Perhaps the cornerstone of the Acupuncture examination is pulse diagnosis, whereby the trained practitioner, by feeling the pulse, is able to determine the balance of the twelve (12) meridians. This ancient method of diagnosis is giving way to modern electronic evaluation referred to as "ryodoraku" or "electro meridian imaging (EMI)". The practitioner places a small painless electronic pen on the skin over specific Acupoints. By way of a sensitive metering device, the electro potential of the point is measured. This examination is extremely reliable and is quickly becoming the standard method of diagnosis internationally.
Many physicians utilize applied kinesiology, which is an examination involving testing certain muscles and correlating them to the associated meridian. Case history and consultation play a vital role in determining what is abnormal as does simple palpation over specific body parts.