MoonDragon's Alternative Health Information
For "Informational Use Only".
For more detailed information, contact your health care provider
about options that may be available for your specific situation.
Hara is the Japanese word for abdomen. "Feeling" the hara is an important diagnostic technique in Japanese medicine, and is widely used by practitioners of shiatsu massage. It is, however, a far older practice than shiatsu - its roots lie in Traditional Chinese Medicine and in the theory of the meridians, which are channels of Ki, or "life energy".
This Chinese chart maps the internal organ for diagnosis.
Hara diagnosis is said to work by relating different parts of the abdomen to different internal organs and meridians. The hara can be interpreted and "mapped" using various systems; one of the simplest is shown below.
The abdomen is divided into the three regions of the upper, middle, and lower body respectively.
CONVENTIONAL MEDICAL OPINION
Western medical practitioners do not accept the theory of ki and internal energy channels. They are likely to view as even more far-fetched the idea that ki can be assessed and the condition of organs in the body diagnosed by feeling the abdomen.
CONSULTING A PRACTITIONER
Ki is said to enter the body in the breath and to be channeled through the meridians to the organs. It is "stored" in the abdomen in an area called the "tanden", just below the navel. In hara diagnosis, the patient is asked to relax and breathe deeply to allow ki to circulate fully. The practitioner then gently presses the tanden and other areas on the abdomen to assess the circulation of ki. Any disturbances in the flow are thought to lead to illness.
Concentrate on conception Vessel 6 (three-finger's width below your navel) while breathing deeply in to the lower abdomen, let your diaphragm come out as you inhale. Feel the breath being expanded into the depths of the belly. Exhale, drawing the belly in, letting the energy circulate through to body. The exercise will strength the general condition of the body.
By Michael Tierra
Huang Ti Nei Ching Su Wen (Yellow emperor's classic) the first important written text on Chinese medicine written around 2674 B.C. It records discussions between Huang Ti and six officials about the problems of medicine. Probably the Yellow Emperor's classic is a compilation by many scholars who used Huang Ti's name for authenticity.
The original nei ching consists of many parts of which the most important are the "Su Wen" and the "Ling Shu." The former deals with physiology, pathology, etiology, and health maintenance; the latter with anatomy, treatment, and the nervous system.
The "Su Wen" introduced the following methods of treatment:
1. Huei Shi cutting stone early surgery using stone knives, performed along the Eastern coast in Shan-Tung province.
2. Medicinals: Decoctions and medicinal soups used in Shan-Si province, Western China.
3. Acupuncture: Practiced in the plains of Southern China, Hu-Pei Province.
4. Moxibustion: Heat therapy preferred in the highlands of Northern China, Ho-Pei Province.
5. Massage: Manipulation and exercise which was popular in the plains of Central China, Hunan Province.
During the Warring States era (402-221 B.C.), Tsou Chien proposed the Five elements theory which compared the human body to a small universe.
The Nan Ching or classic of difficult issues was compiled probably within two hundred years after the Nei Ching. It pertains more strongly to medical issues that relate to the practice of acupuncture.
Chan Chung Ching (about A.D. 142-220) was the most famous herbal clinician writing the Shang Han Lun (Treatise on Febrile Diseases caused by Cold) and the Ching Kuei Yao Lueh (Summaries of Household Remedies. He formulated the principle of the Six stages of Disease and the formulas which are described in his books are among the most revered and form the basis of Kanpo (Japanese-Chinese Herbal Medicine).
Palpation as one of the four diagnosis of Chinese medicine includes taking of the pulse, palpating the shu (bladder) points on the back, palpating the xi-cleft points on the meridians and palpating the mu points on the abdomen which is the basis of Hara or abdominal diagnosis.
Some quotes concerning abdominal palpation from earlier texts:
From Essential Prescriptions from the Golden Chest (200-300 B.C.)
"When one palpates an abdomen that is swollen and full, and the patient does not feel pain, this indicates vacancy. If the patient feels pain, this indicates repletion. Therefore with replete patients, one must address and eliminate the repletion."
In the Shang Han Lun, shao yang stage disease the patient feels subcostal fullness. There may be sensation of a lump or tightness below the heart and a general feeling of stagnation.
The Japanese physicians have developed hara diagnosis most extensively. Todo Yoshimasu described the types of lumps and location as follows:
The Nan Jing abdominal correspondences outlining the five phase diagnostic model is as follows:
Liver pulsing lump, tightness or pain on the left side of the umbilicus. Japanese practitioners tend to center this area just below the umbilicus on the lateral left side of the abdomen which roughly corresponds to the location of the portal vein.
Spleen around the umbilicus
Lungs right side of the umbilicus
Kidneys below the umbilicus
The so called "Mu" or mother points of the abdomen are as follows:
1. Liver 14 - liver
2. Liver 24 - gall bladder (?)
3. Gall bladder 25 - spleen
4. CV12 - stomach
5. CV 3 - bladder
6. CV 4 - kidney
7. Lung 1 - lung
8. Stomach 25 - large intestine
9. CV 15 - heart
10. CV 14 - Pericardium
ll. CV 17, 9, 4 - triple warmer
12. CV 4 - small intestine
These can be used for diagnosis and treatment, in fact CV 12 is considered the command point for all the internal yang organs of transportation while Liver 14 is considered the command point for all the internal yin organs of transformation. Further CV 6 is considered the sea of chi, CV 9 is considered a point that governs water metabolism, CV 25 is a point that is considered the great eliminator, Spleen 15 and 16, especially on the left, are points that are used to stimulate intestinal peristalsis, point on the lower abdomen such as CV 3 (an important point for the chong mo meridian), stomach 29, 28, 27 are considered very important for gynecological problems, especially blood stagnation syndromes in women.
WHAT TO FEEL FOR:
Temperature Variations: Feel the four quadrants and determine temperature variations, also compare the three warmers with each other. Many patients are cooler below the umbilicus and warmer above. This represents counter flow chi with vacancy in the kidneys and fullness above.
Tension: Tension or lack of tension should be observed, especially below the rib cage and along the rectus abdominal muscles. Tension usually represents vacancy rather than repletion. Lack of tension in the muscles is a good sign indicating an elastic, healthy abdomen. The release of tension is a prerequisite for healing.
Pressure Pain: Pressure pain found on palpation points is almost always of the utmost significance. Severe or sharp pains are more significant than dull, achy pains. Pain is usually considered a repletion sign of stagnation. If it is relieved by touch or pressure it is a sign of vacancy.
Sometimes psychological issues can exaggerate abdominal sensitivity. Check SP-10, ST-36 to ST-38 and between the 3rd and 4th toes. If there is any reactiveness on any or all of these points, shiatsu would be an appropriate therapy. These points can also relax the abdomen, making it less sensitive, allowing one to resume abdominal diagnosis.
Fluid Sounds: Whenever sloshing or gurgling occurs in the subcostal region it usually affects the stomach. It represents fluid stagnation in the stomach.
Traveling or Reactive Sensations: Sometimes when palpating a particular area there is a sensation or reaction that seems to travel to certain areas of the abdomen. These can occur anywhere in the body, including the extremities. The most significant of these may radiate areas of the body where the patient has problems. Check associated organs or meridians that may be involved. Sometimes pressure on a particular area of the abdomen will eliminate a pain occurring elsewhere. For instance pressure on the abdomen can cause or relieve corresponding back pains. Other areas near the liver or stomach may relieve a headache.
Strength or Weakness of Abdominal Musculature: Too much strength may represent repletion, while flaccidity, lack of tone, softness can indicate vacancy.
Tightness - Hardness & Softness - Looseness: Tightness is different from tension. With tension there will be some rebound with tightness the is less or no springiness or rebound. Tightness is harder to treat than tension. It signifies a more exacerbated condition. Softness and looseness may appear similar to weakness, except that some springiness remains in the muscles. Softness does is not as great a sign of vacancy as is weakness.
Different depths can also be palpated:
1. Hardness on the surface and hardness below.
2. Hardness on the surface and softness below.
3. Softness on the surface and hardness below.
4. Softness on the surface and softness below.
5. Palpation around the midline will reveal softness on the surface and hardness below.
Lumps: Lumps have varying significance depending upon their location, size, and quality. Lumps may be soft or hard; stationary or mobile. Moving lumps are more yang in nature and easier to treat. Stationary lumps are more yin in nature and more difficult to treat. Rule out the possibility that some lumps may be gas or stools in the intestines.
Most lumps are not tumorous, but consists of knots of muscle or other tissues. Usually if a tumor feels smooth and not irregular it is probably benign, if it has irregular edges it could be more dangerous. It is generally advisable to not palpate directly on a lump but around it.
Pulsing or Palpitations: Such symptoms and signs are usually an indication of vacancy. Their significance varies with their relative strength, depth and location. Some are visibly obvious, indicating greater vacancy. Sometimes it can be felt with slight pressure and others only with deeper pressure. It will have varying strengths.
A slight pulsing around the umbilicus is normal. It is considered the moving chi of the kidneys and is a favorable sign of health.
Skin Qualities & Textures: Loose, creased skin may indicate vacancy while tight skin may be a sign of repletion. Healthy skin will "pinch up" easily between the thumb and forefinger, evinces a normal springiness. If it is tight it will be difficult to pinch the skin, if it is loose it will be easy to pinch it. In extreme vacancy, when the skin is pinched it remains pinched and will not return to flatness.
The skin pinching technique can reveal various sensations including tightness, tension, small lumps and sometimes vague symptoms of "something there." It is a way of diagnosing the most reactive points and those points where a patient is under-sensitive. It is the most useful method for determining sensitivity. Some Japanese practitioners use the pinching with great dexterity and skill, being able to diagnose the entire hara and the lengths of meridians in just a few minutes.
Skin texture is also very important:
1. Dry skin represents vacancy.
2. If the skin is too moist it is generally not a good sign.
3. Some skin moisture, but not too much is normal.
4. Roughness, smoothness, color tones, paleness or redness may all have some significance.
Swellings & Indentations: Swollen or indented areas are usually palpable. Swelling is a sign of repletion while an indentation is a sign of vacancy. In general, when we speak of signs of repletion such as tension, tightness or swelling it is generally a sign of vacancy so that these signs are to be considered a kind of false repletion (yin deficiency).
Chart is available from Acupuncture Products (See Link Below).
Acupuncture Products: Shiatsu Chart of Meridians & Hara Diagnosis
The Shiatsu Man: The Hara
AcupunctureMedical.org: Hara Diagnosis (PDF)
MoonDragon's Alternative Health Information: Diagnostic Techniques Index
ALTERNATIVE DIAGNOSTIC TECHNIQUES
MoonDragon's Alternative Therapy: Diagnostic Techniques - Applied Kinesiology
MoonDragon's Alternative Therapy: Diagnostic Techniques - Dowsing
MoonDragon's Alternative Therapy: Diagnostic Techniques - Energy Medicine
MoonDragon's Alternative Therapy: Diagnostic Techniques - Hair Analysis
MoonDragon's Alternative Therapy: Diagnostic Techniques - Hara Diagnosis
MoonDragon's Alternative Therapy: Diagnostic Techniques - Iridology
MoonDragon's Alternative Therapy: Diagnostic Techniques - Kirlian Photography
MoonDragon's Alternative Therapy: Diagnostic Techniques - Nutritional Testing
MoonDragon's Alternative Therapy: Diagnostic Techniques - Pulse Diagnosis
MoonDragon's Alternative Therapy: Diagnostic Techniques - Tongue Diagnosis
MoonDragon's Alternative Therapy: Diagnostic Techniques - Touch For Health
HELPFUL RELATED MOONDRAGON NUTRITION BASICS LINKS
MoonDragon's Nutrition Basics Index MoonDragon's Nutrition Basics: Amino Acids Index MoonDragon's Nutrition Basics: Antioxidants Index MoonDragon's Nutrition Basics: Enzymes Information MoonDragon's Nutrition Basics: Herbs Index MoonDragon's Nutrition Basics: Homeopathics Index MoonDragon's Nutrition Basics: Hydrosols Index MoonDragon's Nutrition Basics: Minerals Index MoonDragon's Nutrition Basics: Mineral Introduction MoonDragon's Nutrition Basics: Dietary & Cosmetic Supplements Index MoonDragon's Nutrition Basics: Dietary Supplements Introduction MoonDragon's Nutrition Basics: Specialty Supplements MoonDragon's Nutrition Basics: Vitamins Index MoonDragon's Nutrition Basics: Vitamins Introduction
NUTRITION BASICS ARTICLES
MoonDragon's Nutrition Basics: 4 Basic Nutrients MoonDragon's Nutrition Basics: Avoid Foods That Contain Additives & Artificial Ingredients MoonDragon's Nutrition Basics: Is Aspartame A Safe Sugar Substitute? MoonDragon's Nutrition Basics: Guidelines For Selecting & Preparing Foods MoonDragon's Nutrition Basics: Foods That Destroy MoonDragon's Nutrition Basics: Foods That Heal MoonDragon's Nutrition Basics: The Micronutrients: Vitamins & Minerals MoonDragon's Nutrition Basics: Avoid Overcooking Your Foods MoonDragon's Nutrition Basics: Phytochemicals MoonDragon's Nutrition Basics: Increase Your Consumption of Raw Produce MoonDragon's Nutrition Basics: Limit Your Use of Salt MoonDragon's Nutrition Basics: Use Proper Cooking Utensils MoonDragon's Nutrition Basics: Choosing The Best Water & Types of Water
RELATED MOONDRAGON HEALTH LINKS & INFORMATION
MoonDragon's Nutrition Information Index MoonDragon's Nutritional Therapy Index MoonDragon's Nutritional Analysis Index MoonDragon's Nutritional Diet Index MoonDragon's Nutritional Recipe Index MoonDragon's Nutrition Therapy: Preparing Produce for Juicing MoonDragon's Nutrition Information: Food Additives Index MoonDragon's Nutrition Information: Food Safety Links MoonDragon's Aromatherapy Index MoonDragon's Aromatherapy Articles MoonDragon's Aromatherapy For Back Pain MoonDragon's Aromatherapy For Labor & Birth MoonDragon's Aromatherapy Blending Chart MoonDragon's Aromatherapy Essential Oil Details MoonDragon's Aromatherapy Links MoonDragon's Aromatherapy For Miscarriage MoonDragon's Aromatherapy For Post Partum MoonDragon's Aromatherapy For Childbearing MoonDragon's Aromatherapy For Problems in Pregnancy & Birthing MoonDragon's Aromatherapy Chart of Essential Oils #1 MoonDragon's Aromatherapy Chart of Essential Oils #2 MoonDragon's Aromatherapy Tips MoonDragon's Aromatherapy Uses MoonDragon's Alternative Health Index MoonDragon's Alternative Health Information Overview MoonDragon's Alternative Health Therapy Index MoonDragon's Alternative Health: Touch & Movement Therapies Index MoonDragon's Alternative Health Therapy: Touch & Movement: Aromatherapy MoonDragon's Alternative Therapy: Touch & Movement - Massage Therapy MoonDragon's Alternative Health: Therapeutic Massage MoonDragon's Holistic Health Links Page 1 MoonDragon's Holistic Health Links Page 2 MoonDragon's Health & Wellness: Nutrition Basics Index MoonDragon's Health & Wellness: Therapy Index MoonDragon's Health & Wellness: Massage Therapy MoonDragon's Health & Wellness: Hydrotherapy MoonDragon's Health & Wellness: Pain Control Therapy MoonDragon's Health & Wellness: Relaxation Therapy MoonDragon's Health & Wellness: Steam Inhalation Therapy MoonDragon's Health & Wellness: Therapy - Herbal Oils Index
To The Top
HERBS, OILS, & SUPPLIES
MoonDragon's Health & Wellness: Manufacturers & Distributors
See all our merchant banners below for products, remedies and supplements recommended on this web site.
HELPFUL PRODUCTS & FURTHER EDUCATION
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- By Phyllis A. Balch, James F. Balch - 2nd Edition
Prescription for Nutritional Healing: The A-To-Z Guide To Supplements
-- By Phyllis A. Balch, James F. Balch - 4th Edition
Prescription for Herbal Healing: The A-To-Z Reference To Common Disorders
-- By Phyllis A. Balch
This is only a small sample of educational materials and products available through Amazon.com. Use the search box provided below to search for a particular item.
If you see a suggested Amazon product "not there" as indicated by an orange box with the Amazon logo, this only means the specific product link has been changed by Amazon.com. Use the "click here" icon on the orange box and it will bring you to Amazon.com and you can do a search for a specific product using keywords and a new list of available products and prices will show. Their product and resource links are constantly changing and being upgraded. Many times there are more than one link to a specific product. Prices will vary between product distributors so it pays to shop around and do price comparisons.Educational materials and health products are available through Amazon.com. Use the search box provided below to search for a particular item.
For a full list of available products from Mountain Rose Herbs, click on banner below:
Mountain Rose Bulk Herbs Mountain Rose Herbs, Bulk Herbs A
Mountain Rose Herbs, Bulk Herbs B
Mountain Rose Herbs, Bulk Herbs C
Mountain Rose Herbs, Bulk Herbs D
Mountain Rose Herbs, Bulk Herbs E
Mountain Rose Herbs, Bulk Herbs F
Mountain Rose Herbs, Bulk Herbs G
Mountain Rose Herbs, Bulk Herbs H
Mountain Rose Herbs, Bulk Herbs I
Mountain Rose Herbs, Bulk Herbs J
Mountain Rose Herbs, Bulk Herbs K
Mountain Rose Herbs, Bulk Herbs L
Mountain Rose Herbs, Bulk Herbs M
Mountain Rose Herbs, Bulk Herbs N
Mountain Rose Herbs, Bulk Herbs O
Mountain Rose Herbs, Bulk Herbs P
Mountain Rose Herbs, Bulk Herbs Q
Mountain Rose Herbs, Bulk Herbs R
Mountain Rose Herbs, Bulk Herbs S
Mountain Rose Herbs, Bulk Herbs T
Mountain Rose Herbs, Bulk Herbs U
Mountain Rose Herbs, Bulk Herbs V
Mountain Rose Herbs, Bulk Herbs W
Mountain Rose Herbs, Bulk Herbs Y
Mountain Rose Aromatherapy Oils Mountain Rose Herbs, Aromatherapy Essential Oils
Mountain Rose Herbs, Aromatherapy Oils A-B
Mountain Rose Herbs, Aromatherapy Oils C-E
Mountain Rose Herbs, Aromatherapy Oils F-L
Mountain Rose Herbs, Aromatherapy Oils M-P
Mountain Rose Herbs, Aromatherapy Oils Q-Z
Mountain Rose Herbs, Aromatherapy Oils: Oil Blends & Resins
Mountain Rose Herbs, Aromatherapy Oils: Diffusers, Nebulizers, & Burners
Mountain Rose Herbs, Aromatherapy Oils: Kits & Samplers
Mountain Rose Herbs.com: Order Online Aroma Oil Blends & Resins
Aroma Oil Kits & Samplers
Babies & Children
Bitters, Elixers & Syrups
Body & Skin Care
Books & Education
Bulk Herbs & Spices
Carrier & Vegetable Oils
Chai & Mate Organic Teas
Diffusers & Burners, Aromatherapy
Green & White Teas
Herbal Extracts & Tinctures
Herbal Salves & Balms
Herbal Smoking Blends
Incense Resins & Accessories
Lozenges & Pastilles
Medicinal Herb Seeds Packets For Gardens
Miscellaneous Bulk Ingredients
Mortars, Grinders, & Graters
Mountain Rose Gear & Merchandise
Pet Care & Natural Supplies
Resins & Burnables
Spice Bottles & Jars Storage
Tea Accessories & Brewing Supplies
Tea Pots & Carafes
MoonDragon's Nutrition Information Index
MoonDragon's Health & Wellness: Nutrition Basics Index
MoonDragon's Health & Wellness: Therapy Index
MoonDragon's Nutrition Therapy Index
MoonDragon's Alternative Health Information Index
MoonDragon's Aromatherapy Information Index
MoonDragon's Health & Wellness Index
MoonDragon's Womens Health Information Index by Subject Order
MoonDragon's Womens Health Information Index by Alphabetical Order
MoonDragon's Main Indexlisting
MoonDragon's Home Page