Healing, an art rather than a science in Japanese and Chinese Traditional medicine. Japanese healing views the heart as taboo. Meaning the heart merits deep consideration. 28 pulse states palpated at the radial wrist: In traditional Japanese and Chinese medicine pulse assessment can provide valuable insights into a patient’s cardiovascular health, with considerations for things like rate (beats per minute), rhythm (regular or irregular), amplitude (strong or weak), and the quality of the pulse.
Asian medical practice, pulse assessment helps to provide valuable insights, touching a patient’s cardiovascular health. It weighs things like rate (beats per minute), rhythm (regular or irregular), amplitude (strong or weak), and the quality of the pulse.
Rate: How fast or slow the pulse rate, measured in beats per minute (e.g., bradycardia for a slow pulse, tachycardia for a fast one). Bradycardia: Slow pulse (<60 bpm), linked to heart block, hypothyroidism, or a well-conditioned athlete. Normal: 60-100 bpm, typically a sign of a healthy heart. Tachycardia: Fast pulse (>100 bpm), might indicate fever, anemia, or stress.
Rhythm: A steady, predictable rhythm, usually indicates a healthy heart. Whether the pulse, regular or irregular, such as in arrhythmias. Amplitude: The strength of the pulse, assessed as strong, weak, or absent. Bounding: Very strong pulse, might suggest hyperthyroidism, fever, or anemia; a condition where the body doesn’t have enough healthy red blood cells to carry adequate oxygen to the tissues. This can lead to symptoms like fatigue, weakness, shortness of breath, and pale skin. Iron-Deficiency Anemia: Caused by a lack of iron, which is necessary for producing hemoglobin. Vitamin-Deficiency Anemia: Caused by a deficiency in vitamins like B12 or folate, which are essential for red blood cell production.
Normal: Moderate strength, a healthy pulse. Weak/thready: Faint and harder to feel, might indicate shock, dehydration, or heart failure. Absent: No detectable pulse, severe circulatory or arterial issues. Whether the pulse – regular or irregular – such as in arrhythmias; irregularities in the heartbeat, which can cause the heart to beat too fast, too slow, or in an irregular pattern. These irregular heartbeats occur when the electrical signals that control the heart’s rhythm don’t function properly.
Regular: Consistent beat-to-beat intervals, which is typical in a healthy heart. Irregular intervals between beats, which could signal arrhythmias like atrial fibrillation; such as atrial fibrillation (AFib). AFib, characterized by rapid and chaotic electrical signals in the atria (upper chambers of the heart), leading to an irregular and often fast heartbeat. This can cause symptoms like palpitations, dizziness, shortness of breath, and fatigue.
Regularly irregular: Predictable pattern, like in premature ventricular contractions; refers to the contractions of the ventricles, which are the lower chambers of the heart. These contractions are crucial for pumping blood out of the heart and into the arteries. A predictable pattern of irregularity, e.g., in PVCs (premature ventricular contractions). Irregularly irregular: Completely random intervals, common in atrial fibrillation.
Systole: The phase when the ventricles contract, pushing blood out of the heart. During systole, the right ventricle pumps blood into the pulmonary artery (leading to the lungs), and the left ventricle pumps blood into the aorta (leading to the rest of the body). Diastole: The phase when the ventricles relax and fill with blood from the atria (the upper chambers of the heart). During diastole, the heart prepares for the next contraction.
Proper ventricular contractions are essential for maintaining effective blood circulation throughout the body. Irregularities in these contractions can lead to various heart conditions, such as arrhythmias or heart failure.
No discernible pattern, seen in atrial fibrillation or multifocal arrhythmias. No discernible pattern in the intervals between heartbeats, it can indicate arrhythmias like atrial fibrillation (AFib) or multifocal atrial tachycardia (MAT). In AFib, the atria (upper chambers of the heart) beat irregularly and out of coordination with the ventricles (lower chambers), leading to an irregular and often rapid heartbeat. In MAT, multiple areas in the atria; the two upper chambers of the heart. They play a crucial role in the heart’s function by receiving blood from the body and the lungs and then pumping it into the ventricles (the lower chambers of the heart), they generate electrical impulses, causing an irregular heart rhythm. Both conditions can lead to symptoms such as palpitations, dizziness, shortness of breath, and fatigue.
Right Atrium: Receives deoxygenated blood from the body through the superior and inferior vena cava and pumps it into the right ventricle. Left Atrium: Receives oxygenated blood from the lungs through the pulmonary veins and pumps it into the left ventricle.
Amplitude: The strength of the pulse, whether it is strong, weak, or absent. Bounding: Very strong pulse, might suggest hyperthyroidism, fever, or anemia. Strong, forceful pulse, often seen in conditions like hyperthyroidism or anemia.
Normal: Moderate strength, a healthy pulse. Healthy strength, an indicator of normal cardiac output. Moderate strength, a healthy pulse. Weak/thready: Faint and harder to feel, might indicate shock, dehydration, or heart failure. Absent: No detectable pulse, which could suggest severe circulatory or arterial issues.
Rate: How fast or slow the pulse, measured in beats per minute (e.g., bradycardia for a slow pulse, tachycardia for a fast one). How fast or slow the pulse, measured in beats per minute (e.g., bradycardia for a slow pulse, tachycardia for a fast one). Bounding: Very strong pulse, might suggest hyperthyroidism, fever, or anemia. Weak/thready: Faint and harder to feel, might indicate shock, dehydration, or heart failure. Absent: No detectable pulse, suggests severe circulatory or arterial issues.
Contour: How the pulse feels when palpated, a smooth or an abnormal shape (e.g., bounding or thready). Smooth: Normal, consistent pulse feel. Bounding: Rapid and forceful upstroke, indicating conditions like aortic regurgitation; also known as aortic insufficiency. A condition where the aortic valve in the heart doesn’t close properly. This causes blood to flow backward from the aorta (the main artery) into the left ventricle (the heart’s main pumping chamber) during diastole (the relaxation phase of the heartbeat). This backward flow of blood can lead to several symptoms and complications
Thready: Weak, small pulse indicative of reduced stroke volume or low blood pressure. Characterized by a weak, small, and often rapid pulse, often difficult to detect. Typically indicative of reduced stroke volume (the amount of blood pumped by the heart with each beat) or low blood pressure. This can occur in various medical conditions, such as shock, severe dehydration, or heart failure.
Symmetry: Comparing pulses on both sides (e.g., left vs. right radial pulses) to detect any differences. Pulses on both sides (left and right radial) ideally equal in strength and timing. Pulses on both sides are equal in strength and timing, suggesting no significant vascular issues.
Asymmetric: One pulse, significantly stronger/weaker or absent on one side, which could suggest vascular occlusion, aneurysm: a condition where a blood vessel becomes blocked, preventing blood from flowing through it. This blockage can occur in arteries or veins, often caused by blood clots, fatty plaque buildup, or external compression. Vascular occlusion can lead to serious health issues, such as ischemia (inadequate blood supply to an organ) or even tissue damage if not treated promptly. A difference between the pulses on each side, possibly indicative of conditions like vascular occlusion: a medical condition where a blood vessel becomes blocked, preventing blood from flowing through it. This blockage can occur in arteries or veins, often caused by blood clots, fatty plaque buildup, or external compression.
Vascular occlusion can lead to serious health issues, such as ischemia (inadequate blood supply to an organ) or even tissue damage if not treated promptly, aneurysms, or peripheral artery disease. An aneurysm is an abnormal bulge or ballooning in the wall of a blood vessel. This can occur in various parts of the body, including the brain, aorta, and peripheral arteries. Aneurysms can be life-threatening if they rupture, leading to internal bleeding. Some aneurysms may not cause symptoms and might go unnoticed until they become large or rupture.
Quality: General feel of the pulse—judged whether forceful or faint. Forceful: Strong, clear pulse, indicates a healthy circulation. Faint: Weak, difficult to palpate, possibly indicating low cardiac output. Such a pulse could indicate low cardiac output, shock, or heart failure.
A thorough job laying out the key elements of pulse assessment in a key in Asian medicine. This comprehensive breakdown highlights how various pulse characteristics—rate, rhythm, amplitude, contour, symmetry, and quality—offer valuable insights into cardiovascular health. Each element described reflects a wide range of conditions, and the way they often combine or expressed, can provide specific clues for diagnosis or further investigation.
This approach of palpating the radial pulse and noting these factors (rate, rhythm, amplitude, contour, symmetry, and quality) a wisdom which providers a detailed view of a patient’s circulatory status, they serve as the basis of Asian wisdom toward treatment decisions and lead to the identification of cardiovascular problems early on.
The hand shao yin heart channel, plays a crucial role in regulating the body’s energy flow and overall health. The Heart Primary Channel originates from the heart and emerges from the blood vessel system surrounding the heart. It runs to the lungs, descends, and emerges in the center of the axilla (armpit) at Jiquan (HE-1). External Pathway: From Jiquan (HE-1), the channel continues descending along the medial aspect of the upper arm, the inner side of the upper arm, which is closest to the body when the arm is in a relaxed position. It passing through points like Shaohai (HE-3) at the elbow and Shenmen (HE-7) at the wrist. It then travels through the palm and terminates at Shaochong (HE-9) at the radial corner of the little finger.
Another branch separates from the heart, taveling upward along the side of the esophagus to meet the tissues behind the eye and connect with the brain. A further channel separates from the heart and travels directly up to the lungs, veers downward & emerges below the axilla; commonly known as the armpit, the area under the joint where the arm connects to the shoulder.
Main pathologic signs associated with the external course of the heart channel: Palpitations: Irregular or rapid heartbeats felt in the chest. Chest Pain: Discomfort or pain in the chest area, often related to heart issues. Insomnia: Difficulty falling asleep or staying asleep, often due to an overactive mind or emotional disturbances. Anxiety: Feelings of unease, worry, or fear that can affect the heart’s energy. Shortness of Breath: Difficulty breathing, related to heart and lung function. Sweating: Excessive sweating, especially on the palms, which can be linked to heart imbalances. Tongue and Mouth Issues: Sores, ulcers, or a red tip of the tongue, indicating heat in the Heart Channel.
Main pathologic signs associated with the heart meridian: Heart Fire: Symptoms include palpitations, thirst, tongue/mouth ulcers, restlessness, red complexion, and a bitter taste in the mouth. The tongue may appear red with a yellow coat, and the pulse may be full, rapid, and overflowing. Phlegm Fire Misting the Mind: More severe than Heart Fire, this pattern includes mental confusion, lack of mental clarity, palpitations, restlessness, incoherent speech, rash behavior, and a tendency towards hitting or scolding people.
The tongue may have a red, greasy coat, and the pulse may be full and slippery. Phlegm Misting the Mind (Heart): Symptoms include mental confusion, unconsciousness, a rattling sound in the throat, and vomiting. The tongue may have a thick, greasy coat, and the pulse slippery. Deficiency Patterns – Heart Blood Deficiency: Symptoms include palpitations, insomnia, poor memory, dizziness, pale complexion, and anxiety. The tongue may be pale, and the pulse may be thin and weak. Heart Chi Deficiency: Symptoms include palpitations, shortness of breath, fatigue, spontaneous sweating, and a pale complexion.
The tongue may be pale, and the pulse weak. Heart Yin Deficiency: Symptoms include palpitations, insomnia, night sweats, dry mouth and throat, and a red tongue with little or no coating. The pulse may be thin and rapid. Heart Yang Deficiency & Yang Collapse: Symptoms include palpitations, shortness of breath, cold limbs, chest pain, and a pale or bluish complexion. The tongue may be pale and swollen, and the pulse may be weak and slow.
The Heart Luo-Connecting Channel separates from the primary Heart Channel at HT-5, located on the wrist. Connection to the Small Intestine Channel: It then connects to the Hand Tai Yang Small Intestine Channel. Upward Movement: The channel moves upward along the primary Heart Channel. Entering the Heart: It enters into the heart organ itself. Connecting to the Tongue and Eye: The channel rises up to connect to the root of the tongue and the region behind the eye. This pathway is significant in Asian wisdom for diagnosing and treating various conditions related to the heart and its associated functions.
The Heart Divergent Channel, an alternative pathway for the flow of Chi and blood. The Heart Divergent Channel separates from the primary Heart Channel at Jiquan (HE-1), located in the axilla (armpit). It penetrates the chest at Yuanyu (GB-22) and enters internally to the Heart. Ascent: From the Heart, it ascends through the chest and neck. It arrives at Lianquan (REN-23). Lianquan (REN-23) is an acupuncture point located on the Ren Mai (Conception Vessel) meridian connecting to the root of the tongue and the region behind the eye.
Lianquan (REN-23) situated on the anterior midline of the neck, the central front part of the neck. This area includes several important anatomical structures, such as: Thyroid Gland: Located just below the Adam’s apple, it produces hormones that regulate metabolism. Trachea (Windpipe): A tube that connects the larynx to the lungs, allowing air to pass through. Larynx (Voice Box): Contains the vocal cords and involved in breathing, producing sound, and protecting the trachea against food aspiration. Hyoid Bone: A U-shaped bone located at the base of the tongue, which supports the tongue and its muscles. Major Blood Vessels: Including the carotid arteries and jugular veins, which supply blood to and from the head and neck. This point, commonly used to treat conditions related to the throat, tongue, and speech, such as: Sore throat Loss of voice Difficulty swallowing Dry mouth Speech disorders Lianquan (REN-23) believed to help clear heat and resolve phlegm in the body.