Chinese Pulse, Tongue and Visual Diagnosis: After 20 years of listening to pulses and inspecting tongues, faces and hands, Miche Lamarche has a store of information linked to conditions and outcomes. These ancient techniques are quick and powerful when combined with a history intake and a physical exam. As eskimos know snow and surfers know waves, Miche knows pulses and tongues. She can spot a pale face across a room, an orange hue, and grey tint, and she discerns what they mean. The techniques add a quiver to the bow in grasping a patient’s condition.