This report concerns the design and clinical use of a reflective brachial photoplethysmograph. A plethysmograph is an instrument to obtain tracings showing volume changes of a part of the body. Originally this related to volume variations due to blood circulation within the body part of interest. The instrument is said to have been invented by Mosso of Turin around 1870 [1], known in Italian as a "pletismografo", and first reported in Scientific American in July 1872. A photoplethysmograph is an optical detector that indicates the volume of blood in or passing through an area of tissue. By placing the photoplethysmograph at or near the site of a human artery the pulse waveform can be detected and measured. The photoplethysmograph can be transmissive or reflective. There are a variety of sites around the body that are commonly used for detecting the pulse waveform including the finger, the ear lobe, and the foot. The device developed in this work is a reflective detector that uses the brachial artery as a photoplethysmographic site. There appear to be no prior indications in academic or patent literature of this site being used with this type of detector and consequently the authors believe this device to be novel and worthy of reporting to the research community.