The processes whereby the acupuncturist arrives at the information on which he bases his diagnosis consists of visual observation (including looking at the tongue), listening and smelling, palpation (including pulse and abdomen) and questioning. The most crucial part of the treatment is to make the correct diagnosis. Palpation of areas of the body, of the meridians, and of the acupoints is useful because it provides clues to the patient's condition including the condition of the meridians and organs.
In contrast to obtaining the Qi, which is felt by the patient, the arrival of Qi is something that the practitioner feels. So even if the patient feels no needle sensation, as long as the practitioner feels it, the treatment will be effective. The arrival of Qi is felt as a pulsation or sensation of warmth in the thumb or fingers of the practitioner. The feeling of the arrival of Qi is similar to what might be felt if you are holding a fishing pole at the moment when a fish starts pulling the fishing line away from you. You feel a sort of grabbing or pulling sensation in your fingers. But if the Qi has not yet arrived, the needle will move freely back and forth as if it were in a piece of tofu, and you will not feel any pull or grabbing sensation in your fingers. (1)
Acupuncture is also a very useful form of preventive care. For example, by employing the palpatory technique of eliciting pressure pain in one's diagnostic protocol one can treat problems before they develop into diseases or syndromes. Both Western and Eastern concepts of disease imply a certain pathology with measurable or definable parameters, e.g., the disease of pneumonia or the syndrome of Lung Qi Deficiency. However, because pressure pain elicited by palpation does not always reflect any obvious known disease or syndrome it can serve as a useful sign that there is an underlying imbalance that, although not revealing any symptoms yet, if treated will prevent the condition from progressing further. Disorder, imbalance or disease can be present in a person for some time before becoming obvious, and Western medicine has yet to reach that point whereby it can identify and treat such disorders at an early stage.
Part of being a good acupuncturist is to be able to see the bigger picture. And many times diseases result from a lack of awareness of the primacy of the needs of one's higher self over the lower self. Many times disease is an indicator helping us to took at an underlying emotion or thought pattern and encouraging us to progress into a more positive or higher intuition of ourselves. Once we recognize this and begin working towards our positive reality the problem begins to resolve itself and real healing takes place. The practitioner acts as a facilitator towards the recognition of the higher self. So this dis-ease in which we find ourselves becomes a real ally in our journey towards our own reality.
The dynamics between the practitioner and the patient, the practitioner's recognition of energetic flows in each body, as well as his or her intention, palpatory and needling skills are ail important factors that determine the success or failure of an acupuncture treatment. There are as many styles of acupuncture treatments as there are practitioners.
It is one's innate healing potential that cures disease. Acupuncture is simply a means to assist the body in activating one's own innate healing potential. We talk about being centered or staying focused from the center of our being. In Oriental thought not being centered is the same as being out of balance, and being centered is the same as being in a state of balance or wellness which is the natural function of the body and goal of acupuncture treatment. Health is not simply a composite of quantifiable entities such as chemical levels in the blood and urine. It is ultimately a state of perfect balance - physical, mental, emotional and spiritual.