Rhythm

Question 0

EP Occasional rate change:

Large change

Answer 0

Moderate Heart qi agitation,
mild Heart Qi deficieny;
very scared; large mood swings

Etiology: early moderate shock, or severe shock between ages 15-20

Question 1

EP Occasional rate change:

Small change in rhythm at rest

Answer 1

Mild Heart qi agitation; scared inside
Etiology: mild shock between ages 15-20
(Heart shock depletes Heart yin)

Question 2

EP Constant rate change: small change

Answer 2

Severe Heart qi agitation;
mild to moderate Heart qi deficiency;
vacillating, always changing mind, restless; fatigue
Etiology: strong shock

Question 3

EP Constant rate change: large change

Answer 3

Moderate Heart qi and sometimes blood deficiency; fatigue
Etiology: constitution, severe shock between ages 10-15, long-term Heart blood deficiency, and/or severe Heart qi agitation

Question 4

Intermittent Frequent
Misses beat regularly: Misses every 2-20 beats

Answer 4

Severe Heart qi, blood, and yang deficiency

Question 5

Intermittent Infrequent

Misses beat regularly: Misses every 21-60 beats

Answer 5

Milder Heart qi, blood, and yang deficiency

Question 6

Frequent Interrupted

Misses beats irregularly: Constant

Answer 6

Severe Heart qi-yang deficiency

Question 7

Infrequent Interrupted

Misses beats irregularly: Occasional

Answer 7

Moderate Heart qi agitation and moderate Heart qi-yang deficiency

Question 8

Interrupted,

Missed beats too irregular to measure rate

Answer 8

Severe Heart qi-yang deficiency;

Heart blood stagnation.
Etiology: severe shock from ages 5-10 years

Question 9

Yielding Hollow Full-Overflowing
Interrupted- Intermittent

Missed beats too irregular to measure rate, and Hollow

Answer 9

Most severe Heart qi-yang deficiency

Etiology: severe shock prior to the age of 5

Question 10

Knotted

Interrupted and Slow

Answer 10

Stagnation of circulation due to cold from excess or deficiency; qi, blood, essence, and yang deficiency

Question 11

Hurried

Interrupted and Rapid

Answer 11

Fire from excess and/or stagnation of qi, blood, food, and phlegm

Question 12

Rate increases on exertion: >30 beats/min
Constant

Answer 12

Moderate-severe Heart blood deficiency

Question 13

Rate increases on exertion: 20-30 beats/min
Constant

Answer 13

Mild Heart blood deficiency

Question 14

No change or slight increase on exertion (8BPM or less)

Answer 14

Mildly severe Heart qi deficiency

Question 15

Decreases 1-5 beats/min. on exertion

Answer 15

Severe Heart qi-yang deficiency

Question 16

Decreases > 5 beats/min. on exertion

Answer 16

Very severe Heart qi-yang deficiency

Question 17

Hesitant Wave

Faltering, balking, without a missed beat; wave is up and down without bell-type curve

Answer 17

Mild Heart yin deficiency; (‘push pulse’– mental overwork)

Excessive rumination about one thing; obsessive personality; worry, insomnia;

Question 18

Change in Amplitude over entire pulse

Constant increase and decrease of height (force) of entire pulse

Answer 18

Yang force, metabolic heat, and spirit in state of transition
Always: Heart qi deficiency

Question 19

Change in Amplitude over entire pulse

Occasional increase and decrease of height (force) of entire pulse

Answer 19

Yang force, metabolic heat, and spirit in state of transition
Occasional: Liver qi stagnation

Question 20

Unstable in one position

Impulse continually shifts under finger at individual position

Answer 20

Severe parenchymal damage;

separation of yin and yang