Mcom - Pulse Diagnosis

Front 1

We use pulse to: (4)

Back 1

1. Distinguish conditions of disease

2. Analyze pathogenesis of disease

3. Guide Management of disease

4. Evaluate prognosis of disease

Front 2

T/F: Pulse tells us the state of an organ's functional health.

Back 2

True

Front 3

T/F: Pulse tells us the state of qi, blood and yin/yang.

Back 3

True

Front 4

Qi tells us the condition of the __________ behind the blood.

Back 4

Force

Front 5

The amount of blood in the vessel of a pulse is considered the ___________ of the pulse.

Back 5

Width

Front 6

T/F: Pulse diagnosis tells us the health of the wei qi in relationship to evils.

Back 6

False.

Right Qi.

Front 7

Pulse can tell us the relative states of __________and _____________ (8 parameters)

Back 7

1. Excess and deficiency

2. Internal or external

Front 8

Through pulse we can identify the presence of________ by a change in the wave or tightness.

Back 8

Stasis

Front 9

Pulse position: (Right Hand)

A. Most distal

B. Center

C. Most proximal

Back 9

A. Lung (Cun)

B. Spleen (Guan)

C. Kidney Yang (Qi)

Front 10

Pulse position: (Left Hand)

A. Most Distal

B. Center

C. Most proximal

Back 10

A. Heart (Cun)

B. Liver (Guan)

C. Kidney Yin (Qi)

Front 11

Cun is the name of the most ______ pulse position.

Back 11

Distal

Front 12

Guan is the name of the _______pulse position.

Back 12

Center

Front 13

Qi is the name of the _____ pulse position.

Back 13

Most proximal.

Front 14

Heart and Liver have a lot to do with what substance?

Back 14

Blood

Front 15

Lung and Spleen have a lot to do with what substance?

Back 15

Qi

Front 16

Pulse Depth

The state of Qi/Yang organs are indicated by?

Back 16

Superficial level.

Front 17

Pulse Depth

The state of blood is indicated by?

Back 17

Middle level.

Front 18

Pulse Depth

The state of yin and yin organs is indicated by?

Back 18

Deep level.

Front 19

Exterior or upper burner issues are reflected at the _____ level.

Back 19

Superficial.

Front 20

Stomach/spleen diseases are reflected at the __________ level.

Back 20

Middle.

Front 21

Interior or Liver/Kidney diseases are reflected at the __________ level.

Back 21

Deep.

Front 22

What is the best time of day to take a pulse?

Back 22

Upon waking.

Yin is calm; Yang has yet to rise.

Front 23

How should a patient's arm be positioned for taking a pulse?

Back 23

1. Arm horizontal

2. Not higher than the heart

Front 24

T/F: When taking a pulse it is optimal to breathe faster than the patient.

Back 24

False. It is important to regulate your breath and breathe with the patient.

Front 25

What factors influence a pulse: (8)

Back 25

1. Environment

2. Food (1 hour before)

3. Gender

4. Occupation

5. Pace - of entering office

6. Silence

7. Urination/defecation/ingestion (wait 15 min)

8. Western Meds

Front 26

T/F: Pressing too hard from the start will adversely affect the pulse.

Back 26

True.

Front 27

T/F: Pressing too lightly is optimal when taking a pulse.

Back 27

False

Front 28

T/F: Palpating to the side of the vessel is incorrect pulse taking.

Back 28

True

Front 29

Take the time to sit correctly and breathe. You should be calm enough to address the ______ qualities of the pulse.

Back 29

Subtle.

Front 30

T/F: When taking a pulse it is important to look for pulse qualities that match your opinion of the patient's condition.

Back 30

False.

Front 31

T/F: Practitioner should always try to match the tongue and pulse diagnosis.

Back 31

False.

Front 32

In spring, the pulse will be slightly__________.

Back 32

Wiry

Yang Qi begins to rise.

Front 33

In the summer, the pulse will be slightly________.

Back 33

Surging

Yang Qi flourishes

Front 34

In the Autumn, the wind blows and causes the pulse to be slightly ___________.

Back 34

Floating

Front 35

In the winter the snow is deep and so is the ________.

Back 35

pulse.

Front 36

What is the process for taking a pulse?

Back 36

Position Breath Palpate

Depth Rate Strength Rhythm

Flow Width Combinations

Front 37

What are the Six Categories?

Back 37

1. Floating (external)

2. Deep (internal)

3. Rapid (heat)

4. Slow (cold)

5. Full (excess)

6. Empty (deficient)

Front 38

How does the Heart relate to the pulse?

Back 38

Heart governs blood & vessels (pump).

Front 39

How does the Lung relate to the pulse?

Back 39

Lung gathers the channels/vessels; governs the Qi (distribution)

Front 40

How does the spleen/stomach relate to the pulse?

Back 40

Sp/St transforms and transports blood/qi; sp controls the blood. Sends mist up to the surface of the tongue in the form of the coating.

Front 41

How does the liver relate to the pulse?

Back 41

Liver stores blood and regulates the amount in circulation. It ensures smooth flow of Qi.

Front 42

How does the kidney relate to the pulse?

Back 42

Kidney essence is transformed into qi and blood; it's the energy behind all yin/yang of body.

Front 43

Normal pulse is?

Back 43

1. Even and gentle in all positions

2. 4-5 beats per breath

3. 60-90 bpm

4. Not deep nor superficial

5. Not wide nor thin

6. Not forceful nor forceless

7. Equal intervals

8. Regular rhythmn

Front 44

What is the pulse rate for infants?

Back 44

120-140 bpm

7 beats per breath

Front 45

T/F: Pulse rate for children is 90-110 beats per minute or 5-6 beats per breath.

Back 45

True

Front 46

What is the pulse rate for adults?

Back 46

60-90 bpm

4-5 beats per breath.

Front 47

T/F: The width of a pulse refers to the amount of blood; diameter of the vessel.

Back 47

True

Front 48

A wide pulse is due to what pathogenic factor?

Back 48

Excess

Front 49

A thin pulse is due to lack of what substance in the vessel?

Back 49

Blood

Front 50

T/F: The depth refers to the location where the pulse is the strongest.

Back 50

True

Front 51

The level where the stomach qi is strong and qi/blood are flowing freely is:

Back 51

Middle depth.

Front 52

If the pulse is deep, it has no____

Back 52

Up

Yang qi

Front 53

If the pulse is superficial, it has no _____

Back 53

Down

Yin to anchor

Front 54

The strength (force) of the pulse refers to what substance?

Back 54

Qi

Front 55

When taking a pulse the beating force beneath the finger reflects the condition of the ________ and _______

Back 55

Qi; blood

Front 56

T/F: Force (qi) of blood may be forceful or forceless. Forceful refers to both excess and deficient conditions.

Back 56

True

Front 57

The length of a pulse is determined by:

Back 57

Qi pushing blood

Front 58

A short pulse is when you feel it only under_______ and is a sign of qi stagnation.

Back 58

1st positon

Front 59

Tall people sometimes have a _____ pulse.

Back 59

Long.

Front 60

If someone has a long pulse and they are not tall, what should you investigate?

Back 60

Heat.

Front 61

The least diagnostic aspect of a pulse is the:

A. Strength (force)

B. Rate

C. Length

Back 61

C. Length

Front 62

Rate will refer to what aspects of the 8 parameters?

Back 62

1. Heat / cold

2. Excess / deficient

Front 63

Yang plays a major role in the ___________ of a pulse.

Back 63

Rate. Governs movement of blood via lung and heart.

Front 64

8 Parameters:

Slow is a ___________ pulse.

Back 64

Deficient

Front 65

8 Parameters:

Fast is an _____________ pulse.

Back 65

Excess

Front 66

A slow pulse may be due to:

Back 66

1. Deficient yang

2. Deficient wei qi

3. Obstruction of yang due to excessive cold

Front 67

A fast pulse may be due to:

Back 67

1. Excessive Yang (qi)

2. Relative excess due to yin deficiency

3. Heat

Front 68

A pattern of the beats refers to what aspect of the pulse?

Back 68

Rhythm

Front 69

Rhythm of the pulse is primarily driven by what Zang?

Back 69

Heart (commands the blood)

Front 70

A forceless arrhythmic pulse is due to:

Back 70

Heart Yang Deficiency

Front 71

A forceful arrhythmic pulse is due to:

Back 71

Heart yang obstruction

Front 72

A secondary Zang organ involved with rhythm:

Back 72

Liver - it freecourses qi and stores blood.

Front 73

The tension of the blood vessel is a function of:

Back 73

Yin

Front 74

Tension of a pulse is affected by:

Back 74

Qi, blood and the vessel

Front 75

A wirey pulse indicates qi stagnation in what Zang organ?

Back 75

Liver

Front 76

If a vein is a tendon (containing blood/qi) then what element is linked?

Back 76

Wood; liver

Front 77

The rise and fall of the vessel as the blood flows refers to what characteristic of the pulse?

Back 77

Shape or contour of pulse.

Front 78

T/F: The rise and fall of the vessel (shape) should be severely different.

Back 78

False. It should be about the same.

Front 79

The shape depends on:

A. The vessel condition

B. The condition of qi

C. The condition of blood

D. All of the above

Back 79

D. All of the above

Front 80

A pulse that can be felt with a light touch and disappears with pressure is?

Back 80

Floating (Fu Mai)

Front 81

Causes of a floating pulse:

Back 81

1. Exterior condition

2. Yin deficiency

3. Wind damp

4. Yin exhaustion

5. Autumn

Front 82

What is the classical quote about floating pulse?

Back 82

"Like wood floating on surface of water"

Front 83

This pulse feels quick (not rapid) and smooth; like pearls in a dish?

Back 83

Slippery (hua mai)

Front 84

What are the causes of slippery pulse?

Back 84

1. Excess

2. Food stagnation

3. Phlegm or damp

4. Excess heat

Front 85

If dampness causes an increase in blood viscosity and decrease in pulse waive you have a ________ pulse.

Back 85

Slippery (without corners)

Front 86

In what cases may a slippery pulse be normal?

Back 86

1. Pregnancy

2. If the patient has no other symptoms

Front 87

A taught, forceful pulse that maintains a straight line beneath fingers is a __________ pulse.

Back 87

Wiry pulse

(no vibration side to side)

Front 88

"Like a string of a musical instrument."

What type of pulse is this?

Back 88

Wiry

Front 89

If a pulse is wiry, what is the liver failing to do?

Back 89

Disperse Qi. When the liver fails to disperse qi, it accumulates (qi) and strongly pushes blood to give rise to a wiry pulse.

Front 90

What season is typical of a wiry pulse?

Back 90

Spring

Front 91

Phlegm, pain and malaria lead to qi/blood stagnation. What pulse would this result in?

Back 91

Wiry.

Front 92

This type of a pulse is slow and not smooth; the vessel is thin; rhythm is irregular in force and fullness.

Back 92

Choppy (se mai)

Front 93

"Like scraping bamboo with a little knife" or "uneven and sluggish"

What type of pulse is this?

Back 93

Choppy pulse

Front 94

A choppy forceful pulse is due to: (3)

Back 94

1. Qi/Blood stagnation

2. Food stagnation

3. Phlegm retention

Front 95

Choppy and forceless pulse is a ___________ syndrome.

Back 95

Deficiency

Front 96

What types of deficiency syndromes can result in a choppy, forceless pulse?

Back 96

1. Blood deficiency

2. Essence deficiency

3. Threatened abortion

4. Seminal emission

Note: blood and body fluid cannot fill the vessel leading to uneven flow of qi and blood in the vessels.

Front 97

This pulse pauses at regular intervals and then resumes.

Back 97

Consistent irregular pulse.

Front 98

Causes of Consistently Irregular Pulse:

Back 98

1. Qi stagnation due to wind, pain or emotional shock

2. Declining organ qi and blood due to qi/blood deficiency or organ qi deficiency

Front 99

T/F: An consistent irregular pulse can be found in the 2nd and 3rd month of pregnancy and is considered normal in that case.

Back 99

True

Front 100

If the pulse beats rapidly with irregular pauses, the pulse is_____________.

Back 100

Rapid irregular (cu mai)

Front 101

A rapid irregular forceful pulse can be due to:

Back 101

1. Excess heat

2. Stagnation

Front 102

A rapid irregular forceless pulse can be due to:

Back 102

Yin and yang disharmony

Front 103

A pulse that is slow with irregular missed beats is a _____________________ pulse.

Back 103

Slow irregular pulse (jie mai)

Front 104

T/F: A slow irregular pulse can be cause by an excess or deficiency.

Back 104

True

Front 105

Stagnation, cold or a tumor mass can cause this type of pulse.

Back 105

Slow irregular pulse

Knotted or bound pulse

Front 106

Heart Qi deficiency will produce this type of pulse.

Back 106

Slow irregular pulse

Knotted or bound pulse

Front 107

This type of pulse may be normal for some individuals (congenital).

Back 107

Slow irregular pulse

Knotted or bound pulse

Front 108

This pulse can be felt only when pressing heavily to the bone.

Back 108

Hidden pulse

Front 109

This pulse is wide, superficial, forceless and slack with touch lightly.

Back 109

Scattered pulse

Front 110

The pulse is large, wide, rapid and forceful when touched lightly; but hollow when pressed deeply.

Back 110

Leather pulse (ge mai)

Front 111

"Like a stone thrown into the well, it must sink to the bottom"

Back 111

Submerged pulse (chen mai)