​Donald K. Liebell, DC, BCAO

477 Viking Drive Suite 170

Virginia Beach VA 23452 
8:30AM - 6:30PM M,W,F 

(By Appointment Tu, Sat) 


The Liebell Clinic: Chronic Pain & Wellness Solutions

Natural & holistic, whole-person, wellness-based Healthcare - Drug-Free & Non-Surgical Pain Relief


"The VAS [Nogier Pulse] is a reflex. It is initiated by any stimulus inside or outside a human or animal. An outside stimulus can be present in the immediate external environment of the subject without touching the subject. When a stimulus is present, one of the first physiological responses in the subject is an instantaneous change in the tone of the wall of all arteries. In therapeutic situations, clinicians hold samples of medication, nutrients, herbs, etc. near to but not touching a patient's head while simultaneously palpating the wall of the patient's radial artery. Specific timed tonal changes of the vascular wall quickly provide the clinician with additional information regarding which therapeutic substance(s) to utilize."

John M. Ackerman, M.D.
The Biophysics of the 
Vascular Autonomic Signal and Healing
Frontier Perspectives,Center for Frontier Sciences at Temple University, Vo. X, No. 2, Fall, 2001.


"The Auricular Cardiac Reflex [Nogier reflex] is a sign of the organism's adaptation to pain, cutaneous stimulation, emotion, or any abnormal situation."

Book, "Auricular Therapy" 
Raphael Nogier, M.D., Lyon, France

The Nogier Pulse Reflex:

“Allows correct identification of auricular localization [locate ear acupuncture points]... instrumental in gathering diagnostic information... Identifies the appropriateness of various therapeutic interventions... Evaluates medicinal effects"

Nader Soliman, M.D.
Anesthesiologist, Medical Acupuncturist, 
  President, American Academy of 
Medical Acupunture (2003-2005)
President, Alternative Medicine Seminars 

"Biophoton research has found that when a body system isstressed and unhealthy, the electromagnetic field extends further out than when a body is free of stress and healthy. It is theorized that this extension of the field is due to an increase in disorderliness and quantity of photons, or electromagnetic signals, being emitted by the body when under stress. Thus any disturbed structure or function of the body can r esult in a stressed electromagnetic field, which is reflected by one or several acupuncture points on the microsystem of the ear. When a substance or colour (in the form of a "filter") has the same electromagnetic signature or harmonic of the signal of the stressed acupuncture point, the two will resonate with each other. The minute irritation caused by this resonance is reflected by a change in the tone of the arterial wall – the VAS Nogier pulse reflex]."

"Toward an Integral Energy

Medicine Model for Understanding 

The Vascular Autonomic Signal"
Dr.  Muriel Agnes 
February 2002.

PhD. Dissertation in Energy Medicine

Nogier Pulse Reflex:

The Function of the Cardiovascular System that

BOTH  Western & Eastern Medicine Had Never Noticed Before 
By Dr. Donald Liebell

    Some say it's like being hooked up to a polygraph, or lie detector for their health.  We’re “asking the body questions” by adding and subtracting electromagnetic frequency stimuli.   The Nogier pulse reflex is giving the answers.  It is a phenomenon that can be deftly utilized to determine the possible causes of health problems, and predict likely effective treatments... often when conventional medical testing comes up empty.  

   During the late 1960s neurologist, acupuncturist, and homeopathic physician, Paul Nogier, M.D., noticed that he consistently felt a very subtle, but consistent change in arterial muscular contraction when he approached acupuncture points on the ear.  His research revealed that this was a normal, expected, and predictable reflex of the cardiovascular system.  Others throughout history had known that changes could be manually felt in the pulse with various stresses, but not with the intent and precision of Nogier—in the context of auricular therapy (ear acupuncture).  

   Pulses had long been utilized in evaluation in traditional Chinese medicine—but for completely different purposes.   Western medicine has a rich history of monitoring cardiovascular health through monitor the pulse for heart rate.  However, with the Nogier pulse reflex (also called the Vascular Autonomic Signal), we are not monitoring the pulse rate, but rather a momentary change in how firm or strong it feels.  

   The intentional triggering of this pulse reflex for medical diagnostic purposes had never been conceived.  Dr. Nogier discovered that physical stimulation of the skin could induce this extremely subtle “shuddering” of the arteries throughout the body—best felt at the wrist (the radial pulse).  More fascinating were his findings from experiments with color light filters, sound, magnetic fields, and other variables.   Nogier developed a method of challenging the patient’s body with various stimuli—using the pulse reflex as a means of providing information that might not be found by other medical means.  During this auricular medicine bio-energetic exam, our intention is to measure how far off of the body the human electric field is projected, in response to various test stimuli.  The Nogier pulse reflex makes this possible.  

   The true tools of the exam are the examiners fingers (to feel the pulse of the patient), and a special color light filter that will trigger the reflex the moment it contacts the outer margin of the patient’s living electric field.  

   Throughout the exam, the reflex is caused to naturally “fire” in response to temporary test samples.  It is a very delicate procedure; it requires very well-trained and experienced hands, and a fine sense of touch to consistently and reliably detect the Nogier reflex.  It is done by gliding a specialized Kodak-Wratten light filter towards your ear.  When the light filter reaches the border of your body’s electric field, it triggers the expected Nogier pulse reflex, which results from muscle contraction within arteries.  

The Nogier pulse reflex is also known as the Vascular Autonomic Signal.  It is a subtle nuance—a tiny bulging sensation (caused by reflected waves in the arteries) is felt by the doctor while monitoring the pulse at the wrist.  This normal reflex of your cardiovascular system goes on silently in your body regularly, in response to various stimuli.  The phenomenon was first observed unintentionally, during an artery operation around 1945 by the famous French surgeon, Rene Leriche (1879-1955).  But it wasn’t until 1966 that Dr. Paul Nogier found a use for it in clinical practice.  He discovered that the reflex could be intentionally triggered using the light filter technique, as well as probing over acupuncture points on the ear.  Under healthy conditions, it should trigger around one-half-inch away from the ear—the normal healthy distance of the human electrical field.   


   Use of the Nogier Pulse Reflex in Bio-Energetic Resonance Testing   

    Since all substances have a specific frequency, we can briefly stress the body with a test sample to see if a resonance or a vibrational match exists.  In other words, if an area of the body is troubled, we can stress it briefly with more of the offending substance—and the human electric field will temporarily expand farther away from the ear.  Any toxic substance held in your hand will cause your electric field to expand too.

    Here’s an example of how the Nogier pulse reflex (vascular autonomic signal) is used in clinical practice with auricular medicine techniques: 

    If we suspect your body might be storing toxic metals, such as aluminum, we briefly stress your body with a laboratory prepared, diluted sample of it, by adding it to the test plate (connected to the patient by conduction wire and metal bar)—to see if your body has resonance with it.  It is expected that if aluminum is excess in the body that we would observe your pulse reflex to be triggered at a much farther distance off of your ear than with nothing on the plate.  If we remove the aluminum sample, the pulse reflex triggers at its original distance.  While this is not clinical diagnosis of aluminum toxicity; it does give us an energetic suggestion of a subclinical problem.
    Subsequently, we want to test samples of homeopathic supplements to see which will bring the electric field closest to normal.  This resonance testing process is repeated for dozens of diluted, laboratory prepared, inactive samples of different substances, including: organs and tissues, bacteria, viruses, fungi, and other parasites, toxins, heavy metals, scar tissue, and other substances.    

   At this point in time, the American medical establishment generally does not acknowledge energetic findings, with the exception of those of EKG, MRI, and a few others.  Under no circumstances do I represent any observation or comments during an evaluation as evidence of any medical condition.  We are not performing auricular medicine bio-energetic testing to give your symptoms or condition a name.   

   It cannot be stressed enough that the purpose of auricular medicine is to determine whole-body, wellness-based treatment—it is NOT conventional medical diagnosis.  Nor is it direct treatment of ANY specific disease or illness.  The subsequently recommended complex homeopathic supplements and ear acupuncture are provided as health and wellness supports for regulation and boosting of immune system, as well as for cellular detoxification, and natural regeneration and repair.  Both homeopathy and auricular therapy ear acupuncture are FDA cleared, internationally recognized and accepted wellness methods.  I am licensed to provide acupuncture by the Virginia Board of Medicine. 

    Armed with the Nogier pulse reflex, the doctor can “ask” the nervous system questions… and get answers that cannot be obtained through physical tests.  By combining use of this natural pulse reflex with light filters, resonance substance samples, and auricular therapy ear acupuncture technique, a remarkable amount of energetic information can be deduced from the body.  

   Doctors listen to the heartbeat through a stethoscope.  Blood pressure, heart rate, and other functions can be measured through various technologies.  At this point in time, interest in the application of the Nogier reflex is still in its infancy, even though Dr. Paul Nogier introduced it decades ago.  “Mainstream” American medicine has sadly ignored his discovery.  Dr Nogier (1908-1996) was decorated for his contributions to medicine by the French government, and it is primarily European doctors, who recognize the remarkable value of his pulse reflex in health care.  It has been a thrill for me to see how much my patients appreciate its use towards their recovery from pain and illness.