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Pulses in TCM
Pulses in TCM: Front Side: CAM (Giovanni); Back Side: Def & Ind 1 = CAM, Def & Ind 2 = Giovanni
37
Medical
Graduate
03/10/2009
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Term
Superficial (Floating)
 Definition
Definition 1:
  • Easily felt with gentle touch
Indication 1:
  • Exterior Syndromes (present at early stage of exogenous disease)
Definition 2:
  • Felt with light pressure of the fingers, just resting the fingers on the artery
Indication 2:
  • Exterior pattern from an invasion by exterior pathogenic factor
Term
(Floating & Tight)
 Definition
Indication 2:
  • Wind-Cold
Term
(Floating & Rapid)
 Definition
Indication 2:
  • Wind-Heat
Term

Superficial, Large, & Weak

(Floating at the Superficial Level, but empty at the Deep Level)

 Definition
Definition 1:
Indication 1:
  • Prolonged Endogenous Disease
  • Outward floating of Yang Qi
  • Critical Sign
Definition 2:
Indication 2:
  • Interior conditions
  • Rare: cancer, anemia
Term
Deep
 Definition
Definition 1:
  • Felt only on heavy pressure
Indication 1:
  • Interior Syndromes
 
Definition 2:
  • Felt only with a heavey pressure of the fingers and is felt near the bone
Indication 2:
  • Interior conditions
  • Problems in the Yin organs
Term

Deep & Forceful

(Deep & Full)

Definition
Definition 1:
Indication 1:
  • Interior syndromes of excess type
Definition 2:
Indication 2:
  • Stasis of Qi or Blood in Interior
  • Interior Heat
  • Interior Cold
Term
Deep & Weak
 Definition
Definition 1:

Indication 1:

  • Interior Syndromes of Deficient Type
Definition 2:
Indication 2:
  • Deficiency of Qi & Yang
Term
Slow Pulse
 Definition
Definition 1:
  • Slow, with less than 4 beats per breath, less than 60 beats per minute

Indication 1:

  • Cold Syndromes
Definition 2:
  • 3 beats per respiration cycle
Indication 2:
  • Cold Pattern
Term

Slow & Forceful

(Slow & Full)

Definition
Definition 1:

Indication 1:

  • Interior Syndromes of Excess Type caused by retention of Yin Cold in the Interior
Definition 2:
Indication 2:
  • Indicates Full-Cold
Term
Slow & Weak
 Definition
Definition 1:

Indication 1:

  • Interior Syndrome of Deficient Type due to Deficiency of Yang Qi
Definition 2:
Indication 2:
  • Empty-Cold from Deficiency of Yang
Term
Rapid Pulse
 Definition
Definition 1:
  • Quick, more than 5 beats per breath, more than 90 BPM

Indication 1:

  • Heat Syndrome
Definition 2:
  • More than 5 beats per each respiration cycle
Indication 2:
  •  Heat Pattern
Term

Rapid & Forceful

(Rapid & Full)

Definition
Definition 1:

Indication 1:

  • Excess Heat retained in the Interior & Antipathogenic Qi is still strong
Definition 2:
Indication 2:
  • Full Heat
Term

Rapid & Weak

(Rapid, Floating & Empty)

 Definition
Definition 1:

Indication 1:

  • Deficiency of Yin in prolonged illness
Definition 2:
Indication 2:
  • Empty Heat from Yin Deficiency
Term
Rapid, Large, Weak, Empty Pulse
 Definition
Definition 1:

Indication 1:

  • Outward floating of Deficient Yang
Term

Deficiency Type Pulse

(Empty)

Definition
Definition 1:
  • General term for all forceless pulses felt on the 3 regions and 3 levels of pressure

Indication 1:

  • Deficiency of Qi & Blood causing Deficiency type Syndromes
Definition 2:
  • Feesl rather Big but feels Empty on a slightly strong pressure and is Soft
Indication 2:
  • Qi Deficiency

 
Term

Excess Type Pulse

(Full)

Definition
Definition 1:
  • General term for all the Foreceful pulses felt on the 3 regions and 3 levels of pressure

Indication 1:

  • Excessive Qi & Blood caused by strong antipathogenic Qi against the hyperactive pathogenic factor
Definition 2:
  • Feels Full, rather Hard, and rather Long
Indication 2:
  • Full Pattern
Term

Surging Pulse

(Overflowing)

Definition
Definition 1:
  • Broad, Large, and Foreceful like roaring waves wich come on powerfully and fade away

Indication 1:

  • Excessive Heat
Definition 2:
  • Feels Big, like it overflows
Indication 2:
  • Extreme Heat
  • Frequently apprears during fever
  • Felt in chronic diseases characterized by interior Heat
Term
Surging & Rapid
 Definition
Definition 1:

Indication 1:

  • Excessive Heat
Term

Large Pulse

 Definition
Definition 1:
  • Surging pulse that lacks the momentum of roaring waves

Indication 1:

  • Excess Heat
Term
(Overflowing but Empty)
 Definition
Definition 2:
Indication 2:
  • Empty-Heat from Yin Defeciency
Term

Thready

(Fine)

Definition

Definition 1:

  • Feels like a fine thread but is very distinct and clear

Indication 1:

  • Deficiency due to overstrain and stress
  • Deficinecy of Qi and Blood
  • Found in weak patients with weak body constitution in a prolonged illness manifesting and Yin and Blood Deficinecy

Definition 2:

  • Thinner than normal

Indication 2:

  • Deficinecy of Blood
  • May indicate internal Dampness with severe deficiecy of Qi
Term

Rolling

(Slippery)

Definition
Definition 1:
  • Feels smooth & flowing like pearls rolling in a dish

Indication 1:

  • Phlegm & Retained Fluid
  • Retention of Food
  • Excess Heat
Definition 2:
  • Feels smooth, rounded, & slippery to the touch, as if it were oily. It slides under the fingers
Indication 2:
  • Phlegm
  • Dampness
  • Retention of Food
  • Pregnancy
Term
(Slippery & Weak)
 Definition
Definition 2:

Indication 2:

  • Phlegm or Dampness with a background of Qi Deficiency
Term
Rolling Pulse in Woman During Pregnancy
 Definition

Definition 1:
Indication 1:

  • Sufficient and Harmonious Qi and Blood
Term

Hesitant

(Choppy)

Definition
Definition 1:
  • Feels Rough & Uneven

Indication 1:

  • Stagnation of Qi & Blood
  • Essence is impaired
  • Blood is insufficient
Definition 2:
  • Feels rough under the finger, it has a jagged edge to it
Indication 2:
  • Deficiency of Blood
  • Exhaustion of Fluids
  • May occur after profuse & prolonged sweating or vomiting
Term
Hesitant & Forceful
 Definition
Definition 1:

Indication 1:

  • Stagnation of Qi & Blood
Term
Hesitant & Weak
 Definition
Definition 1:

Indication 1:

  • Essence is impaired
  • Blood is insufficient
Term

String Taught Pulse

(Wiry)

Definition

Definition 1:

  • Feels taught, straight and long, giving the feeling of a string on a violin

Indication 1:

  • Disorders of Liver (肝) and Gallbladder (膽)
  • Painfulsyndromes
  • Phlegm and retained fluid
Definition 2:
  • Feels taught like a guitar string
Indication 2:
  • Liver (肝) disharmony
  • Pain
  • Phlegm
Term

Tense Pulse

(Tight Pulse)

Definition

Definition 1:

  • Feels tight and forceful like a stretched rope

Indication 1:

  • Cold (寒)
  • Pain
  • Retention of food
Definition 2:
  • Feels twisted like a thick rope
Indication 2:
  • Cold (寒)
  • Frequently felt in asthma from cold in the Lungs (肺)
  • Frequently felt in Stomach (胃) conditions from Cold (寒)
  • Indicates pain from an interior condition
Term
(Tight, Weak, & Deep)
 Definition
Definition 2:

Indication 2:

  • Denotes interior Empty-Cold
Term

Soft Pulse

(Soggy/Weak-Floating)

Definition

Definition 1:

  • Is superficial and thready, and hits the fingers without strength

Indication 1:

  • Damp (濕) disorders
Definition 2:
  • Can be felt only on the superficial level
  • It feels very soft and is only slightly floating
  • It disappears when a stronger pressure is applied to feel the deep level 
Indication 2:
  • Presence of dampness (濕) when this pathogenic factor occurs against a background of Qi deficiency
Term
Weak Pulse
 Definition

Definition 1:

  • Deep and thready and hits the fingers without strength

Indication 1:

  • Various syndromes due to deficiency of both Qi (氣虛) and Blood (血虛)
Definition 2:
  • Cannot be felt on the superficial level, but only at the deep level
Indication 2:
  • Deficiency of Yang (陽虛)
  • Sometimes deficiency of Blood (血虛)
Term

Abrupt

(Hasty)

 Definition

Definition 1:

  • Feels hurried and rapid with irregularly missed beats

Indication 1:

  • Excessive Yang Heat
  • Stagnation of Qi and Blood (氣血郁)
  • Retention of Phlegm or food
Definition 2:
  • Rapid and it stops at irregular interval
Indication 2:
  • Extreme Heat
  • Deficiency of Heart Qi (心氣虛)
  • Conditions of Heart Fire (心火)
Term
Abrupt & Forceful
 Definition
Definition 1:

Indication 1:

  • Heat syndromes of Excess type due to:
    • Stagnation of Qi & Blood (氣血郁)
    • Retention of Phlegm or Food
    • Swelling & pain
Term
Abrupt & Weak
 Definition
Definition 1:

Indication 1:

  •  Sign of prostration (extreme exhaustion)
Term
Knotted
 Definition

Definition 1:

  • Slow with irregular missed beats

Indication 1:

  • Excessive Yin
  • Accumulation of Qi
  • Retention of Cold Phlegm
  • Stagnant Blood (血郁)
Definition 2:
  • Slow and stops at irregular intervals
Indication 2:
  • Cold (寒)
  • Deficiency of Heart Yang (心陽虛)
Term

Regularly Intermittent

(Intermittent)

Definition

Definition 1:

  • Slow and weak with missed beats at regular intervals

Indication 1:

  • Decline in Zang Qi
  • Wind Syndromes
  • Painful syndromes of fear and fright
  • Traumatic contusions and sprains
Definition 2:
  • Stops at regular intervals
Indication 2:
  • Serious internalproblems of one or more Yin organs
  • Stops evey four beats: Serious condition
  • Serious heart problem
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