When analyzing pulse according to TCM five-elements theory, which point should be needled if there is a strong pulse in the Gate position of the right wrist?

In Traditional Chinese Medicine (TCM), pulse analysis is a critical diagnostic tool, and the interpretation of pulse quality can direct treatment decisions, including needling specific acupuncture points. When a strong pulse is detected in the Gate position of the right wrist, it indicates an excess condition related to the heart or the associated elements, and the need for sedation is indicated.

In this context, the right wrist corresponds to the heart and the Small Intestine channel, as the pulse at the right wrist reflects the fire element associated with these organs. Sedating acupuncture points relevant to the heart or Small Intestine can help harmonize and balance this excess energy.

The point ST-45, known as the "Screaming" point, is located on the foot and is associated with the Stomach channel, which has a relationship with the fire of the Heart in the five-element theory. Sedating this point can effectively reduce the intense fire energy present in the heart channel and help alleviate the strong pulse, thus reinforcing the treatment strategy.

Choosing ST-45 to sedate will effectively address the excess condition indicated by the strong pulse, promoting balance and harmony in the patient's energy system. This makes it the most appropriate choice in the context of five-element theory and pulse