TCM Pulse Diagnosis

Question 1

<p>Floating Pulses (6 kinds)felt with light pressure</p>

Answer 1

FS3HD
floating
surging
soggy
scattered
hollow/empty/scallion
drumskin

Question 2

<p>Floating pulse:floatingwhat?indication?why?</p>

FS2HD

Answer 2

<p>felt clear with light pressure and weak with heavy pressureindication: exterior and deficiencywhy? pathogen struggle with zheng qivessel qi acting on the exteriorin a deficient body with chronic disease - floating and powerlesshappens when your body is telling us it's fighting off something, like when we feel when we get a flu</p>

Question 3

<p>floating:surgingwhat?indication?why?</p>

FS2HD

Answer 3

<p>generous shape and powerfulroaring waves (powerful coming; fade away)indication?extreme heat patternswhy?pathogenic heat filling the vessels —> vessels become enlarged with exuberant qi and gushing blood</p>

Question 4

<p>floating:soggywhat?indication?why?</p>

FS2HD

Answer 4

<p>floating, thin, and softindication?deficiencydampnesswhy?insufficient qi and blood with depleted vessels</p>

Question 5

<p>floating:scatteredwhat?indication?</p>

FS2HD

Answer 5

<p>floating, scattered without rootdisappears on pressure and has an irregular pulse rateindication:yuan qi dissipationzang qi exhaustionunconstrained yin and yangvessel qi being scattered/disordered/loose</p>

Question 6

<p>floating:hollow</p>

FS2HD

Answer 6

<p>large with an empty centerscallion stalkindication:loss of blood insufficient ying and bloodextreme damage to body fluidsdrained vesselsdamaged yin and yang unable to adhere</p>

Question 7

<p>floating:drumskin</p>

FS2HD

Answer 7

<p>floating under the finger, hollow centerhard and leathery outside just like a drumindication:blood and essence exhaustionmetrorrhagia and metrostaxisextreme consumption of essence and bloodqi floating outside no longer being able to be held</p>

Question 8

<p>Deep pulses (4 kinds)felt with heavy pressure</p>

Answer 8

<p>HiFiDeWdeephiddenweakfirm</p>

Question 9

<p>deep-deep1.deep powerful2. deep powerless</p>

HiFiDeW

Answer 9

<p>not evident in light pressure but clear in heavy pressureindication: Interior pattern1. deep powerful - pathogen stagnating inside - qi and blood are blocked - vessel qi is restrained inside2. deep powerless - deficient zang-fu organ, yang deficiency, vessel qi isn't roused</p>

Question 10

<p>deep-hidden</p>

HiFiDeW

Answer 10

<p>only evident with heavy pressure when bone is reachedindication: Interior stagnation of pathogens/food, syncope/unconciousness -- counterflow/disorder of qi movement, extreme pain -- qi retention or vessel qi lacking a diffusion and free flow</p>

Question 11

<p>deep-weak</p>

HiFiDeW

Answer 11

<p>extremely soft, deep, and thinindication:insuficient qi/blooddeficiency/failure of yangcause:blood deficiencyempty vesselsqi deficiencypulse movement powerlessyang deficiency with lack of power</p>

Question 12

<p>deep-firm</p>

HiFiDeW

Answer 12

<p>deep, large, powerful, long, only with heavy pressureindication:internal accumulation of yin-coldshan qi and concretions and conglomerationscause:pathogenic factors are steady and there is interior cold and decline of yang qi</p>

Question 13

<p>slow pulses (4 kinds)arrives slowly</p>

Answer 13

<p>SMoCKSlowModerateChoppyKnotted</p>

Question 14

<p>Rapid pulses (4 kinds)arrives rapidly>5 beats per breath</p>

Answer 14

<p>THRRobThrobbingHasty/SkippingRapidRacing</p>

Question 15

<p>Rapid-rapid1. rapid powerful2. rapid powerless</p>

THRRob

Answer 15

<p>>5 beats per breathindication: heat patterns1. rapid powerful - exuberance of pathogenic heat with accelerated movement of qi and blood2. rapid powerless - deficient yang pattern</p>

Question 16

<p>Slow-slow1. slow powerful2. slow powerless</p>

SMoCK

Answer 16

<p><4 beats per breathindication: cold pattern1. slow powerful - qi stagnation due to congealing cold2. slow powerless - yang deficiency, qi and blood moving slowly</p>

Question 17

<p>slow-moderate/relaxed1. floating-relaxed 2. deep-relaxed 3. large-relaxed 4. relaxed-weak</p>

SMoCK

Answer 17

<p>4 beats per breath, arrives leisurelyindications:-spleen deficiency -- insuficiency of qi/blood, vessels are inadequately filled-damp patterns -- sticky and stagnant, blocks and stagnates the movement of qi-healthy person -- abundant spirit ///1. floating-relaxed - wind2. deep-relaxed - damp 3. large-relaxed - liver wind internally4. relaxed-weak - heart qi xu</p>

Question 18

<p>slow - choppy</p>

SMoCK

1. choppy powerful
2. choppy powerless

Answer 18

<p>coarse, slowly, stagnatingknife scraping a bamboorough pulseindication:-qi stagnation-blood stasis1.choppy powerful - qi stagnation and blood stasis, vessels are blocked2. choppy powerless - essence damage or defieciency of blood, loss of nourishment in channels and collaterals</p>

Question 19

slow - knotted

(knotted vs hasty)
SMoCK

1. knotted powerful
2. knotted powerless

Answer 19

bound pulse
slow
loss of beats, irregular intervals

indication:

• exuberant yin
• qi stagnation
• cold phlegm
• static blood
• concretions and conglomerations
• accumulations and gatherings
• deficiency and failure of qi and blood

1. knotted powerful - cold pathogens and excess pathogens blocking channels and collaterals – vessel qi unable to flow smoothly
2. knotted powerless - deficiency and failure of qi and blood – weakness of yang – vessel qi unable to flow

Question 20

rapid - racing

THRRob

Answer 20

urgent/rapid
120-140bpm
seven-8 beats per breath

indication:

• excessive heat
• yin exhaustion
• floating yang – no root
• yuan qi will be depleted

Question 21

rapid - hasty

(hasty vs knotted)
THRRob

1. fast powerful
2. rapid thin soft

Answer 21

skipping
rapid with irregular intervals

indication:

• exuberant yang and excessive heat
• stagnation and stasis of qi and blood
• accumulation of phlegm and food
• debilitaion and failure of zang qi

1. fast powerful - exuberatnt yang and binding heat, excessive pathogens blocking and stagnating and vessel qi unable to flow smoothly
2. rapid, thin, soft - deficiency and weakness of zang qi, failure and insufficiency of yin-blood

Question 22

rapid - throbbing

THRRob

Answer 22

bouncing
spinning bean, slippery, rapid, powerful

indication:

• pain – disharmony of yin-yang and qi stagnated by blood
• fright – disorder of qi and blood, restlessness of pulse movement, yin struggling in yang

Question 23

deficienct pulses (5 kinds)

Answer 23

powerless

D'FITS
deficient
faint
intermittent
thready
short

Question 24

deficient - deficient

D’FITS

Answer 24

forceless and empty in 3 depths

indication:

• deficiency pattern (qi/blood) – insufficient qi and blood
• all kinds of deficiency of zang-fu organs with depleted vessels

Question 25

deficient - thready | D'FITS

Answer 25

thin/fine thread very distinct and clear indication: - deficiency of qi and blood - not filling up or moved - all kinds of deficiency - dampness -- blocking the vessels

Question 26

deficient - faint | D'FITS

Answer 26

extremely thin and soft hardly palpable by pressure indication: - all kinds of deficiency - dangerous condition of yang deficiency

Question 27

deficient - intermittent | D'FITS

Answer 27

loss of beats and pausing a little longer at REGULAR intervals. indication: - failure and weakness of zang qi -- prevent the vessel qi from being smooth and rhythmical - wind patterns - pain patterns - 7 emotions - fright - knocks - falls cause: - excessive pathogens blocking and stagnating vessels with consequent stagnation of qi

Question 28

deficient - short D'FITS 1. short powerful 2. short powerless

Answer 28

short in extent unable to reach the usual position 1. short powerful - qi stagnation - qi stagnation and blood stasis which blocks the vessels 2. short powerless - qi damage -- qi deficiency and inability to keep the blood moving

Question 29

excess pulses (6 kinds)

Answer 29

powerful beating acting against the fingers ``` WESTLL Wiry Excess Slippery Tight Large Long ```

Question 30

excess-excess WESTLL

Answer 30

vigorous and forceful in light and heavy pressure indication: excess patterns healthy ``` cause: exuberant zheng qi excessive pathogens zheng qi struggling with pathogen congestion and exuberance of qi and blood fullness of the vessels ```

Question 31

excess-slippery | WESTLL

Answer 31

round and smooth bead rolling in a plate ``` indication: phlegm retention food accumulation excessive heat young people pregnant ``` ``` cause: internal exuberance of excess pathogens excess qi and blood pulse moves smoothly sufficient and harmonised qi and blood ```

Question 32

excess-wiry | WESTLL

Answer 32

bow-string taut and long ``` indication: LV and GB diseases pain patterns phlegm-rheum retention malaria elderly - insufficient yin-blood, vessels loose softness usually wiry in spring time ``` ``` cause: pathogens are stagnating in the liver channel qi loses its gentleness qi movement is stagnated phlegm-rheum is blocking vessel qi will be tense ```

Question 33

excess-tight | WESTLL

Answer 33

tight and forcefully stretched and twisted vibrating indication: cold pain retention cause: excessive pathogens struggling rigourously with the zheng qi

Question 34

excess-long WESTLL 1. long powerful

Answer 34

long extent longer than basic position indicates: yang superabundance heat patterns healthy - sufficient qi and blood 1. long powerful - yang hyperactivity and exuberant heat, phlegm-fire accumulated internally with fulllness of vessel qi

Question 35

excess - large | WESTLL

Answer 35

wide broad without turbulent force indications: healthy - sufficient qi and blood development of disease - disease is long term and developed severely, body is full of pathogens

Question 36

damp pulses

Answer 36

soggy moderate thready

Question 37

healthy pulses

Answer 37

excess long large moderate

Question 38

knotted vs hasty

Answer 38

knotted - slow irregular | hasty - rapid irregular

Question 39

yin deficiency symptoms

Answer 39

1. afternoon fever 2. night sweats 3. 5 center heat 4. malar flush

Question 40

category pulses 1. rate 2. position 3. breadth 4. length 5. strength 6. fluency 7. tension 8. uniformity

Answer 40

1. rate - slow/rapid 2. position - superficial/deep 3. breadth - wide/large(Large/surging/excess/hollow/firm); thready(thready/faint/soggy/weak) 4. length - long/short 5. strength - excess/deficiency 6. fluency - fluent/rough 7. tension - tense/low tension 8. uniformity -

Question 41

what indicates a | floating rapid pulse

Answer 41

exterior heat pattern

Question 42

what indicates a | floating slow pulse

Answer 42

exterior cold pattern

Question 43

what indicates a | floating rapid powerless pulse

Answer 43

exterior deficient heat pattern

Question 44

what indicates a | deep slow powerful pulse

Answer 44

interior excess cold pattern

Question 45

Visceral exhaustion pulses (3 groups)

Answer 45

1. without stomach 2. without root 3. without spirit

Question 46

women pulse 1. menstrual pulse 2. pregnancy 3. birthing pulse

Answer 46

1. menstrual pulse - left guan and chi are fuller and larger than on the right 2. pregnancy - slippery, rapid, rushing, harmonious; chi portion 3. birthing pulse - chi is tense/taut rope/rolling bead; found in distal phalange of middle finger

Question 47

children pulse 1. one finger all 3 regions - <= 3yo - >=4yo - 7-8yo - >=9-10yo - >=15 2. - <3yo normal beats per breath? - 5-6yo normal beaths per breath? - tight pulse? - moderate pulse? - changes in beaths?

Answer 47

children pulse 1. one finger all 3 regions - <= 3yo - thum above styloid process not divided - >=4yo- midling of styloid(guan), thumb moved along guan area - 7-8yo - thumb shifted to feel the 3 areas - >=9-10yo - press in order: chun guan chi - >=15 - like adults 2. - <3yo normal beats per breath? 7-8 - 5-6yo normal beaths per breath?6 - tight pulse?cold - moderate pulse?damp - changes in beaths?food retention