February 2016

February 2016

February 2016

    Herbs/ Notes:

    Left Cun Special Part 1

  • Scattered/ Dead Fish Pulse (the dead fish is the highest level of scatteredness/ a completely scattered pulse):
  • indicated Inefficient blood flow through the heart,
  • under absence of large vessel pulse, mitral valve pulse, coronary constriction pulse (constricted pulse/ pulse within a pulse), then it’s: small arterioles blockage;
  • patients may only have symptoms of fatigue, anxiety, insomnia;
  • might not have any chest pain at all (90% occluded patients without any symptoms)
  • the higher the degree of scatteredness, the higher the severity of the scatteredness
  • Mitral Valve Pulse:
  • a pathological pulse palpable on top of the abductor pollicis longus tendon on the distal-proximal level between styloid and scaphoid
  • indicating a mitral valve or a tricuspid valve insufficiency

 
 
 

    Herbs and Notes:

  • Left Cun Pulses Special Part 2
  • Enlarged Heart Pulse:
  • clearly defined pulse in left cun, yet as one pushes down on a physiological left cun pulse and moves the finger back up, the pulse fills up one’s finger pad somewhat strongly
  • indicates enlarged heart/ cardiomyopathy
  • Aortic Valve Pulse: “Gu Pulse”;
  • fingers move up and down soemwhat strongly on the cun; downward movement is no diastolic “falling down/ emptying of the vessel section under the finger” but rather feels like a “mechanical downward movement” or the pulse gets sucked away under your finger
  • Indicates Aortic Valve Stenosis, when this Gu Pulse appears in the left cun and the other pulse positions (guan, chi) are thin and weak
  • Indicated Aortic Valve Insufficiency/ Combination of Stenosis and Insufficiency: if Gu Pulse appears over all pulse positions (cun, guan, chi)
  • both insufficieny and insufficiency in combination with stenosis will have a big amplitude and large systolic-diastolic pressure difference
  • Mao Dong Qing 100g for e.g. 2 months may fix this pulse/ calcified aortic valve
  • Large Vessel Pulse:
  • A pulse right at the corner where the flexor carpi radialis tendon meets the scaphoid bone
  • indicates a large-vessel blockage
  • Yin Wei Pulse:
  • A usually distally-proximally larger pulse that is located on the flexor carpi radialis tendon, more proximal to the large vessel pulse
  • Often correlates to family history of heart disease
  • Pulse within a pulse
  • indicates a coronary spasm in the absence of a large vessel pulse

 
 
 

    Herbs and Notes:

    MPD®: Herbal Formulas for Cardiovascular Diseases

  • Scattered pulse: (also called dispersed pulse; dead fish pulse= most severe degree) – indicates coronary artery disease:
  • Strategy: move blood through the heart (vaso-dialate, thin the blood)
  • Herbs:
  • Xue Fu Zhu Yu Tang or Stress 1 25
  • Gua Lou Xie Bai Ban Xia Tang 25
  • Dan Shen 25
  • Mao Dong Qing 25
  • if anxious/ sleeping problems, replace Mao Dong Qing with Yan Hu Suo
  • if angina pectoris/ chest pain: cut back on above herbs and add San Qi 10, Pu Huang 10
  • Pulse within a pulse in the scattered pulse: severe cold constriction
  • Si Ni Tang 20
  • Sheng Ma 15
  • Dang Gui 15
  • Dan Shen 15
  • Stress 1 15
  • Yan Hu Suo 20 or:
  • San Qi 10
  • Pu Huang 10
  • Mitral valve Pulse: if mitral valve problem (which will bring about a scattered pulse/ coronary artery disease): treat like scattered pulse, but unlikely to fix mitral valve disease
  • Gu Pulse: indicates aortic valve insufficiency (watson’s water-hammer-pulse/big amplitude due to big systolic-diastolic pressure difference): Mao Dong Qing 100 ( Try: Dan Shen, Tao Ren, Pu Huang, San Qi)
  • Very strong, pounding pulses in all cun, guan, chi (pulses pushing strongly against your finger): (Primary) Hypertension (systolic and diastolic hypertension)
  • Herbs:
  • Du Zhong 50
  • Yu Jin 50
  • If large amplitude with strong, thick pulses in all 3 levels (Fire/ Heat):
  • Seattle 1 100
  • or Gardenia Complex (Evergreen)/ Zhi Zi Chi Tang 100
  • or Zhen Zhu Mu, Ci Shi, Astrigents, Cha Chi Huang, Huang Lian (equal proportions)

 
 
 

    Herbs and Notes:

    MPD®: Styloid Pulses – Part 1

  • Right distal side of styloid apex- pulse: Upper Respiratory
  • Right proximal side of styloid apex- pulse: Stomach
  • Right styloid apex pulse: inflammation throat or thyroid disease
  • Post nasal drip: Cun has wiry pulse (allergy) or scattered (sinuses clogged) or deep and pounding/strong (sinusitis) plus pulse at distal side of styloid apex

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