodoraku exam method was used for examining the Patient.

  18. Hello Mr. Larsen
    I’m not an expert in such treatment

    But in me this patient is suffering from a psychological condition probably is much anxiety and tension high anxiety and stress
    Diet may not respect
    As for treatment
    First began to study the psychological state of the patient
    What type of disease that afflicts medical
    Then we will give him treatment definition
    Then proceed to set the body’s energy points
    then start the treatment

  19. I amno acupuncturist , just acupressurist by experience only.I see there is some Large Intestine deficiency that would corelate her constipation that would in turn explain the bloating sensation , and her blocked bowels put some strain on her lowerback.Someone may ask me why constipation: an explanation would be that her abdominal muscles like her muscles and tendons as a whole(viscera regarding her stools not passing) lack energy and concurrently cause her ribcage not being able to open properly thus the lack of oxygen is the cause of her exhaustion since her lungs are intact.
    This is my explanation of her “condition” although channelwise she is free from abnormalities.

So, what do you think about it?