diagnosis pulse

What are the 8 Pulse conditions in Eight Qualities?

1. Location

2. Frequency

3. Length

4. Strength

5. Width

6. Smoothness

7. Tension

8. Rhythm

Normal Pulse is

Gentle, even, rhythmic, energetic

-full of vitality (shen), stomach Qi and Rooted (signifies the existence of Kidney Energy or Vital Gate Fire)

-pulse without Vitality, Stomach Energy or Rooted has omnious outcome

Factors that influence the pulse condition

1. male or female

2. age: infants, young people, elderly

3. Emotion: emotional changes influence the pulse directly & immediately

4. diet

5. physical activities

6. seasonal & climatic variations: spring-wiry, Summer-floody, Fall-floating, winter-deep

What are the 6 yin pulses? & when normal

cun, guan, chi

is congenitally deep and thready without disorders

What are the 6 yang pulses? and when normal

indicates cun, guan, chi of both sides

-is congenitally full and large without disorders

what is the pulse in the

1. spring

2. summer

3. fall

4. winter

1. spr: wiry

2. s: floody

3. Fall: floating

4. Winter: deep

This pulse feels distinct only on light touch & slightly weakened on pressing

“the wood floating in water”

signifies: an exterior syndrome

-exterior

-deficiency syndrome

-upward escape of yang qi

Floating Pulse

This pulse feels distinct only on heavy pressing

Clinic signification:

Interior syndrome:

1. Interior deficiency syndrome-deep & feeble

2. Interior excess syndrome-deep & energetic

Deep Pulse

This indicates a pulse whose frequency is less than 60 mins

Clinical Signification:

Cold Syndrome

1. Deficiency Cold Syndrome: slow & feeble pulse

2. Excess Cold Syndrome: slow & energetic pulse

Slow Pulse

This indicates a pulse whose frequency is faster than 90/min.

Clinic signification:

A heat syndrome.

1. Deficiency heat syndrome: rapid and feeble pulse

2. Excess heat syndrome: rapid and energetic pulse

Rapid Pulse

This pulse feels full & large, coming vigorously like waves surging and going gently like “tidal waves”

Clinic signification:

Exuberance of Qi & Hyperactivity of Fire

1. Febrile Heat in Qi level

Flooding Pulse

This pulse feels extremely soft and thready, discernible in one moment and indistinct at another.

Clinic signification:

The collapse of Yang

1. The extreme exhaustion of Qi & Blood

Indistinct Pulse

This pulse feels thin and feeble yet easily perceptible

Clinic signification:

The exhaustion of Qi & Blood or other kinds of deficiency

Thready Pulse

This pulse feels floating, diffuse on light touch and faint on heavy pressing. Its rhythm is irregular.

Clinic signification:

The exhaustion of Heart Qi

1. or the failure Qi of viscera

2. Yuan Qi exhausted

Scattered Pulse

This pulse feels soft, feeble & hollow

Clinical signification:

The deficiency of Qi & Blood or depletion of body fluids

Feeble Pulse

This pulse feels vigorous in coming and going and energetic on light touch & heavy pressing

Clinical Signification:

Excess Syndrome

Full Pulse

This pulse feels slippery while it comes and goes.

Clinical signification:

Excess Syndrome

1. The existence of phlegm

2. Food Retention

3. Excessive Heat

Slippery Pulse

This pulse feels unsmooth while coming and going, like scraping bamboo

Clinic Signification:

The deficiency of blood, essence or body fluids:

1. The stagnation of Qi & Blood

Choppy pulse

This pulse feels like it extends longer than cun, guan, chi

Clinical significance:

Healthy State: long & moderate pulse

both the pathogenic evil & righteous Qi are exhuberant: long & stiff pulse

Long Pulse

This indicates a pulse which is distinct only at Bar or of short extent

Clinic Significance:

The deficiency of Qi and or Blood: short & feeble pulse

1. The depression of Vital Energy-short & energetic pulse

2. The accumulation of Phlegm & energetic pulse

3. Dyspepsia-short & energetic pulse

Short Pulse

This pulse feels straight & long like the string of a musical instrument

Clinical significance:

The hyperactivity of Liver & Gallbladder

1. pain

2. retention of Phlegm Fluid

Wiry Pulse

This pulse feels floating, large and hollow like a green onion

Clinical signification:

A sudden profuse loss of blood

-critical depletion of Yin

Hollow Pulse

This pulse feels tense and energetic like a cord stretched tight

Clinical significance:

The existence of Cold

1. pain

2. Dyspepsia (general term for discomfort or pain in upper abdomen)

Tight Pulse

This indicates a pulse with diminished tension & moderate frequency

Clinic significance:

Healthy state

1. Dampness syndrome

2. The debility of Spleen & Stomach

Moderate pulse

This pulse feels floating, stringy, exteriorly taut and interiorly hollow like a drum surface

Clinic Significance:

A loss of blood such as premature labor, metrorrhagia or spermatorrhea

Leather Pulse

This pulse feels replete, energetic, long & slightly stringly:

it can only be felt on heavy pressing

Clinic Significance:

Internal accumulation of Yin Cold

1. Hernia

2. Mass in the abdomen

Firm Pulse

This pulse feels extremely soft, feeble and thready:

it can be felt only on heavy pressing

Clinic Significance:

The deficiency of Qi & Blood

Weak pulse

This pulse feels floating, thready, and soft on light touch, but faint on heavy pressing

Clinic significance:

Deficiency syndrome

-dampness syndrome

Soggy Pulse

This pulse feels deeper than the deep pulse and can be felt only on pressing hard to the bone

Clinic significance: Syncope

1. severe pain

2. internal blockage due to pathogenic evils

Hidden Pulse

This pulse feels slippery, rapid and energetic like a bouncing pea

Clinic Significance:

A state of being frightened

1. pain

2. pregnancy

Moving Pulse

This pulse feels hasty and rapid with irregular intermittence

Clniic significance:

The exhuberance of excess Heat

1. The stagnation of Qi & Blood

2. The retention of Phlegm Fluid

3. Dyspepsia

Hasty Pulse

This indicates a pulse which is slow with irregular intervals

Clinic significance:

The stagnation of Qi & Blood

Knotted Pulse

This pulse feels weak and slow, with pausing at regular intervals

Clinic significance:

A disorder of Heart

-the debility of Viscera

Intermittent pulse

This indicates a pulse whose frequency is about 120-140/min

Clinic significance:

The Hyperactivity of Yang

-the exhaustion of Yin

Hurried Pulse