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Pan-Canadian Exam TCM > Pulse > Flashcards

Pulse Flashcards

1
Q

Pulse positions

A
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2
Q

How to take pulse?

A
  1. Find styloid process with middle finger (this is guan position)
  2. Put index finger on cun position
  3. Put ring finger on chi position
  4. Must feel each level for at least 5 beats per level
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3
Q

Superficial Pulse

A

External Disease

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4
Q

Deep pulse

A

Internal disease

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5
Q

Middle pulse

A

Spleen/ Stomach disease

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6
Q

Normal pulse

A

72 bpm
(4-5 bpb)

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7
Q

Moderate pulse

A

60-70 bpm
(4 bpb)

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8
Q

Slow pulse

A

<60 bpm
(<4 bpb)

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9
Q

Rapid pulse

A

90-120 bpm
(5-6 bpb)

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10
Q

Racing pulse

A

> 140 bpm
(7-8 bpb)

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11
Q

Floating pulse

A
  1. External wind (+tight=cold, +rapid=Heat)
  2. Yin xu with yang floating
  3. Fall or autumn
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12
Q

Types of floating pulse

A
  1. deficient
  2. drum skin
  3. Feeble/Minute
  4. Full/ Flooding
  5. Hollow
  6. Scattered
  7. soggy/soft
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13
Q

Floating at different positions

A

Cun= Upper jiao, heaache, wind heat obstructing causing dizziness

Guan= Middle jiao, spleen qi xu or liver qi stag

Chi= Excess yang causing difficulty passing stool and urine

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14
Q

Strong under slight pressure, loses strength when pressure is increased

A

Floating pulse

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15
Q

Floating with slow strong beats but becomes soft when pressure is applied

A

Deficient floating

Qi, blood and yang xu

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16
Q

Floating and wiry, almost rapid with no substance in center

A

Drum skin pulse

Kidney essence or yin xu
blood and jing loss from yang xu, miscarriage, excess sperm loss

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17
Q

Floating, extremely thin and soft but still felt with pressure

A

Feeble

severe qi and blood xu
yang xu
emergency
collapse

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18
Q

Floating, rough and big with beats that rise strongly but fade out as well

A

Full or flooding

Fire
Full Heat
empty heat
Healthy in summertime

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19
Q

Floating, big and soft under slight pressure, but without substance at the center under heavier pressure

A

Hollow

hemorrhage (loss of blood or body fluids, allows yang qi to float to surface)

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20
Q

Floating, large, indistinct without strength or root. Palpable and irregular when slight pressure is applied, but vanishes when pressure is increased.

A

Scattered

Severe qi/blood Xu
Severe Kid Qi xu
Yuan QI xu
serious

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21
Q

Floating, very thin, and without strength. Disappears when pressure is increased. Only felt at the superficial level.

A

Soggy

Spleen qi xu unable to control damp
yin xu
blood xu
jing xu

22
Q

Can only feel under strong pressure to the level of the tendons and bones

23
Q

Deep at different levels

A

Cun= upper jiao, water retention, phlegm obstructing chest/diaphragm.
Guan= Middle jiao, excess stagnant pain inducing cold
Chi= Lower jiao, damaged yuan yang qi (vaginal discharge, incontinence of urine, diarrhea, KD xu lumbago)

24
Q

Types of deep pulse

A
  1. Excess
  2. firm
  3. hidden
  4. Thready
  5. Weak
25
Deep, often felt all three levels, big, long, wiry, strong beats.
Excess Severe accumulation of heat
26
Very deep, almost hidden, strong, long, wiry, and impatient.
Firm Liver qi stasis Pain Interior cold
27
Very deep, cannot be felt until deep pressure is applied to the level of the bone, and even then the beats seem to come from below.
Hidden Internal acumulation of cold Cold pathogens blocking yang Qi Severe painLOC/Coma
28
Thready (thin/fine)
Thready (thin/fine) Xu (Qi, blood, yin, yang) Damp blocking vessels
29
Deep, very soft and thin under deep pressure and not felt at the superficial level.
Weak Jing Xu Yin xu yang Qi xu Blood Xu Can be normal in elderly
30
90 bpm
Rapid heat or fire Deficiency yang floating upwards due to yin xu
31
Rapid pulse at different levels
Cun= Upper jiao, Heart fire blazing or dry heat in lung Guan= Middle jiao, liver fire or stomach fire Chi= Fire blazing from lower jiao
32
Types of rapid pulse
1. Moving 2. Racing 3. Skipping 4. Slippery 5. Tight
33
Rapid, tight, slippery, and short with strong beats.
Moving Shock Fright Pain yin/yang conflict
34
Very Rapid, over 120
Racing Excess yang causing yin xu. Impending exhaustion of yuan qi from excess yang.
35
Rapid but loses a beat at irregular intervals
Skipping Severe heat Fire causing Qi stasis Exces blood, food stag, phlegm Qi and blood stasis from heat drying yin fluids
36
Round and smooth and flows evenly
Slippery Phlegm Damp Food retention Pregnancy Excess heat Children
37
Rises and falls without strength and vibrates to the left and right.
Tight Cold (exterior and interior) Pain (contracting due to cold)
38
Under 60 bpm
Slow Cold Qi/Blood Xu causing cold Extreme Heat causing obstruction of blood Athletic
39
Slow pulse on different levels
Cun= cold in Upper jiao Guan= cold in Middle jiao Chi= cold in Lower jiao, heavy painful loins and thighs, incontinence or urine or scrotal hernia.
40
Types of slow pulse
1. Choppy 2. Intermittent 3. Knotted 4. Moderate
41
Slow pulse on different levels
Cun= cold in Upper jiao Guan= cold in Middle jiao Chi= cold in Lower jiao, heavy painful loins and thighs, incontinence or urine or scrotal hernia.
42
Slow, thin minute, difficult, stagnant, and short with uneven flow beating 3-4 times with irregular rhythm.
Choppy Blood xu Blood stasis Xu of blood or body fluids and essence Phlegm or food stasis
43
Loses a beat and then pauses a little longer before starting again, at regular intervals
Intermittent heart organ problems zang Qi weakness Excess emotions
44
Leisurely, but loses a beat at irregular intervals
Knotted blockage (Qi, blood, phlegm, cold) Qi and blood xu
45
Leisurely, but loses a beat at irregular intervals
Knotted blockage (Qi, blood, phlegm, cold) Qi and blood xu
46
60 bpm, if imbalanced pulse feels thick and viscous with slack.
Moderate Spleen Xu Damp Not enough blood to fill vessels Healthy
47
Large, fills up fingertip, forceful. Can be floating or deep.
Large Disease developing due to domination of pathogenic factors Deficiency syndrome (yang floating, large will feel weak)
48
Extends past the cun and chi positions
Long Excess heat Excess liver yang Toxic heat Pathogenic heat Robust health
49
Fails to fill both the Cun and the Chi positions.
Short Qi xu Qi stasis Blood Xu (will also be floating)
50
Taut, long and strong (and down to get the friction on, jk), whether under pressure or not,a nd passes straight under the fingers without vibrating to the right or left or giving any wave like sensations.
Wiry LR/GB disharmony pain phlegm spring seniors stasis
51
Umbrella term for forceful pulses, excessive, wiry, tight, slippery, long, large,firm
Forceful Excess syndromes Excess heat EPI heat disease
52
Umbrella term forceless pulses, thready, xu, hollow, scattered, soggy, intermittent
Forceless Xu Hyperactivity of yang du to yin xu

Pan-Canadian Exam TCM (10 decks)

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