Академический Документы
Профессиональный Документы
Культура Документы
Why PulsEs?
ASM 202 r Intemal organ involvernent
t All organshave a connection to lhe pulse
Lecture4 & 8 s Reflection of Stomach Qi
\,*r".{
Palpation
puts*
. NomatVariarionsof . c lnitial Variables
6gnAlV.0-A-'
o Athletesarcslowq s Speed
l Wom re softer & fasts c Fast: >90bpm= Heat
. Chaldm arc fastq <60bpm: Cold
r Slow:
t Hsvier ser individual will be deep& slow
r Moderate:60 90 bprn
. Thin sei individual will bc superficial , . ',t I
r Fasring *,,, n"r. dIo"n"i*u**a
individua," -{'-n'fa c Depth
u!rr!'!rn'rLo^ ot*
Pu'-
e
||c{vec$ c Superficial- Yang - E*t.riorT/ d tA
seasonal changes
. Spring-w@dEtemt-wi1v s Middle - Nomat 5? :i L\V
[U- r*tZAW
i Summs - Fire Elercnt . Floodingf i, Deep- Yin - Interior \4.a: c>,rr -&iT'l^ol sldf-
d btc summer- EarrhElement- StippetyITFSP c lntensily
t Autum - Maal Elcment- noatingargf€ C€ L'LL r srrong_ Excess
,<\-\
- ' A SCcL\a
G wiDttr- wats Element - Sinking
\efpCrC.ra (AC-aO"
l r Weak- Deficiency
i -.-e-.v- 7 -rvr-&:-c*o
c)( Z
3-'€{rrr5rlsL
J'^trt
Typesof Pulses tnooc Tvpes
'^ of Pulses *^Atft"
b\oJAsf
(Y,or€ €IOr\)=
ir5"*
c Errytvb o^.r-tr. i.c-\.e!.O
s Deficierrcy syndmme. Can be Qi, Blood, Yang or Yin.
e Checkwith theS". Ld,e<-on 't
\e(.-\.rrr. .r.\u
Spcr{rg
)\'l<. \-\1 tL ,
e Hollow/Onionstalk(q41'gqyracrrorrr)
\-bro\et.r
\- Y\u\\"
.- L"A\
e loss ofbtood or impaidnentofyin. The fin is notiSle
to root the yangandyou havea breakor absentmiddle
levelpulse. With lossof blood,thercis not enouglr
:":s
cvrf
f\a^4 ,,-O?a= e Qi Xu = faligue, spont. swcat, dizzincs, apathl substance to travel in the arrery..-
f^ ^t
J6n /-cg, Ct.v-,
c Yang Xu = Qi Xu + cold sx . Feltal thesuperlicial anddecplcvcl3.6nly.
*O8S< .r+
c Blood Xu = Pale, pale, pale. I o Minute
o Yin Xu = Blood Xu + heat sx. c Deficiencysyndrome. _ C orrzr.
c w@k d all thc ldels.
{e : S \\1hre r
s Barelypalpableat anyler
c Strong t\rg,nqOnrr\\-({rt-el5 { e Frail
?a
e Excess syndrom?. Can be cold, heat, phlegin Qi, blood or e Qi andBlood Deficiency.
t Only oaloable at the deep level. I t
F-rou^4 q.
i{<.*k
(> -' O . S cir- &*f,, J "^;p(
l
V-ru.t o er^ cnv,." i q. I
ctrtr,r clr'. -Q.rr-Yvr-^-r,'-f- f\.S^:
hc-.: blo,:d 6,s,,us ."-
a1o Krv v\
- St,(P* ta*
>\,{t/* J_ooll-^-v\\ 6,J;l.1r\"f\rt Tl..^_+
Jroo'u^*.1e,_l,lr\,;t I r\xt ,^riVon
cVWn
dti-zp- o.
dti-ze- O. t<i"at@
t<i"au@ *"*'Xd ,t {}'s,{r*7^
ot
T.i"w<6{
.E*u)
:ff..
C.rr.€i_C
\
damp.Canbeol'Qi. blggC-ar
,rlv,.^-CSL"f)
o Feels like a line threYd under your fingef3.'
Chen*-
s Choppy/Rough/Hesirarx
o.l$fllgLunerenand..unsmooth"
e Qi and blood stagnation l
SMeA.vfn>
B1n^cti( l.\sinl"d
#s
c Essenceimpairment I --.
weak and
fffiEffifrCE]fig4t{ffi
__--_-{Ft malariaor phlegmanddamp r Brood Deficiency I
!_
relentron' - qk/d."tr\r\r"rsr1., .nooot
*;rrt riu.\l. (e* e.htt .t g-Lr*
oft"blik.#.d"etu -rY\c^\^k
1.[.
o Wiry vs. Thready: A wiry pulse will have a distincl l qr*i^{,^r
I e".rt"i.."€-v.; a.:.1"'fika d.-c=-to\
when you roll over it. A thready pulse does not have this
edse.
cn^-1,'I
W
Inspection
e Havepatient in a relaxed uprightposition
s Use natural light or ifnot possible then rlse the same
tighrsourceeveryrime 6f,446:\Arl!+6|- perof- lr,
c Use natural white light when possible I
c Havepatientstickoul tonguenaturally
c Thisnreanslelaxed undp@! Fldt S;ttdl-
s Inspectthe top sidefirst includingsides
e Thenview the undersidef -NOf
-and
c Be sur€ to view body color, vessels any coat
Evaluation Evaluation
Body Shape Body Shape
o Differentiates excess from deficiency r *ryb
c Organ slatus e Excesssyndrome
e Qi and blood status
" Tender (Smooth)
t Deficiencv svndrome
. Swollen
e Damp & phlegm accumulation
eThio & small
vyytrF s Yang Deliciency
--{.ei Deficiencv-sro\ r Teeth prints
se!'erQ'- 5€6;{ st cr.t\ o.RcL
" Bl*d D"fi"i-", . Damp & phlegm accumulation \
c Yin Deficiencv s Qi Deficiency
Evaluatioir Evaluation
Body Shape Body Motility
c Prickled(Papulo), Cf,t<fr €{rrorvrqlln"v\D "L{ s Ligid \
o HearSyndronr (g_xf ".fro,, s Hearinvading
eericardiumPCeCie.igY/
?l,tf Sr?f f
s Excess Heat impairing body fluids
-- Firsrd oitr\ 4 Kci.'.uA ci-v\
C@* c Yin Deficiency\&r>65f
.HtS.r,"*lr"{tr'"6 ,'^, Q1or. or^" St&
€K-H
f-ettad6 Mi|tr
: i$ff*fit""**a.a.\
o Nori $Ur**
\ctS,F
s\
Flaccid _rJtth 6{14s..oqf cq t\6\
Szil^rtru-o) t Qi, blood or yin deficiedcy'-i€.V,rg.7t." "t% .
lr.atr^+ 9 St$Qi
'offiilffiim" orYin exhaustion
s Heat impairing body lluids
\, -(.r" - t€sn"r*^! rl\ cv>:D
Lrs 4 .i2l\6,\-?L f\A,^.A/' AC*d t-^6l*
'fi:.
q"[ V-o,a? Ch c,.cftwe-
6..:l-ae*:tj-be c'*gm,*=-Q ... {"\ ^^dr
t$o€>t{- ttTlr-g.,..a V\dL'.r(besn", d^ow.3<r)
lP n"rr:. tu- .fsfl.h .,€ cr.<f
l r
1r, (vd.ka-to
Fo{nA%X
lcr.t.^-r, V.a^!e "^\rnr.<rtfS)qa^, -) Stu,r-ra<h g1 (...*
( u-
Evaluation t 61
Evaluation
Body Motility Body Color
oi&*ttirg ur^d.,l.l.iql€(iscrtnnc- cop c Condition of :
t- o Yin organs
o Qi, blood or yang deficiencY ,
-UnCA,trl
-\rw2t" o Blood
^e r-'-..a
ExtremelrA.r
heat mzrrramo
producing -;.a
wind Dalvr
'rcrgrA\
P'\\n
e Nutritive Qi
o C.hronic lllness
e *artotcA&n he-nev-.Jg\ ,s in*.qaiu<mla;
c Wind sroke Sqn \
O€ T r A ffi-#rai-+
fs\orvo€
tre;*cns,e.6-
I
Evaluation Evaluation
'
Coating Coating
c Inquire about any food which may bave stained lhe o Color
tongue o Manifestationof StomachQi
o Coffee o Ki&reys alsoinvolvedwith coat
o Candy
s Thickness =fl"rfCtC-a{- ,rr+Ztk+l=
s Oranges
s Intensityofparhogtnic factor
s Herbal tinctures
o Some herbal teas
o Somejuices
-Y €r"t^is {s".c[to duo co\tsrn'v^
EvaluationCoating
Distribution
o Locationofthe pathogenicinfluerrce o Use the tongue to rule in or rule out any differentials
o Organsaffected e Be sure to establisha baselinebeforejumping to any
conclusions
c Use the tongue to monitor treatment and prcgress
Nc>![ r j.rsr.., o..ll-( cv-\clcs/
o Try to avoid seeingwhat you wanl to see '? -
Ccr\'Sr"rr- C\.\Av..tZJ) e "Let the tonguebe your guide !"
; CCVl-f,r'^g \'
{': akLt-ra