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Oriental Diagnosis > Pulse Diagnosis > Flashcards

Pulse Diagnosis Flashcards

1
Q

What plays the leading role to form the pulse image?

A

Qi

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2
Q

heart pulse role

A

governs blood and controls vessels

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3
Q

lung pulse role

A

governs qi and gathers hundred vessels

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4
Q

spleen/stomach pulse roles

A

transportation and transformation, controls blood

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5
Q

liver pulse role

A

stores blood, ensures the smooth flow of qi

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6
Q

kidney pulse role

A

essence transformed into Qi, blood

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7
Q

Cun (left)

A

Heart (Pericardium)

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8
Q

Cun (right)

A

Lung (Chest)

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9
Q

Guan (left)

A

Liver (diaphragm)

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10
Q

Guan (right)

A

Spleen (Stomach)

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11
Q

Chi (left)

A

Kidney (Urinary bladder, Small intestine)

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12
Q

Chi (right)

A

Mingmen (Large Intestine, Kidney)

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13
Q

pulse/emotion/organ in spring

A

wiry or rapid/anger/liver

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14
Q

pulse/emotion/organ in summer

A

flooding or slow/joy/heart

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15
Q

pulse/emotion/organ in autumn

A

floating or short/grief/lung

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16
Q

pulse/emotion/organ in winter

A

deep or submerged/fear/kidney

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17
Q

pulse/emotion of spleen

A

moderate/melancholy

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18
Q

pulse/emotion of gallbladder

A

moving/fright

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19
Q

thin blood vessel indication

A

blood or yin insufficient

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20
Q

wide blood vessel indication

A

excessive qi and/or blood

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21
Q

depth and rate depends on

A

yang qi

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22
Q

deep depth indicates

A

qi obstructed or too weak to push outward

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23
Q

superficial depth indicates

A

yang qi push blood outward

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24
Q

strength and length depends on

A

Qi

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25
Q

forceless strength indicates

A

deficient qi

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26
Q

forceful strength indicates

A

excessive qi

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27
Q

slow pulse rate indicates

A

yang qi obstructed or deficient

28
Q

rapid pulse rate indicates

A

excessive yang

29
Q

short pulse length indicates

A

qi and blood obstructed or deficient

30
Q

long pulse length indication

A

excessive qi and blood fills vessels

31
Q

rhythm depends on

A

Heart Qi

32
Q

irregular rhythm indicates

A

yang qi deficiency or pathogenic factors

33
Q

slack pulse indicates

A

qi and blood deficiencies

34
Q

taut pulse indicates

A

qi stagnated or contraction of the vessels

35
Q

pathological yang pulse indications

A

forceful
superficial
rapid
long

36
Q

pathological yin pulse indications

A

weak
deep
slow
short

37
Q

superficial/floating pulse

A

description: superficial level, strength dec sl in deeper levels, but without feeling empty
indications: exterior or deficiency syndromes

indication:
- exterior syndrome
- deficiency syndrome

38
Q

deep/submerged pulse

A

description: next to bone, barely felt, absent on superficial, increase strength w/ depth

indication: interior syndrome

39
Q

slow pulse

A

description: 40-60 bpm, regular rhythm

indications:
- cold syndrome
- qi deficiency

40
Q

fast/rapid pulse

A

description: very fast, 90-140 bpm, regular rhythm

indications: heat syndrome

41
Q

excess pulse

A

description: felt in all 3 levels, long & wide, forceful & full

indications: excess syndrome

42
Q

deficient pulse

A

description: wide, but forceless in all 3 position (w/ light or heavy pressure), slack tension

indications: deficiency syndrome

43
Q

Thin/Thready Pulse

A

description: thin vessel (like thread), very distinct/clear w/o interruption of rhythm when pushing

indications:
- deficiency (qi, blood and/or yin)
- excess dampness

44
Q

Slippery/Rolling Pulse

A

description: quick but not rapid, smooth, rounded inside vessel

indications:
- food stagnation
- phlegm or damp
- excess heat

45
Q

Choppy/ Hesitant Pulse

A

description:
- slow, not smooth
- thin vessel
- rhythm is irregular in force & fullness
- uneven & sluggish

indications:
- stagnation of qi and blood
- flood, phlegm (excess)
- blood or essence or abortion (deficiency)

46
Q

Flooding/Surging Pulse

A

description:
- wide and forceful, fades gently
- vessel is wide and thick
- felt easily at superficial
- arrives with more pressure than it leaves
* (like ocean wave, comes strong & leaves calm)

indication: excess heat in qi level

47
Q

Abrupt/ Rapid Irregular Pulse

A

description:
- agitated and urgent
- rapid and irregular pulses

indications:
- yang excess
- extreme heat
- qi, blood, phlegm or food stagnation

48
Q

Knotted/Slow Irregular Pulse

A

description: slow with irregularly missed beats *pulse continues immediately a/f missed beat

indications:
- qi stagnation due to excess yin
- blood stasis
- phlegm

49
Q

Intermittent/Consistently Irregular Pulse

A

description:
- pauses at regular intervals
- a/f missed beat, long wait

indications:
- zang fu organ qi deficiency
- pain
- trauma
- wind syndrome
- fright

50
Q

Soggy/Soft Pulse

A

description:
- superficial, thin, forceless
- if pressed, becomes weaker

indications:
- damp
- deficiency syndrome

51
Q

Frail/Weak Pulse

A

description:
- deep, thin, forceless
- only felt on deep level by pressing
- if too much pressure, will lose pulse

indications:
- yin, yang, qi or blood deficiency

52
Q

Wiry/String-taut Pulse

A

description:
- long, taut, forceful under pressure or not
- maintains straight line beneath finger

indications:
- liver/gb diseases
- pain
- phlegm
- malaria

53
Q

Tense/Tight Pulse

A

description:
- rises and falls with strength
- vibrates to left and right (unstable, movable)

indications:
- cold syndrome
- pain
- food stagnation

54
Q

Racing/Swift Pulse

A

description:
- rapid, beats more than 7x per breath
- extreme version of rapid pulse
- rhythm is generally regular

indications:
- hyperactivity of yang w/ exhaustion of yin
- source qi collapse

55
Q

Excess v Flooding

A

both - wide and forceful

excess: force on all levels
*positions/ excess syndrome

flooding:
- stronger on superficial level than deep
- pulse arrives stronger than leaving
*Qi level heat, Yang Ming pattern, Lu/St Heat

56
Q

Wiry v Tight

A

both - strong, forceful, taut // pain

wiry:
- straight line w/ no vibration
- with or without pressure ^
* Lr/GB disease, phlegm, malaria

tight:
- rises and falls with strength
- vibrates left and right
*cold syndrome

57
Q

Soggy v Frail

A

both - forceless, thin // qi and/or blood deficiency syndrome

soggy:
- superficial level
- damp

frail: deep level

58
Q

Abrupt (RI) v Knotted (SI) v Intermittent (CI)

A

both - pauses or misses a beat

abrupt: rapid rate
*excess heat, stagnation

knotted: slow rate
*cold stagnation, heart qi deficiency, tumor/mass

intermittent: normal rate
* deficiency syndrome, wind, pain, shock

59
Q

menstruation pulse

A
  • L Guan and Chi = slippery, full, stronger than R
60
Q

irregular menses

A
  • sl sluggish or frail in Chi
  • normal in other 2 positions
61
Q

amenorrhea

A
  • chi position: deficient, thin, choppy
  • if submerged, wiry, choppy (EXCESS) OR
  • chi position: slippery and intermittent (EXCESS)
62
Q

pregnant pulse

A
  • slippery and rapid esp. in Chi position
    *may show on L side can in early stage
    *male fetus= L Chi slippery, big
    *female fetus= R Chi deep, excess, slippery
63
Q

agreement

A

if pulse image agrees with symptoms = favorable pattern; easily treated

64
Q

disagreement

A

if pulse and symptoms do NOT match = pathological changes are complex, difficult to treat

65
Q

causes of disagreement

A

-sudden onset
-mild illness
-internal obstruction

Oriental Diagnosis (4 decks)

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