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TCM Diagnosis - Maciocia > Underlying Mech of Pulse images > Flashcards

Flashcards in Underlying Mech of Pulse images Deck (63):
1

What does it mean when the pulse is floating

Yang Qi location
Either high in the body or gathered on exterior

2

What are the reasons that the pulse is floating

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

3

What does it mean when the pulse is deep

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

4

What are the reasons that the pulse is deep

i. Not enough Yang Qi to push upward
ii. Something is obstructing it's free flow - evil

5

What does it mean when the pulse is slow

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

6

What are the reasons that the pulse is slow

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

7

Pulse: slow, tight & forcefull

XS cold

8

Pulse: slow, fine & forcelss

Def. cold

9

tight slow pulse indicates __________________

exterior cold

10

What does it mean when the pulse is rapid

faster than normal
more yang Qi or heat in the body

11

What are the reasons that the pulse is rapid

due to either XS heat or Def heat

12

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

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

13

What does it mean when the pulse is fine

Fine = contents of pulse = Qi, blood and fluids
Indicates Qi and blood def weakness

14

Why would the pulse be slippery?
3 basic conditions

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

15

Why would a SP def cause a slippery pulse

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

16

bowstring pulse - wiry: definition

Thin
Long
Forceful, with strength

17

What are the causes of a bowstring pulse

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

18

How would liver obstruction cause a bowstring pulse

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

19

How would blood deficiency cause a bowstring pulse

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

20

What kind of obstruction cause a bowstring pulse

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

21

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

tight

22

The pulse can only be felt in the guan position

short pulse

23

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

short pulse

24

The pulse can only be felt in the guan position
etiopathology

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

25

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

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

26

Wiry pulse is associated with __________

blood def

27

Causes for a tight pulse

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

28

Potential causes of a moderate or relaxed pulse

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

29

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

soggy

30

Potential causes of a soggy pulse

Qi and blood def
gathering of dampness

31

How would a Qi and blood deficiency cause a soggy pulse

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

32

How would the gathering of dampness cause a soggy pulse

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

33

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

Deficient pulse
Surging pulse
Scallion stalk
Drumskin
Scattered

34

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

Deficient pulse

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?

Has lost its root in blood yin or the kidney

36

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

Surging pulse

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

Drumskin

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"

scattered

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

confined

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

hidden and confined

41

What is the cause of the hidden and confined pulses

due to insufficient yang qi
evil blocking

42

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

hidden

43

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

confined

44

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

faint
due to extreme qi and blood deficiency

45

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

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

46

this is the only pulse which is fast and irregular

skipping

47

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

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

48

What are the causes of a knotted pulse

yang qi def
obstruction

49

how can an obstruction cause a knotted pulse

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

50

how can an yang qi def. cause a knotted pulse

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

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

knotted

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

knotted

53

cause of an intermittent pulse

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"

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

choppy

55

What is the root cause of a choppy pulse

blood def.
Obstruction

56

Choppy pulse
the fineness and slowness are due to what

Qi and blood def
or
Yin and yang def

57

Choppy pulse
what is going on with obstruction blocking

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

58

Racing pulse

greater than 120 BMP

59

Cause of a racing pulse

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

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

Stirring

61

cause of stirring pulse

Heat
yin and yang fighting

62

large, long forcefull and hard

excess pulse

63

large, long forceful and hard

excess pulse