Adjusting the Pulse- Class 4

Question 0

6 Pulse examination

Answer 0

Depth (Floating or Sinking)
Rate (Fast or Slow)
Quality (deficient or excess)

Question 1

What does the pulse indicate?

Answer 1

important factor for evaluating the irregularity or congestion of qi flow
-necessary to achieve a proficient level of diagnostic skill

Question 2

Taking the pulse

Answer 2

distal interphalangeal joints are NOT bent
thumb pad around TW4 and middle finger around LU8
pinky behind wrist

Question 3

Why adjust the pulse?

Answer 3

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

Question 4

Where do you treat to adjust the pulse?

Answer 4

Palpate LU6. Which side is more tender/painful?

Treat on the healthier side

Question 5

What points to treat to adjust the pulse?

Answer 5

you can use a teishin or goshin at LU9 or PC7

Question 6

Why LU9? Why PC7?

Answer 6

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

Question 7

What do abdominal abnormalities tell you?

Answer 7

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

Question 8

lateral border of abdominal zone

Answer 8

GB channel

Question 9

superior border

Answer 9

clavicle and superior margin of the sternum

Question 10

inferior border

Answer 10

CV is central line and inferior margins of rib cage

Question 11

HT zone

Answer 11

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

Question 12

LV zone

Answer 12

RT chest, left of SP and HT regions

Question 13

LU zone

Answer 13

LT chest

Question 14

Reactions of the chest are?

Answer 14

secondary to those on the abdomen. when there are no reactions of abdomen, try the chest

Question 15

What to evaluate on the abdomen?

Answer 15

• temperature
• 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
• injuries/surgeries

Question 16

person w/ abundant dampness

Answer 16

will have tendency to cold condition

Question 17

abdominal palpation

Answer 17

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

Question 18

SP zone

Answer 18

CV13 to CV 6.5, and line between ST and KD

Question 19

SJT LU Region

Answer 19

under R subcostal lateral to SP and HT regions

Question 20

SJT KD region

Answer 20

DV4/CV6.5 to pubic symphysis to axillary line

Question 21

Types of shaku

Answer 21

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

Question 22

What kind of shaku takes precendence

Answer 22

Tsu->Ro->Do

Question 23

Among Tsu Shaku what is primary to tx

Answer 23

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

Question 24

if there is no shaku or pain everywhere:

Answer 24

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