Anatomical Anomalies in Pulse Diagnosis

Pulse-Palpation

Anatomical Anomalies

These next two pulses are more structural anomalies. Simply stated, the radial artery is not located along the Lung channel where we usually find it. Rather it can be found elsewhere. This is often the case where you have a robust individual with a ridiculously deep, thin, and weak pulse. That’s because the pulse you’re feeling is not the radial artery, but a deeper vessel.

The answer then is to move around on the wrist to locate the radial artery. If you do find it closer to the Large Intestine channel, it will be difficult to assess its depth or length as the structural environment has changed. However, other qualities are still quite palpable and should be employed to understand the patient’s condition even in the absence of certain pulse qualities such as depth and length.

“Opposite Middle Pulse” (fan guan mai): radial artery is found on the dorsal side of the radius (on the Large Intestine channel). “Deviated Angle Pulse” (xie fei mai): radial artery is not found along the Lung channel, but anywhere else.

In my own experience, I’m guessing that this arises in perhaps 1 or 2 percent of the general population. It comes up more frequently than you’d think.

Next: the wrap up.

Last modified: July 15, 2009  Tags: ,  ·  Posted in: Pulse Class, Pulse-Palpation