In theory, you get the benefit of a downhill rushing attack. Now, if you're just slinging it all over the place, and don't even bother audibling to a run (which Leach would let his QBs do), then it's pretty much pointless. But if you want a balanced attack while still preserving most of the Air Raid concepts, the Pistol can work.
In the game, one thing that is frustrating about the Pistol Air Raid plays is that they include Y Shallow and Z Shallow, but not X and H. Yes, since it's a balanced formation it can simply be flipped, but it was still jarring to me to only see two Shallow Cross plays.
EDIT: Plus what Mors said. I didn't see that until after I replied
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