Qualities and diagnostics of the radial pulse in Chinese medicine
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| Nature of the taking the Pulse | show 🗑
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| Radial Pulse taking first seen in the...? | show 🗑
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| show | 3 regions: cun (distal) Upper Burner, chi (proximal) Lower Burner and guan Middle Burner (between them)
3 depths: superficial, moderate and deep
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| show | Left wrist: cun-Heart (HT), guan-Liver (LR), and chi-Kidney Yin (KD Yin)
Right wrist: cun-Lungs (LU), guan-Spleen/Stomach (SP/ST), and chi-Kidney Yang (KD yang)
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| the 3 depths of the radial Pulse and their significance | show 🗑
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| show | not necessarily organ or channel correspondence, but rather how the Qi is flowing, the relationship between Yin and Yang, and the level at which the Qi is flowing, whether Qi is deficient, and if there is evidence of an external invasion.
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| show | most common sources for organ and pulse attributions
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| show | The LU position (Right wrist, cun) could indicate an issue with the LU or an [acute] issue with the LI
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| Taking the pulse in the early morning when Yin is calm and Yang has not yet come forth | show 🗑
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| show | patient: legs not crossed, arm not above chest, if sitting feet flat, if arms supine at sides
practitioner: feet flat on ground, posture upright, breathing calm, use opposite hand from wrist - index finger in cun region using pads not tips of fingers
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| show | 1. lifting - SF (superficial) strength
2. pressing - Deep and Mod level strength
3. pushing - Shape (medial-lateral) qualities
4. rolling - proximal-distal length and qualities
additional 5. searching - rate
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| 3 aspects of normal pulse | show 🗑
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| show | gentle, calm and slow (not too slow); 4 B/Br cycle; not rough
gives body to Pulse (Sea of Food and origin of Qi and Blood)
if rough or hard = impaired
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| show | soft with strength - not big or small, regular
should not change quality easily or frequently
reflects HT-Qi and Blood
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| show | deep level felt clearly and rear position felt clearly
indicates strong healthy KD
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| When taking a 1 year old's pulse versus a 10 year old's pulse versus a relatively large person's pulse | show 🗑
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| show | season - deep winter vs high summer will have different effects on Pulse
gender - normal for an average female may be different than normal for an average male
occupation - physical labor may cause pulse to feel especially strong for example
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| show | Spirit, ST-Qi and Root all present in Pulse
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| show | 28
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| Order of Pulse taking methodology | show 🗑
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| Fú or Floating Pulse quality | show 🗑
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| Clinical significance of the Fú or Floating Pulse quality according to Maciocia in FCM | show 🗑
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| show | Mai Jing (Pulse Classic, c.280)
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| Li Shi Zhen | show 🗑
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| Li Dong Huang | show 🗑
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| Lu Huan Su | show 🗑
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| show | School of Attacking and Purging
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| show | School of Nourishing Yin
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| Su Wen on Diagnosis | show 🗑
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| show | Systematized Palpation and Pulse taking became more important and popular
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| Han Dynasty effect on Pulse | show 🗑
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| show | to remember when diagnosing Pulses
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| show | put your thumb here [on patient] when taking Pulses - awakens Pulse
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| show | Height, that is whether it is floating or deep
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| Yin aspect of the Pulse | show 🗑
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| Rapid Pulse (above 4 B/Br cycle) indicates | show 🗑
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| show | Look to the Tongue
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| show | the overall Pulse could be rapid and slow at specific positions and a variety of combination of that dynamic
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| Superficial Pulses | show 🗑
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| show | It is not necessarily pathological - Floating Pulse upon slight pressure is a 'present' Pulse. If Floating higher than that could signify Pathology - or in combination with other qualities
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| show | Fú or Floating Pulse quality
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| If I am sick am my Pulse is not Floating what can I do to activate my Wei Qi? | show 🗑
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| Flooding Pulse quality | show 🗑
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| Clinical Significance of the Flooding Pulse | show 🗑
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| show | consider it like holding a finger above a sparkler, that is hitting hte finger at various places
usually found in Cun regions at the SF level
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| Clinical Significance of the Scattered Pulse | show 🗑
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| show | long & wiry,
long - consistent across all 3 SF regions and beyond
wiry - hard like a wire and cannot be 'pushed through'
unlikely [not impossible] to see other Pulse qualities simultaneously in other positions
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| Clinical Significance of the Leather Pulse | show 🗑
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| show | Will have SF Pulse, and possibly Mod Pulse [would be a deficient Pulse], but there will be NO Pulses found at the Deep positions
This is considered a 'Rootless SF Pulse'
Can occur in a single region or multiple
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| show | Qi deficiency
Yang Qi is escaping
Loss Leak or Blockage of Qi
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| show | 1. Deep
2. Firm
3. Hidden
4. Weak
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| Deep Pulse quality | show 🗑
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| Firm Pulse quality | show 🗑
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| Clinical Significance of the Firm Pulse | show 🗑
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| show | below Deep Pulse, can be normal or pathological
consistent "blip" @ bone level, maybe hard to find again, check many times, will rise and go away
associated with Divergents
charted at the Deep level w. other qualities
can have anything charted above
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| show | Menopause, pregnancy
divergent channel issues
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| Difference between the Empty and the Weak Pulse | show 🗑
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| show | inverse of the Empty Pulse
Deep level present, Moderate level deficient or absent, and SF level always absent
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| Clinical Significance of the Weak Pules | show 🗑
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| Sizes of Pulses can be felt at any level along with other qualities | show 🗑
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| show | lateral-medial expression (rolling)
covers large part of pad of finger
can be at any level
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| show | usually Excess, but can be Deficient
Heat or Prolapse
If Big and Forceless can be long-term Qi deficiency
Force determines Excess or Deficiency
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| show | lateral-medial expression (rolling)
will cover small section of finger pad
wil not be pushing back like Tight or Wiry Pulses
can be at any level
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| Clinical Significance of the Thin Pulse Size | show 🗑
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| show | seems to come and go "is it there?"
covers small part of finger pad like a thread
like a string coming up instead of a BB
can be at any level
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| Clinical Significance of the Minute Pulse Size | show 🗑
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| Short Size Pulse quality | show 🗑
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| Clinical Significance of Short Size Pulse | show 🗑
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| Long Size Pulse quality | show 🗑
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| show | Heat
Long-term stagnation
Excess
Transitions
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