Underlying Mech of Pulse images

Question 1

What does it mean when the pulse is floating

Answer 1

Yang Qi location

Either high in the body or gathered on exterior

Question 2

What are the reasons that the pulse is floating

Answer 2

Yang on exterior fighting the Xie Qi
Insufficicent yin - yang floats
Qi or Yang looses its root
Evil qi on the interior forcing yang qi to surface

Question 3

What does it mean when the pulse is deep

Answer 3

patients yang qi is in the interior or lower parts of body

Question 4

What are the reasons that the pulse is deep

Answer 4

i. Not enough Yang Qi to push upward

ii. Something is obstructing it’s free flow - evil

Question 5

What does it mean when the pulse is slow

Answer 5

Speed of pulse used to determine presence or absence of heat in the body, slow = cold

Question 6

What are the reasons that the pulse is slow

Answer 6

cold
can be either XS or def
located on interior or exterior

Question 7

Pulse: slow, tight & forcefull

Answer 7

XS cold

Question 8

Pulse: slow, fine & forcelss

Answer 8

Def. cold

Question 9

tight slow pulse indicates __________________

Answer 9

exterior cold

Question 10

What does it mean when the pulse is rapid

Answer 10

faster than normal

more yang Qi or heat in the body

Question 11

What are the reasons that the pulse is rapid

Answer 11

due to either XS heat or Def heat

Question 12

In what case does a rapid pulse not fit the modality of heat pattern
Example:

Answer 12

Shock, pain, or fear
Yin and yang separated and b/c chaotic. Yin may fail to control yang and yang may rush about all on it’s on.
Stirring pulse

Question 13

What does it mean when the pulse is fine

Answer 13

Fine = contents of pulse = Qi, blood and fluids

Indicates Qi and blood def weakness

Question 14

Why would the pulse be slippery?

3 basic conditions

Answer 14

Heat -> swirling
Damp, phlegm - SP def
Food stagnation

Question 15

Why would a SP def cause a slippery pulse

Answer 15

the inability to transform and transport food & fluids = gather, turn to dampness and congeal to phlegm. more fluids and humors in the channels and vessels => slippery pulse

Question 16

bowstring pulse - wiry: definition

Answer 16

Thin
Long
Forceful, with strength

Question 17

What are the causes of a bowstring pulse

Answer 17

LIV obstruction
Blood def
Obstruction: damp, phlegm food or blood

Question 18

How would liver obstruction cause a bowstring pulse

Answer 18

LIV responsible for free flow of Qi and blood. IF the LIV can’t course and discharge, the Qi may not spread freely, giving rise to constrained and wiry pulse

Question 19

How would blood deficiency cause a bowstring pulse

Answer 19

Blood def. - for the liver to function it must receive adequate blood to nourish, moisten and harmonize it. Blood def. can result in LIV loss to command over coursing and discharging

Question 20

What kind of obstruction cause a bowstring pulse

Answer 20

Obstruction - if for any reason damp, phlegm, food or blood becomes static and stagnant, this will hinder and obstruct the free flow of Qi. Any of these depressions can result in wiry pulse

Question 21

A ___________ pulse is like a wiry pulse but larger and more forceful

Answer 21

tight

Question 22

The pulse can only be felt in the guan position

Answer 22

short pulse

Question 23

Pulse can oly be felt in the guan and chi position, not in cun

Answer 23

short pulse

Question 24

The pulse can only be felt in the guan position

etiopathology

Answer 24

indicated yang qi accumulated in the middle burner. May be due to food stagnation causing obstruction of Qi and blood in mid burner

Question 25

Pulse can oly be felt in the guan and chi position, not in cun Etiopathology

Answer 25

if yang qi cannot reach the cun position, means that the gathering qi is insufficient

Question 26

Wiry pulse is associated with __________

Answer 26

blood def

Question 27

Causes for a tight pulse

Answer 27

cold congealing inhibiting free flow | severe pain causing tension or contraction inhibiting free flow

Question 28

Potential causes of a moderate or relaxed pulse

Answer 28

Qi def | may be heart qi def. or dual heart-spleen def.

Question 29

the ____________ pulse is a type of floating pulse that is floating, forceless and thin

Answer 29

soggy

Question 30

Potential causes of a soggy pulse

Answer 30

Qi and blood def | gathering of dampness

Question 31

How would a Qi and blood deficiency cause a soggy pulse

Answer 31

insufficient blood to fill the vessels and root the qi, it is soft and force less due to insufficient Qi

Question 32

How would the gathering of dampness cause a soggy pulse

Answer 32

SP def in transforming and transporting fluids causing an accumulation of dampness. Dampness spills over into the dermis obstructing the free flow of yang qi in the exterior, pushing yang qi outward, thus resulting in a floating pulse

Question 33

They are all types of floating pulses. They are due to yang qi floating upward and outward.

Answer 33

``` Deficient pulse Surging pulse Scallion stalk Drumskin Scattered ```

Question 34

_____________ indicates blood or yin def occurring over a long time. floating large/wide and forceless

Answer 34

Deficient pulse

Question 35

They are all types of floating pulses: Deficient pulse, Surging pulse, Scallion stalk, Drumskin, Scattered. They are due to yang qi floating upward and outward. Why?

Answer 35

Has lost its root in blood yin or the kidney

Question 36

_____________ indicates blood or yin deficiency and heat (XS or def.) Arives big, leaves depleted

Answer 36

Surging pulse

Question 37

_________________ has an edge to it and feels hard. Due to a great loss of blood and or yin. However, there is still qi which floats upwards and to the exterior and it is the presence of this qi which makes the pulse hard

Answer 37

Drumskin

Question 38

floating wide in the vessel, forceless with no edges. So little qi present that it can't hold or contain the vessels and give the "edges"

Answer 38

scattered

Question 39

The ____________ pulse is a type of deep pulse that is very deep, forceful, wide in the vessel. It is generally a sign that the pulse is confined, that yang qi is sufficient, not weak, but just can't ge tout; there is force behind it

Answer 39

confined

Question 40

The _________ and the ___________ pulses are types of very deep pulses and this means that the yang qi is not rising upward and outward as its nature

Answer 40

hidden and confined

Question 41

What is the cause of the hidden and confined pulses

Answer 41

due to insufficient yang qi | evil blocking

Question 42

Either hidden or confined pulse: Which one arises from a qi deficiency?

Answer 42

hidden

Question 43

Either hidden or confined pulse: Which one arises from an evil excess?

Answer 43

confined

Question 44

The _________ pulse is very, very fine, very, very forceless on any level and barely palpable Why?

Answer 44

faint | due to extreme qi and blood deficiency

Question 45

The _________ pulse is a deep, forceless and fine like a thread. Why?

Answer 45

weak | due to extreme qi and blood def. - depth due to insufficient qi to upbear yang

Question 46

this is the only pulse which is fast and irregular

Answer 46

skipping

Question 47

The ________ pulse is a type of rapid pulse that is irregular and intermittent. Why

Answer 47

heat | with an obstruction or blockage hindering the free flow of blood

Question 48

What are the causes of a knotted pulse

Answer 48

yang qi def | obstruction

Question 49

how can an obstruction cause a knotted pulse

Answer 49

something may be causing the blockage or obstruction - could be a simple excess such as qi stagnation or blood stasis

Question 50

how can an yang qi def. cause a knotted pulse

Answer 50

due to yang qi def resulting in deficicny cold - the skipping due to cold congealing causing stasis which impeeds free flow of qi and blood

Question 51

____________ this is a slow type of pulse, that is relaxed, and stops at regular intervals. Indicates that there is a disharmony in a zang organ, reflected in the zang qi

Answer 51

knotted

Question 52

____________ this is a slow type of pulse, that is relaxed, and stops at irregular intervals. Indicates that there is a disharmony in a zang organ, reflected in the zang qi

Answer 52

knotted

Question 53

cause of an intermittent pulse

Answer 53

mainly due to organ qi debility and decline - thus qi and blood a greatly deficicnt, not having the strenght to keep moving the blood. It moves the blood some distance, then must stop to recoup its strength. " Like an elderly person taking a few steps then must rest before taking a few more steps"

Question 54

The __________ pulse, a type of slow pulse "like a knife scraping on bamboo" and is inhibited. The pulse seems to stop, miss a beat, then start again. The gap is not severe, but there is a gap

Answer 54

choppy

Question 55

What is the root cause of a choppy pulse

Answer 55

blood def. | Obstruction

Question 56

Choppy pulse | the fineness and slowness are due to what

Answer 56

Qi and blood def or Yin and yang def

Question 57

Choppy pulse | what is going on with obstruction blocking

Answer 57

stasis obstructing the free flow. Old static blood impedes the endangerment of new or fresh blood

Question 58

Racing pulse

Answer 58

greater than 120 BMP

Question 59

Cause of a racing pulse

Answer 59

reckless heat in the body consuming yin at a rapid rate. Yin is no longer able to govern yang which is out of control. Teminal disease

Question 60

very fast pulse that feels like it has no head or tail, but like a spinning bean in the vessel fast, forceful and only felt in guan position

Answer 60

Stirring

Question 61

cause of stirring pulse

Answer 61

Heat | yin and yang fighting

Question 62

large, long forcefull and hard

Answer 62

excess pulse

Question 63

large, long forceful and hard

Answer 63

excess pulse