Online course · Pulse diagnosis, step by step

Pulse Diagnosis: The Twelve Positions

Reading the pulse is simpler than it seems. Like learning to ski, it takes the right guidance at the right stage, and everything has its time. I take you through it in order: feeling with your fingertips, feeling change, finding each position, feeling the qualities in each one. Then we name the pulses, analyze them, and turn what you feel into a treatment decision.

Diagnosis
Twelve positions on the wrist, each assessed for strength, tension and filling.
Treatment
The reading becomes the treatment decision: what to strengthen, what to reduce, in what order.
Result
You check the same position after needling and see whether the treatment changed it.

17 video lessons, just over one hour, and a printable workbook. Lifetime access, all taxes included.

14 days to try it with your patients. One email and you get 100% back.

Pulse Diagnosis: The Twelve Positions
From the last lesson of the course

One patient, twelve positions, one needle

In the final lesson I read a real patient's pulse from start to finish, on camera. Below is what you learn to do, step by step, and how I use it in my own clinic.

Short silent excerpt from lesson 18, the live case study. The full lesson has my commentary and English subtitles.

What you learn to do

  • Find the three positionsThe styloid process is your landmark. The middle finger lands just behind it on guan, cun lies above, chi below. Before you read anything, you make sure you are on the vessel: its edges, the pulsation, the strength.
  • Read each position in layersPress the artery, then release slowly. On the right wrist the middle position gives you spleen yin, then spleen yang, then the stomach. Cun gives the lung and the large intestine, chi the pericardium and san jiao. On the left wrist: liver and gallbladder, heart and small intestine, kidney and bladder.
  • Mark what you feelEvery position gets a simple mark on the chart: check, check plus, check minus, tense. In this patient the stomach was broad and tense, the large intestine a little overactive, the gallbladder overstimulated.
  • Find the weakest linksThe deficient positions were the pericardium, san jiao, heart and small intestine. All four belong to the fire element.
  • Choose one pointTo strengthen fire I chose SI 5, the point that strengthens fire the most, with a reinforcing technique. Other fire points would also work, and so would points on the upper torso and head.
  • Check the same positions againNeedle out, fingers back on the wrist. On the left, the heart and small intestine are noticeably stronger. On the right, the chi position is now clearly palpable.

How I use it in my clinic

This is the reading I do before every treatment, 20 to 30 patients a day. I look for the weakest positions first, because they tell me where to begin. When the weak positions share an element, one point can reach all of them. After the needle I put my fingers back on the same positions, so I know whether the treatment changed something before the patient gets up.

The video shows the steps. What makes them work is the feeling in your fingertips, and that is what lessons 2 to 17 train: the drills, the three parameters, deficiency, excess and stagnation.

What changes in your treatment room

  • You know what you are feeling. Step by step: your fingertips, change, each position, the qualities in each one.
  • You name the pulse and turn it into a decision. What to strengthen, what to reduce, and in what order.
  • You check your own treatment. The same position after needling shows you whether it changed.
  • Your other methods get a starting point. Source points, five elements, the organ clock: the pulse tells you where to begin today.

What the course covers

  • Finger sensitivityPalpation drills: which finger to use, how to keep pressure stable, how to feel a change before you name it.
  • The twelve positionsCun, guan and chi on both wrists, then all twelve positions mapped to the twelve meridians.
  • Three parametersStrength, tension and filling: the assessment you run in every position.
  • Deficiency, excess, stagnationHow each one feels under the fingertips, including yin and yang stagnation, and what each asks you to do.
  • Strategy and recordingHow to organize the findings and choose the treatment from the pulse.
  • A full case, start to finishOne pulse read on a patient: palpation, diagnosis, one point, and the change under the fingertips.

What practitioners say

"I finally understood how to use pulse diagnosis clinically. The 12-position method gave me confidence I never had before."

"Thanks to Michal's teaching, I can feel Qi quality clearly and know exactly how to adjust my treatments."

"This course is structured very well. I started using what I learned in my clinic the very next day."

"Finally, the pulse makes sense to me."

See how I teach before you buy

This lesson from Pulse Essentials shows how I find the twelve positions. It is open, no signup.

Pulse Essentials · Lesson 4

Repeatable. Tested. Complete.

The pulse tells you where to work, the reading tells you what to do, and the same position after needling tells you whether it worked. Every step belongs to one method, so there is nothing to assemble yourself.

  • Repeatable. The same twelve positions and three parameters, patient after patient.
  • Tested. The reading I use to decide every treatment in my own clinic, 20 to 30 patients a day.
  • Complete. Diagnosis and the treatment decision fit together, so you can use it with your next patient.

The 14-day clinical guarantee

Watch the method. Use it with your patients. If it does not change how you work, or the course is simply not what you expected, write one email within 14 days and you get 100% back. No forms, no questions. The email goes to me, not to a support system.

Who teaches

MR

I am Michal Richter, MD. For 25 years I have practiced only acupuncture, 20 to 30 patients a day, in a busy clinic in Poland. I have taught practitioners since 2009, and I teach only what I use on my own patients.

The twelve-position pulse is how I decide every treatment, and it is the reading the Source Points course is built on.

Pulse Diagnosis: The Twelve Positions

$169
  • 17 video lessons, just over one hour
  • Printable workbook
  • Lifetime access, one payment
Enroll · $169

One-time payment, lifetime access, all taxes included. 14-day guarantee: if the course does not help you in practice, one email and you get a full refund.

Questions practitioners ask

Can pulse diagnosis be learned online?

The course trains the feeling step by step, with drills you can do on yourself or a colleague from the first lesson. Your practice material is every wrist around you.

Do I need experience?

If you know the basics of TCM, you are ready. The course teaches the positions and the feeling from zero.

How is this different from the 28 pulse qualities?

The 28 qualities were created for herbal medicine. With needles the pulse changes immediately, so you work with twelve positions, three parameters and a reading before and after the treatment.

How much time do I need?

Just over one hour of video. Most lessons are two to six minutes, and the drills start in the first lessons.

Is it needed for Source Points?

Yes. The Source Points course starts from finding the weakest position on the pulse, and this is where that skill comes from.

Your next patient

You put three fingers on the wrist and you know what you are feeling, which position it is, and what it means for the treatment you are about to give.