How do we distinguish between a constitutional pulse vs. pathological pulse?  In the classics, Li Shi Zhen describes males to having a normally stronger pulse at the cun positions and left side whereas women have a stronger pulse on the right and chi positions.  It was suggested by a classmate in our pulse class that perhaps it was historical?  Maybe she is right.  Maybe men were more active and had a more yang tendencies whereas women were not so OR perhaps culturally, during Li Shi Zhen's time, it was illness if a woman showed yang tendencies and vice versa.  OR maybe as people evolved over the years and most of us do not toil the earth but rather move only our wrists and fingers at best, maybe constitional pulses are different today than yesterday.   At what point does constitutional become pathology?