Pulses

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Floating/superficial pulse indicates?: a) If forceful, an exterior pattern from invasion by exterior pathogen.

b) If forceless, a vacuity pattern.
Flooding/surging pulse feels like?: a) Broad, large, forceful at all levels, esp superficial

b) Comes w force, goes with less strength

c) "Like waves hitting the beach but receding calmly"
Flooding/surging pulse indicates?: a) Exuberant heat (yang repletion)

b) Yang ming illness -- 4 bigs

c) Normal in health people in hot weather
Empty/vacuous pulse feels like?: a) Floating, large, slow (flacid, loose)

b) Becomes soft & weak with application of pressure
Empty/vacuous pulse indicates what?: Vacuity pattern, especially of qi & blood
Scattered pulse feels like?: a) Indistinct, big, & forceless at the superficial level

b) Vanishes quickly with increased pressure

c) "Like dandelion seeds floating in the air, without root"

d) chaotic rhythm
Scattered pulse indicates?: a) Dissipation of yuan qi (ST/postnatal qi exhaustion; no "production"/maintenance of yuan qi; yin is not constraining yang)

b) Impending expiry of organ qi Rootless (re: to KI/chi pulses)
Hollow/scallion stalk pulse feels like?: a) Floating & large under slight pressure

b) Empty in the middle with heavier pressure (like the stalk of a scallion)

c) More substantial at the edges than the center

d) Softer than a leather/drumskin pulse
Hollow/scallion stalk pulse indicates?: a) External excess + internal vacuity

b) Acute/heavy bleeding, trauma, shock
Leather/drumskin pulse feels like?: a) A combo of hollow (taught) & wiry pulses

b) Like a tight drumskin; hard on the outside and empy inside
Leather/drumskin pulse indicates?: a) Loss of blood or jing
Soft/soggy pulse feels like?: a) Fine, floating, & forceless (small)

b) Less distinct when more pressure is applied

c) "Like a strand of cotton floating on water"
Soft/soggy pulse indicates?: a) Vacuity of qi & blood (loose, slack)

b) Dampness (b/c of damp qi obstructing the vessel)
Minute/faint pulse feels like?: a) Extremely fine, soft, forceless, floating & indistinct, almost imperceptible

b) Disappears intermittently under slight pressure
Minute/faint pulse indicates?: a) Vacuity of yang, yin, qi, & blood; points to yang qi vacuity

b) critical illness
Deep Pulse feels like?: Distinct only at the deep level
Deep pulse means what?: a) An interior condition, in the YIN organs

b) Entrenched disease that will be hard to cure

c) Normal in fat people, people who are reserved, and in winter
Hidden pulse feels like?: a) Deeper than deep

b) can't be felt except under considerable pressure near bone level in all 6 positions
Hidden pulse indicates?: a) INVERSION PATTERN(sudden loss of consciousness w cold limbs)

b) EXTREME PAIN (esp of long duration)

c) DEPRESSED EVIL(one that sits on the vessel; cold or heat w obstructed channels)

d) VIOLENT VOMITING/DIARRHEA causing yin exhaustion and yang desertion
Firm/confined pulse feels like?: a) Deep, wiry, long, & forceful

b) Must use deep pressure to feel it
Firm/confined pulse indicates?: a) Internal yin-cold repletion

b) Qi stagnation (hernia)

c) Blood stasis (abdominal masses)
Full/replete pulse feels like?: a) Forceful at all 3 levels

b) Wiry, long & hard
Full/replete pulse indicates what?: a) REPLETION pattern

b) exuberant qi & blood; violent struggle between right & evil qi

c) Yang ming pattern

d) Qi-level pattern
Weak pulse feels like?: Deep, fine, forceless
Weak pulse indicates?: Vacuity of qi & blood
Thin/fine/thready pulse feels like?: a) Thin & forceless

b) Like a well-defined thread

c) Like a spider's web thread

d) Thinner than a soft pulse
Thin/fine/thready pulse indicates?: a) Vacuity of qi, yin, or blood

b) Dampness (damp heat may obstruct vessels causing a deep pulse)
Rapid pulse feels like?: a) 5-6 beats per respiration

b) More than 90 beats per minute
Rapid pulse indicates what?: a) Yang heat pattern

b) Yuan qi desertion

c) Empty/Rapid is Empty/Heat from YIN deficiency

d) Full/Rapid is Full/Heat.
Racing pulse feels like?: a) 7 or more beats per respiration

b) 120 or more beats per minute
Racing pulse indicates?: a) Exuberance of yang

b) Exhaustion of yin

c) Yang desertion

d) Normal in children under 3

e) Normal in women about to give birth
Slippery pulse feels like?: a) Smooth, flowing

b) "Like pearls rolling in a dish"

c) Opposite of choppy
Slippery pulse indicates?: a) Phlegm-rheum (damp accumulation)

b) Food stagnation

c) Full heat

d) Pregnancy
Tight pulse feels like?: a) Tense, forceful, wiry

b) vibrates to L & R

c) "Like a tightly stretched & twisted rope"

d) 70-80 BPM considered normal
Tight pulse indicates?: a) In general, contraction, usu interior

b) Invasion by cold evil (if superficial, wind-cold; if deeper, cold interior pattern)

c) Pain pattern
Hasty/skipping pulse feels like?: Rapid with pauses at irregular intervals
Hasty/skipping pulse indicates?: a) Full heat due to exhuberance of yang

b) Qi stagnation or blood stasis
A moving/stirring pulse feels like?: a) Rapid, short, slippery, forceful

b) felt only at the guan position

c) "Like a bean moving or spinning"
A moving/stirring pulse indicates?: a) Pain pattern (intense pain where qi has gone to center of body)

b) Intense fright

c) Could be at any level
Slow pulse feels like?: a) 3 or fewer beats per respiration

b) Less than 60 beats per minute
Slow pulse indicates what?: a) Internal cold or heat accumulation (forceful) c/b yang ming bowel

b) Vacuity cold (forceless)
Moderate pulse feels like?: a) 4 beats per respiration

b) 60-64 beats per minute

c) Liesurely, balanced
Moderate pulse indicates?: a) Health if not combined with other things

b) If weak, vacuity of ST/SP

c) If fine, dampness (b/c damp blocks qi and slows the pulse)
Choppy pulse feels like?: a) A rough pulse with uneven rythm

b) Slower & uneven, thin, short

c) 3-5 beats per respiration; doesn't skip beats, but has an UNEVEN space between beats (3-5-3-5-3-5-3)

d) "Like a knife scraping bamboo"

e) "Moves slowly and at irregular depths like an ill silkwork eating a leaf"
Choppy pulse indicates?: a) Generally, loss of yin fluids or ST obstruction

b) Damage to essence (loss of semen)

c) Vacuity of blood (anemia, fibroids; leads to coag, pooling, stasis)

d) Qi stagnation (as above)
Knotted pulse feels like?: Slow with pauses at IRREGULAR intervals
Knotted pulse indicates?: a) Qi stagnation

b) Blood stasis

c) If forceful, cold phlegm due to exuberance of yin

d) If forceless, yang vacuity
Intermittent pulse feels like?: a) Slow, forceless

b) Pauses at REGULAR intervals
Intermittent pulse indicates?: a) Insufficiency of yuan qi

b) Vacuity of qi & blood of internal organs

c) A dire pulse
Long pulse feels like?: Can be felt beyond the cun and chi positions
Long pulse indicates?: a) Heat pattern

b) Hyperactivity of liver yang

c) Normal health if felt mainly at the middle level
Short pulse feels like?: Cannot be felt simultaneously at both the cun and chi positions.
Short pulse indicates?: a) If weak: qi vacuity (transportation is slow making blood flow uncertain)

b) If strong: qi stagnation (due to blockages caused by food accumulation that blocks qi)
Wiry pulse feels like?: a) Taut, straight, & long

b) Like the string of stringed musical instrument

c) Opposite of weak
Wiry pulse indicates?: a) Liver or gall bladder disorder

b) Pain pattern

c) Phlegm-rheum (damp accumulation)

d) Shao yang disease (1/2 & 1/2; malaria)

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