Guest guest Posted January 29, 2009 Report Share Posted January 29, 2009 Hello all, What does it mean when the pulses on one side are less in volume than the pulses on the other? I just started seeing a female patient, age 38, who is presenting with left side pulses normal (a bit thin) and right side pulses deep, thin, and small. The right side shifts in volume slightly with acupuncture treatment. I am also seeing another female patient, age 43, and I feel the complete opposite - the pulses on the right side are slippery and floating while the pulses on the left are very deep, barely perceptible, and increase in volume slightly with treatment, and no, it is not a husband/wife block. Is there any signficance to either of these pulse pictures, aside from a possible structural issue (which I have not been able to detect). Thank you for any feedback anyone has to offer. Gina Corso, L.Ac. ginamariecorso Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 30, 2009 Report Share Posted January 30, 2009 Hi Gina, As is common in Chinese medicine, there are many takes on just about any observable phenomenon. What follows is consistent with the professional CM that is taught in PRC as well as many (if not most) schools in the US. On Thu, Jan 29, 2009 at 12:44 PM, ginamariecorso <ginamariecorsowrote: > Hello all, > What does it mean when the pulses on one side are less in volume than the > pulses on the > other? I just started seeing a female patient, age 38, who is presenting > with left side pulses > normal (a bit thin) and right side pulses deep, thin, and small. > As a general rule, you can look at the left side pulses as favoring yin and blood, while the right side pulses speak of qi and yang. The left pulse positions manifest the condition of the Kidneys, Liver, and Heart. Kidneys are the source of yin and yang, so that's kind of neutral between right and left. But the Liver stores the blood and the Heart dominates it, so the left pulse is usually considered a blood/yin thing. Same thing with the right side, it favors qi and yang. the right pulses manifest the Kidneys, Spleen (post-natal source for qi) and Lungs (dominates the qi). However, if there are no other signs/symptoms qi or yang deficiency in your patient who has the deficient pulses on the right side you can't just run with that diagnosis, but consider other causes for these pulse findings. Among them, is the deviated radial artery. This means that the radial artery that you're looking for is not found adjacent or atop the Lung channel as is usually expected. Sometimes the radial artery will drift closer to where the PC channel passes, or more commonly it ends up atop the radius bone closer to the area associated witih the LI channel. So that's the first thing that I look for when I find an unusually weak, deep, and thin pulse in an otherwise healthy patient. Something else, if your patient is especially buff and muscular, consider thoracic outlet syndrome <http://en.wikipedia.org/wiki/Thoracic_Outlet_Syndrome>whereby the excessive muscle size in the neck is causing an occlusion to the artery passing through the area. Best of luck to ya, -al. -- , DAOM Pain is inevitable, suffering is optional. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 31, 2009 Report Share Posted January 31, 2009 Gina, would the menstrual cycle reflect those differnces? (The Liver stores the blood and the fullness/emptiness may be reflected depending upon where in the the patient is). Happy Holidays (Chinese New Year Jan 25, year of the ox) ED KASPER LAc www.HappyHerbalist.com ..................... Hello all, What does it mean when the pulses on one side are less in volume than the pulses on the other? I just started seeing a female patient, age 38, who is presenting with left side pulses normal (a bit thin) and right side pulses deep, thin, and small. The right side shifts in volume slightly with acupuncture treatment. I am also seeing another female patient, age 43, and I feel the complete opposite - the pulses on the right side are slippery and floating while the pulses on the left are very deep, barely perceptible, and increase in volume slightly with treatment, and no, it is not a husband/wife block. Is there any signficance to either of these pulse pictures, aside from a possible structural issue (which I have not been able to detect). Thank you for any feedback anyone has to offer. Gina Corso, L.Ac. <ginamariecorso%40> ginamariecorso Quote Link to comment Share on other sites More sharing options...
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