Guest guest Posted September 4, 2005 Report Share Posted September 4, 2005 How do you interpret the pulse when the vessel has become hardened in all positions by disease and constitutional conditions? ie. I have several patients whose palpable vessels are all hard and I don't know how to interpret these. Young Click here to donate to the Hurricane Katrina relief effort. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 9, 2005 Report Share Posted September 9, 2005 Nobody responded to my question about palpating vessels when they are bulging out with arterial disease conditions. Two particular patients that I am thinking of have vessels bulging out on their legs, arms, etc. My question is, should I interpret these pulses as wiry or consider them unpalpable. Young Song, L.Ac., Dipl. OM Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 10, 2005 Report Share Posted September 10, 2005 On Sep 4, 2005, at 9:29 PM, Young Song wrote: > How do you interpret the pulse when the vessel has become hardened in > all positions by disease and constitutional conditions? ie. I have > several patients whose palpable vessels are all hard and I don't know > how to interpret these. == On Sep 9, 2005, at 10:40 PM, Young Song wrote: > Nobody responded to my question about palpating vessels when they are > bulging out with arterial disease conditions. Two particular patients > that I am thinking of have vessels bulging out on their legs, arms, > etc. My question is, should I interpret these pulses as wiry or > consider them unpalpable. --- Should you simply consider this a wiry pulse (xian)? no. It sounds like a more complex pulse quality, eg. full/shi. It may also not be possible to name them as a single pulse quality, but a combination of qualities. Should you consider it unpalpable? IMO, no. It sounds very palpable. Part of your diagnosis is going to be the appearance of the vessels, but there is probably more information to gain by palpating. Eg, you don't give the rate or force or rootedness, all of which give important diagnostic information. You haven't said so, but I'm assuming that the patients are oldish, and that the condition of the vessels has been slowly progressive. I'm also assuming that the patient has not had an illness or medical condition diagnosed in Western medicine, or you would have said so, right? Both of these questions relate to interpretation of the qualities you decide on. Rory Quote Link to comment Share on other sites More sharing options...
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