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Seasonal Energies – Earth
Element – Wood


Sensory Characteristic: The pulse at the LIV pulse position is characterized by vigorous flexibility in addition to the gentle softness reflecting the LIV’s connection to the Earth.

In the Clinic: The pulse is easily felt. Despite the wide variety of imbalances that are characteristic of the LIV, this pulse is relatively easy to diagnose due to its vigor and clarity.

Common Imbalances:

Mild Heat in the LIV - This is an extremely common condition in children and appears before and after illnesses, during the eruption of teeth, during mild stress, and following vaccinations.
Heat in the LIV -
 The LIV tends to lose balance in situations of excess, and therefore this is the most common type of imbalance in children. It is also involved in most conditions of excess.
Fire in the LIV - This relatively rare condition can occur during pneumonia and other acute illnesses. Such cases require a heat balancing treatment using diffusion technique.

Emotional Wind (Gui) in the LIV This pulse is prominently common in nightmares and states of restlessness characterized by lack of concentration and substantial activeness.

Weakness in the LIV This pulse is characteristic of general weakness, and is typically felt along with weak pulses at all pulse positions. There is no definite connection between weakness at the LIV pulse position and any specific illness.  

Cold in the LIV This pulse is characteristic of children who are taking antibiotics or who have taken them in the past. In a minority of cases, this pulse will appear after catching a cold, usually from air conditioners during the summer, or from exposure to cold during the winter. 

Internal Cold in the LIV This pulse reflects internal cold, typically following the use of antibiotics.  




Seasonal Energies – Water

Element – Wood

Sensory Characteristic: The pulse of the GB is prominent in its high level of yang. It is large and swollen, extremely similar to the pulse of the BL, but more active and somewhat taut.

In the Clinic: As a yang organ, the GB not plays an important role in diagnosing pulses in children. In adults, the GB is involved in orthopedic problems that are not common in children.

Common Imbalances:

Heat in the GB  - This condition is typical of the first stage of treating Herpes Zoster, which is characterized by reactive heat and cold in the GB.   

Cold in the GB  - The second stage of treating Herpes Zoster requires balancing the cold in the GB. Note: diagnosing cold in the GB is challenging due to the yang that characterizes this organ. From the outset, it is extremely similar to a pulse reflecting cold. Both yang and cold pulsate, and the two are therefore similar.        

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The Appearance of Cold versus Internal Cold

Obstruction in the LIV - This pulse is not common in children. In children, the pulse at the LIV position tends toward states of excess. The qi in children in general, and in the LIV in particular, tends to burst forth and is seldom obstructed.

Excess Metal in the LIV - This pulse reflects the strong inward flow of LIV qi. The qi contracts and becomes a deep obstruction. It is characteristic primarily of emotional states causing frustration and embitterment. The pulse feels as if it is almost not moving, and there is the feeling of something small and metallic at the bottom of the position. 








Obstruction of the Chong Mai
This pulse typically appears in situations when children enter a state of imbalance due to an extreme reaction to a vaccination. The vaccination penetrates the deep layers of the LIV and creates a deep obstruction on the level of the chong mai.

It is felt only upon deep pressing at the LIV position, next to the bone. The feeling is similar to the metallic pulse at the LIV position, but its location is different. In a metallic pulse, the entire pulse is metallic. In an obstruction of the chong mai, the obstruction, along with the pulse of the lower LIV, is felt at the bottom of the position.      

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