Hara Diagnosis 2015

This handout is an update on the 1998 Hara Diagnosis

handout.
Though it is not as comprehensive, and some subjects (e.g.
Kawai's infinity treatments) are not covered here, this handout
is, however, more concise in that it reflects more clearly the
protocols I most often use and presents them as slides (each
page is a power point slide) so it is easier to navigate.
The handout was originally created for eLotus Seminars.

Principles of the Style

1.
2.
3.
4.

Gather Medical History

Gather Palpatory Findings
Correlate and Prioritize
Test and Treat

Keep going between steps 3 and 4 (prioritizing/diagnosing)

and testing, until you find the point combination that clears the
abdomen most effectively.
If you are unable to get a diagnosis that proves effective in
treatment, go back to steps 1 and 2.

Medical History
Chronological order
including birth and inherited disorders
look for the first injury as well as most significant
can you identify the root?
It will be the injury that when it is addressed will knock all other
findings off like a domino effect.

Palpatory Findings
Get the general picture first Do not try and resolve anything until you get the full picture so
you can prioritize

Be sure to palpate the neck/throat not just abdomen

It is hard to reliably palpate and test the back from the
front
Channel palpation:
Fire point diagnosis, bumps, edema, etc.

Prioritizing
Is the first injury reflecting in the body?
What are the most significant aspects of the medical
history?
What are the most severe palpatory findings?
This is where we correlate all we have found and create a
strategy.
This strategy could be wrong, which is why we test it,
and we keep going through more strategies, abandoning what
does not work, until we find the best strategy.

Testing
Is the strategy we came up with resolving the abdominal
findings? How fully?
We are looking for the one strategy that will clear he
whole abdomen, neck and back.
This is not always possible, and we may need to apply 2-3
strategies
A strategy/protocol that only clears one finding, is considered
less valuable and should be abandoned (use it only as last
resort)

Finding the Root

Priority is given to medical conditions such as:
cardiac conditions
autonomic nervous system disorders
blood pressure disorders
autoimmune diseases
diabetes
thyroid conditions

Palpatory findings that take priority:

Adrenals (reflects below Kid16)
SCM (ANS reflex)
Cervicals and occiput
Ren9 pulsing
Fire points
Stomach Qi (by pulse or by structure)
Inguinal and inner thigh tightness

Ill-being in the Heart Sutra

Zhao Jian Wu Yun Jie, Kong Du Yi Qie Ku E

(shed light on the 5 Skandhas and found them euqally empty,
after this penetration she overcame ill-being Guan Yin in the Heart Sutra)

Zhao illuminate to make apparent by putting it in the light of fire

Ku bitter grass that is old - withering
e distress a person crouching under a cliff
Ill-being (disease) has to do with lack of uprightness, lack of freshness, withering.

Ease Ling Shu 33

We are trying to create -

Qing Jing Duo Li (ease, vigour, lots of power)

Qing, light, ease
cart moving swiftly along river
Jing, vigorous, sturdy
River with strength (and internal river of strength)

Qing An ease/light, peace/calm Prasrabhi (ease) the opposite of sluggishness

(prasrabhi alertness, felexibility)

The opposite of ease is Auddhatya, excitement, restlessness

which can be expressed as Bu An ()
or as Diao Ju () to lose one's wholeness (or uprightness, lift)

Diao Ju, drop the lift, loose wholeness

Diao drop, lose, fall

Ju lift, raise, uphold, whole

Abdominal Findings
Left SP14-13

base line (unless colitis)

Left ST26-27
Right ST26- 27
4 & 8 o'clock
Ren9
Ren12 to ST21 beam
Ren12
ST21
Ren15
Ren17
Kid25-27
Liv14 or under ribs

Oketsu
Lung, Immune, digestion, pelvic shift
Adrenals
weak Dan Tian, sadness (heart cannot hold)
weak pancreas
weak stomach
ulcer (left stomach, right - duadenal)
worry, cardiac
anxiety, cardiac, esophagus
bronchial (if both sides)
left only cardiac (correlate with S.I.11)
Liver (excess/deficient/mixed)

G.B.26
Kid13
ST28

twist syndromes
uterus
ovaries

10

Neck/Throat
SCM

ST9
Scalenes (ST12)

autonomic nervous system

(parasympathetic block)
motor nerve reflex
check in any neurological disease
thyroid, primitive instinct
Spleen, muscular

C3
C4-5

phrenic nerve
thyroid

occipital ridge
right G.B.20
Mastoid

ANS, endocrine
oketsu
C1, deep tissue, ears, (autoimmune)

S.J.16

Immune

11

The Back I
T1-T3
T2
T2-T3
T2-T9
T4
left T4, T5, T6
S.I.11
left S.I.11
right S.I.11
U.B.42
left U.B.42 U.B.45
T.7, U.B.17
right T7-T9
right T10
T11, T12

face, head (brain also)

right G.B
Thymus/immunity,
psychosomatic
eyes
Cardiac
autoimmune
cardiac
digestion, liver, G.B
oxygen supply
cardiac
ANS, Insomnia Shu, Asthma Shu
Liver
G.B.
Sugar

12

The Back II
L1
L2
L3
L5
U.B.32
U.B.33
U.B.34
DU2

inguinal ligament
physical Kidney, brain, survival
hip
autoimmune, hemorrhoids, legs
women's point
male point
testosternone
ANS (treatment, not reflex)

13

Oketsu
left ST26-27
(up to below Kid16)

left Liv4 + LU5

left U.B.35

Oketsu Kai use Inguinal and/or Liv12

right G.B.20 clear Oketsu and needle
though considered less central than in the 90's, it is still essential in cases
where there is a clear history of repeated operations, or with irregular
heart beat

14

Immune
behind the SCM S.J.16 Immune points
(L.I.11-10 on the edge of the bone)

for lymph

add S.J.1,2, SP5,9

below scapular spine

pain along the posterior iliac crest this is Immune also

pain arching and curving lower back
temporal headache
use Immune points for Ren12

15

Adrenal
below Kid16

Kid6 + 27

(4 o'clock, 8 o'clock)

replace Kid6 with:

Kid7
slow pulse
G.B.26 pp
Kid2 pp
Kid3 rapid pulse
hypothyroid
brain disorders
breathing disorders
Kid9 goiter, neck pain
if Kid2 pain

Kid7 + 10 (Metal/Water)

tight paraspinals (valley back)

acne on chin
TMJ (use Kid9)
SCM and Thyroid

16

Liver I
Right Liv14

dull or sharp?

or under the ribs

Dull = Deficiency
Right Liv1
Sharp = Excess
Right Kid7, Sp7, HT3. P.4
Liv2 pp
right Liv4 + Liv8
Liver can also show on right C3
Oketsu may be involved
consider Sugar metabolism and detox

17

Liver II
Fatty Liver
Right ST25 + Liv13
(obese start left G.B.26, ST27, Ren6)

Other:
Kid9, L.I.15 (detox),
right Si Shen Cong
G.B.28 (esp. in menopause)
Mouth sores SP3 + Liv3

On the back T7-T9 (right)

left U.B.35

right U.B.43 may show, also right S.I.11 treat those if they show

18

Cardiac Reflexes
left S.I.11
most reliable (pathognomonic)
left SP20
Ren15 (when pressing up and left)
left Kidney line (on sternum)
P.1
left ST18
inner border of left scapula
Cardiac patients tend to fall into 3 categories:
- short, weak pulse (no Chi position)
use SP6, 9, Pericardium
this type tires easily and may have stiff shoulders
- flooding left Cun pulse (at least relatively flooding)
use Ren4 or U.B.27
- water accumulation
treat this first to alleviate pressure on heart: SP3,7,11

19

Cardiac Treatments
distinguish slow vs rapid (or normal) pulse
Ren4 - for rapid or normal pulse
U.B.27 - for slow pulse
check U.B.60 (especially left)
treat U.B.66/67 Metal/Water or U.B.60
Left Under-2nd-Toe (tachycardia)
left T4, S.I.11 and gummy area around scapula

20

Autoimmune Disorders
This is systemic inflammation use systemic Metal/Water
Rapid pulse:
Ren4 + Kidney + Lung
(check which Kidney and Lung points clear abdomen)

Slow Pulse:
U.B.27 + U.B.23 or 52 + U.B.13 or 42
Do not use Ren4 if:
pulse is slow
Crohn's or Ulcerative Colitis
(you can substitute side-G.B.27, also known as MuShu)
Immune points can be added in either case
Consider IHiKun (anything that starts with high fever)
or (for rapid pulse) S.I.1, 2, U.B.66, 67

21

Diabetes
SP3
Adrenal (Kid below knee + 27)
Immune
Odi (right ST22)
T11,12
Consider this for any sugar imbalance
Consider Diabetes to also be autoimmune (add Ren4 etc.)
Consider Fatty Liver treatment

22

Thyroid
Thyroid is in the Kidney domain it is an endocrine gland, and the throat is Kidney domain
originally Kid3 for hypo, Kid7 for hyper, Kid9 for goiter
however, do not rely on this and check the effect on ST9
ST Qi can be useful also (ST9 is thyroid reflex)
Hypothyroid activate the Du
Du2, (L2), T11,12, T7, T5 (or T9, T4)
Consider autoimmune issue
Consider toxicity (Kid9, L.I.15)
Check Liver
Always treat Liver and Thyroid in any type of cancer
especially if chemo or radiation are involved

23

Metal/Water Treatments
On any channel, if the Fire point is painful, use the Metal and
Water points of that channel.
Use this principle when you know you want to use a channel but
not a specific point.
This principle most significant with the Kidney or Pericardium
channel points, check the Fire points first.
P.8 pressure pain use P.5 + P.3
P.8 no pain use P.4 (3 fingers below P.3) or P.6
P.8 nice sensation use P.8 (or P.4)
Kid2 do not press, rub, it is not just one spot

24

Neck I
Scalenes

SP3, LU8, HT3, Inner Yin

SCM

Opposite S.J.8 (5 if rapid pulse)

Kid9, ST41 same sides

S.J.16

Immune

G.B.21

SP9

behind G.B.21

TMJ

25

Neck II
Cervicals C2-6

S.J.8 (same side) + Kidney + Liv8

IhiKun

C3

Right Liv1
Left either Cardiac or SP1

C4

ST9

C5

behind ST9

C6-7

HT3 (if one side)

Atlas (shows on mastoid) Yao Tong Xue

26

Neck III
Occipital ridge

this can be ANS (An Mian )

use Under-3rd-Toe (opposite)

Right G.B.20

Oketsu Liv4, LU5, needle left ST27

Lateral part of occiput

hormonal use U.B.66

Mastoid (puffy)

autoimmune

All neck issue look at T3-T5

27

Blood Pressure Imbalance

This include high, low as well as weird (meaning either
too high or too low a gap between cystolic and diastolic)
There is no one clear reflex for blood pressure issues
Treat:

SP6, SP9 + Pericardium

(check P.8 and determine accordingly)
Under 3rd-Toe (check pulse)

S.I.9/10

28

ANS - reflexes
There is no autonomic nervous system clear reflex
but it can reflect on:
tight SCM (parasympathetic/vagus blockage)
tight diaphragm (can reflect on C3)
tight Liv12
Ren17
Ren9
T5, T7
Inner boarder of left scapula

29

ANS - pulse
The clearest indication of an ANS disorder is the pulse.
It is a tight pulse, which in TCM would be described as
wiry and thin, often weak but not necessarily so.
(note wiry is supposed to be an Excess pulse, so saying wiry on a
deficient pulse is inaccurate, but it is the common description)

This pulse disappears upon pressure (by Nagano)

or changes quality and loses its edginess (by Avi)

30

ANS Treatment
Differentiate between slow and rapid (including normal) pulse
Under-3rd-Toe if pulse is not slow, or it is clearly tight
S.J.8 for regular and slow pulse, S.J.5 for rapid pulse
Pericardium (check P.8)
Ren6 (rapid pulse only)
Liv12 (rapid pulse)
DU2
S.I.9/10
T5, T7
There is a correlation between ANS and thyroid
There is a correlation between ANS and Adrenal

31

Ren9 pulse
A pulse on Ren9 (which can extend left to Kid16 and
slightly below and up towards Ren12, and even beyond)
indicates a weak Dan Tian or emotions that are not
appropriately expressed (heart is unable to hold the
emotion).
It indicates mis-communication between Ming Men
(Lower Dan Tian) and the Heart (Fire) and often also
shows on Left SP20
Treatment by Kiiko:

Right ST24 (needle towards Spleen )

Left G.B.26

Treatment by Avi:

side G.B.27 (MuShu) may add U.B.2

then ST24 + G.B.26

32

Gynecology - Reflexes
Kid13 uterus reflex

treat via Liver or Spleen points

ST28 ovaries reflex

treat via Liver or Spleen points

33

Gynecology Areas to check

These all have to do with blood/nerve supply
Pirifoirmis

release via G.B.31, Kid16

sacto-iliac joint

release via G.B.34

inner thigh
inguinal
L5 (sacral parasympathetic supply)
after releasing they can be needled also, and Kyutoshin added

34

Gynecology other considerations

The following conditions can have an effect on Gyn issues, are often
part of the treatment/solution, and may need to be addressed first.

Hormonal/Pituitary

reflects on U.B.2, G.B.20

use U.B.66
(S.I.3 if took birth control)

Thyroid

reflects on ST9
use Kidney points

Blood pressure

SP6, 9, Pc, Under-3rd-Toe

ANS sensitivity

check and release neck

35

Gynecology Specific Syndromes

Cysts

Liv8

Cramps

Sp3 + odi

Bleeding

SP7

Endometriosis

Liv5

Inflammation

Liv5 + SP5

Hormonal H.A (behind eyes) - Liv2, HT3, U.B.59

Post Partum depression - SP6, SP9, Pc, LU5

36

Gynecology Hot Flushes

may or may not show as Adrenal (4 o'clock, 8 o'clock, or Kid2
pressure pain)
may show as Liver
may show tight diaphragm and Ren17

Kid6 + Kid27
(substitute Kid6 as appropriate, usually Kid7)
SP9 + G.B34
Inguinal (G.B.27 to ST30 area, needle towards leg)

37

Gynecology

treatment points

Ren12+ right SP6, left S.J.4

Yi Tian Ni's Gyn combination

Inner Yin

is a hormonal area
often shows bumps

P.4

sends blood to abdomen

SP6 + P.6

anemia

ANS sensitivity

check and release neck

38