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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

GB channel


superior border

clavicle and superior margin of the sternum


inferior border

CV is central line and inferior margins of rib cage


HT zone

area of sternum from CV outward to line btwn KD and ST


LV zone

RT chest, left of SP and HT regions


LU zone

LT chest


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


abdominal palpation

after sesshokushin and adjusting pulse, confirms shaku and tells you abdominal diagnosis also what zone are we treating?


SP zone

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


if there is no shaku or pain everywhere:

-HT shaku is condition is excessin upp regiong )jo-jitsu)
-KD shaku is cold feet and edema
-SP shaku if you cannot decide