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Shanghan Lun Pulse Diagnosis
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Shanghan Lun Pulse Diagnosis

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Questions and Answers

What type of pulse is described as floating in the context of human physiology and pulses?

  • Liver pulse
  • Lung pulse (correct)
  • Heart pulse
  • Kidney pulse
  • According to the pulse characteristics, which pulse is described as deep?

  • Lung pulse
  • Liver pulse
  • Kidney pulse (correct)
  • Heart pulse
  • What is the quality of the liver pulse when it indicates illness?

  • Weak and moist (correct)
  • Thready and soft
  • Flooding and rapid
  • Wiry and strong
  • What is the consequence of having a purer wiry pulse according to the descriptions provided?

    <p>It indicates death</p> Signup and view all the answers

    Which pulse quality is associated with the kidney in this pulse diagnosis?

    <p>Deep and strong</p> Signup and view all the answers

    What does the liver pulse symbolize when it is described as correctly representative?

    <p>Physical vigor</p> Signup and view all the answers

    In terms of pulse differentiation, what does the term '脈' refer to?

    <p>Pulse</p> Signup and view all the answers

    Which element is associated with the liver according to traditional Chinese medicine?

    <p>Wood</p> Signup and view all the answers

    What indicates a worsening condition of the liver based on pulse characteristics?

    <p>A pure wiry pulse</p> Signup and view all the answers

    Which pulse quality is associated with the heart being classified as fire?

    <p>Flooding big and long</p> Signup and view all the answers

    What does a moderate slow pulse of the lung indicate?

    <p>Potential for curation</p> Signup and view all the answers

    In the context of kidney pulse characteristics, what does a solid and big pulse indicate?

    <p>Aggravation of the disease</p> Signup and view all the answers

    Which description fits the kidney pulse associated with the element water?

    <p>Deep and stone-like</p> Signup and view all the answers

    What does a small head but a big base pulse indicate regarding heart disease?

    <p>Disease in the interior</p> Signup and view all the answers

    Which type of pulse would indicate that lung disease is possibly difficult to treat?

    <p>Rapid pulse</p> Signup and view all the answers

    Which association correctly describes the lung element in traditional Chinese medicine?

    <p>Metal and taiyin</p> Signup and view all the answers

    What type of pulse invasion occurs when the water movement invades fire?

    <p>Lengthwise invasion</p> Signup and view all the answers

    Which pulse pattern indicates that there will be curation when the exterior is diseased?

    <p>Deep and slow pulse</p> Signup and view all the answers

    What does a yin disease accompanied by a yang pulse signify?

    <p>Good prognosis</p> Signup and view all the answers

    If both qi and blood are weak, how will the pulse present itself?

    <p>Faint and weak</p> Signup and view all the answers

    What type of pulse pattern is identified when the metal phase invades water?

    <p>Progressive invasion</p> Signup and view all the answers

    What does an abundance of qi indicate about the pulse when combined with blood?

    <p>The pulse is slippery</p> Signup and view all the answers

    What occurs when the fire phase invades wood?

    <p>Crosswise invasion</p> Signup and view all the answers

    When both qi and blood are abundant, what can be inferred about the pulse?

    <p>The pulse is balanced and abundant</p> Signup and view all the answers

    What type of pulse is characterized as Yang?

    <p>Big, floating, and rapid</p> Signup and view all the answers

    What does a floating pulse indicate?

    <p>A problem with hollow organs</p> Signup and view all the answers

    What kind of pulse is associated with summer?

    <p>Floating</p> Signup and view all the answers

    What pulse characteristic indicates a cold condition?

    <p>Tight</p> Signup and view all the answers

    Which type of pulse indicates that the exterior is diseased?

    <p>Floating and big</p> Signup and view all the answers

    What pulse indicates dryness according to climatic qi?

    <p>Short and hasty</p> Signup and view all the answers

    What does a deep pulse indicate?

    <p>An issue in the solid organs</p> Signup and view all the answers

    What type of pulse is associated with summer heat?

    <p>Floating and vacuous</p> Signup and view all the answers

    What does a hasty pulse indicate?

    <p>An abundance of yang</p> Signup and view all the answers

    Which pulse type is characterized by a feeling similarly to a bow-string that does not move when pressed?

    <p>Wiry pulse</p> Signup and view all the answers

    What is a common feature of pulses labeled as damaging and wicked?

    <p>Wiry and slippery</p> Signup and view all the answers

    In which situation is a knotted pulse observed?

    <p>When yin is abundant</p> Signup and view all the answers

    How is a stirring pulse described when it manifests with rapid movement?

    <p>Rapid and wavering without a clear pattern</p> Signup and view all the answers

    When would the pulse be characterized as moderate?

    <p>When both yin and yang pulses are equivalent</p> Signup and view all the answers

    What indicates a floating pulse?

    <p>It feels light and superficial</p> Signup and view all the answers

    What is the primary cause associated with a slow pulse?

    <p>Yang obstruction</p> Signup and view all the answers

    Study Notes

    Shanghan Lun Pulse Diagnosis

    • The text states that the seminar information is proprietary and cannot be disclosed without written consent.
    • The text discusses the history of pulse diagnosis, mentioning the work of Suwen and Bian Que.
    • It highlights two chapters focused on pulse differentiation and assessment: 辨脉法 (Bianmai fa) and 平脉法 (Pingmai fa).
    • The text relates the characteristics of pulses to the Five Elements and their corresponding organs:
      • Kidney: Deep pulse (腎沉)
      • Heart: Flooding pulse (心洪)
      • Lung: Floating pulse (肺浮)
      • Liver: Wiry pulse (肝弦)

    Pulse Directions, Qualities and Relationship to Organs

    • The text uses the example of the Liver pulse to explain its qualities: a soft rolling (濡) and weak (弱) pulse indicates curation, while a pure wiry pulse indicates death.
    • The text explains that the Liver pulse is mildly wiry (微弦) and long (長).
    • The Heart pulse in the South is characterized as flooding big and long (洪大而長), and a pulse with this characteristic indicates potential curation.
    • The text also describes the "adversity" pulse (反) - faint on the way in, big on the way out, indicating a disease in the interior. Additionally, a "reversal" pulse (覆) - small head, big base, indicates a disease on the surface.
    • The Lung pulse in the West is described as hair-like floating (毛浮). A moderate slow (緩遲) pulse indicates potential healing, while a rapid (數) pulse signifies aggravation of the condition.
    • The Kidney pulse in the North is characterized as deep and stone-like (沉而石). This indicates a potential cure for kidney disease, while a solid and big pulse (實大) signals imminent aggravation.

    Yin and Yang Qualities of Pulses

    • Yang pulses are described as: big, floating, rapid, stirring, and slippery.
    • Yin pulses are described as: deep, unsmooth, weak, wiry, and faint.

    Internal and External Indications of Pulses

    • The text states that a floating pulse (浮) indicates a disease at the surface (表), while a deep pulse (沉) indicates a disease in the Interior (裏).
    • A rapid pulse (數) indicates a disease in the hollow organs (府), and a slow pulse (遲) indicates a disease in the solid organs (藏).

    Climactic Qi and Pulses

    • The pulse changes based on the seasons:
      • Spring: Wiry (弦)
      • Autumn: Floating (浮)
      • Winter: Deep (沉)
      • Summer: Flooding (洪)

    Six Qi and Pulses

    • Wind: Floating pulse (浮)
    • Cold: Tight and urgent pulse (緊, 急)
    • Summer Heat: Floating and vacuous pulse (浮虛)
    • Dampness: Soggy and unsmooth pulse (濡澀)
    • Dryness: Short and hasty pulse (短, 促)
    • Fire: Restless and rapid pulse (躁, 數)

    Five Phase Dynamics and Pulses

    • Lengthwise [Invasion]: Water invading Fire, and Metal invading Wood.
    • Crosswise [Invasion]: Fire invading Water, and Wood invading Metal.
    • Retrogressive [Invasion]: Water invading Metal, and Fire invading Wood.
    • Progressive [Invasion]: Metal invading Water, and Wood invading Fire.

    Pulses and Disease Conditions

    • Exterior disease: Pulse should be floating and big (浮大). A deep and slow pulse (沉遲) indicates curation.
    • Interior disease: Pulse should be deep and thin (沉而細). A floating and big pulse (浮大) indicates curation.
    • Yin diseases with a yang pulse lead to life, while yin diseases with a yin pulse lead to death.

    Conditions of Qi and Blood

    • The pulse provides insights into qi, blood, solid organs and hollow organs.
    • Abundant qi and blood: Yin and yang pulse are both abundant.
    • Weak qi and blood: Yin and yang pulse are both weak.
    • Qi dominance: Strong pulse.
    • Blood dominance: Slippery pulse.
    • Weak qi: Faint pulse.
    • Weak blood: Unsmooth pulse.
    • Peaceful qi and blood: Moderate pulse.
    • Balanced qi and blood: Balanced pulse.
    • Chaotic qi and blood: Chaotic pulse.
    • Qi and blood demise: Expired pulse (絕).
    • Yang forcing qi and blood: Rapid pulse.
    • Yin obstructing qi and blood: Slow pulse.

    Pathological Pulses

    • Damaging and wicked pulses: Wiry, tight, floating, slippery, deep, and unsmooth pulses.

    Pulse Descriptions

    • Knotted pulse (結): Slow moderate pulse that occasionally stops and resumes.
    • Hasty pulse (促): Rapid pulse that occasionally stops and resumes.
    • Stirring pulse (動): Yin and yang clash, indicated by sweat or heat.
    • Moderate pulse (緩): Yang pulses are floating, big, and soft-rolling, and yin pulses are floating big and soft rolling, with yin and yang pulses being equivalent.
    • Wiry pulse (弦): Floating and tight, like a taut bowstring, immobile under pressure.
    • Tight pulse (緊): Like a wrung rope.

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    Description

    Explore the intricacies of pulse diagnosis as presented in the Shanghan Lun. This quiz delves into historical perspectives and differentiations of pulse qualities related to the Five Elements and corresponding organs. Gain insights into how pulse characteristics can indicate various health conditions.

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