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

Underlying Mech of Pulse images Flashcards

1
Q

What does it mean when the pulse is floating

A

Yang Qi location

Either high in the body or gathered on exterior

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2
Q

What are the reasons that the pulse is floating

A

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

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3
Q

What does it mean when the pulse is deep

A

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

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4
Q

What are the reasons that the pulse is deep

A

i. Not enough Yang Qi to push upward

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

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5
Q

What does it mean when the pulse is slow

A

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

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6
Q

What are the reasons that the pulse is slow

A

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

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7
Q

Pulse: slow, tight & forcefull

A

XS cold

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8
Q

Pulse: slow, fine & forcelss

A

Def. cold

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9
Q

tight slow pulse indicates __________________

A

exterior cold

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10
Q

What does it mean when the pulse is rapid

A

faster than normal

more yang Qi or heat in the body

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11
Q

What are the reasons that the pulse is rapid

A

due to either XS heat or Def heat

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12
Q

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

A

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

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13
Q

What does it mean when the pulse is fine

A

Fine = contents of pulse = Qi, blood and fluids

Indicates Qi and blood def weakness

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14
Q

Why would the pulse be slippery?

3 basic conditions

A

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

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15
Q

Why would a SP def cause a slippery pulse

A

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

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16
Q

bowstring pulse - wiry: definition

A

Thin
Long
Forceful, with strength

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17
Q

What are the causes of a bowstring pulse

A

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

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18
Q

How would liver obstruction cause a bowstring pulse

A

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

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19
Q

How would blood deficiency cause a bowstring pulse

A

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

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20
Q

What kind of obstruction cause a bowstring pulse

A

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

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21
Q

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

A

tight

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22
Q

The pulse can only be felt in the guan position

A

short pulse

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23
Q

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

A

short pulse

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24
Q

The pulse can only be felt in the guan position

etiopathology

A

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

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25
Q

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

A

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

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26
Q

Wiry pulse is associated with __________

A

blood def

27
Q

Causes for a tight pulse

A

cold congealing inhibiting free flow

severe pain causing tension or contraction inhibiting free flow

28
Q

Potential causes of a moderate or relaxed pulse

A

Qi def

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

29
Q

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

A

soggy

30
Q

Potential causes of a soggy pulse

A

Qi and blood def

gathering of dampness

31
Q

How would a Qi and blood deficiency cause a soggy pulse

A

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

32
Q

How would the gathering of dampness cause a soggy pulse

A

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
Q

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

A 
Deficient pulse
Surging pulse
Scallion stalk
Drumskin
Scattered
34
Q

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

A

Deficient pulse

35
Q

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?

A

Has lost its root in blood yin or the kidney

36
Q

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

A

Surging pulse

37
Q

_________________ 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

A

Drumskin

38
Q

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”

A

scattered

39
Q

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

A

confined

40
Q

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

A

hidden and confined

41
Q

What is the cause of the hidden and confined pulses

A

due to insufficient yang qi

evil blocking

42
Q

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

A

hidden

43
Q

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

A

confined

44
Q

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

A

faint

due to extreme qi and blood deficiency

45
Q

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

A

weak

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

46
Q

this is the only pulse which is fast and irregular

A

skipping

47
Q

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

A

heat

with an obstruction or blockage hindering the free flow of blood

48
Q

What are the causes of a knotted pulse

A

yang qi def

obstruction

49
Q

how can an obstruction cause a knotted pulse

A

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

50
Q

how can an yang qi def. cause a knotted pulse

A

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
Q

____________ 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

A

knotted

52
Q

____________ 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

A

knotted

53
Q

cause of an intermittent pulse

A

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
Q

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

A

choppy

55
Q

What is the root cause of a choppy pulse

A

blood def.

Obstruction

56
Q

Choppy pulse

the fineness and slowness are due to what

A

Qi and blood def
or
Yin and yang def

57
Q

Choppy pulse

what is going on with obstruction blocking

A

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

58
Q

Racing pulse

A

greater than 120 BMP

59
Q

Cause of a racing pulse

A

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
Q

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

A

Stirring

61
Q

cause of stirring pulse

A

Heat

yin and yang fighting

62
Q

large, long forcefull and hard

A

excess pulse

63
Q

large, long forceful and hard

A

excess pulse

TCM Diagnosis - Maciocia (20 decks)

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