Carotid artery stenosis a physician detects a carotid bruit, or murmur, over the carotid artery by listening through a stethoscope during a physical exam. For people with symptoms, the American Heart Association recommends initial screening using ultrasound (see diagnosis below). Carotid artery stenosis is usually diagnosed by color flow duplex ultrasound scan of the carotid arteries in the neck. This involves no radiation, no needles and no contrast agents that may cause allergic reactions. This test has good sensitivity and specificity. Typically duplex ultrasound scan is the only investigation required for decision making in carotid stenosis as it is widely available and rapidly
Traditional Chinese medicines derived from the human body "Three Corpses; demonic spirits believed to live in the human body and hasten death" and "gǔdú" 蠱毒 "gu poisoning"; a poison produced by venomous insects; cast a black magic spirit possession over someone". The first "Bencao gangmu" prescription for human nails is not from Chinese medical texts but from Daoist rituals for expelling what (Cooper & Sivin (1973: 220) describe as the "Three Corpse-Worms 三尸, the chief of the "inner gods" who are to the individual microcosm what the celestial bureaucracy is to the cosmos." Prescription 52.6.1, the 斬三尸法 "Method of Beheading the Three Corpses", involves supernaturally cutting the nails