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༄།། ཡུ་རོབ་བོད་ཀྱི་སྨན་ཁང་།།་ – European Center for Traditional Tibetan Medicine ECTTM – Amchi* Dorjee Tseten Bhutia (*Doctor in Tibetan Medicine) – Consultations, courses and seminars – Traditional Tibetan Medicine | Healing through Tibetan Medicine in Europe

Tibetan herbal pills Tibetan Medicine

(Page 2) Information for personal use only. From: Tibetan Health Centre, Soest, The Netherlands

Diagnosis in Tibetan Medicine:

The diagnostic techniques include visual observation, touch and interrogation.

i.Visual Observation:
his involves checking a patient's complexion, the colour and texture of his/her blood, nails, sputum, faeces, and other general conditions. Special attention is paid to the condition of the patient's tongue and urine.


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ii. Diagnosed through Tongue:
In wind disorder, the tongue will red, dry and rough. In bile disorder, the tongue will be covered by a thick, pale yellow coating of phlegm. In phlegm disorder, the tongue will have a pale, thick coating of phlegm and dull, smooth and moist texture.

iii. Urine observation:
The amchi advises the patient, how and when to collect the urine sample. It is essential that patient avoid taking Coffee, black tea, buttermilk, wine , juices, and all kinds of vitamins etc. which otherwise would cause discoloration of the urine sample.
They are also suggested to have a sound and sufficient sleep, refrain from mental and emotional stress and desist irregular activities. It is best to satisfy these conditions a night before the examination. The urine in Wind disorder looks like water and has large bubbles when stirred. In Bile, the urine is reddish yellow and malodorous with much steam.
In Phlegm, the urine is whitish with little odour or steam. The first urine passed at dawn is suitable for examination, since its colour is not affected by digestion and by the colour the doctor can detect diseases. The colour, steam and sediment should be tested. The urine should be kept in a plain container, so that the colour is not affected, and either a stick or straw of white colour must be used for stirring it during examination.

iv. Touch:
diagnosed through pulse, touching to the skin, muscle, bone and specially diseases points of the 3 energies.
Pulse reading forms the most important touching method employed in Tibetan medicine. Only after ensuring an important set of preconditions, the physician proceeds with a pulse diagnosis. This involves placing the index finger, middle finger and ring finger of a doctor at patient's radial arteries. The fingers must be held
in a line close to one another yet not touching each other. The index finger must not put too much pressure on the skin; more pressure should be applied by the middle and ring fingers.

Left hand of patient examined by the right hand of the amchi
a. The tip of the index finger on the right side detects heart diseases and on the left intestinal diseases
b. The tip of the middle finger on the right side detects diseases affecting the spleen, and on the left stomach diseases
c. The tip of the ring finger on the right side detects kidney diseases and on the left diseases affecting the seminal vessel.

Right hand of patient examined by the left hand of the amchi
d. the right tip of the index finger detects lung diseases, the left tip diseases affecting the large intestine.
e. the right tip of the middle finger detects liver diseases, the left tip diseases related with bile imbalance.
f. the right tip of the ring finger detects kidney diseases, and the left tip diseases affecting the urinary bladder

The right hand pulse should be examined first in the case of female patients, and the left hand one in the case of males.
The reason for this is that the tip of the female heart is tilted towards the right and vice versa with males.

Interrogation forms the most important clinical aspect of the diagnosis. There are three main elements to a medical interrogation:

g. Determining the causative factors
h. Determining the site of the illness
i. Studying the signs and symptoms – this involves the amchi asking the patient about the sort of food and drink s/he has been consuming, and what kind of physical and mental behaviour s/he has been experiencing

Disease points are divided into three vertebras bone, nerves points, and venessection and moxa points.

Dietary and Lifestyle regulation are advice for preventing and supporting the illnesses.
At an immediate level, a disorder is primarily caused by an improper diet and/or lifestyle. In fact, a majority of health problems, both in developing and developed countries, can be either directly or indirectly traced to poor diet or lifestyle. Examples of this include alcoholism, hypertension and heart disease. The first form of treatment
in Tibetan medicine is thus not medicines but changing a patient's diet and/or lifestyle. Only if this fails to remedy an ailment is the use of medicines considered.

More information:
035 5338 145 (0) 30 6046590. 06 30 200 459
Amchi: D.T. Bhutia (Doctor in Tibetan Medicine)
T.H.C. Speenkruidstraat-39, 3765AA, Soest, Netherlands.

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Yuthok, founder of tibetan medicine

Yuthok, founder of
tibetan medicine

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