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Pulses & Herbs References Guide Run Cun & Right Yang Wei 1 All Rights Reserved. Copyright Lucky Falcon LLC d/b/a Doane Online Education 2018 Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Upper respiratory system Superficial and forceful or jumpy Pulse Jumpy = forceful pulse = impetuous High amplitude = more heat Lower amplitude with force = stagnation and heat More wiry = condition more exterior = more wind Sinus inflammation, sinus headache, yellow thick sputum. Excess heat in the sinuses Upper respiratory infection Sinus infection Wu Wei Xiao Du Yin – 15 (or Herbal ABX – 15) (Evergreen) Bai Wei – 3 He Zi – 3 Wu Bei Zi – 3 Tian Hua Fen – 3 Bai Hu Tang – 15 Huang Lian Shang Qin Wan -15 Zhen Ren Huo Ming Yin – 40 (Or Resolve EM) Fu Hai Shi - 10 Ge Qiao - 10 If sinuses too dry add: Qing Zao Jiu Fei Tang – 20 If nose is cold add: Ge Gen Tang – 20 Upper respiratory system Deep and forceful Sinus inflammation, sinus headache, yellow thick sputum. Damp heat & blood stasis in sinuses Upper respiratory infection Sinus infection Wu Wei Xiao Du Yin – 15 (or Herbal ABX – 15) (Evergreen) Bai Wei – 3 He Zi – 3 Wu Bei Zi – 3 Tian Hua Fen – 3 Bai Hu Tang – 15 Huang Lian Shang Qin Wan -15 Resolve EM – 40 Di Long – 15

Pulses & Herbs References Guide Run Cun & Right Yang Wei 1 ... · Shu Jing Xuo Xue Tang – 25 . 3 Breakers - 25 . Bu Yang Huan Wu Tang – 25 . Upper body musculoskeletal system

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Page 1: Pulses & Herbs References Guide Run Cun & Right Yang Wei 1 ... · Shu Jing Xuo Xue Tang – 25 . 3 Breakers - 25 . Bu Yang Huan Wu Tang – 25 . Upper body musculoskeletal system

Pulses & Herbs References Guide Run Cun & Right Yang Wei 1

All Rights Reserved. Copyright Lucky Falcon LLC d/b/a Doane Online Education 2018

Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Upper respiratory system

Superficial and forceful or jumpy Pulse

Jumpy = forceful pulse = impetuous High amplitude = more heat Lower amplitude with force = stagnation and heat More wiry = condition more exterior = more wind

Sinus inflammation, sinus headache, yellow thick sputum.

Excess heat in the sinuses

Upper respiratory infection Sinus infection

Wu Wei Xiao Du Yin – 15 (or Herbal ABX – 15) (Evergreen) Bai Wei – 3 He Zi – 3 Wu Bei Zi – 3 Tian Hua Fen – 3 Bai Hu Tang – 15 Huang Lian Shang Qin Wan -15 Zhen Ren Huo Ming Yin – 40 (Or Resolve EM) Fu Hai Shi - 10 Ge Qiao - 10 If sinuses too dry add: Qing Zao Jiu Fei Tang – 20 If nose is cold add: Ge Gen Tang – 20

Upper respiratory system

Deep and forceful

Sinus inflammation, sinus headache, yellow thick sputum.

Damp heat & blood stasis in sinuses

Upper respiratory infection Sinus infection

Wu Wei Xiao Du Yin – 15 (or Herbal ABX – 15) (Evergreen) Bai Wei – 3 He Zi – 3 Wu Bei Zi – 3 Tian Hua Fen – 3 Bai Hu Tang – 15 Huang Lian Shang Qin Wan -15 Resolve EM – 40 Di Long – 15

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Pulses & Herbs References Guide Run Cun & Right Yang Wei 2

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Upper respiratory system

Deep and weak pulse

Deep and weak with accompanying signs of a cold

White sputum, post nasal drip, nasal discharge, lingering cold symptoms, itchy nose, sneezing, allergy symptoms, itching.

Wei qi deficiency, wind invasion, Interior damp cold, cold entering into interior.

Lingering cold with chronic tiredness, chronic seasonal allergies, runny nose.

Xiao Qing Long Tang – 20 Yu Ping Feng San – 20 Xin Yi San – 20 Jing Jie – 10 Jie Geng – 10 E Bu Shi Cao – 10 With itching add: Jing Jie – 10 Fang Feng – 10 Chan Tui – 10

Upper respiratory system

Superficial and wiry and/or weak pulse

Wiry shaped that collapses upon pressure

Common cold: runny nose, sneezing, common cold, body aches Allergies: runny nose, sneezing, itchy nose, allergy

Wind cold Wind cold allergy

Common cold Allergy, seasonal or chronic

Common cold: Gui Zhi Tang 80 – 20 Bai Zhi – 10 E Bu Shi Cao -10 If pulse is weak add: Yu Ping Feng San – 30 Allergies: Xin Yi San – 60 Jing Jie – 10 Jie Geng – 10 Fang Feng – 10 E Bu Shi Cao – 10 Wu Wei Zi – 10 or Wu Mei - 10 If pulse is weak add: Yu Ping Feng San - 20

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Pulses & Herbs References Guide Run Cun & Right Yang Wei 3

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Head/Upper respiratory system/ Large intestine

Blocked pulse stage 1-3 (Blood Stasis)

Shapeless pulse with border that is difficult to perceive.

Sinus infection, vertigo or dizziness, bleeding in the head, history of concussions, diverticulosis, sinus congestion, snoring, inflammatory bowel. Chronic allergies, stuffy nose, swollen sinus, cavities, itching.

Blood stasis, heat and/or phlegm in sinuses. Damp-heat, blood stasis in large intestine Blood stasis in upper Jiao

Chronic sinus infection/ congestion, sinus polyps, scar tissue from sinus surgeries, IBS, intestinal polyps, chronic disease, ulcerative colitis Chronic allergies, very stubborn, resistant to treatment

Sinus condition: Di Long – 10 Resolve EM – 40 Herbal ABX – 10 (Evergreen) Astringents – 10 Clear Heat – 10 Huang Lian Shang Qin Wan – 10 Tong Qiao Huo Xue Tang – 10

Chronic allergies Use: Allergies - Blood Stasis – 100 IBS/Diverticulosis/ LI inflammatory condition: Ge Xia Zhu Yu Tang – 20 Huang Lian Jie Du Tang – 40 Astringents – 20 Shao Yao Gan Cao Tang - 20

Large intestine

Compressed pulse

Convex-shaped pulse that is shorter than the width of one pulse position, Approximately 0.5cm in length

Diverticulosis / enteritis polyps in the large intestine hemorrhoids (if the short pulse is very small)

Blood stasis with or without heat

Polyps, hemorrhoids, diverticulosis.

Astringents - 20 Herbal ABX – 20 (Evergreen) Ge Xia Zhu Yu Tang – 20 3 Breakers – 10 4 Softeners - 10 Huang Lian Jie Du Tang - 20 Or Mu Xiang Bing Lang Wan – 20 Jia Wei Bing Lang Jia Feng Tang – 35 He Zi - 15 Wu Bei Zi - 15 Wang Bu Li Xing - 15

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Pulses & Herbs References Guide Run Cun & Right Yang Wei 4

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Upper respiratory system

High, Wiry and Too Strong

Common cold symptoms localized in sinuses or throat, or both, HA, hot face + nose and sneezing. Itchy eyes and/ or nose, face, sneezing

Wind heat Wind heat allergy

Common cold Sinus allergy with inflammation

Sang Ju Yin – 60 Pu Ji Xiao Du Yin – 20 Herbal ABX – 20 (Evergreen) Cang Er San – 50 Jin Yin Hua – 10 Mu Dan Pi – 10 Xin Yi Hua – 10 Lian Qiao – 10 Bo He – 10 If pulse is weak add: Yu Ping Feng San – 20

Lower respiratory system

Big convex/ superficial yang wei pulse

Dry cough, wheezing Ren 22 feels hot

Excess heat in lung

Asthma. pneumonia, bronchitis, lung infection.

Ding Chuan Tang – 30 Ning Sou San – 20 Clear Heat – 20 Sang Bai Pi – 15 Lu Gen - 15 Xing Ren - 15

Lower respiratory system

Thin, weak, wiry yang wei pulse Productive cough Lung cold Common cold in lung

Yu Ping Feng San – 20 Dun Sou San – 40 Herbal ABX – 10 (Evergreen) Zi Wan – 10 Bai Bu – 10 Gui Zhi Tang - 10

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Pulses & Herbs References Guide Run Cun & Right Yang Wei 5

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Lower respiratory system

Blocked yang wei pulse Non-productive cough / chest tightness

Blood stasis and trapped phlegm

Ren 22 Cold: Chronic bronchitis/cold Ren 22 Warm: asthma inflammatory bronchitis

Cold Ren 22: Xue Fu Zhu Yu Tang – 20 Di Long – 10 Gua Luo Pi - 10 Mao Dong Qing – 10 Dun Sou San – 40 Qing Fei Tang – 20 Zi Wan – 10 Bai Bu - 10 Warm Ren 22: Xue Fu Zhu Yu Tang – 20 Di Long – 10 Qing Fei Tang – 20 Ning Sou San – 20 Xing Ren – 10 Mao Dong Qing – 10 Dan Nan Xing – 10 Asthma: Astringents -20 Ding Chuan Tang – 50 Sang Bai Pi – 10 Xue Fu Zhu Yu Tang – 20 Dan Nan Xing – 10 Zi Su Zi – 10 Di Long - 10

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Pulses & Herbs References Guide Right Guan 1

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Stomach Convex, superficial and forceful

If Li 10 area is cold, then the stomach is constitutionally cold with a heat pathogen invasion.

Acid reflux, stomach pain, nausea, belching.

Stomach fire

Acid reflux, stomach viral infection, bacterial infection, H. pylori, type 2 diabetes.

He Zi – 15 Wu Bei Zi – 15 Tian Hua Fen – 15 Bai Wei – 15 Huang Lian Jie Du Tang – 20 Herbal Abx – 20 (Evergreen) (Or Wu Wei Xiao Du Yin) With GERD add: Mu Li – 15 Wa Leng Zi - 15

Stomach Wiry strong and superficial pulse

Strong pulse indicates inflammation

Stomach pain, acid reflux, bloating.

Liver overacting on stomach If Li 10 area is cold, then the stomach is constitutionally cold with stomach fire.

Duodenal ulcer, acid reflux, emotional stomach.

Xia Ku Cao – 15 Hu Zhang – 15 Huang Shui Qie – 15 Cha Chi Huang - 15 (or Zhi Zi) Huang Lian Jie Du Tang – 20 Jia Wei Xiao Yao San - 20 With Cold Li 10 area add An Zhong San – 15 With Stomach pain add: Gan Cao Shao Yao San - 20

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Pulses & Herbs References Guide Right Guan 2

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Stomach/ pancreas

Wiry, strong and deep pulse

Excessive sugar consumption, stomach pain, gas & bloating.

Liver invading stomach with blood stasis and damp heat.

Prediabetes, diabetes type 2, stomach ulcer, excessive sugar consumption

Zhi Zi – 15 Hu Zhang – 15 Huang Shui Qie – 15 Cha Chi Huang -15 Huang Lian Jie Du Tang – 20 Ge Xia Zhu Yu Tang – 10 Jia Wei Xiao Yao San - 20

Stomach Small pulse

Small pulse that is thin and weak and disappears with pressure

Weak digestion, unable to digest raw food, very weak patients, gas & bloating, watery stools, nausea difficulty digesting raw food, fatigue.

Spleen/stomach deficiency

Gastritis, digestive weakness, gas & bloating, gastritis.

An Zhong San – 40 Jia Wei Xiao Yao San – 20 Huo Xiang Zhen Qi Tang – 20 Ping Wei San – 20 If cold elbow add: Fu Zi Li Zhong Tang – 20

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Pulses & Herbs References Guide Right Guan 3

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Stomach Deep and blocked pulse

Poor digestion– gas, bloating, belching Chronic superficial gastritis (if pulse is forceful)

Damp heat and blood stasis in the stomach

Diabetes type 2, gas & bloating & gastritis

Huang Lian Jie Di Tang -20 He Zi – 15 Wu Bei Zi – 15 Tian Hua Fen – 15 Bai Wei – 15 Ge Xia Zhu Yu Tang – 20 If the pulse fails to go to its home (middle position, increase Ge xia Zhu Yu Tang to 50.

Stomach Deep and strong pulse

Gas & bloating, excessive sugar consumption, stomach pain, nausea

Damp heat and blood stasis in stomach

Diabetes 2, gastritis, stomach ulcers.

Huang Lian Jie Du Tang – 40 Zhe Chong Yin – 20 (or Ge Xia Zhu Yu Tang -20) Herbal ABX – 20 (Evergreen) He Zi – 5 Wu Bei Zi – 5 Tian Hua Fen – 5 Bai Wei – 5 If Li 10 area is cold: Huo Xiang Zheng Qi Tang – 15 Wu Wei Xiao Du Yin – 40 An Zhong San – 10 Wu Bei Zi – 10 He Zi – 10 Tian Hua Fen – 10

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Pulses & Herbs References Guide Right Guan 4

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Stomach Compressed pulse Stomach pain Blood stasis Tumor,

stomach polyp

Mu Xiang Bing Lang Wan - 20 Jia Wei Bing Lang Jia Wi Fu Tang - 35 Wang Bu Lin Xing - 15 He Zi - 15 Wu Bei Zi - 15

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Pulses & Herbs References Guide Right Chi & Proximal Pulses 1

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Right ureter Compressed pulse

Convex pulse approximately 1 mm in length, feels like it has a point like a pen tip

Kidney stones in right ureter, back pain, frequent urination, surgical scars

Stone Lin, blood stasis, shoulder, neck, surgical scars

Kidney stone in right ureter, previous shoulder injury, dislocation, soft tissue damage in shoulder

Kidney Stone: KS – 100 Or: Ba Zheng San – 20 Chuan Lian Zi – 10 Yan Hu Suo – 15 Wang Bu Liu Xing – 20 Jin Qian Cao – 20 Hua Shi Cao – 20 Shoulder Injury: Er Zhu Tang – 25 Shu Jing Xuo Xue Tang – 25 3 Breakers - 25 Bu Yang Huan Wu Tang – 25

Upper body musculoskeletal system

Blocked pulse (blood Stasis)

Pulse with a border that is difficult to perceive

Upper body pain, coldness, numbness, heat & inflammation, neck pain & stiffness, shoulder pain & stiffness

Blood stasis in upper back & shoulder, with or without heat

Frozen shoulder, upper back / neck injury, scar tissue from upper back / neck injury, surgery, stiff upper back / neck. Torticollis.

Neck: Tong Qiao Huo Xue Tang - 20 Ge Gen Tang – 20 Chuan Xiong Cha Tiao San – 20 Clear Heat – 20 Flex spur – 20 (Evergreen) Shoulder: Tong Qiao Huo Xue Tong - 20 Er Zhu Tang - 60 Bu Yang Huan Wu Tang – 2- Back: Xue Fu Zhu Yu Tang – 30 Ru Xiang – 13 Mo Yao – 13 Yan Hu Suo – 13 Tong Qiao Huo Xue tang – 20 Shui Zhi – 10

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Pulses & Herbs References Guide Right Chi & Proximal Pulses 2

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Kidney/ urinary bladder

Thick, wiry, long pulse

Big and long pulse that is straight, thick and forceful at the superficial level Pulse can extend into the proximal position

Left chi & female with hot hands = excess estrogen Right chi = UTI, burning urination, kidney infection. Both chi = chemical poisoning pulse

Kidney heat / heat Lin Taiyang disorder of upper back & neck, inflammation & and heat

UTI – kidney infection cystitis, pylo nephritis. Neck & upper back pain, muscle tightness

UTI / kidney Infection: Ba Zheng San – 40 3 Yellows - 20 Herbal ABX – 20 (Evergreen) Long Dan Xie Gan Tang – 20 Neck Tightness: Chuan Xiong Chao Tiao San – 20 Ge Gen tang – 20 Clear Heat – 30 Flex Spur – 30 (Evergreen) Chemical Poisoning: Herbal DTX – 60 (Evergreen) Liver Detox - 40

Upper musculoskeletal system

Thin, long, and forceful at middle depth

Neck pain / stiffness, upper back pain / stiffness

Blood stagnation / inflammation

Migraines, chronic headaches, neck pain, upper back pain

Neck Tightness: Chuan Xiong Cha Tiao San – 20 Ge Gen Tang – 20 Clear Heat – 30 Flex Spur – 30 (Evergreen) Inflammation: Herbal ABX – 20 (Evergreen) 3 Yellows – 20 Astringents - 20 Tong Qiao Hue Xue Tang – 20 Resolve EM - 20

Kidney Deep, pounding, wiry and wide pulse Pulse can extend into proximal position

Burning urination, back pain

Nephritis Nephritis, UTI Herbal ABX- 20 (Evergreen) 3 Yellows – 20 Ba Zheng San – 40 Long Dan Xie Gan Tang - 20

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Pulses & Herbs References Guide Right Chi & Proximal Pulses 3

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Large compressed pulse

On Both Chi Positions: Prostate enlargement with urinary difficulty

Blood stasis with damp heat

BPH, bladder disease, prostatitis

Resolve EM – 80 Astringents – 20 If Pounding and swelling: Resolve EM – 60 3 Yellows – 20 Astringents - 20 With yin deficiency add Zhi Bai Di Huang Wan - 20

On Right Chi: Shoulder stiffness, tissue damage, shoulder pain, gout.

Blood stasis

Frozen shoulder, torn rotator cuff

Blood Stasis: Er Zhu Tang – 40 Resolve EM – 20 Tong Qiao Hue Xue Tang – 20 Bu Yang Huan Wu Tang – 20

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Pulses & Herbs References Guide Right Chi & Proximal Pulses 4

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Neck/ upper back

Proximal right pulse Thin forceful pulse extending past the compressed pulse in the chi position

On Right Chi: pain in joints

Blood stasis with stagnant Heat

Gout, high uric acid,

Ba Zheng San – 20 Astringents – 20 Clear Heat – 20 3 Yellows – 20 Liver Damp Heat – 20

Neck/ upper back

Very thin, tight deep pulse, wiry Neck pain Blood stasis Bone spur in neck

Flex Spur – 80 (Evergreen) 3 Breakers - 20

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Pulses & Herbs References Guide Left Cun 1

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Heart

Block 1 pulse (blood stasis)

Pulse where border is difficult to perceive Note: If left guan is strong, do not add tonic herbs until the liver is calm Tonic formulas for the heart: If pulse is superficial and weak add: Tian Wan Bu Xing Dan – 20 If pulse is in the middle & weak Yang Xin Tang – 20 If pulse is deep, & weak Fang Ji Huang Qi Tang – 20

Chest pain, tingling down arms, shortness of breath, cold hands, fatigue, anxiety, insomnia, may have no symptoms.

Heart blood stasis

Myocardial ischemia. vessel blockage, large or small. bundle branch block, stage 1 coronary artery blockage, atherosclerosis

Xue Fu Zhu Yu Tang – 20 Shui Zhi – 20 Gui Zhi – 10 Dang Gui – 10 Dan Shen – 10 Mao Dong Qing – 10 With Insomnia add: Yan Hu Suo – 15 Ye Jiao Teng - 15 With body pain add: Ru Xiang – 15 Mo Yao 15 Yan Hu Suo - 15 With anxiety add: Yuan Zhi - 10 Yan Hu Suo – 10 He Huan Pi – 10 Hu Po - 10 With edema in ankles and legs: Yi Yi Ren -10 Fu Ling - 10 Ze Xie – 10 With cold hands add: Si Ni Tang - 20

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Pulses & Herbs References Guide Left Cun 2

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Heart Block 2 pulse (blood stasis)

Pulse where border is hardly distinct

Chest pain, tingling down arms, shortness of breath, cold hands, fatigue, anxiety, insomnia, may have no symptoms.

Substantial heart blood stasis

Myocardial ischemia. vessel blockage, large or small. bundle branch block, more advanced atherosclerosis, coronary atherosclerosis, CHF pre-clinical heart failure, angina, shortness of breath.

Xue Fu Zhu Yu Tang – 20 Shui Zhi – 10 Dan Shen – 10 Dang Gui – 10 San Leng – 10 Yi Mu Cao – 10 Gui Zhi – 10 Mao Dong Qing – 10 Chuan Xiong – 10 With signs of edema add Gua Lou Xie Bai Ban Xia Tang -20 If weak pulse add: Fang Ji Huanq Qi Tang – 20 With edema in ankles and legs Yi Yi Ren -10 Fu Ling - 10 Ze Xie – 10 With cold hands add: Si Ni Tang - 20

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Pulses & Herbs References Guide Left Cun 3

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Heart Block 3 pulse (blood stasis)

Chest pain, tingling down arms, may have no symptoms, cold hands, swollen ankles, insomnia, fatigue, anxiety, arrythmias, shortness of breath.

Severe heart blood stasis

Myocardial ischemia. vessel blockage, large or small. bundle branch block

Gua Luo Xie Bai Ban Xia Tang - 20 Tong Qiao Hue Xue Tang – 20 Shan Zha – 15 Dan Shen – 15 Yu Jin – 10 Jiang Huang – 10 Shui Zhi – 10 Wu Gong - 5 With edema in ankles and legs Yi Yi Ren -10 Fu Ling - 10 Ze Xie – 10 With cold hands add: Si Ni Tang - 20

Heart Blood stasis with excess cold pulse

Straight pulse that feels like there is a bundle of electric wires (that are thin, straight, tight, within the blocked sensation.

Chest pain, tingling down arms, SOB, may have no symptoms, edema, swelling, cold hands, swollen ankles, fatigue, anxiety, insomnia.

Heart cold bi syndrome, blood stasis

Cold extremities, CHF, myocardial infarction, coronary heart conditions, coronary vasospasms, pre-clinical heart failure, angina, shortness of breath, feels better with exercise arteriosclerosis.

Si Ni Tang – 15 Gui Zhi – 15 Dang Gui – 15 Xue Fu Zhu Yu Tang – 20 Dan Shen – 15 Shui Zhi – 10 Chuan Xiong - 15

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Pulses & Herbs References Guide Left Cun 4

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Heart Thin and weak

Small pulse that is thin and weak, upon pressure it disappears.

Poor memory can’t concentrate, possibly overactive (ADHD-Combined), anxious, insomnia

Heart blood deficiency

Subthreshold cognitive impairment, Poor memory, ADHD-Inattentive, ADHD-Combined.

Si Wu Tang – 20 Yang Xin Tang – 40 He Huan Pi – 10 Shi Chang Pu – 15 Yuan Zhi - 15

Heart Deep and weak pulse

Pulse that is deep and weak

Fluid in lungs, edema, edema in ankles, SOB, chest pain.

Heart qi and yang deficiency

CHF (may be preclinical)

Mao Dong Qing – 15 Fang Ji Huang Qi Tang – 20 Gua Lou Xie Bai Ban Xia Tang – 20 Si Ni Tang – 20 Yi Yi Ren – 10 Fu Ling – 10 Ze Xie -10

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Pulses & Herbs References Guide Left Cun 5

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Heart Up-down Pulse

Can feel both upward (systolic) and downward (diastolic) beat of pulse

SOB, chest pain, fainting, dizziness

Heart damp bi/ systemic water retention

CHF, stenosis, aortic valve regurgitation, coronary stenosis

Mao Dong Qing – 100 With weak pulse: Tian Wan Bu Xing Dan – 30 Yang Xing Tang – 20 Mao Dong Qing – 50

Heart/ liver/ kidney

Reverse hook pulse Chi pulse is higher than cun position

Nervous, scared, easily frightened or startled, in a constant anxious, frightened state, existential angst or subliminal fearfulness, difficulty making decisions.

Heart & kidney imbalance

PTSD chronic fight, flight stage 3/ chronic stress

With cold hands: Ba Wei Di Huang Wan – 50 Long Dan Xie Gan Tang – 50 With warm hands: Zhi Bai Di Huang Wan-30 Sheng Mai San – 35 Tian Wan Bu Xing Tang – 35

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Pulses & Herbs References Guide Left Cun 6

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Connective tissue

Yang wei pulse Pounding: heat bi Thin and tight: cold bi

Joint pain, stiffness, swelling

Cold bi, heat bi Heat bi: rheumatoid arthritis Cold Bb: osteoarthritis

Heat Bi: Resolve EM – 30 Sheng Di Huang - 30 Chi Shao – 10 4 Softeners – 10 Astringents – 20 3 Yellows - 20 Cold Bi: Shu Jin Huo Xue Tang – 55 Ru Xiang – 15 Mo Yao – 15 Yan Hu Suo - 15

Heart Mitral valve pulse

Possible insomnia, anxiety Heart blood stasis

Mitral valve prolapse, paroxysmal irregular heartbeat, arrhythmia, inefficient blood flow through chambers of the heart.

Xue Fu Zhu Yu Tang – 80 Shui Zhi – 20 If pulse is thin and weak: Tian Wang Bu Xin Dan – 20 Yang Xing Tang – 20 Xue Fu Zhu Yu Tang – 20 Zhi Gan Cao Tang – 20 Si Wu Tang - 20

Heart

Large vessel pulse

Chest pain, tingling down arms, may have no symptoms

Heart blood stasis

Systemic coronary artery disease, CHF

3 Breakers – 20 Tong Qiao Hue Xue Tang – 50 Dan Shen - 30

Heart Enlarged vessel pulse Push down on the left cun and the pulse feels like a balloon when you pull your finger away.

Excessive athletic activity Heart heat Enlarged left ventricle, inflammation of the heart wall

Astringents – 20 Resolve EM – 40 Mao Dong Qing – 20 Xue Fu Zhu Yu Tang – 20

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Pulses & Herbs References Guide Left Cun 7

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Small intestine

Convex or wiry pulse that is too fine Gas, bloating, abdominal pain or discomfort

Small intestine heat / small intestine damp heat

Enteritis, colitis, food poisoning, ulcerative colitis.

Huang Lian Jiu Du Tang – 50 Ge Gen Huang Lian Tang – 30 Astringents – 20 With bleeding add: 5 Tans – 15 With diarrhea add: Wu Wei Zi – 10 Rou Duo Kou -10 With pain: Shao Yao Gan Cao Tang - 20

Heart/ pericardium

Deep + pounding + blocked OCD, ADD, bi-polar, disturbed sleep, feels unsettled, dream disturbed by intense dreams.

Heat trapped in pericardium

OCD, ADD, bipolar, schizophrenia

Huang Lian - 10 Zhu Ru Wen Dan Tang – 30 Lian Zi Xin – 10 Hu Po - 10 Xue Fu Zhu Yu Tang – 25 Ba Zheng San - 15

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Pulses & Herbs References Guide Left Guan 1

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Liver Superficial & convex

Herbs for eye conditions cause by liver: Conjunctivitis: Ma Bian Cao - 15 Qian Li Guan - 15 Hu Zhang - 15 Hu Yao Huang - 15 Long Dan Xie Gan Tang - 40 Glaucoma: Ma Bian Cao - 15 Qian Li Guan - 15 Long Dan Xie Gan Tang - 20 Ba Zheng San - 20 Hu Zhang - 15 Hu Yao Huang - 15

Emotional aspect of liver – stress, irritability, excessive thoughts, nervous, mood swings, insomnia Patient will likely express their emotions instead of repressing it Eye problems: redness, itching, blurry sight.

Liver heat/ liver fire.

Stress, anxiety, insomnia, irritability, subthreshold personality disorders, mild mood disorders, conjunctivitis, glaucoma, high blood pressure, dizziness, Meniere’s syndrome Elevated liver enzymes blood panel

Emotional Disturbance: Hu Zhang - 15 Huang Shui Qie - 15 Xia Ku Cao - 15 Cha Chi Huang - 15 Long Dan Xie Gan Tang – 25 Huang Lian – 15 Or: Zhen Zhu Mu – 15 Ci Shi – 15 Shui Niu Jiao – 15 Long Dan Xie Gan Tang - 55 Meniere’s Disease (from liver): Ban Xia Bai Zhu Tian Ma Tang – 30 Long Dan Xie Gan Tang – 30 Tian Ma – 20 Gou Teng – 20 Elevated Liver Enzymes: Hu Zhang - 15 Huang Shui Qie - 15 Xia Ku Cao - 15 Cha Chi Huang - 15 Long Dan Xie Gan Tang – 20 Jia Wei Xiao Yao San – 20

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Pulses & Herbs References Guide Left Guan 2

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Wiry & forceful

Irritability, digestive disorders, liver organ dysfunction.

Liver heat affecting digestion/ liver invading stomach.

Stomach pain, gas & bloating, irritable bowel syndrome

Hu Zhang – 15 Cha Chi Huang – 15 Xia Ku Cao – 15 Zhi Zi – 15 Huang Lian Jie Du Tang – 20 Jia Wei Xiao Yao San - 20

Liver

Too wiry, tight, and very thin

Elevated liver enzymes, previous infection with mononucleosis

Liver qi & blood stagnation generating heat/ dampness in liver with blood stasis

Hepatitis, elevated liver enzymes, cirrhosis of liver. Very thin at middle or deep depths usually indicates past mononucleosis.

Yin Chen Hao Tang – 20 Da Chai Hu tang – 20 Herbal ABX – 20 (Evergreen) Ge Xia Zhu Yu Tang – 40 Or: Hu Zhang – 15 Xia Ku Cao – 15 Huang Shui Qie – 15 Chai Chi Huang - 15 Long Dan Xie Gan Tang – 20 Ge Xia Zhu Yu Tang – 20 With constipation use Yin Chen Hao Tang -20 instead of Long Dan Xie Gan Tang

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Pulses & Herbs References Guide Left Guan 3

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula Liver Deep & blocked

Depression, anxiety, irritability, apathy, frustration.

Liver blood stasis/ dampness Damp-heat if stronger

Depression, fatty liver.

Ge Xia Zhu Yu Tang – 80 Jia Wei Xiao Yao San – 20 With damp-heat add: Long Dan Xie Gan Tang – 20 Or with constipation: Yin Chen Hao Tang – 20

Liver Deep & strong

Frustration, anxiety, irritability

Liver damp-heat Fatty liver Long Dan Xie Gan Tang - 30 Yin Chen Hao Teng - 30 Ge Xia Zhu Yu Tang - 20 Astringents 1 – 20

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Pulses & Herbs References Guide Left Guan 4

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Organ Pulse Key Symptoms OM Diagnosis Disease Base Herbal Formula

Liver/ gal- bladder

Compressed pulse

Convex pulse around 1 mm in length that has pointed tip, usually will be hard cannot be pushed away with pressure, often occurs with a deep pulse.

Flank pain, may have no symptoms

Blood & mass stagnation

Gall stones, hepatic cysts

Gallstones: Dissolve GS - 100 (Evergreen) Hepatic Cyst: Dissolve GS – 80 (Evergreen) Fu Yuan Huo Xue Tang 20

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Pulses & Herbs References Guide  Left Chi & Proximal Pulses  1  

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Organ  Pulse  Key Symptoms  OM Diagnosis  Disease  Base Herbal Formula Kidney  Low, forceless, thin 

 Thin and weak pulse that disappears under pressure (feels like touching the edge of a Kleenex)  

Infertility, low libido, impotence, cold hands or feet, low voice, fatigue.  

Kidney yang deficiency  

Infertility, Low libido, impotence. 

Huan Shao Dan – 25 Ba Ji Tian – 20 You Gui Wan – 25 Yin Yang Huo – 20 She Chuang Zi ‐ 10 

Kidney  High, forceless, thin 

 Can be superficial or high. Thin.     

Fatigue, low libido, infertility, night sweats, hot flashes, dry skin, vaginal dryness, agitation.  

Weak: kidney yin deficiency  Stronger: kidney yin deficiency with heat 

Infertility, low libido, impotence 

Zuo Gui Wan ‐ 100 

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Pulses & Herbs References Guide  Left Chi & Proximal Pulses  2  

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Organ  Pulse  Key Symptoms  OM Diagnosis  Disease  Base Herbal Formula Lower abdomen /lumbar area 

Blocked Pulse (blood Stasis)  Low back pain, stiff back  Bump between guan and chi may indicate vasectomy or genital condition in men, soft tissue damage in hip 

Blood stasis  Lower abdominal surgery, lower abdominal/lumbar trauma abortion, C‐section, IUD, hysterectomy, scar tissue from lower back surgeries   

Flex Spur – 20 (Evergreen) Shen Tong Zhu Yu Tang – 30 3 Breakers – 20 Shu Jing Huo Xue Tang – 30 

Lower abdomen/ reproductive  anatomy 

Compressed pulse 

 Pulse with jump: heat condition Pulse with no jump: cold condition 

Possibly pain, infertility, kidney stone, pain from stone in left ureter, knee pain. 

Blood stasis  Abortion, hysterectomy, scars, tubal litigation scars, back surgery scars, kidney stones, hernia scars, lower abdominal injuries, knee damage, cysts 

3 Breakers – 20 Shen Tong Zhu Yu Tang – 40 Zhe Chong Yin – 20 Shao Fu Zhu Yu Tang – 20  Kidney stone:  Dissolve KS – 100  Knee pain 3 Breakers ‐ 20 Shen Tong Zhu Yu Tang – 35 Du Huo – 10 Shu Jing Huo Xue Tang ‐ 35  With jump in pulse:  Use 4 Softeners instead of 3 Breakers  

 

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Pulses & Herbs References Guide  Left Chi & Proximal Pulses  3  

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Organ  Pulse  Key Symptoms  OM Diagnosis  Disease  Base Herbal Formula Lower abdomen / lumbar area 

Large compressed pulse 

  Both chi = prostate enlargement, varicocele  

Back pain, back and lower body pain, stiffness, and soft tissue damage; overuse,  Bone spurs, disk problems of lower back.  

Blood stasis with or without heat.     

Lumbago, leg injuries, varicocele, bulging discs, herniated discs, knee pain over large area.  

Flex Spur – 35 (Evergreen) Astringents – 15 3 Breakers – 15 Ru Xiang ‐ 10 Mo Yao ‐ 10 Shen Tong Zhu Yu Tang – 15  Varicocele:  Resolve EM – 40 3 Breakers – 20 Ge Xia Zhu Yu Tang – 20 Astringents ‐ 20  With Knee Damage: Resolve EM – 40 Astringents – 20 Shen Tong Zhu Yu Tang – 20 Shu Jin Huo Xue Tang – 20  With Jump in Pulse:  Use 4 Softeners instead of 3 Breakers 

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Pulses & Herbs References Guide  Left Chi & Proximal Pulses  4  

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Organ  Pulse  Key Symptoms  OM Diagnosis  Disease  Base Herbal Formula Systemic/ Kidney  

Thick, Long, Forceful and Wiry at Superficial Level. 

 

Chemical sensitivities, often seen with a pathological liver pulse (If found on both chi’s)  

Kidney Fire, Heat in blood  

Chemical exposure, acute or chronic. May be recent, may have been in past. Kidney Inflammation. 

Chemical Poisoning: Herbal DTX – 70 (Evergreen) Liver DTX – 30   Kidney Fire  Ba Zheng San – 20 Clear Heat – 30 Herbal ABX – 20 (Evergreen) Astringents – 30  

Lumbar area 

Thin, Long, Wiry and Forceful at Middle Depth. 

 

Back pain, stiffness, strain or sprain, yellow or white vaginal discharge, genital itching. 

Jumpy Pulse: Heat condition  No Jump; Cold condition   

Lumbar pain, bone spur, sciatica.   Heat from pelvic inflammation: vaginitis, cervicitis.   

Flex Spur – 100 (Evergreen)  Herbal Abx – 40 (Evergreen) Ba Zheng San – 20 Hu Zhang – 20 Hu Yao Huang ‐ 20 

Uterus  Deep, Very Thin, Tight, Wiry and Long Pulse.  

 

Uterine bleeding,  Hot palms: indicate uterine bleeding is related to hormonal imbalance.  Cold palms: non‐hormonal bleeding problem. 

Blood stasis  

 

Endometriosis, adhesions,  ovarian cysts, small fibroids, uterine prolapse  Painful Periods:  Ji Xue Teng – 15 Resolve EM – 30 YI Mu Cao – 15 Wen Jing Tang – 20 Yan Hu Suo – 15 Ru Xiang ‐ 10 Mo Yao ‐ 10 Ge Xia Zhu Yu Tang ‐ 20 

Resolve EM – 60 Shao Fu Zhu Yu Tang – 20 Cold Abdomen Use: 3 Breakers – 20 Warm Abdomen Use: 4 Softeners ‐ 20  Back Problem Use  Flex Spur (Evergreen)