An autonomic nervous-system chart can summarize functions such as heart-rate and digestive regulation. It should not assign an emotional state to a pulse or imply that sympathetic and parasympathetic activity are simple on-off switches.

A function chart, with its limits

The sympathetic and parasympathetic systems are the two major divisions described in MSD’s overview. The autonomic system contributes to functions including heart rate, blood pressure, sweating, and digestion. These are physiological functions, not emotional labels. [ANATOMY]

Chart entryWhat it representsWhat it does not show
Sympathetic divisionOne major autonomic divisionA person’s moral or emotional state
Parasympathetic divisionThe other major autonomic divisionAn always-good or permanently-on state
Heart rateA regulated physiological functionA diagnosis from one reading
DigestionAnother autonomically regulated functionThe cause of one digestive symptom

This original chart summarizes the source. It is not a measurement instrument or a treatment plan.

Work through these questions: Heart-rate regulation

Completed fictional example — SAMPLE DATA

This example shows how to fill in the form. It is not a real person’s record, a diagnosis, a validated assessment or a promised outcome. Use your own observations and appropriate professional advice for actual health concerns.

Question or fieldYour entry
Function example?Heart activity is one autonomic function example
Function example?Digestion is another function example
Useful comparison?Compare functions using the cited source, not a self-test
Limit?A chart cannot assess a person’s autonomic state
Not a measurement?No pulse, tone or diagnostic measurement is provided

Blank worksheet — copy or print

Copy the form into your own private document or print this page. Replace each “Your entry” cell with your own note; leave anything uncertain clearly marked as unknown. This page does not save or submit your entries.

Question or fieldYour entry
Function example?Your entry
Function example?Your entry
Useful comparison?Your entry
Limit?Your entry
Not a measurement?Your entry

Completed example

Question or fieldFictional completed example
Function example?Heart-rate regulation
Function example?Digestive activity
Useful comparison?Autonomic divisions
Limit?Functions are context dependent
Not a measurement?An emotional-state score

A worked situation: Heart-rate regulation

Fictional example. A learner uses a comparison chart to understand terms. The chart is not used to decide that a tired afternoon proves a shutdown state or that a breathing exercise changes a measured autonomic diagnosis.

Clinical evidence relevant to autonomic nervous system chart

An author model, applied carefully: The Control Panel Module

Limits of this specific resource

Related reading