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Questions:
1) What do I make of a superficial Special Lung Pulse?
I would inquire further into a history of depression for starters
2) What do I make of the Left Distal position- how to tell if it is a
proximal branching, or a diffuse pulse, or just extreme difference
between qi depth and blood/organ depths?
If it is a constitutional proximal splitting off of the palmer artery, under normal conditions, it will be distinct. It can be associated with constitutional lung weakness or depression - or it can be normal.
The diffuse pulse has a a linear central sensation and a wider, diffuse secondary sensation. Depending on the nature of the well-defined central sensation, one considers the appropriate interpretation of tense to thready-wiry. The secondary diffuse sensation is suggestive of qi xu and is less defined and as Hammer states like 'cheesecloth.'
3) What do I conclude from the Right side's change in tracking?
Is there cold in the digestive track due to Liver/ Nervous System
tension cutting off circulation (absence of outright cold
sensations) alternating with an unstable pulse? Or is her body
showing the irregular tracking/ with the more deficiency pulse as
the body accomodating? Or is there cold <--> and unstable qi.
Where is the dominant sensation of radial-ulnar tracking? If it is the lung it is possibly latent cold pathogens, if it is in the stomach, it may be cold food in the diet. Howver, it is unrelated to the chief complaint.
4) Patent Herbs:
I gave her a double dose of Yu Ping Feng San (Emperor's
version with wu wei zi and tai zi shen) for the long term
tonification of qi & to cover the superficial qualities in the distal
positions preventatively.
I added a dose of Bu Zhong Yi Qi Tang capsules (3, 1-2x a day)
for debility after an illness and to treat the qi deficiency in the right
middle postion.
Lastly I gave her a half dose (6 pills 1-2x a day) of Long Dan Xie
Gan Tang to treat the diarrhea and lingering shingles rash/ slight
dermatome pain.
Is this a viable strategy? Vent and Boost the Wei Qi/ Tonify the
Middle and Clearing Damp-Heat in the SJ/ Liv/GB?
Star- this is an excellent strategy, let us know how it works.
Will
Will Morris, L.Ac., OMD, MSEd
Dean of Educational Advancement
Emperor's College
Secretary AAOM
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