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NCCAOM Theory Palp

NCCAOM Fundamentals Exam - Palpation

QuestionAnswer
What are the pulse positions and the organs associated on the left hand? Cun: HT; Guan: LV; Chi: KD Yin
What are the pulse positions and the organs associated on the right hand? Cun: LU; Guan: SP; Chi: KD Yang
What is the pinyin for a floating pulse and the indications? Fu Mai; Invasion of external wind, Yin deficiency (interior) [yang rising to surface to fight pathogen; yin not anchoring yang weak and superficial]
What is the pinyin for a deep pulse and the indications? Chen Mai; Pathogenic factor in the interior (Deep-full) and Yang deficiency (Deep-weak)
What is the pinyin for a slow pulse and the indications? Chi Mai; Cold pattern, Empty-cold (slow and weak), Full-cold (slow and full)
What is the pinyin for a rapid pulse and the indications? Shu Mai; Heat pattern, Full-heat (rapid and full), Empty-heat (rapid and floating)
What is the pinyin for an empty pulse and the indication? Xu Mai; Qi deficiency
What is the pinyin for a full pulse and the indications? Shi Mai; Full pattern, Full-heat (full-rapid), Full-cold (full-slow) [always excess]
What is the pinyin for an overflowing pulse, the yin/yang classification, and the indications? Hong Mai; Yin w/in Yang; Full-heat, Empty-heat (overflowing-empty) [Surging]
What is the pinyin for a fine (thin) pulse and the indications? Xi Mai; Blood deficiency, Dampness w/ severe Qi deficiency [Thready; Yin def + rapid; Yang def + cold]
What is the pinyin for a slippery pulse, the yin/yang classification, and the indications? Hua Mai; Yang w/in yin; Phlegm, Dampness, Retention of food, Pregnancy
What is the pinyin for a choppy pulse, the yin/yang classification, and the indications? Se Mai; Yin; Blood deficiency, Exhaustion of body fluids [can mean blood stasis]
What is the pinyin for a wiry pulse and the indications? Xuan Mai; LV disharmony, Pain, Phlegm
What is the pinyin for a tight pulse, the yin/yang classification, and the indications? Jin Mai; Yang w/in Yin; Cold, Exterior cold (tight-floating), Interior full-cold (tight-full-deep), Interior empty-cold (tight-weak-deep), Pain
What is the pinyin for a soggy (weak-floating) pulse and the indications? Ru Mai; Dampness w/ Qi deficiency, Yin deficiency, Essence deficiency [also soft, Qi deficiency w/ damp]
What is the pinyin for a weak pulse and the indications? Ruo Mai; Yang deficiency, Blood deficiency [Qi or yin (floating) deficiency]
What is the pinyin for a hasty pulse and the indications? Cu Mai; Severe heat, HT Qi deficiency, HT-Fire [irreg. irreg. sl. rapid]
What is the pinyin for a knotted pulse and the indications? Jie Mai; Cold w/ HT yang deficiency [irreg. irreg. sl. slow]
What is the pinyin for an intermittent pulse and the indications? Dai Mai; Serious problem in internal organ, HT problem (in Western medical sense) [reg. irreg.]
What is the pinyin for a long pulse and the indication? Chang Mai; Heat pattern
What is the pinyin for a short pulse and the indications? Duan Mai; Severe Qi deficiency, ST Qi deficiency [can feel like not moving]
What is the pinyin for a minute pulse and the indication? Wei Mai; Severe deficiency of Qi and blood
What is the pinyin for a slow-down pulse and the indication? Huan Mai; yin/yang balanced; Generally a healthy pulse
What is the pinyin for a hollow pulse and the indications? Kou Mai; Hemorrhage, forthcoming hemorrhage (hollow and rapid)
What is the pinyin for a leather pulse and the indications? Ge Mai; Severe deficiency of KD-Essence; Severe deficiency of KD-Yin
What is the pinyin for a firm pulse, the yin/yang classification, and indications? Lao Mai; Yang w/in Yin; Blood stasis, interior cold (firm and slow), Pain
What is the pinyin for a scattered pulse and the indications? San Mai; Severe deficiency of Qi and blood, Severe deficiency of KD-Qi, Serious condition
What is the pinyin for a hidden pulse and the indication? Fu Mai; Severe yang deficiency
What is the pinyin for a moving pulse and the indications? Dong Mai; Shock, anxiety, fright; Pain [spinning quality]
What is the pinyin for a hurried pulse and the indication? Ji Mai; Fire exhausting Yin
What is the pinyin for a big pulse and the indications? Da Mai; Entrance of Dz (w/ force), Outward floating of yang vacuity (w/o force) [large]
What does a floating + moderate pulse indicate? Wind-damp
What does a floating + empty pulse indicate? Summer-Heat damage
What does a floating slippery pulse indicate? Wind-phlegm or food retention
What does a floating rapid pulse indicate? Wind-heat
What does a floating hollow pulse indicate? Blood loss [scallion stalk]
What does a floating scattered pulse indicate? Extreme taxation
What does a floating short pulse indicate? Qi Dz
What does a floating choppy pulse indicate? Blood damage
What does a floating tense pulse indicate? Wind-cold What does a floating surging, big pulse indicate?
What does a deep slow pulse indicate? Interior cold
What does a deep rapid pulse indicate? Interior heat
What does a deep moderate pulse indicate? Water-damp
What does a deep confined pulse indicate? Cold accumulation
What does a deep wiry pulse indicate? Swelling w/ pain, LV Qi stagnation
What does a deep tight pulse indicate? Cold pain
What does a deep hidden pulse indicate? Choleraic Dz [SI, Asiatic Cholera]
What does a deep slippery pulse indicate? Phlegm and food accumulation
What does a deep choppy pulse indicate? Depression of Qi, blood stasis
What does a slow floating pulse indicate? Exterior cold
What does a slow deep pulse indicate? Interior cold
What does a slow slippery pulse indicate? Phlegm, Food
What does a slow thin pulse indicate? Yang debility
What does a slow wiry pulse indicate? Accumulation pain
What does a slow moderate pulse indicate? Cold-damp
What does a slow choppy pulse indicate? Blood deficiency
What does a rapid surging pulse indicate? Exuberant yang excess heat (sores and welling abscesses)
What does a rapid thin pulse indicate? Yin deficiency w/ empty fire
What does a rapid and rolling pulse indicate? Phlegm-fire excess heat
What does a rapid and empty pulse indicate? Pulmonary wilting
What does a rapid choppy pulse indicate? Yin and blood injury and exhaustion
What does a rapid hollow pulse indicate? Extreme loss of blood
What does a rapid wiry pulse indicate? LV Fire
What does an empty floating pulse indicate? Qi deficiency
What does an empty choppy pulse indicate? Blood deficiency
What does an empty rapid pulse indicate? Yin deficiency internal heat
What does an empty slow pulse indicate? Yang deficiency
What does an empty soggy pulse indicate? Deficient protective Qi, w/ spontaneous sweat
What does a full deep pulse indicate? Internal excess
What does a full floating pulse indicate? Exterior excess
What does a full slippery pulse indicate? Phlegm or food retention
What does a full tight pulse indicate? Damage by cold evil
What does a full rapid pulse indicate? Bowel heat, LU abscess
What does a full wiry pulse indicate? LV Fire
What does an overflowing big pulse indicate? Exuberant heat
What does an overflowing floating pulse indicate? Exterior heat, yin deficiency
What does an overflowing deep pulse indicate? Internal heat, cold restraining heat
What does an overflowing tight pulse indicate? Distention (chest) and fullness, constipation w/ bleeding
What does an overflowing slippery pulse indicate? Phlegm-heat
What does a fine (thin) deep pulse indicate? Damp impediment, pain
What does a fine (thin) minute pulse indicate? Yang deficiency
What does a fine (thin) rapid pulse indicate? Deficient heat
What does a fine (thin) tight pulse indicate? Cold damage
What does a fine (thin) wiry pulse indicate? LV blood/Yin deficiency
What does a fine (thin) choppy pulse indicate? Blood deficiency, Qi stagnation
What does a slippery floating pulse indicate? Wind-phlegm
What does a slippery deep pulse indicate? Phlegm-rheum panting and coughing, Food retention
What does a slippery rapid pulse indicate? Damp-heat, Phlegm-fire, Food damage
What does a slippery slow pulse indicate? Dysentery
What does a slippery wiry pulse indicate? Food stagnation, Phlegm w/ LV Qi stagnation
What does a slippery tight pulse indicate? Cold-phlegm obstructing
What does a choppy wiry pulse indicate? Qi stagnation, blood stasis
What does a choppy deep pulse indicate? Interior deficiency, Yin debility
What does a choppy floating, thin pulse indicate? Large amounts of sweating damaging the fluids, Dried fluids
What does a choppy weak pulse indicate? Qi exhausted
What does a choppy minute pulse indicate? Blood deficiency, Yang deficiency
What does a wiry rapid pulse indicate? Heat in the LV channel, LV fire
What does a wiry rapid, thready pulse indicate? LV yin deficiency
What does a wiry rapid, big pulse indicate? LV fire blazing
What does a wiry slow pulse indicate? SP and ST deficient cold, LV cold
What does a wiry floating pulse indicate? Propping-rheum
What does a wiry deep pulse indicate? Pain d/t suspended rheum, Interior stagnation w/ pain
What does a wiry big w/o force pulse indicate? Deficiency pattern
What does a wiry thin pulse indicate? Acute titanic spasm
What does a wiry slippery pulse indicate? Phlegm-rheum
What does a wiry tight pulse indicate? Concretion and gathering
What does a tight floating pulse indicate? Cold damage to Tai Yang
What does a tight deep pulse indicate? Cold accumulation and abdominal pain
What does a tight wiry pulse indicate? Mounting accumulation and abdominal pain, Cold obstruction
What does a tight rapid pulse indicate? Simultaneous heat and cold pattern
What does a tight full pulse indicate? Distention and pain
What does a tight choppy pulse indicate? Cold obstruction
What does a soggy (weak-floating) wiry pulse indicate? Dizziness or numb fingers
What does a soggy (weak-floating) choppy pulse indicate? Blood loss
What does a soggy (weak-floating) rapid pulse indicate? Damp-heat
What does a weak choppy pulse indicate? Blood deficiency, Essence deficiency, Cold or infertility
What does a weak rapid pulse indicate? Seminal emission, Uterine bleeding
What does a weak soggy pulse indicate? Spontaneous sweating
What does a weak wiry, thin pulse indicate? Blood deficiency, Flaccid tendons
What does a hasty floating, forceful pulse indicate? Heat exuberance in the exterior
What does a hasty surging pulse indicate? Heat exuberance in the Yang Ming
What does a hasty slippery pulse indicate? Phlegm-rheum, Food retention
What does a hasty thin/minute pulse indicate? Debilitation of organ Qi, Separation of yin and yang
What does a knotted floating pulse indicate? Cold evil stagnating in the channels
What does a knotted deep, choppy pulse indicate? Stasis accumulation, Qi/Blood stagnation w/ lumps
What does a knotted deep, weak pulse indicate? Mingmen fire exhausted
What does a knotted slippery pulse indicate? Phlegm evil accumulation and stagnation
What does a knotted wiry pulse indicate? Binding depression of the seven emotions
What does an intermittent weak pulse indicate? Yuan Qi deficiency, SP/ST weakness
What does a long floating pulse indicate? External pathogen or yin deficiency
What does a long surging pulse indicate? Yang insanity or epilepsy
What does a long deep, thin pulse indicate? Lumps or tumors
What does a long slippery pulse indicate? Phlegm heat
What does a long soggy pulse indicate? Alcohol intoxication or cold
What does a long wiry pulse indicate? LV disharmony
What does a short floating pulse indicate? LU Qi deficiency or blood stasis
What does a short deep pulse indicate? KD Qi deficiency
What does a short rapid pulse indicate? HT pain and irritability
What does a short slow pulse indicate? Cold deficiency
What does a short rolling, rapid pulse indicate? Alcohol injuring Shen
What does a minute soggy pulse indicate? Spasms
What does a minute weak pulse indicate? Spontaneous sweating
What does a minute choppy pulse indicate? Great blood loss
What does a slow-down floating pulse indicate? External damp or wind
What does a slow-down deep pulse indicate? Damp obstructing
What does a slow-down choppy pulse indicate? Blood deficiency
What does a slow-down slow, thin pulse indicate? Yang deficiency
What does a hollow rapid pulse indicate? Yin deficiency
What does a hollow empty, soggy pulse indicate? Essence deficiency, Blood loss
What does a hollow knotted pulse indicate? Blood stasis
What does a leather slippery big pulse indicate? Excess perspiration or diarrhea
What does a leather moderate, no spirit pulse indicate? “Dead” Yin, not treatable
What does a firm deep pulse indicate? Chronic cold disease
What does a scattered floating pulse indicate? Extreme deficiency of blood and Qi
What does a hidden slow pulse indicate? Extreme cold, Extreme yin ascending
What does a hidden rapid pulse indicate? Extreme heat, Extreme yang ascending
What does a moving weak pulse indicate? Palpitations
What does a moving full pulse indicate? Pain, Obstruction
What does a moving hollow pulse indicate? Essence loss
What does a moving floating pulse indicate? External pathogen
What does a big floating pulse indicate? Deficiency or Exterior heat
What does a big deep pulse indicate? Interior heat of KD disharmony
What does a big wiry pulse indicate? Shao Yang disharmony
What does a big moderate pulse indicate? Damp-heat
What does a big floating pulse indicate? ST excess
Skin that is palpated and feels cold indicates? Cold pattern
Skin that is palpated and the 4 limbs are cold indicates? Both SP and ST yang deficiency
Skin that is palpated and the loins, lower back and feet are cold indicates? KD yang deficiency
Skin that is palpated and the lower abdomen is cold indicates? SP Yang deficiency
Skin that is palpated and feels hot indicates? Damp-heat
Skin that is hot on first touch then ceases to feel hot if pressure is maintained indicates? Exterior wind-heat pathogen still on the exterior
Skin that is hot over a blood vessel on medium pressure but not on heavy pressure indicates? Interior heat in the MJ or HT
Skin that feels hot on heavy pressure which nearly reaches the bone indicates? Empty heat from yin deficiency
Skin that feels moist indicates? Exterior wind
Skin that feels moist w/o exterior Sx indicates? LU Qi deficiency
Skin that feels dry indicates? Blood deficiency, LU yin deficiency
Skin that feels rough indicates? Bi syndrome from wind
Skin that is scaly and dry indicates? Exhaustion of body fluids, Severe deficiency, LV blood dryness
Skin that is swollen and pitting indicates? “Water swelling” from SP/KD yang deficiency
Skin that is swollen but not pitting indicates? “Qi swelling” from damp or Qi stagnation
What do cold hands and feet indicate? SP/ST yang deficiency (common cause); Phlegm or interior heat obstructing Qi circulation (less common)
What do cold hands indicate? LU/HT yang deficiency
What do cold feet indicate? KD yang deficiency
What do cold hands and feet in women indicate? Blood deficiency
What do cold hands in women indicate? HT blood deficiency
What do cold feet in women indicate? LV blood deficiency
What do cold fingers and toes indicate? LV Qi stagnation
What is indicated when an apical pulse is clearly felt, not hard, and relatively slow? Normal
What is indicated when an apical pulse is feeble and w/o strength? Gathering (Zong) Qi deficiency
What is indicated when an apical pulse is strong and hard? LU/HT excess condition
What is indicated when an apical pulse is large but empty? HT Qi deficiency
What is indicated when an apical pulse is stopping and starting? Severe shock or alcoholism
What is indicated when an apical pulse has a discrepancy w/ the radial pulse? Poor Px
What is indicated when an apical pulse is rapid? Shock, fright or outburst or anger
What is indicated when the area below the xyphoid process is hard upon palpation? Full condition, Qi stagnation from emotional problems
What is indicated when the area below the xyphoid process is too soft on palpation? HT deficiency
How should the area below the xyphoid process feel in normal circumstances? Soft vs the rest of the abdomen
What is indicated when the area of RN17 is tender w/ light palpation? HT blood stasis
What is indicated when the chest is tender around the center? LU excess condition
What is indicated when tenderness in the chest is relieved by palpation? HT/LU deficiency condition
What is indicated when tenderness in the chest is relieved by light palpation by elicited by deeper palpation? Deficiency + excess
What is indicated when there are relatively soft breast lumps? Phlegm
What is indicated when there are relatively hard breast lumps? Blood stasis
What is indicated when breast lumps have distinct edges? Phlegm
What is indicated when breast lumps have indistinct edges? Toxic heat
What is indicated when breast lumps are mobile on palpation? Phlegm
What is indicated when breast lumps are immobile on palpation? Blood stasis or toxic heat
An abdomen that is hard upon palpation indicates? Full
An abdomen that is too soft upon palpation indicates? Empty
An achy abdomen relieved by palpation indicates? Empty
A lower abdomen that is soft and flabby to palpation indicates? Original (Yuan) Qi deficiency
An abdomen that has masses that come and go and move on palpation indicates? Qi stagnation
An abdomen that has fixed abdominal masses indicates? Blood stasis
When palpating back shu points what does sharp pain indicate? Full in relevant organ (either spontaneous or on pressure)
When palpating back shu points what does dull soreness indicate? Empty if dull soreness (either spontaneous or on pressure)
Created by: kabrown