Blood in Stool, Thin Pulse, Slippery Pulse – Ni Haixia’s “Huangdi Neijing” Chapter 18, Section 3, Four Classic Texts (6)

Blood in Stool, Thin Pulse, Slippery Pulse - Ni Haixia's "Huangdi Neijing" Chapter 18, Section 3, Four Classic Texts (6)

Section 7 Blood in Stool, Thin Pulse, Slippery Pulse

If the pulse is thin and deep, it indicates a Shaoyin (Lesser Yin) condition. This is often felt when the pulse is very thin and deep at the bone’s edge. When the pulse reaches the bone, remember that the bone corresponds to the kidney, right? The pulse is very thin and small, located at the bone’s edge, indicating a Shaoyin issue.

However, if the pulse is vertical and when pressed down, there is a special pulse that remains at the bone’s edge. When you press your finger down to the bone, the pulse is still there, indicating that there is a solid accumulation inside. This is referred to as the Fugu (附骨) pulse, which is attached to the bone. This pulse indicates the presence of tumors or other growths near the bone. If the liver pulse is felt at the bone’s edge, it indicates a tumor in the liver, which can be immediately recognized.

So, if we simplify the pulse diagnosis to differentiate between deficiency and excess, a deficient pulse will disappear when pressed to the bone, while an excess pulse will still be present. This is the basic differentiation of deficiency and excess. However, to differentiate Yin and Yang, we can compare the cun (寸) and chi (尺) positions, which allows for a simple differentiation of Yin and Yang.

If the pulse is thin and scattered, it does not remain fixed in one place, indicating a condition of cold and heat. A floating and scattered pulse indicates that Yang has risen to the surface. Normally, Yang should be balanced with Yin, so a normal pulse in a healthy person will slope downwards, with 9 parts above and 1 part below, which is our standard pulse.

Here, the pulse is described as floating and scattered. If the pulse rises, it indicates that Yin is dominant and Yang is weakened and scattered. When Yang rises, it can cause dizziness and fainting.

In clinical practice, we often see patients who come in with unexplained fainting spells. One patient said he fainted without any apparent reason, and when he regained consciousness, he felt fine again. This is a case of Yang rising to the surface.

When Yang rises, it is because Yin cannot stabilize Yang. Therefore, when Yin and Yang are balanced, the symptoms resolve.

One patient, aged 48, after taking a dose of medicine, said he felt better than he had in 30 years since graduating high school. This demonstrates the effectiveness of Traditional Chinese Medicine.

So remember, symptoms of dizziness and fainting indicate that Yang is not being contained. If all pulses are floating but not dry, what do we mean by dry?

When you inhale, the pulse should jump twice, and when you exhale, it should jump twice. If now, when you inhale, the pulse jumps three times, and when you exhale, it jumps three times, with a pause in between, this is called a dry pulse.

A floating pulse that is not dry indicates that the disease is in Yang, which is associated with heat. If the pulse is floating and dry, the disease is in the hands. A dry pulse indicates a problem in the upper body.

All pulses that are thin and deep indicate that the condition is in Yin, leading to bone pain. If the pulse is thin and deep, it is located in the feet. The hands represent Yang, while the feet represent Yin. Therefore, when we differentiate, the feet are Yin. All thin and deep pulses are found at the bone’s edge, and the term ‘static’ refers to a pulse that is relatively slow.

A pulse that is rapid and fluctuating indicates a problem in Yang. If the pulse beats rapidly, a normal pulse should maintain a stable rhythm. If it suddenly changes speed, this indicates a problem in Yang, as speed relates to Qi. This can lead to blood in the stool.

For all excess conditions, we must examine them. Why does blood appear in the stool? I have treated many such cases. In the human body, blood vessels are present in all organs, including the large and small intestines. If blood appears in the stool, it may be due to arterial blockage or detachment, or inflammation of the large intestine. Patients may have no inflammation, yet blood is expelled with the stool, or it may manifest as blood in the urine.

When blood is expelled, as mentioned earlier, if blood is one liter, it corresponds to one organ segment; two liters correspond to two segments, and three liters correspond to three segments. I cannot measure this directly; you would need to provide a cup for measurement, which is impractical. This is referred to as one liter being the daily amount. If a person expels three liters of blood in a day, it corresponds to three organ segments.

In Traditional Chinese Medicine, when blood flows through the meridians, it should not leak out. This indicates that Yin and Yang are in harmony.

If Yin and Yang are not in harmony, blood will deviate from its path. The concept of containment is that Yang must contain, and when Yang is deficient, Yin will overflow. This is a relative relationship, similar to the dynamics in a marriage. Sometimes, if one partner is too dominant, a slight push is needed to restore balance.

This is not just my opinion; even the “Huangdi Neijing” states that the Yellow Emperor found the questions too tedious. He said he had already discussed this with Qibo, who was often at odds with him, and he would be executed for any disagreement. Qibo dared to say he had already covered this topic, which shows the importance of balance.

Therefore, Yang must be contained. If Yang is not contained, it leads to blood in the stool. Thus, rapid fluctuations in the pulse indicate a problem in Yang.

The thin pulse indicates a standard deficiency of Yin. When Yin is insufficient, Yang is excessive. When feeling the pulse, it is not smooth. The speed, shape, and strength of the pulse all relate to Qi. When feeling the blood’s speed within the pulse, if it is sluggish, it indicates insufficient Yin.

Insufficient Yin can lead to excessive Yang. The slippery pulse indicates an excess of Yin. What is a slippery pulse? When you feel it, the pulse is rapid, and you can feel the blood flowing very smoothly within the vessels, indicating a slippery pulse.

When feeling the pulse, remember that the cun pulse is higher, while the chi pulse is lower. Therefore, when you feel it, there is a slope; it is not flat. You must have this concept in mind when feeling the pulse. Without a standard, how can you determine what is normal or abnormal? From this perspective, you can learn to feel the pulse accurately.

Blood in Stool, Thin Pulse, Slippery Pulse - Ni Haixia's "Huangdi Neijing" Chapter 18, Section 3, Four Classic Texts (6)

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