White Glue Phlegm, Slippery Choppy Pulse

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, " "

<@h...> wrote:

 

>

> Can we suss out where those other definitions are from? Al?

>

 

Jason,

 

I finally got a chance to talk to Dr. Qiao who is doing the translation

work on the diagnosis book we're working on.

 

I asked her about these three definitions of the choppy / hesitant (se)

pulse. She gestured to her desk with about 20 different Chinese texts

and said that all three definitions were described in the ancient

texts, but she couldn't point to which one.

 

She did verify that there is mention in the Nei Jing or Mai Jing of the

3-5 pulse which she actually translated to " 3-5 not regular " (san wu bu

qi). This is the pulse that varies in both amplitude/strength and

speed.

 

The other pulse that is described as a knife on bamboo is also choppy /

hesitant (se) but she added that this pulse is more common in the

elderly as it indicates atheroscherosis which can most certainly give

rise to blood stagnation.

 

Finally, one of the source texts (don't ask me which) for our book does

make mention of phlegm the color and consistance of white glue. This is

described in Chinese as " lao yin " or " old phlegm " . It arises from a

chronic deficiency whereby there isn't enough warmth in the body to

turn it yellow, even though there may be a heat component to it.

 

She said that it is treated in the same way as any other phlegm, by

looking at the big picture and addressing what you see.

 

-al.

 

> I personally find choppy pulses that are also large, fast etc (using

> al's the 3rd definition ) there is a roughness to the texture of the

> pulse, non-smooth flow... Do others find this? I interpret this as

> stagnation, and many times with heat.

>

> Furthermore back to Todd's original question. IT seems the concept

> of having a slippery and choppy pulse simultaneously depends on the

> definition. AS al points out there are different ideas. And I think

> one of those is from the web and mentioned no where else (does

> someone know?)... but anyway, if one gauges the choppy on irregular

> of strength or rhythm, then this can IMO occur with a slippery

> pulse. But the roughness 'quality' that vibration, that rough

> texture in the meat of the pulse (or the outer edges) seems to be

> completely contradictory to the definition of slippery. SO I have

> never dx's both at the same time... Unless I say choppy in the rt cun

> and slippery in the rt guan, which I see somewhat often...

>

> Can we suss out where those other definitions are from? Al?

>

> -

 

--

 

Pain is inevitable, suffering is optional.

-Adlai Stevenson