|Posted on Friday, December 26, 2003 - 17:21: |
Hello and happy holidays.
My name is Gideon and I am a student of Chinese med. 4th year. We have had this debate in class concerning which pulse qualities are regarded excessive or deficient. In the 5-element treatment we have to shift excessive energy from one meridian to another, to drain and to tonify. So, if we have a wiry pulse in the liver position, which is a very common case, and a deficiency state like thin and and soft pulse of the lung (its controller), do we need to drain the wood in favor of metal?
|Posted on Sunday, December 28, 2003 - 13:37: |
Welcome Gideon. Wiry pulse on the liver indicates mostly a stagnation of liver Qi which is a Shi (excessive) condition, as you say. It doesn't mean, however, that the liver has extra energy to pass on... If you depend on the pulse quality in order to determine from where to where energy must be shifted or transferred, you need to look for Big and strong pulse quality, Long pulse etc. Also slippery pulse is considered Shi, but it may indicate a Xu (deficient) underlying condition. In this case you may not try to transfer energy. Stagnation conditions, such as those pertaining to the liver as mentioned above, may also be the result of deficiency and not excess. Trying to transfer energies via the meridian system, without understanding completely the nature of a specific pulse quality, may endanger the patient's health.
|Posted on Monday, December 29, 2003 - 06:07: |
I need help also with a full liver pulse, but with a swollen spleen area? What would cause this?
|Posted on Monday, December 29, 2003 - 12:44: |
Many things , and this needs to be differentiated properly and not solely by the pulse. When the liver Yang is hyperactive it may attack the spleen functioning. In Ch. terminology this is called liver invades spleen. In such an occasion there may be abdominal bloating and gas, epigastric and abdominal pain and other symptoms. If the spleen/pancreas are severly damaged, there may be even pancreatitis with a swollen spleen area - as you say, or even tumors. In other cases, the swolloen abdomen is only functional and may indicate gastric problems of the physiologic nature. Still, if the liver is the cause for that, as mentioned above, the liver pulse may well be Full or Wiry or both.