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Asian 1
Pulse
| Question | Answer |
|---|---|
| Right wrist | Yin Side, Wife, KD Yang Vital FIre PC, SP, LU |
| KD Yang Vital Fire PC | proximal right |
| SP | middle right |
| LU | distal right |
| Left wrist | Yang Side, husband, KD Yin KD, LIver, HT |
| KD Yin KD | proximal left |
| LV | middle left |
| HT | distal left |
| pulse is specifically related to the | Lungs |
| pulse is controlled by the | Heart |
| pulse reflects condition of | all organs |
| best time to take pulse | in the morning |
| how long should practicioner wait before taking pulse | 5 minutes |
| where should hands be | below the level of the Heart |
| what does pulse give information about | the state of the internal organs |
| the pulses reflect the whole complex of | Qi and BLood and Constitution |
| what are short-term influences of pulse | running, emotions, hard work or no sleep for a short period which can be restored with rest after a few days being differentiated from a chronic state of Qi deficiency |
| what are three positions on radial artery | distal upper burner chest to head, middle middle burner diaphragm to umbilicus, proximal lower burner umbilicus to feet |
| most important | appraise how Qi is flowing, relationship of Yang and Yin of the pulse (superficial or deep), level that Qi is flowing (superficial or deep), is Qi deficient, is ther an attack by an exogenous pathogen(floating pulse) |
| assess 3 levels | superficial level state of Qi and Yang organs-external disease, middle level state of blood-ST and SP disease, deep level state of Yin and Yin organs-interior disease |
| superficial level | state of Qi, yang organs and external disease |
| middle level | state of blood, ST and SP diseases |
| deep level | state of Yin and Yin Organs, interior disease |
| methods for taking pulse | arm horizontal not hire than heart, palpate radial artery, equalize breathing, early am, 5 mins after pt arrived |
| other factors | woman pulse softer and slightly faster than men, elderly weaker and slower, athletes slower, obese have deeper pulse, emotions, occupation c heavy physical work stronger pulse, seasons-deeper in winter, superficial in summer, alcohol and lack of food |
| differentiation of pulse qualities | depth of the pulse, speed/frequency of the pulse, strength/volume of the pulse,shape,tension of the pulse |
| depth of pulse | indicates interior or exterior conditions, floating/superficial,deep pulse |
| floating superficial pulse | felt on the surfaces as soon as the wrist is palpated, disappears with light pressure, exterior pattern from exogenous pathogen. |
| Deep pulse | can only be felt with heavy pressure and is felt near the bone. interior condition in the Yin organs |
| Speed/frequency of pulse | N=60-90, Children more rapid, at birth 120-140, 5-6 yrs 90-100. less than 60 interior cold,empty cold. over 100 heat |
| stomach Qi | gentle and calm, slow, 4 beats per resp cycle, root of post heaven Qi, gives body to the pulse, imbalance if pulse feels rough and hard |
| Spirit | soft but strong,neither big nor small, should not change quality easily or frequently, reflects good state of HT Qi and Blood |
| Root | deep level felt clearly, rear position felt clearly=indicates Kidneys are healthy and strong |
| Spirit, Stomach Qi, Root | Mind, Qi, Essence |
| Floating tight | wind cold |
| floating rapid | wind heat |
| sinking pulse | deep, only felt with heavy pressure, felt near the bone, interior condition in yin organs |
| deep and weak | deficiency of Qi and Yang |
| deep and full | stasis of blood interior cold and heat |
| slow and empty | deficiency of yang |
| slow and full | full cold excessive yin |
| slow pulse | less than 60bpm, interior cold, empty cold |
| rapid pulse | greater than 100bpm, heat, |
| empty and rapid | yin deficiency, empty heat |
| full and rapid | full heat, yang excess |
| volume and strength | surging, replete(forceful), overblown (empty), weak, thready, faint |
| surging | strong ocean wave dashing against finger slowly falling away, exogenous influences, cold-heat(febrile disease), often seen with rapid forceful pulse, extreme heat with high fever-warm febrile disease, |
| replete | forceful at first encounter, cont forceful until it disappears, fast forceful=excess heat, slow forceful=excess cold |
| overblown | empty, big but soft,feels forceful but if pressure increases becomes empty, weak quality, deficiency syndrome, Qi deficiency |
| weak pulse | shows no strength under varying pressure. weak on surface and all the way down.deficiency of vital energy and blood |
| thready | quiet and clear but thin as a thread, deficiency of vital essence, blood, or body fluid |
| faint pulse | thinner and weaker than thready, extreme deficiency of vital Qi and blood |
| shapes | thin or thready, string/taut or wiry, cord/tense or tight, slippery, hesitant (uneven or choppy) |
| thin or thready | quiet clear and easy to read, scrawny artery, deficiency of blood or internal dampness with sever Qi deficiency |
| string, taut, or wiry | tight, firm, guitar string, pulse hits the fingers, liver disharmony =HBP, pain phlegm |
| cord, tense or tight | very tense, pulled a little more it would break, twisted thick rope, cold, tight and floating=exterior cold, tight and deep=interior cold |
| slippery pulse | forceful, smooth flowing pulse, feels like small round beads under your fingers, phlegm, dampness, retention of food, pregnancy |
| hesitant pulse | uneven pulse choppy, jagged edge, changes rapidly, both in rate and quality, deficiency of blood, blood stasis, exhaustion of fluids, stopping of porper flow of Qi, Blood and fluids |
| middle pulse good and feel sick | good px |
Created by:
mloft
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