Hi PulseDiagnosis group,

These are questions that came up as I was doing my pulse reports for HW.


1. What might it mean when there are findings on both sides for the
diaphragm pulse, but the quality differs from side to side? Eg, one side
is stronger than the other? Or one side feels inflated and the other
slightly wiry? Hammer mentions L and R diaphragm positions on p. 74 and
80, but I don't know about comparing the two sides.

2. How might I interpret a change in the pulse during an intake?
Specifically, in one patient the distal position initially seemed stronger
on the R than the L, but at a later moment, the L pulse became stronger &
fuller than it had been and perhaps even stronger and fuller than the R.
Hammer mentions "changes in intensity undulating from one wrist to
another" on p. 138, and says that it's associated with "a current and
powerful interpersonal conflict." Is the pulse he describes one that
shifts back & forth from side to side repeatedly? I may have been feeling
changes in amplitude on the L, rather than changes in intensity from side
to side.

In another patient, his middle R position initially felt wiry & strong
superficially and yielding, but later softened to feel wide and flat at
the mid level. That is, there was initially an abrupt edge to his pulse,
but then the crest of the wave seemed to flatten out. Does Hammer talk
about changes in the pulse for this position? I saw that he has something
on the L middle position.

3. I felt a pulse where the initial impression was that the vessel felt a
little deep or distant from the skin, as in the case of "cotton." But the
patient's physique is average or slightly slender. Is it simply that the
patient's skin is a little tough and thick? I wonder if it might be a
"leather" pulse (p. 255), but Hammer says these are rare, and the patient
didn't seem to be have such a severe condition! Any other reading of this?

4. If the pulse on one side (L) is all around deep & weak & even difficult
to palpate, how might I interpret this? The pulses on the R were not weak,
rather generally wiry & strong. The patient had no injury to his L
shoulder nor arm.

5. I felt a couple of unusually shaped vessels. One patient's L middle
position felt like a wiry vessel protrusion, the vessel came up like a
wiry bump just at this one position. Interpretation?

Another patient had a L vessel that could be scooted (not just rolled)
from side to side, particularly near the 1st position. Might this indicate
anything in particular?


Thanks for the forum!

Carol Song



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