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Traditional Medicine in Asia

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<strong>Traditional</strong> <strong>Medic<strong>in</strong>e</strong> <strong>in</strong> <strong>Asia</strong><br />

of the pulse. It is complex when more than<br />

one feature is <strong>in</strong>volved, e.g., the pulse<br />

shows two different types of irregularities<br />

but each one is so repeated that both<br />

irregularities form a s<strong>in</strong>gle cycle of a regular<br />

complex irregularity. An irregularly irregular<br />

pulse is the converse of the above.<br />

Rhythm<br />

The rhythm of the pulse is the time relation<br />

between the two periods of movement and<br />

the two periods of rest. When these<br />

relations are not perceived, the rhythm is<br />

taken to be the relation between the period<br />

of rise and the period of rest <strong>in</strong> two<br />

consecutive pulse beats. In short, the<br />

period of movement should be compared<br />

with the period of rest. The pulse may thus<br />

be eurhythmic or dysrhythmic.<br />

Dysrhythmic pulse is of three varieties:<br />

� Pararhythmic, <strong>in</strong> which the rhythm of<br />

a child’s pulse is like that of the pulse<br />

of a young man;<br />

� Hetrorhythmic, <strong>in</strong> which the rhythm of<br />

a child’s pulse corresponds to that of<br />

an old man’s pulse;<br />

� Etrhythmic, <strong>in</strong> which the rhythm is so<br />

utterly abnormal that it does not<br />

correspond to the rhythm of any age.<br />

Marked deviations of rhythm <strong>in</strong>dicate<br />

gross derangement <strong>in</strong> the body.<br />

The factors which govern the pulse are of<br />

two types:<br />

� Intr<strong>in</strong>sic factors: These are of a<br />

general type and are fundamentally<br />

responsible for the formation of pulse<br />

and are thus known as the constitutional<br />

factors;<br />

� Extr<strong>in</strong>sic factors: Although these are<br />

not directly concerned with the<br />

formation of the pulse, they do produce<br />

changes <strong>in</strong> it and are thus, (i) Absolute<br />

as those which are necessary<br />

38<br />

concomitants of a healthy life, and (ii)<br />

Subsidiary, which are not so necessary.<br />

Effects on the pulse of factors <strong>in</strong>imical to<br />

the body are:<br />

� Temperament: The effects of various<br />

abnormal temperaments have already<br />

been described.<br />

� Compression of the vessel: This<br />

changes the form of the pulse by<br />

suppress<strong>in</strong>g the strength and thus<br />

mak<strong>in</strong>g it <strong>in</strong>constant. When the<br />

pressure is overwhelm<strong>in</strong>g the pulse<br />

becomes irregular and arrhythmic.<br />

The compression may or may not be<br />

from an <strong>in</strong>flammatory mass.<br />

� Strength: Dispersal of strength makes<br />

the pulse weak, as <strong>in</strong> severe pa<strong>in</strong>, and<br />

psychological factors also cause severe<br />

dispersal.<br />

Ur<strong>in</strong>e<br />

The follow<strong>in</strong>g conditions have to be<br />

observed so that the <strong>in</strong>formation derived<br />

out of it is reliable. The specimen should<br />

be of overnight ur<strong>in</strong>e. Ur<strong>in</strong>e should be<br />

collected <strong>in</strong> a clear and colourless bottle <strong>in</strong><br />

the morn<strong>in</strong>g on empty stomach and not<br />

reta<strong>in</strong>ed for too long after collection.<br />

The <strong>in</strong>dividual should not have used<br />

diuretics or any sustenances which colour<br />

the ur<strong>in</strong>e. Undue mental and physical<br />

exertions should be avoided as these too<br />

colour the ur<strong>in</strong>e, e.g., fast<strong>in</strong>g, lack of sleep,<br />

fatigue, hunger and outbursts of anger<br />

make the ur<strong>in</strong>e red or yellow. Coitus gives<br />

a marked oily appearance to the ur<strong>in</strong>e.<br />

Vomit<strong>in</strong>g, diarrhoea and polyuria also<br />

change its colour and density. In <strong>in</strong>fants<br />

and children, ur<strong>in</strong>e does not give any<br />

reliable <strong>in</strong>dication because milk feed<strong>in</strong>g<br />

hides the proper colour and consistency<br />

of ur<strong>in</strong>e. Also, their phlegmatic nature<br />

tends to hold back the pigments and

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