Pulse Quality
Possible Indication
Notes & Formulas:
Right Cun: Lung and Upper Respiratory (above throat) Forceful in superficial and deep level (Ren 22 warm to hot)
-Excess heat (wind heat), dryness, fire in the LI, yamgming stage, dermatological disorders, upper respiratory infection, cough, dyspnea
-Qing Rei Tang 20, Yin Qiao San 20, Qian Hu 10, Niu Bang Zi 10, Zhi Mu 10, Huang Bai 10, Da Qing Ye 10, Fu Hua Shi 10 -With lots of Cough: + Sang Bai Pi 10, Zhe Bei Mu 10, Ding Chuan Tang 20, and take out Yin Qiao San
Forceful & superficial w/ cold Ren 22
Bronchitis or acute wind cold
Forceful & superficial w/ hot Ren 22
Asthma
Deep
Damp/phlegm in the Lung- causing respiratory dysfunction
-Xiao Qing Long Tang 20, Ge Gen Tang 20, Zi Wan 15, Bai Bu 15, Dun Sou San 15, Qing Fei Tang 15 -w/ dampness add Hai Ge Fen20 -w/ more heat add Fu Hua Shi 20 -Cold herbs -Qing Fei Tang 20, Dun Sou San 20, Da Qing Ye 15, Niu Bang Zi 15, Qian Hu 15, Xuan Shen 15 -Very superficial w/ cough (dryness)- increase dose of Niu Bang Zi 20, Qian Hu 20 -If ST12 is also hot, heat in lungs may be result of ST fire, add Tian Hua Fen 15 -w/ dampness add Fu Hai Shi 20, Hai Ge Fen 20 -If a lot of coughing add: Zhi Bei Mu, Sang Bai Pi -If wheezing add: Ting Li Zi, Yu Xing Cao, Ma Huang Add to Fx: Fu Hai Shi 20, Hai Ge Fen 20
Weak (and forceless) w/ common cold symptoms Forceless and weak
Viral infection, flu
Forceless and weak in all 3 levels Gu Pulse
-Qi deficiency, nasal allergy, weak immune system, deficient wei qi, rhinitis
w/ no cold symptoms is weak immune system
(Spring 07)
-Fu Hai Shi if more heat -Hai Ge Fen if more phlegm
-Ren Shen Yang Ying Tang w/ other diaphoretic fx -Qing Shu Yi Qi Tang for summer heat he at - Bu Zhong Yi Qi Tang, Yu Ping Feng San to tonify Wei Qi -Sheng Mai San 30, Huang Qi Jian Zhong Tang 35, Ba Zhen Tang 35 -Gu can be on right or left cun position, systolic and diastolic pulses can both be felt -Easily felt on right cun w/ msg, coffee, tea, coke and caffeine intake. Or heart murmur
Copyright 2008 Lotus Institute of Integrative Medicine: Jimmy’s Chang’s Pulse Diagnosis organized by Robert Doane
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distally toward palm Pulse w/in a pulse
Gu Pulse
Small Pulse- forceless or weak in all levels Hook Pulse
food poisoning -Coronary Heart Disorder, angina pectoris, myocardial infarct -Damp Cold
-Mostly felt on L-cun -Severe pulse condition, body is too cold, vessels are constricted The harder the pulse w/in pulse, the more sever the condition - Xie Bai: blood opener (11/07) -Dang Gui 10, Sheng Ma 10, Stress1 30, Si Ni Tang 20, Gua Luo Xie Bai Ban Xia Tang 30 Valve problem w/ the Heart— -Gu can be on right or left cun position, systolic and diastolic -prolapse, mitral valve regurgitation or stenosis pulses can both be felt - palpitation -Tian Wang Bu Xin Dan 60, Dan Shen 20, Ci Shao 20 (11/07) -Can be weak Gu: Tian Wang Bu Xin Dan 33, Zhi Gan Cao Tang 33, Yang Xin Tang 33 -Can be strong Gu w/ HBP: Mao Dong Qing 20, + HBP Fx -Or if no HBP: Mao Dong Qing 40, AST1 20, Liang Ge San 20, San Huang Xie Xin Tang 20 (if constipation) -Reverse Hook: Tian Wanb Bu Xin Dan 33, Yang Xin Tang 33, Zhi Bai Di Huang Wan 33 - Heart Qi Deficiency (eastern, western) -Tian Wang Bu Xin Dan 25, Yang Xin Tang 25 - Poor concentration, decreased mental -Tonify Kd: You Gui Wan or Zuo Gui Wan 25, Shi Qian Da function Bu Wan 25 Ht Fire -Liang Ge San 50, Huang Lian Sheng Qin Wan 50 -If HBP: Xiao Feng Cao, Cardiac Car 40, Hu Zhang 15, Shu Wei Huang 15, Shui Ding Xiang 15
Left Guan: LR/GB, emotional, gallstone, fatty liver, Hep, (Lr can be convex or concave, or flat and wiry) Convex pulse
-Liver fire, emotional and psychological dysfunction (stress, mood swing, insomnia) -emotional disturbance -pressing down to feel concave indicating fatty liver
Wiry and forceful (superficial or deep concave) Deep and Concave
Liver Fire, actual organ dysfunction like hepatitis Anxiety
Deep and Concave (forceful or forceless)
-Fatty Lr, Damp Heat in the Lr/GB - Lipitor, zocor and allergy medication
-Mostly in guan, hyperactive - Liver Fire -Mostly in skinny people, they are more stressed out -If convex in right guan is St Fire, etc -Yi Gan San 20, Jia Wei Xiao Yao San 20, He Huan Pi 20, Tian Zhu Huang 20 (11/07) -If ST Fire: Lvr DTX 20 or M3 -LVR DTX 15, Jia Wei Xiao Yao San 40, Huang Shui Qie 15, Cha Chi Huang 15, Xia Ku Cao 15 Circulation San Jiao 50 (not for more than 1 month), Zhe Chong Yin 30, Jia Wei Xiao Yao San 20 (11/07) Same as above – Add: Yin Chen Hao Tang 20
Copyright 2008 Lotus Institute of Integrative Medicine: Jimmy’s Chang’s Pulse Diagnosis organized by Robert Doane
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