Chinese medical texts do not describe what the practitioner experience is or should be during pulse diagnosis; this is left to be passed on from accomplished practitioner to student. Should its use be limited to confirming a diagnosis reached by other means? For example, the leathery pulse is the combination of hollow and wiry; weak-superficial is another name for both weak and superficial; firm or hard means the combination of deep, full, wiry, and long; etc. The work has three prefaces written by Gao Baoheng, Sun Qiguang, and Lin Yi, and a postscript by He Daren, dated the tenth year 1217 of the Jiading reign, in which he states that after the Song imperial court moved to the south, original copies of Mai jing became rare. Some practitioners still examine the pulse at these locations, along with other pressure points along the body. The pulse only tells that the patient is severely debilitated; it diffuses on light touch and is faint with heavy pressure.
Although not an easy read, this book is a mine of valuable information for those wishing to go more deeply into a study of the pulse. They take the front pulse, but not the rear; check the hands, but not the feet; and do not make a diagnosis of the complete upper, middle, and lower parts of the body. Today, the influence of surgery, powerful modern drugs that are taken chronically, and extreme variability in life style means that the complexity can be even greater. It is weaker than the thready faint pulse. The short pulse seems to deteriorate from the central pulse position towards the two adjacent pulse positions.
That is the interrogation of the patient, the inquiry. What it Is, Why it Works, and How it Can Help You. The biggest difficulties are diagnostic. Training in pulse diagnosis is often quite limited; further, the requisites for carrying out a traditional style diagnosis are sometimes absent from the clinical setting, making the results of the pulse taking less certain. Is that what Chinese medicine is all about? That is, a correction in a part will reflect corrections in the whole. Yet, those involved with modern Chinese medicine should not dismiss the pulse simply because a variety of factors need to be taken into account; it becomes necessary to become aware of these factors and give adequate time and attention so as to limit their potential for confusing the interpretation. There have also been attempts to more clearly define the pulse forms; for example, by developing medical equipment that can detect and record the pulse forms, and to develop statistical analysis of pulse types by disease.
Practitioners must remain especially alert to new factors that influence the pulse readings so as to assure that the results of pulse taking are meaningful. Select a quiet environment; close all doors and windows; gain the trust of your patient so that the patient can completely convey everything that is pertinent to the condition. Divide the region between the skin and the bone into three areas. He wrote in the introduction to his book on pulse: This Western ambivalence toward and pervasive lack of mastery of the pulse examination is, I believe, exacerbated by a somewhat similar attitude towards pulse examination current in the People's Republic of China at least in the 1980's. Single-feature pulse conditions are already numerous enough and the additional nomenclature adds even more names which have little clinical significance but add to the difficulties for beginners. They further proposed that such measuring devices could assist students of Chinese medicine in learning pulse diagnosis, since the accuracy of the students' pulse determinations could be verified by the sphygmogram.
The non-invasive sonograms as well as the more invasive testing e. When yang pulses are absent in a patient, the yin or the decaying pulse of the liver is like a thin thread on the verge of breaking, or like a tightly wound wire about to snap. Her pulse is thin and weak. Consumptive conditions with such high pulse rates are generally under emergency medical care. In essence, there are nine pulse takings on each wrist: one for each of the three pulse taking fingers at each of the three levels of pressure.
The exact number of pulses that can be taken has yet to be determined. . Stars are assigned as follows: 96-100% completion 90-95% completion 85-90% completion 70-84% completion 0-69% completion Inventory on Biblio is continually updated, but because much of our booksellers' inventory is uncommon or even one-of-a-kind, stock-outs do happen from time to time. The pulse, lacking substance, volume, and strength, simply reveals the exhaustion of the body essences. Owing to difficulty in inspection of tongue features of patients with oral or facial neoplasms, physicians often resort to pulse-taking to follow-up the patient, and it is found that the chi pulse is weakened in 50%, and absent in 25% of the patients, which is statistically significant in comparison with the pulse of normal subjects. The internal circulation is temporarily sacrificed to assure that the pathogen is eliminated before it can enter more deeply and cause serious problems at the visceral level. Or, does the pulse information add critical information that can greatly alter the treatment strategy? The information from these tests is generally understood to reflect only the conditions of the heart and major vessels the cardiovascular system ; it is not thought of as a means of examining other aspects of health.
The operating premise is predicated upon fractal and holographic thinking. As an alternative, use the middle depth earth and spleen sector in the proximal position to examine the musculature of the lower back. This pulse is so rapid twice the normal speed that it is easily detected; the acute febrile disease involves an easily measured high temperature and is usually subject of pathogen testing. In some cases, the pulse returned to its former condition immediately after needle removal; and in other cases, the pulse was not altered by acupuncture at all. In a broad evaluation conducted in Hong Kong, it was reported that specific pulse categories are more commonly found with the initial stage of illness, versus more developed and advanced stages of an illness 23. In his preface to the Huangdi Neijing, Zhang continues the complaint expressed in the Neijing about practitioners in his time, a century or more after the Neijing was produced in the form we have currently: Physicians today do not thoroughly study the medical classics before they begin to practice, but merely follow their predecessors with no attempt to improve age-old forms.
Acupuncture could include tonification of back- shu or front- mu points; medicinals that supplement the qi of the heart and lungs are another possibility. In the Huangdi Neijing 3 , the pulse is mentioned briefly and simply among a list of symptoms that would indicate a particular disease stage or category; thus, for the taiyang disease, the pulse is floating, for a yangming disease, the pulse is large, and for the jueyin disease, the pulse is feeble. In the companion volume Jingui Yaolue, there is more description of the pulses and some explanation of their meaning. The pulse can be palpated while the needle depth is adjusted to refine the depth of insertion. Point selection: The depth where a depleted sensation or replete sensation is identified suggests a corresponding transport point on a channel. If for any reason your order is not available to ship, you will not be charged. Although the deficiency can be easily detected by other means, some patients can show an artificially robust exterior appearance, while having notable deficiency.
As such, it is an important foundation text for anyone seriously interested in understanding the rationale for and method of reading the pulse in Chinese medicine. The condition of a number of pulses present at the same time is called complicated pulse. Wang Shu Tu Zhu Nan Jing Mai Jue Wang Shu He Picture Chart Markings of the Nan Jing and Mai Jue. Although not an easy read, this book is a treasure trove of valuable information for those wishing to go more deeply into a study of the pulses. Juan 8 deals with coma, carbuncles, and ulcerated sores. Otherwise, I feel as if I'm fantasizing all the time.
Why Does a Practitioner Take the Patient's Pulse? This classification is consistent with the five element system that depicts five basic viscera; the kidney is subdivided to make the sixth. As such, it is the undeniable and necessary foundation text for anyone seriously interested in understanding the rationale for and method of reading the pulse in Chinese medicine. Even with the more limited use of pulse diagnosis that has been advocated by many authorities-relying on only about half of the basic pulse categories to get the fundamental differentiation-the results of the pulse taking can be applied to determining the therapeutic strategy. It is the first book in the Chinese medical literature entirely devoted to pulse diagnosis. Table 1: Pulse Categories in Translation.