Flashcards in Adjusting the Pulse- Class 4 Deck (25)
What does the pulse indicate?
important factor for evaluating the irregularity or congestion of qi flow
-necessary to achieve a proficient level of diagnostic skill
6 Pulse examination
Depth (Floating or Sinking)
Rate (Fast or Slow)
Quality (deficient or excess)
Taking the pulse
distal interphalangeal joints are NOT bent
thumb pad around TW4 and middle finger around LU8
pinky behind wrist
Why adjust the pulse?
move qi in the entire body and can be clearly seen in the pulse and in the abdomen as well
-sometimes the symptom may even disappear
Where do you treat to adjust the pulse?
Palpate LU6. Which side is more tender/painful?
Treat on the healthier side
What points to treat to adjust the pulse?
you can use a teishin or goshin at LU9 or PC7
Why LU9? Why PC7?
LU9- more acute, less serious of when the LU an SP pulse are deficient. Yin pulse is mild and mostly consolidated
PC7- chronic, sever condition or when HT, LV and KD pulse are deficient. Yin Pulse is not consolidated
What do abdominal abnormalities tell you?
the locus of jing qi vacuity.
be conscious and aware at any changes that may happen in the abdomen. They tell the condition of cold and shaku
lateral border of abdominal zone
clavicle and superior margin of the sternum
CV is central line and inferior margins of rib cage
area of sternum from CV outward to line btwn KD and ST
RT chest, left of SP and HT regions
Reactions of the chest are?
secondary to those on the abdomen. when there are no reactions of abdomen, try the chest
What to evaluate on the abdomen?
-color (blue and superficial veins=cold, yellow "jaundice"=heat)
-sensory abnormalities (cold): rough skin texture or lack of sensation
-" " (heat): ticklishness, itching, hyper-reactivity)
-dampness (around CV8, perspiration, lint)
-sound: intestinal, gurgling=heat; huffing=cold; heart pounding=heat; shallow breathing KD not grasping qi
person w/ abundant dampness
will have tendency to cold condition
after sesshokushin and adjusting pulse, confirms shaku and tells you abdominal diagnosis also what zone are we treating?
CV13 to CV 6.5, and line between ST and KD
SJT LU Region
under R subcostal lateral to SP and HT regions
SJT KD region
DV4/CV6.5 to pubic symphysis to axillary line
Types of shaku
1. Do/Moving Shaku: possible to feel pulsation or palpitation
2. Ro/Hard Shaku: "imprisoned," palpable hardness that causes no pain
3. Tsu/Painful Shaku: pt. feels pain at site of palpation
What kind of shaku takes precendence
Among Tsu Shaku what is primary to tx
spontaneous pain in primary, lower Tsu 1st then the middle area
-tsu shaku W/OUT radiating pain takes precedence over tsu w/ radiating pain
-if equal amount of tsu in different areas, check the chest