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In a message dated 2/23/01 8:53:27 PM Pacific Standard Time,

jeffgould writes:

 

<<

Second, and unrelated, I've had yet another patient mention that she uses ai

ye, raw, in her pillow to induce dreaming. Has anyone else heard of this

function? >>

 

No, but why would anyone want to induce dreaming?

 

Julie

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I must, shamefacedly, hang my head and report that my pulse taking training

was woefully inadequate at OCOM (hmmm...big surprise). I have a question

regarding a pulse phenomenon I've palpated a few times but have no idea how

to interpret. Even describing it will possibly sound strange.

 

Every now and again, I will experience what feels like almost an echo of a

pulse. That is, I will place my fingers gently for the initial impression

of the entire pulse before checking out things like specific locations or

depths. What happens, or rather, what I experience, is that the pulse

sensation will fade in and out in one location and I'll feel what I can only

describe as an echo in a more radial position than where the actual pulse

lies. This echo is usually weaker and also seems to come and go. When I

try to feel it, the regular pulse comes back, usually stronger or more

accessible, but even so, I'll feel this strange echo if I maintain contact

for several seconds.

 

1) Has anyone else experienced this phenomenon?

2) Am I supposed to try to determine the qualities of this echo or is it

merely a non-important artifact?

3) If not an artifact, is it common to any particular condition? There

seems no rhyme or reason as to when it shows up in terms of my own

differentiation of the patient. I've felt it maybe 4-5 times in the past

year.

 

Second, and unrelated, I've had yet another patient mention that she uses ai

ye, raw, in her pillow to induce dreaming. Has anyone else heard of this

function? I suspect it's not anything found in the TCM literature but might

be a western function of the herb. Any ideas how we might explain such a

function using TCM theory? It's acrid and warming, so it rises, going to

your head and filling it with weird images, or something like that...

 

Jeff

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.. I've felt it maybe 4-5 times in the past

year.

 

Second, and unrelated, I've had yet another patient mention that she uses ai

ye, raw, in her pillow to induce dreaming. Has anyone else heard of this

function? I suspect it's not anything found in the TCM literature but might

be a western function of the herb. Any ideas how we might explain such a

function using TCM theory? It's acrid and warming, so it rises, going to

your head and filling it with weird images, or something like that...

 

Jeff

 

are increased dreams not just an indication that we are not entering R.E.M.?

IF so the properties would explain the phenomenon...?

 

-Jason

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At 2:21 AM +0000 2/24/01, Jeff Gould wrote:

>Every now and again, I will experience what feels like almost an echo of a

>pulse. That is, I will place my fingers gently for the initial impression

>of the entire pulse before checking out things like specific locations or

>depths. What happens, or rather, what I experience, is that the pulse

>sensation will fade in and out in one location and I'll feel what I can only

>describe as an echo in a more radial position than where the actual pulse

>lies. This echo is usually weaker and also seems to come and go. When I

>try to feel it, the regular pulse comes back, usually stronger or more

>accessible, but even so, I'll feel this strange echo if I maintain contact

>for several seconds.

>

>1) Has anyone else experienced this phenomenon?

>2) Am I supposed to try to determine the qualities of this echo or is it

>merely a non-important artifact?

>3) If not an artifact, is it common to any particular condition? There

>seems no rhyme or reason as to when it shows up in terms of my own

>differentiation of the patient. I've felt it maybe 4-5 times in the past

>year.

---

 

It's very difficult to know what someone else is feeling on a pulse

from a verbal description. However, I'll offer the possibility that

the pulse has variations in intensity (ie forcefulness), and

amplitude, and that sometimes you are feeling the pulse stronger than

at other times; the slight shift of position might simply be that you

were not at the apex of the pulse to begin with. If this is the case,

and it is only happening in one position, and the patient is properly

at rest, then it suggests quite significant qi deficiency of, and

perhaps damage to, the related organ. If this sensation is

generalized to the whole pulse, it might suggest a heart disorder. It

is important to know that the patient is at rest; recent exercise, or

rushing to your clinic, or the stress of a busy day, or an acute

illness, can create turbulence on the pulse - still worth taking note

of, but less serious.

 

A couple of questions:

 

Is there a general underlying pulse quality associated with the sensation?

 

Does the patient have this sensation consistently?

 

Does it go away over the course of an acupuncture treatment?

 

Rory

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Jeff,

 

> Second, and unrelated, I've had yet another patient mention that

she uses ai

> ye, raw, in her pillow to induce dreaming. Has anyone else heard

of this

> function?

 

A fellow I met a while ago grew up in Idaho and spent

a lot of time with native people there. When

he first smelled moxa he remarked that it

smelled just like the herb that those folks

burned to induce dreaming as part of a medicine

ritual they frequently performed. He said it

was used at the end of a sweat.

 

That was the first and last time I'd heard

of this...until now.

 

Not much to go on, but if you want to follow

it up, you might check into that area.

 

Ken

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Sorry Jeff

I have no idea about the pulse you were feeling.

But while on the subject of pulses, in the Flaws translation of Li Shi Zhen's

pulse book there is a section on pulse and the extraordinary vessels. Is anyone

on the list able to pick up 8 extra pulses .?

 

Maybe add some experiences if you have done so.

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Rory said:

>It's very difficult to know what someone else is feeling on a pulse

>from a verbal description. However, I'll offer the possibility that

>the pulse has variations in intensity (ie forcefulness), and

>amplitude, and that sometimes you are feeling the pulse stronger than

>at other times; the slight shift of position might simply be that you

>were not at the apex of the pulse to begin with.

 

No, I'd have to say this is not quite the case, because I'll continue to

feel the echo even after I am without a doubt on the apex of the pulse.

Occasionally, I have had pulses seem to change on me, going from what

initially feels weak and then becoming strong with more of my focus on the

pulse, but this is qualitatively different, (although one can see the

difficulty I am having explaining the difference in this quality).

 

Rory also said:

>Itis important to know that the patient is at rest; recent exercise, or

>rushing to your clinic, or the stress of a busy day, or an acute

>illness, can create turbulence on the pulse - still worth taking note

>of, but less serious.

 

Yuppers, I've checked into this also. The few people whom I've seen have

not rushed in or had much in the way of recent exercise. (The ones who do

usually have a fairly distinct " exercisy " wirey pulse.

 

>A couple of questions:

>

>Is there a general underlying pulse quality associated with the sensation?

 

No, they have also been a little different and nothing stands out in the way

of a particular pattern that I have noticed, although from now on I am going

to do a more accurate job of noting the specifics to see if I can find a

pattern.

 

>Does the patient have this sensation consistently?

 

At least two of them have had this phenomenon at least twice that I can

remember off the top of my head.

 

>Does it go away over the course of an acupuncture treatment?

 

Here I am showing my own neglect, because, while I often check pulse during

the treatment, I must confess that I do not do so consistently with

everyone. However, with these kinds of pulses I will certainly be more

likely to in the future.

 

Thanks to everyone for comments thus far. They've been helpful.

 

Jeff

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on 2/23/01 6:21 PM, Jeff Gould at jeffgould wrote:

 

 

>

> Every now and again, I will experience what feels like almost an echo of a

> pulse. That is, I will place my fingers gently for the initial impression

> of the entire pulse before checking out things like specific locations or

> depths. What happens, or rather, what I experience, is that the pulse

> sensation will fade in and out in one location and I'll feel what I can only

> describe as an echo in a more radial position than where the actual pulse

> lies. This echo is usually weaker and also seems to come and go. When I

> try to feel it, the regular pulse comes back, usually stronger or more

> accessible, but even so, I'll feel this strange echo if I maintain contact

> for several seconds.

>

> 1) Has anyone else experienced this phenomenon?

 

Yes, I have experienced this phenomenon. There are a number of

possibilities, depending on other details in the pulse. This may be one

indication of a scattered pulse, or chaotic qi in the channels.

 

> 2) Am I supposed to try to determine the qualities of this echo or is it

> merely a non-important artifact?

In my opinion, quite important. All the details are important. Sung Baek

talks about this phenomenon, I believe, in his " Pulse Diagnosis " article, in

one of the back issues of Oriental Medicine magazine.

 

 

> 3) If not an artifact, is it common to any particular condition? There

> seems no rhyme or reason as to when it shows up in terms of my own

> differentiation of the patient. I've felt it maybe 4-5 times in the past

> year.

 

 

I have seen several patients with this type of pulse movement. Examples are

on strong medications, such as prednisone or chemotherapy, and in autoimmune

disease patients with chaotic qi in the channels.

 

 

 

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At 1:41 AM +0000 2/26/01, Jeff Gould wrote:

>Rory said:

>>It's very difficult to know what someone else is feeling on a pulse

>>from a verbal description. However, I'll offer the possibility that

>>the pulse has variations in intensity (ie forcefulness), and

>>amplitude, and that sometimes you are feeling the pulse stronger than

>>at other times; the slight shift of position might simply be that you

>>were not at the apex of the pulse to begin with.

>

>No, I'd have to say this is not quite the case, because I'll continue to

>feel the echo even after I am without a doubt on the apex of the pulse.

>Occasionally, I have had pulses seem to change on me, going from what

>initially feels weak and then becoming strong with more of my focus on the

>pulse, but this is qualitatively different, (although one can see the

>difficulty I am having explaining the difference in this quality).

>

---

So, it sounds like you are saying that the pulse is rising along two

lines, the main artery is where you would expect it to be, and there

is another pulse, less forceful, slightly lateral to it; sometimes

they are felt together and sometimes not, but when not, they are

synchronous (whereas an echo might not be). Your comment that it

seems stronger when your focus is on it I take to mean that you are

simply noticing it's strength, rather than that it is actually

getting stronger, but I'm a little unclear as to whether the main

pulse is seeming to come and go according to your focus, or whether

it is actually doing so. I am going to assume the latter.

 

There seems to be two things going on here: 1) the main pulse is

fading in and out, & 2) the lateral pulsation.

 

There are only two of the standard ~28 pulse qualities that have the

pulse meeting the finger in different positions on different beats;

they are the tight/jin mai, and the scattered/san mai. Neither of

these feels like what you are describing, so we are looking at

something different. There are also descriptions of 8 extra channel

pulses in the literature that lie outside the normal trajectory, but

again, they do not correspond to your description.

 

I'm inclined to think of this as a disturbance, or instability,

within a system that has weak energy to begin with (because the main

pulse is fading in and out). I speculate that the origin of this

disturbance could be emotional, or psychological, and/or have to do

with relationship, either to self or to another. In any event this is

where I would begin to dig around for clues.

 

I hope you will be able to follow up with this.

 

Rory

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Rory

 

Can you expand upon the statement below.

 

Rory Kerr wrote:

 

> There are also descriptions of 8 extra channel

> pulses in the literature that lie outside the normal trajectory, but

> again, they do not correspond to your description.

>

> Thanks Heiko

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Heiko,

 

In my experience, the eight extraordinary vessel pulses which you mention from

the Bin Hu Mai Xue are only useful in a strictly acupuncture context. Yes, I do

feel these on a not infrequent basis. However, since I don't do much

acupuncture, I rarely have use for the information

they convey. I believe that Miki Shima, on the other hand, makes regular use of

these pulses in his acupuncture treatments. I also believe that there is more

information on these pulses and clinical acupuncture protocols to go with them

in Miki and Chip Chace's forthcoming book,

Deeper Pathways of the Web. I know Miki teaches these pulses and what to do

about them in his live classes.

 

Bob

 

Heiko Lade wrote:

 

> Sorry Jeff

> I have no idea about the pulse you were feeling.

> But while on the subject of pulses, in the Flaws translation of Li Shi Zhen's

pulse book there is a section on pulse and the extraordinary vessels. Is anyone

on the list able to pick up 8 extra pulses .?

>

> Maybe add some experiences if you have done so.

>

>

> Chinese Herbal Medicine, a voluntary organization of licensed healthcare

practitioners, matriculated students and postgraduate academics specializing in

Chinese Herbal Medicine, provides a variety of professional services, including

board approved online continuing education.

>

>

>

>

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At 9:22 PM +1300 2/26/01, Heiko Lade wrote:

>Can you expand upon the statement below.

>

>Rory Kerr wrote:

>

>> There are also descriptions of 8 extra channel

>> pulses in the literature that lie outside the normal trajectory, but

> > again, they do not correspond to your description.

--

 

Both Wang shu-he (The Pulse Classic, Book One Chapter 4 and Book Ten,

Blue Poppy) and Li shi-zhen (Pulse Diagnosis, p 55, Paradigm)

describe 8 extra channel pulses.

 

Rory

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Thanks Bob

Looks like then I will have to get Chip's book before your recent Medical Psych.

book!!

 

Giovanni talks about herbs and formula specifically for 8 extra channels, in his

gyno book.

 

Do you/anyone know of any classic references to herbs and 8 extras.?

 

Heiko

 

bobflaws wrote:

 

> Heiko,

>

> In my experience, the eight extraordinary vessel pulses which you mention from

the Bin Hu Mai Xue are only useful in a strictly acupuncture context. Yes, I do

feel these on a not infrequent basis. However, since I don't do much

acupuncture, I rarely have use for the information

> they convey. I believe that Miki Shima, on the other hand, makes regular use

of these pulses in his acupuncture treatments. I also believe that there is more

information on these pulses and clinical acupuncture protocols to go with them

in Miki and Chip Chace's forthcoming book,

> Deeper Pathways of the Web. I know Miki teaches these pulses and what to do

about them in his live classes.

>

> Bob

>

> Heiko Lade wrote:

>

> > Sorry Jeff

> > I have no idea about the pulse you were feeling.

> > But while on the subject of pulses, in the Flaws translation of Li Shi

Zhen's pulse book there is a section on pulse and the extraordinary vessels. Is

anyone on the list able to pick up 8 extra pulses .?

> >

> > Maybe add some experiences if you have done so.

> >

> >

> > Chinese Herbal Medicine, a voluntary organization of licensed healthcare

practitioners, matriculated students and postgraduate academics specializing in

Chinese Herbal Medicine, provides a variety of professional services, including

board approved online continuing education.

> >

> >

> >

> >

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Heiko Lade wrote:

 

> Do you/anyone know of any classic references to herbs and 8 extras.?

 

There are a few herbs associated with the 8 extras found in my notes

from an 8 extras seminar given by Dr. Yang at Emperor's. You can find

the list here:

http://Acupuncture.com/Herbology/Eight.htm

 

--

Al Stone L.Ac.

<AlStone

http://www.BeyondWellBeing.com

 

Pain is inevitable, suffering is optional.

 

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Thanks Al

 

I have seen those before but I was wondering where the info came from. Is it

someones idea or experience or does it stem from the classics.

 

Heiko

 

Al Stone wrote:

 

>

>

> There are a few herbs associated with the 8 extras found in my notes

> from an 8 extras seminar given by Dr. Yang at Emperor's. You can find

> the list here:

> http://Acupuncture.com/Herbology/Eight.htm

>

> --

> Al Stone L.Ac.

> <AlStone

> http://www.BeyondWellBeing.com

>

> Pain is inevitable, suffering is optional.

> Chinese Herbal Medicine, a voluntary organization of licensed healthcare

practitioners, matriculated students and postgraduate academics specializing in

Chinese Herbal Medicine, provides a variety of professional services, including

board approved online continuing education.

>

>

>

>

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Heiko,

 

I would look in Li Shi-zhen's Qi Qing Ba Mai Kao, his little book on the eight

extraordinary vessels.

 

Bob

 

Heiko Lade wrote:

 

> Thanks Bob

> Looks like then I will have to get Chip's book before your recent Medical

Psych. book!!

>

> Giovanni talks about herbs and formula specifically for 8 extra channels, in

his gyno book.

>

> Do you/anyone know of any classic references to herbs and 8 extras.?

>

> Heiko

>

> bobflaws wrote:

>

> > Heiko,

> >

> > In my experience, the eight extraordinary vessel pulses which you mention

from the Bin Hu Mai Xue are only useful in a strictly acupuncture context. Yes,

I do feel these on a not infrequent basis. However, since I don't do much

acupuncture, I rarely have use for the information

> > they convey. I believe that Miki Shima, on the other hand, makes regular use

of these pulses in his acupuncture treatments. I also believe that there is more

information on these pulses and clinical acupuncture protocols to go with them

in Miki and Chip Chace's forthcoming book,

> > Deeper Pathways of the Web. I know Miki teaches these pulses and what to do

about them in his live classes.

> >

> > Bob

> >

> > Heiko Lade wrote:

> >

> > > Sorry Jeff

> > > I have no idea about the pulse you were feeling.

> > > But while on the subject of pulses, in the Flaws translation of Li Shi

Zhen's pulse book there is a section on pulse and the extraordinary vessels. Is

anyone on the list able to pick up 8 extra pulses .?

> > >

> > > Maybe add some experiences if you have done so.

> > >

> > >

> > > Chinese Herbal Medicine, a voluntary organization of licensed healthcare

practitioners, matriculated students and postgraduate academics specializing in

Chinese Herbal Medicine, provides a variety of professional services, including

board approved online continuing education.

> > >

> > >

> > >

> > >

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This information came during a weekend seminar on the 8 extras. The

source that Dr. Yang cited was the Zheng Jing Zhi Nan by a Dr. Doe (Dou?

Do?) I'm not sure if that includes the herbs or not. This may also be

from Dr. Yang's experience.

 

Heiko Lade wrote:

>

> Thanks Al

>

> I have seen those before but I was wondering where the info came from. Is it

someones idea or experience or does it stem from the classics.

>

> Heiko

>

> Al Stone wrote:

>

> >

> >

> > There are a few herbs associated with the 8 extras found in my notes

> > from an 8 extras seminar given by Dr. Yang at Emperor's. You can find

> > the list here:

> > http://Acupuncture.com/Herbology/Eight.htm

 

 

--

Al Stone L.Ac.

<AlStone

http://www.BeyondWellBeing.com

 

Pain is inevitable, suffering is optional.

 

Attachment: vcard [not shown]

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If I remember correctly, the 8-Extra meridians are related to herbs in

some editions of the Ben Cao Gang Mu. There's no reason why they

shouldn't be used in herbalism. When seeing particular 8-Extra

movements in the pulse, you can modify or choose herbal formulas

based on the list.

 

Jim Ramholz

 

 

, Heiko Lade <heiko@l...> wrote:

> Thanks Bob

> Looks like then I will have to get Chip's book before your recent

Medical Psych. book!!

>

> Giovanni talks about herbs and formula specifically for 8 extra

channels, in his gyno book.

>

> Do you/anyone know of any classic references to herbs and 8

extras.?

>

> Heiko

>

> bobflaws wrote:

>

> > Heiko,

> >

> > In my experience, the eight extraordinary vessel pulses which you

mention from the Bin Hu Mai Xue are only useful in a strictly

acupuncture context. Yes, I do feel these on a not infrequent basis.

However, since I don't do much acupuncture, I rarely have use for the

information

> > they convey. I believe that Miki Shima, on the other hand, makes

regular use of these pulses in his acupuncture treatments. I also

believe that there is more information on these pulses and clinical

acupuncture protocols to go with them in Miki and Chip Chace's

forthcoming book,

> > Deeper Pathways of the Web. I know Miki teaches these pulses

and what to do about them in his live classes.

> >

> > Bob

> >

> > Heiko Lade wrote:

> >

> > > Sorry Jeff

> > > I have no idea about the pulse you were feeling.

> > > But while on the subject of pulses, in the Flaws translation of Li

Shi Zhen's pulse book there is a section on pulse and the extraordinary

vessels. Is anyone on the list able to pick up 8 extra pulses .?

> > >

> > > Maybe add some experiences if you have done so.

> > >

> > >

> > > Chinese Herbal Medicine, a voluntary organization of licensed

healthcare practitioners, matriculated students and postgraduate

academics specializing in Chinese Herbal Medicine, provides a variety

of professional services, including board approved online continuing

education.

> > >

> > >

> > >

> > >

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Thanks James

Actually my father in law just sent me a ben cao gang mu .......now I just have

to convince my wife to translate it.

Heiko

 

jramholz wrote:

 

> If I remember correctly, the 8-Extra meridians are related to herbs in

> some editions of the Ben Cao Gang Mu. There's no reason why they

> shouldn't be used in herbalism. When seeing particular 8-Extra

> movements in the pulse, you can modify or choose herbal formulas

> based on the list.

>

> Jim Ramholz

>

> , Heiko Lade <heiko@l...> wrote:

> > Thanks Bob

> > Looks like then I will have to get Chip's book before your recent

> Medical Psych. book!!

> >

> > Giovanni talks about herbs and formula specifically for 8 extra

> channels, in his gyno book.

> >

> > Do you/anyone know of any classic references to herbs and 8

> extras.?

> >

> > Heiko

> >

> > bobflaws wrote:

> >

> > > Heiko,

> > >

> > > In my experience, the eight extraordinary vessel pulses which you

> mention from the Bin Hu Mai Xue are only useful in a strictly

> acupuncture context. Yes, I do feel these on a not infrequent basis.

> However, since I don't do much acupuncture, I rarely have use for the

> information

> > > they convey. I believe that Miki Shima, on the other hand, makes

> regular use of these pulses in his acupuncture treatments. I also

> believe that there is more information on these pulses and clinical

> acupuncture protocols to go with them in Miki and Chip Chace's

> forthcoming book,

> > > Deeper Pathways of the Web. I know Miki teaches these pulses

> and what to do about them in his live classes.

> > >

> > > Bob

> > >

> > > Heiko Lade wrote:

> > >

> > > > Sorry Jeff

> > > > I have no idea about the pulse you were feeling.

> > > > But while on the subject of pulses, in the Flaws translation of Li

> Shi Zhen's pulse book there is a section on pulse and the extraordinary

> vessels. Is anyone on the list able to pick up 8 extra pulses .?

> > > >

> > > > Maybe add some experiences if you have done so.

> > > >

> > > >

> > > > Chinese Herbal Medicine, a voluntary organization of licensed

> healthcare practitioners, matriculated students and postgraduate

> academics specializing in Chinese Herbal Medicine, provides a variety

> of professional services, including board approved online continuing

> education.

> > > >

> > > >

> > > >

> > > >

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Jeff Gould [jeffgould]

Sunday, February 25, 2001 5:41 PM

 

Re: Calling All Pulse Masters

 

 

 

No, I'd have to say this is not quite the case, because I'll continue to

feel the echo even after I am without a doubt on the apex of the pulse.

Occasionally, I have had pulses seem to change on me, going from what

initially feels weak and then becoming strong with more of my focus on the

pulse, but this is qualitatively different, (although one can see the

difficulty I am having explaining the difference in this quality).

 

Is this an element of choppiness? (this changing quality)

-Jason

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