7/27/2019 Fundamental_Pulses_Part_12.pdf
1/25
Advanced
Pulse
DiagnosisAdvanced
Pulse
DiagnosisJamesRamholzJamesRamholz
Inrelationtothehumanbody,yangisabovethemiddle
and
on
the
back;
yin
is
below
the
middle
and
on
the
front.
Theeversionofaspherehelpsillustratesthe
internal/externaldivisionandtransformationofyinand
yang.Theexteriorsurfaceofthesphereisyang,andthe
interiorsurfaceisyin.Theinteriorpurpleandexterior
goldsurfacesofthespherechangeplacesin4dimensional
space/time.Thetransformationstartsatthetopleftcorner
andmovesclockwise.Inthisprocess,yangandyinchange
placeusingthemostnaturalwayand,therefore,theleast
amountofenergy.Theeversionofasphereisa4
dimensionalTaiji diagram.
Whentheprocessgetstothemidpoint[lowerright
corner],the
figure
can
be
divided
in
cross
section
to
reveal
theBagua,anoctagonoreightsidedfigure.ThattheBagua
liesatthemidpointonthemoststablepathwaythrough
thisprocessunderscoresitsimportanceinChinesetheory
andmedicine.
Copyright2002,2003byJamesRamholz
7/27/2019 Fundamental_Pulses_Part_12.pdf
2/25
Tableof
ContentsTable
of
Contents
TheNormalPulseWaveTheNormalPulseWave33 BasicPulseWaveDynamicsBasicPulseWaveDynamics
44 TheNormalPulsein3TheNormalPulsein3DD
55 TheNormalPulseinCrossTheNormalPulseinCrosssectionsection
NormalPulsePositionsNormalPulsePositions66 TheImportanceofLocationTheImportanceofLocation
77 1and2LongitudinalDepths1and2LongitudinalDepths
88 3LongitudinalDepths3LongitudinalDepths
99 InteriorandExteriorPerspectivesInteriorandExteriorPerspectives
1010 MoreonOrgansandChannelsMoreonOrgansandChannels
1111 DongHan
Developments,
I:Dong
Han
Developments,
I:
99sectorsModelsectorsModel
1212 DongHanDevelopments,II:DongHanDevelopments,II:
2727sectorsModelsectorsModel
1313 5LongitudinalDepths5LongitudinalDepths
BasicPulseQualitiesBasicPulseQualities1515 FloatingandSinkingFloatingandSinking
1616 FastandSlowFastandSlow
1717 SlipperyandChoppySlipperyandChoppy
1818 LongandShortLongandShort
1919 WiryandSoftWiryandSoft
2020 KnottingintheClassicalFashionKnottingintheClassicalFashion
2121 DongHan
Developments,
III:Dong
Han
Developments,
III:
CancerMovementCancerMovement
2222 Picture:JiangJingExplainingSomePicture:JiangJingExplainingSome
DetailsoftheBreastCancerPulseatDetailsoftheBreastCancerPulseat
NYCSeminarNYCSeminar
7/27/2019 Fundamental_Pulses_Part_12.pdf
3/25
BasicPulse
Wave
DynamicsBasic
Pulse
Wave
Dynamics
ThegeometryoftheNormalwaveformThegeometryoftheNormalwaveform
TheNormalpulse(Zhengchangmai)isrecognizedby
itsuniquesymmetryanduniformrelationto
breathing2beatsontheinhaleand2ontheexhale.
Inyin/yangtheory(base2),aNormalwaveisdefined
astheselfelementofaposition(wiryforWood,etc.)
plusstomachqi.Intermsof5Phases(base5),the
risingandspreadingmovementisWood;thecresting
movementor
expanding
outward
from
apoint
is
Fire;
thedescendingmovementisMetal;andthetroughor
crystallizingtoasinglepointmovementisWater.
Earthcanbeconsideredeitherthelast18o ofeach,or
thesubstantialness ofthewholewave.
Thetop
figure
shows
the
wave
movement
in
time,
movinglefttoright.Thebottomfigureshowsthe
waveexpressedinitsenergeticorstatespace.Instead
ofcontinuingalongthetimeline(Xaxis)asinthetop
picture,thewavecompleteseachcyclebyreturning.
Allenergeticvaluesandpossibilitiescanbeillustrated
init.
a
b
d
c
X-axis
Y-axis
a
b
c
d
yang of Yang
yang of Yinyin of Yin
Yin of Yang
a c
d
7/27/2019 Fundamental_Pulses_Part_12.pdf
4/25
BasicPulse
Wave
DynamicsBasic
Pulse
Wave
DynamicsTheRelationofStateorPhaseSpacetoTimeTheRelationofStateorPhaseSpacetoTime
6.4.2.
1.
0. 5
-0. 5
-1.
6.4.2.
1.
0. 5
-0. 5
-1.
6.4.2.
1.
0. 5
- 0. 5
-1.
6.4.2.
1.
0. 5
- 0. 5
-1.
6.4.2.
1.
0. 5
- 0. 5
-1.
Intheseriesoffiguresontheleftside,therotation
alongthecircleismappedtothetimeline.The
figureaboveshowsthecompletedcycle.Then,the
seriesrepeatsitselfagainwiththesequenceonthe
left.Allenergeticvaluesandpossibilitiescanbe
diagramedinthisstatespacetoillustratethe
qualitiesof
each
pulse
position.
7/27/2019 Fundamental_Pulses_Part_12.pdf
5/25
BasicPulse
DynamicsBasic
Pulse
Dynamics
33dimensionsandrotationalaspectofthebasicpulsewavedimensionsandrotationalaspectofthebasicpulsewave
ThepulsewaveineachpositioncanbeThepulsewaveineachpositioncanbe
describedin3describedin3dimensions.dimensions.
TheXThe
X
axis
is
related
to
the
length
along
the
axis
is
related
to
the
length
along
the
arteryandtime(frequency).TheYarteryandtime(frequency).TheYaxisisaxisis
relatedtodepth(amplitude).TheZrelatedtodepth(amplitude).TheZaxisisaxisis
relatedtothewidthofthepulse,andtherelatedtothewidthofthepulse,andthe
positionpositionsoverallcapacitywhenconsideredsoverallcapacitywhenconsidered
withtheamplitude.Therotationalforceofthewiththeamplitude.Therotationalforceofthe
movementiscalledthetorque.movementiscalledthetorque.
AstheNormalpulsemovesforwardalongtheAstheNormalpulsemovesforwardalongthe
XXaxisfromProximaltoDistal,itcanalsorotateaxisfromProximaltoDistal,itcanalsorotate
clockwise,expressing6clockwise,expressing6QiqualitiesincrossQiqualitiesincross
section.
section.
Consideredtogether,thelongitudinalandConsideredtogether,thelongitudinaland
rotationalmovementsexpresshow5rotationalmovementsexpresshow5PhasesPhases
and6and6QiareinterQiareinterrelatedandmutuallyrelatedandmutually
engendering.engendering.
X
Y
Z
7/27/2019 Fundamental_Pulses_Part_12.pdf
6/25
NormalPulseNormal
Pulse33DCrossDCrosssectioninYin/Yangand5sectioninYin/Yangand5PhasesPhases
Pulsescanexpressbothayin/yang(inner/outer)orPulsescanexpressbothayin/yang(inner/outer)or
a5a5Phase
crossPhasecross
section
relating
to
their
associated
section
relating
to
their
associated
qualities.qualities.
Forexample,theHolloworOnionStalkForexample,theHolloworOnionStalk(Kou)(Kou)pulsepulse
takesitsnameandshapefromthecontrastofthetakesitsnameandshapefromthecontrastofthe
emptyyinorinnerportionemptyyinorinnerportionKidney,LiverandKidney,Liverand
SpleencoreSpleencoreto
the
outer
portions.
It
indicates
to
the
outer
portions.
It
indicates
blooddepletion.blooddepletion.
Classicallydescribed,whenpressingdownfromClassicallydescribed,whenpressingdownfrom
skintobone(alongtheYskintobone(alongtheYaxis),tensioncanbefeltataxis),tensioncanbefeltat
thesurface,thensoftnessoremptinessatthebloodthesurface,thensoftnessoremptinessattheblood
depth,andthentensionagaininthedeeperpart.depth,andthentensionagaininthedeeperpart.
WhenyoursensitivityisstrongeryoucanalsofeelWhenyoursensitivityisstrongeryoucanalsofeel
thewalloftheOnionStalkcharacteralongthethewalloftheOnionStalkcharacteralongthe
outeredgesorthirddimension.outeredgesorthirddimension.
Lung
Heart
Spleen
Liver
Kidney
7/27/2019 Fundamental_Pulses_Part_12.pdf
7/25
TheImportance
of
Pulse
Positions
and
The
Importance
of
Pulse
Positions
and
PhysicalLocationstotheQualitiesPhysicalLocationstotheQualities
Space,Time,andQualitiesareinseparableaspectsofthediagnoSpace,Time,andQualitiesareinseparableaspectsofthediagnosticstic
informationfromthepulses.informationfromthepulses.
Asit
says
in
the
As
it
says
in
the
Nan
JingNanJing,
,In
each
case,
one
determines
on
the
basis
of
the
In
each
case,
one
determines
on
the
basis
of
the
locationofthemovementsintheconduitswhethertheinfluenceslocationofthemovementsintheconduitswhethertheinfluencesincaseofanincaseofan
illnessillnessproceedcontrarytoproceedcontraryto11 orinaccordancewithorinaccordancewith22 theirpropercourse.theirpropercourse.
Unschuldtranslation,Difficulty4Unschuldtranslation,Difficulty4
1.1.NiNi,,counterflowcounterflow
2.2.ZhengZheng,correct,correct
7/27/2019 Fundamental_Pulses_Part_12.pdf
8/25
Oneand
Two
DepthsOne
and
Two
Depths
ZangZangandandFuFu
Fromskintobone,Fromskintobone,eachpositioncanbeseenasasinglespaceeachpositioncanbeseenasasinglespace
associatedwith
the
associated
with
the
zangzangorgan
of
that
organ
of
that
position;oritcanbedividedinto2depths,position;oritcanbedividedinto2depths,
relatedtoboththerelatedtoboththezangzangandandfufu..
TheTheZangZangandandFuFurefertothesolidandrefertothesolidand
holloworgans,respectively.Theyreflectholloworgans,respectively.Theyreflect
thestorage
and
transformative
capacity
of
the
storage
and
transformative
capacity
of
thePhaseassociatedwiththatposition.thePhaseassociatedwiththatposition.
Likeallotherpulsemodels,eachdepthcanLikeallotherpulsemodels,eachdepthcan
beviewedincombinationwithanothertobeviewedincombinationwithanotherto
describeasinglemovement,orasdifferentdescribeasinglemovement,orasdifferent
sectorsor
spaces
with
their
own
separate
sectors
or
spaces
with
their
own
separate
movements,qualities,anddiagnosticmovements,qualities,anddiagnostic
information.information.
ZangangSolid organsSolid organs
FuuHollowHollow
organsorgans
DistalDistalMiddleMiddleProximalProximal
7/27/2019 Fundamental_Pulses_Part_12.pdf
9/25
3Depths
3Depths
FromtheFromtheNanJingNanJingandandMaiJingMaiJing
Fromskin
to
bone,From
skin
to
bone,
eachpulsepositioncanbedividedeachpulsepositioncanbedivided
into3depths:qi,blood,andinto3depths:qi,blood,and
adapteddepth(inotherpulseadapteddepth(inotherpulse
systems,thisisreferredtoasthesystems,thisisreferredtoasthe
organdepth).Thismodelreflectsorgandepth).Thismodelreflects
bothchannel
and
organ
influences.both
channel
and
organ
influences.
ThedistalpositioncanreflecttheThedistalpositioncanreflectthe
bodyfromtheheadtothebodyfromtheheadtothe
diaphragm;themiddlepositiondiaphragm;themiddleposition
fromthediaphragmtothenavelorfromthediaphragmtothenavelor
groin;andtheproximalpositiongroin;andtheproximalposition
fromthenavelorgrointothefeet.fromthenavelorgrointothefeet.
dapteddaptedOrgans andOrgans anddeeper ordeeper orhabituatedhabituatedpatternspatterns
loodloodCurrentCurrentphysiologicalphysiologicalprocessesprocesses
QiiSkin,Skin,meridians,meridians,emotionsemotions
DistalDistalMiddleMiddleProximalProximal
7/27/2019 Fundamental_Pulses_Part_12.pdf
10/25
Interiorand
Exterior
PerspectivesInterior
and
Exterior
Perspectives
NavellineNavelline
LowerAbdomenLowerAbdomen
LowerbackLowerback
Diaphragm
lineDiaphragm
line
AbdomenAbdomen
Middleof
backMiddle
of
back
ChestorFrontChestorFrontUpperbackUpperbackSkin
Bone
Bone
Surface
7/27/2019 Fundamental_Pulses_Part_12.pdf
11/25
Moreon
Channels
and
OrgansMore
on
Channels
and
Organs
NanJingNanJingDifficulty18Difficulty18
The3DepthModel,seenearlier,presentsthebasisThe3DepthModel,seenearlier,presentsthebasis
foracombined
channel
and
organ
pulse
for
acombined
channel
and
organ
pulse
perspective.perspective.NanJing,NanJing,Difficulty18,furtherDifficulty18,further
examinesthepulsepositionsfrombothanorganexaminesthepulsepositionsfrombothanorgan
andchannelperspective.andchannelperspective.
Thisperspectiveshowsthebasic5Thisperspectiveshowsthebasic5PhasePhase
networkingandconnectionbetweenthepositionsnetworkingandconnectionbetweenthepositions
forthe
organs.for
the
organs.
ButbecausemostchannelstransversetheentireButbecausemostchannelstransversetheentire
body,thisperspectivedoesnotrevealthecorrectbody,thisperspectivedoesnotrevealthecorrect
channelsymmetry,flow,andconnectionbetweenchannelsymmetry,flow,andconnectionbetween
positions.positions.
ThisproblemwassolvedintheDongHansystem.ThisproblemwassolvedintheDongHansystem.
LikeaChinesepuzzle,thechannelsymmetryandLikeaChinesepuzzle,thechannelsymmetryand
interactionsareonlyrevealedwhenexaminingtheinteractionsareonlyrevealedwhenexaminingthe
pulsesatadifferentscale.pulsesatadifferentscale.
San JiaoSan Jiao
ShaoyangShaoyang
KidneyKidney
ShaoyinShaoyin
SpleenSpleenTaiyinTaiyin
LiverLiverTzuyinTzuyin
LungLung
TaiyinTaiyin
HeartHeart
ShaoyinShaoyin
Creation (Sheng)Cycle
Control (Ke)Cycle
7/27/2019 Fundamental_Pulses_Part_12.pdf
12/25
Moreabout
3Depths
ModelMore
about
3Depths
Model
DongHanDevelopment,VDongHanDevelopment,V
dapteddaptedOrgans andOrgans and
deeper ordeeper or
habituatedhabituatedpatternspatterns
loodloodCurrentCurrentphysiologicphysiological processesal processes
QiiSkin,Skin,meridians,meridians,emotionsemotions
DistalDistalMiddleMiddleProximalProximal
IntheDongHansystem,weoftenexaminetheIntheDongHansystem,weoftenexaminethe
qualitiesof
several
different
combined
positions,
qualities
of
several
different
combined
positions,
sectors,ordepthsinordertointerpretthingsnotsectors,ordepthsinordertointerpretthingsnot
previouslyaccountedforinclassicalpulsediagnosis.previouslyaccountedforinclassicalpulsediagnosis.
ManyideasfromWesternmedicinecanbefoundinManyideasfromWesternmedicinecanbefoundin
thistypeoforganization.thistypeoforganization.
MovementsonthedividinglinebetweentheqiandMovementsonthedividinglinebetweentheqiand
blooddepthsoftenrelatetothesensorylevel[yellowblooddepthsoftenrelatetothesensorylevel[yellow
dottedline].Problemsrelatedtothesensorysystemdottedline].Problemsrelatedtothesensorysystem
associatedwithaparticularorgancanoftenbefoundassociatedwithaparticularorgancanoftenbefound
here.Forexample,earsinthekidneyposition,etc.here.Forexample,earsinthekidneyposition,etc.
MovementsonthedividinglinebetweenthebloodandMovementsonthedividinglinebetweenthebloodand
adapteddepthsoftenrelatetotheendocrinelevel[redadapteddepthsoftenrelatetotheendocrinelevel[red
dottedline].Problemsrelatedtotheendocrinesystemdottedline].Problemsrelatedtotheendocrinesystem
associatedwithaparticularorgancanoftenbefoundassociatedwithaparticularorgancanoftenbefound
here.For
example,
adrenals
in
the
kidney
position,
etc.here.
For
example,
adrenals
in
the
kidney
position,
etc.
7/27/2019 Fundamental_Pulses_Part_12.pdf
13/25
DongHan
DevelopmentDong
Han
Development,I,I
BasedonBasedonNanJingNanJingDifficulty18Difficulty18
IntheDongHansystem,eachpulsepositionIntheDongHansystem,eachpulseposition
issubdivided
into
asmaller
scale
fractal
is
subdivided
into
asmaller
scale
fractal
imageofall3imageofall3jiaos.jiaos.Inthisway,thewholeInthisway,thewhole
bodycanbeexaminedfromtheperspectivebodycanbeexaminedfromtheperspective
ofeachrespectiveorganorphase.Forofeachrespectiveorganorphase.For
example,ifthisistherightwrist,thenweareexample,ifthisistherightwrist,thenweare
examiningtheuppermiddleandlowerexaminingtheuppermiddleandlowerjiaojiao
fromtheperspectiveoftheEarthphase.fromtheperspectiveoftheEarthphase.
WhendividedapositionfromskintoboneWhendividedapositionfromskintobone
into3depths,wecreate9into3depths,wecreate9sectorsineach.sectorsineach.
WecanevenfirstdividethepositionintoWecanevenfirstdividethepositioninto
zangzangandandfufubeforedividingitinto3beforedividingitinto3depths;depths;
inwhich
case
each
depth
has
its
own
9in
which
case
each
depth
has
its
own
9
sectors.Doingso,wecanexaminethesectors.Doingso,wecanexaminethe
relationofeitherorboththespleenorrelationofeitherorboththespleenor
stomachchannelstothewholebodyinallstomachchannelstothewholebodyinall
threethreejiaosjiaos..
Proximal Middle Distal
7/27/2019 Fundamental_Pulses_Part_12.pdf
14/25
DongHan
DevelopmentDong
Han
Development,II,II
MoreonMoreonNanJingNanJingDifficulty18Difficulty18
Proximal Middle Distal
Wecangostillanotherstepfurtherthanour
previousdevelopmentontheNanJing.When
includingthe3rddimension,thewidthofthe
artery,the
9sectors
model
develops
into
a27
sectorsmodel.Inthiswaywecanseebothleft
andrightsidesofthebodyononewrist.
Wecanalsofirstdivideeachpositionupinto
zang andfubeforeexaminingbothdepthsin
termsof27sectors.Thisisabasicunit inthe
DongHan
system,
and
it
can
be
interpreted
in
severaldifferentways.
Later,wewillcontinuetodivideeachposition
inavarietyofotherways,too.Aslongasweare
consistentwiththeoryandcandemonstrate
clinicaleffectiveness,allofthesepulsemodels
willbeanimportantandusefuldevelopmentof
classicaltheory.
7/27/2019 Fundamental_Pulses_Part_12.pdf
15/25
FiveDepthsFiveDepths
NanJingNanJingDifficulty5Difficulty5
Fromskintobone,eachpulsepositioncanbedividedFromskintobone,eachpulsepositioncanbedivided
into
5
depths.into
5
depths.
ThispulsemodelisnotalwaysstrictlyrelatedtoThispulsemodelisnotalwaysstrictlyrelatedto
channelandorganinfluences.Instead,eachchannelandorganinfluences.Instead,each
depthisrelatedtothetypesoftissueassociateddepthisrelatedtothetypesoftissueassociated
withtheLung,Heart,Spleen,Liver,andKidney:withtheLung,Heart,Spleen,Liver,andKidney:
skin,capillaries,connectivetissue,muscles,andskin,capillaries,connectivetissue,muscles,and
bonerespectively.bonerespectively.
ThisisthefirstpulsemodelthatdramaticallyThisisthefirstpulsemodelthatdramatically
changesourdiagnosticperspective.Usingit,wechangesourdiagnosticperspective.Usingit,we
canexaminehighlylocalizedandevenisolatedcanexaminehighlylocalizedandevenisolated
problems;notsimplyrelategeneralinformationproblems;notsimplyrelategeneralinformation
abouttheposition.abouttheposition.
Eachofthese5depthscanbelookedatinEachofthese5depthscanbelookedatin
combinationwithotherstodescribeasinglecombinationwithotherstodescribeasingle
movement,sometimesacrossseveralpositions.movement,sometimesacrossseveralpositions.
TheycanalsobeseenasindividualsectorsorTheycanalsobeseenasindividualsectorsor
separatespaceswiththeirownwavesqualitiesseparatespaceswiththeirownwavesqualities
andinformation.andinformation.
Hearteart
Spleenpleen
Kidneyidney
Liveriver
LungungDistalDistalMiddleMiddleProximalProximal
7/27/2019 Fundamental_Pulses_Part_12.pdf
16/25
ChoosingaParticular
Pulse
ModelChoosing
aParticular
Pulse
Model
Withthewidevarietyofpulsemodelspossible,thequestionariWiththewidevarietyofpulsemodelspossible,thequestionarisesastosesastowhich
does
apractitioner
choose
to
applywhich
does
apractitioner
choose
to
applyone
or
another?one
or
another?
Itisnotamatterofchoiceforthepractitioner.ThepatientwItisnotamatterofchoiceforthepractitioner.Thepatientwillalreadyhaveillalreadyhavechosenchosenorpresentedtheirproblemintheirownway.Thatiswhytheorpresentedtheirproblemintheirownway.Thatiswhythevarietyofpulsemodelsexistsinthefirstplace.varietyofpulsemodelsexistsinthefirstplace.
7/27/2019 Fundamental_Pulses_Part_12.pdf
17/25
Basic
Pulse
QualitiesBasic
Pulse
QualitiesSymmetryBreakingoftheNormalPulseSymmetryBreakingoftheNormalPulse
TheNormalpulse(Zhengchangmai)is
recognizedby
its
unique
symmetry
and
uniformrelationtobreathingtwobeatsonthe
inhaleandtwoontheexhale.Thisreflectsthe
respiratoryandcardiovascularcirculationsqi
andbloodmovingandworkinginharmony.
Allother
pulse
qualities,
their
combinations,
andtheirdiagnosticmeaningsarederivedfrom
thebreakdowninsymmetryoftheNormal
pulse.
IntheDaoDeJing,LaoTzusaysthattheDao
createdtheOne,OnecreatedTwo,andTwo
createdmyriadthings.a
b
d
c
X-axis
Y-axis
a
b
c
d
yang of Yang
yang of Yin yin of Yin
Yin of Yang
7/27/2019 Fundamental_Pulses_Part_12.pdf
18/25
FloatingandSinkingQualities
Floatingand
Sinking
refer
to
the
most
superficialandgreatestdepthatwhichyou
findthepulsemovement.AFloatingpulseis
feltassoonasthefingerstouchtheskin,but
disappearswhenfurtherpressureisapplied.
ASinkingpulsefeelsdistinctonlyatthedeep
level.ASunkenpulseisessentiallyassociated
withinteriorpatterns,althoughtheexterior
patternsofexternaldiseasesmaytemporarily
presentwithatightSunkenpulsewhenthe
bodysyang
qi
is
obstructed.
7/27/2019 Fundamental_Pulses_Part_12.pdf
19/25
SlowandFastQualities
ASlowpulsehas3orfewerbeatsperrespiration.
TheSlow
pulse
is
principally
associated
with
cold
andyangvacuity.Itmayoccurinanydisease
involvinginsufficiencyofyangqiorobstructionof
qimovement,suchascold,phlegmturbidity,and
staticblood.
ARapidpulsehasmorethan4beatsperrespiration.
Onehavingbetween5and6beatsistermeda
slightlyRapid;morethan6beatsisveryRapid.The
Rapidpulseisassociatedwithheatbutmay,
sometimes,beanindicationofdepletion.Aforceless
fineRapid
pulse
indicates
yin
vacuity
fire
effulgence
andisgenerallyseenindepletionpatterns.A
forcefulRapidpulseindicatesrepletionheatandis
mostcommonlyseeninfebrilediseases.
7/27/2019 Fundamental_Pulses_Part_12.pdf
20/25
SlipperyandChoppyQualities
ASlipperypulsefoundsystemwideisusually
indicativeofexcessqiinthebody.Itdoesnot
necessarilyindicatethatthemucusisstagnating
andformingblockagesbutratherthatthebody
isintheprocessofsecretingit.Itisalso
sometimesseeninhealthypeople,indicatingan
abundanceof
qi
and
blood.
AChoppypulsedoesnotflowsmoothlyandis
classicallydescribedasaknifescraping
bamboo. Theroughpulseisoftenseeninblood
stasispatternsanddualvacuityofbloodandqi.
7/27/2019 Fundamental_Pulses_Part_12.pdf
21/25
LongandShortQualities
AShortpulsedoesnotlongitudinallyfillits
position.Itwillnotlastlongsinceitdoesnothave
enoughsupport
to
create
that
energy
much
longer;
oritcanindicatealocalizedproblem.The
movementisbecomingmoreyin.
ALongpulseisamovementthatextendsbeyondits
ownposition.Themovementisbecomingmore
yang.It
is
often
seen
when
one
position
is
sending
itsinfluencetoanotherpositionalongtheSheng
cycle.
LongandLarge(alongtheverticaldimension)are
yangincomparisontoShortandSmall.Largeand
Small
generally
indicate
qi
or
yang
qualities,
while
LongandShortindicatebloodoryinqualities.Soa
Largepulseisyangofyang,aSmallpulseisyinof
yang,aLongpulseisyangofyin,andShortpulseis
yinofyin.
7/27/2019 Fundamental_Pulses_Part_12.pdf
22/25
WiryandSoftQualities
AWirypulsefeelslikeastringofamusical
instrument.Thestringlike pulseiscommonly
associatedwithdiseasesoftheliverand
gallbladder,andinparticularwithascendant
hyperactivityofliveryang.Itisalsoassociated
withneuromusculartension,pain,andphlegm
rheumpatterns.
The
Wiry
pulse
is
generally
strong.Butifforceless,itistermedavacuous
stringlike pulse,indicatingthevacuityofyin
andhyperactivityofyang.
ASoftpulseiswithoutstrengthandindicates
depletionof
the
yin
and
blood
and
depletion
of
jing.
7/27/2019 Fundamental_Pulses_Part_12.pdf
23/25
KnottingintheClassicalTradition
This
movement
is
described
by
Li
Shi
zhen as
one
that
missesabeatatirregularintervals.Itisanirregular
pulsationindicativeofenergyblockagesandaggregation
ofyinsuchasseeninphlegmblockages,tumors,cancer,
orbloodclots.
7/27/2019 Fundamental_Pulses_Part_12.pdf
24/25
Cancer
MovementDongHanDevelopment,III
ThestandarddefinitionofKnotting(jie)
inTCMisonethatmissesabeatat
irregularintervals.
IntheDongHansystem,thistermismodernizedto
includeamovementthatseemstobecresting,flattening,
andstopping.Butevenwhileitisstoppingorflattening
atthecrestthereisstillsomemovementgoingoninside
it.Sometimeswhenthepulserisestothetopofitsarch
youcan
feel
avibratory
quality
without
any
descending
motion.Itmayalsofeellikeasmalltornadoonitsside;
whatwenicknamedspinners. Thisvibratingor
spinningqualityindicatesthattheenergyis
concentratingandcreatinganaggregation,andcanbe
interpretedinseveralways.IfthemovementKnots
irregularly,youcansuspectacystorhematoma.Butifit
Knotswitheachbeat,youshouldsuspectcancer.
7/27/2019 Fundamental_Pulses_Part_12.pdf
25/25
JiangJing
BreastCancerSeminarinNYC
In
the
discussion
of
acasestudyduring
theBreastCancer
seminarinNYC,
notethe
Dong
Han
styledrawingsof
theKnottingpulse
movementsonthe
whiteboard.