Through the transformation of the energies in the body, the same channels through which disease occurs are purified into vehicles of spiritual liberation. Diagnosis Diagnosis in Tibetan medicine is oriented towards ways of knowing and understanding the processes of disease. A doctor's training consists of five to twelve years of rigorous study, during which he or she develops practical skills in the fields of pulse diagnosis, pharmacology, acupuncture, moxibustion and methods for the purification and consecration of medicinal substances. However, a doctor's inner qualities are considered as important as his or her academic expertise. The senses of the physician are developed over a period of many years and directed towards the examination of a patient's physique, pulse, tongue and urine.
Pulses reveals one's own state of health.
To examine the pulses associated with the inner organs, the physician places three fingers on the radial artery. The tongue is examined with respect to colour, shape, texture and coating to determine the nature of disease. The patients urine is examined in terms of its colour, sedimentation, odour, bubble formation and visible secretions. Therapy When imbalance between the psycho-physiological elements occurs, balance is restored through the application of four divisions of healing therapies. The first approach is to introduce constructive changes in lifestyle and behaviour, including naturopathic therapies such as mineral baths and massage.