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Pulse Maciocia
| Question | Answer |
|---|---|
| The superficial level reflects the state of | Qi and the yang organs Exterior diseases |
| The middle level reflects the state | Of blood/Heart qi Stomach and spleen diseases |
| The deep level reflects the state | Yin and the yin organs/Root Internal diseases |
| What are the 6 procedures for pulse taking | 1. the pulse as a whole 2. whether the pulse has stomach qi, spirit, root 3. the three levels and the three positions 4. the strength of the pulse 5. the overall quality of the pulse (if there is one) 6. the quality of the individual pulse positions |
| Consists of gently lifting the fingers to check the strength of the pulse at the superficial level and therefore whether the pulse is Floating, normal or deficient at that level | Lifting |
| Consists of gently pressing the fingers downwards to check the strength of the pulse at the middle and deep level and therefore whether the pulse is Deep normal or deficient at these levels | Pressing |
| Consists of not moving the fingers but keeping them still to count the rate of the pulse, to decide whether it is slow rapid or normal | Searching |
| Consists of gently moving the fingers from side to side (lateral to medial) in each position. One can determine the pulse qualities by moving the fingers in this way in order to feel ROUND the pulse, to determine its shape | Pushing |
| Consists of moving the fingers back and forth (proximal-distal) in each position: this movement is necessary to determine whether the pulse is short long moving or to read the pulse of a child under 1 year | Rolling |
| What causes a floating pulse | Invasion of external wind. Yin deficiency (interior conditions) |
| Floating pulse (feeling) | Felt with light pressure of the fingers, just resting the fingers on the artery |
| Deep (chen) feeling | It can only be felt with a heavy pressure of the fingers and is felt near the bone |
| Deep pulse (chen) clinical significance | Interior condition, & problem with Yin organs. |
| Deep-weak Pulse | Qi & Yang deficiency |
| Deep-full pulse | Stasis of Qi and Blood in the interior, or interior cold or heat (pathogenic factor in the interior) |
| Slow (Chi) pulse feeling | 3 beats per respiration cycle of the practitioner |
| Slow (Chi) pulse significance | Indicates a cold pattern |
| slow-weak | Empty cold from deficiency of Yang |
| Slow-full or Full-slow | Full cold |
| Rapid (shu) feeling | More than 5 beats per respiration cycle of practitioner |
| Rapid (shu) significance | Heat pattern |
| Floating-empty and rapid | Empty heat from Yin deficiency |
| Full-rapid or Rapid-Full | Full heat |
| Empty (xu) feeling | Rather Big but soft. Feels empty on a slightly stronger pressure and is soft. |
| Empty (xu) significance | Qi deficiency |
| Full (shi) feeling | Feels full, rather hard and rather long |
| Full (shi) significance | Full pattern |
| Slippery (hua) feeling | Smooth rounded, to the touch as if it were oily. It slides under the fingers. *like pearls on a plate* |
| Slippery (hua) significance | Phlegm, dampness, RETENTION OF FOOD, or pregnancy |
| Slippery-weak pulse | Phlegm or dampness with a background of qi deficiency |
| Choppy (Se) feeling | Rough under the finger *like a knife scrapping down bamboo* Also indicates a pulse that changes rapidly both in rate and quality. |
| Choppy (Se) significance | Deficiency of blood. Exhaustion of fluids, and may occur after profuse and prolonged sweating or vomiting. |
| Long (Chong) feeling | It extends slightly beyond the normal pulse position. |
| Long (chong) significance | Indicates a heat pattern |
| Short (duan) feeling | It occupies a shorter space than the normal position. |
| Short (duan) significance | Indicates severe deficiency of Qi. Frequently appears on the front positions of left nor right. Also specifically denotes DEFICIENCY OF STOMACH QI |
| Overflowing (hong) feeling | Big, superficial, and extends beyond the pulse positions. *like a river overflows during a flood* |
| Overflowing (hong) significance | Indicates extreme heat. Fever, chronic diseases characterized by interior heat. |
| overflowing-empty (on pressure) | Empty-heat from a Yin deficiency |
| Fine (xi) feeling | Thinner tghat normal |
| Fine (xi) significance | Indicates deficiency of BLOOD, or internal Dampness with severe deficiency of Qi |
| Minute (wei) feeling | Extremely thin, small and dificult to feel. (Basically the same as fine just more so) |
| Minute (wei) significance | SEVERE deficiency of qi and blood |
| Tight (Jin) feeling | Twisted like a thick roap |
| Tight (jin) significance | indicates Cold, which may be interior or exterior. PAIN. Usually felt with asthma or stomach cold conditions. |
| Tight-floating | Exterior cold |
| Tight, full, and deep | Interior Full-Cold |
| Tight, weak and Deep | Interior empty-cold |
| Wiry (xian) feeling | *taunt like a guitar string* thinner, more taut and harder than the Tight pulse. Really hits the fingers. |
| Wiry (xian) significance | Liver disharmony pain or phlegm |
| Slowed down (huan) feeling | Four beats per breath. |
| Slowed down (huan) significance | generally a healthy pulse and has no pathological significance |
| Hollow (kuo) feeling | Felt at the superficial level, not at the middle, then felt again at the deep level with a stronger pressure. âEmpty in the middleâ |
| Hollow (kuo) significance | After a Hemorrhage |
| Hollow and rapid | Forthcoming hemorrhage |
| Leather (Ge) feeling | Hard and tight at the superficial level and stretched like a drum, but completely empty at the deep level. Large but not thin. |
| Leather (Ge) significance | Severe deficiency of the kidney-essence or severe deficiency of kidney-Yin |
| Firm (Lao) feeling | Only at the deep level and it feels hard and rather wiry. could be described as a wiry pulse at the deep level |
| Firm (Lao) significance | Blood stasis, interior cold (if it is also slow) and PAIN |
| Firm-slow | Interior cold |
| Soggy or weak floating (ru) feeling | Only on the superficial level. Soft and slightly floating. Disappears with stronger pressure. (Softer than a floating empty pulse) |
| Soggy or weak floating (Ru) significance | Presence of Dampness with Qi deficiency. Deficiency of Yin. Deficiency of Essence |
| Weak (Ruo) feeling | Cannot be felt on the superficial level, but only at the deep level. it is SOFT. |
| Weak (Ruo) significance | Deficiency of Yang. Sometimes Deficiency of Blood |
| Scattered (San) feeling | Very small and is relatively superficial. Instead of feeling like a wave, feels as if it were *broken in small dots* |
| Scattered (San) significance | Very Severe Deficiency of Qi & Blood and in particular of Kidney Qi. IT ALWAYS INDICATES A SERIOUS CONDITION. |
| Hidden (Fu) feeling | Very deep (hidden beneath the bone) and difficult to feel. And extreme case of deep pulse |
| Hidden (Fu) significance | extreme Deficiency of Yang |
| Moving (dong) feeling | *Round shape like a bean* it is short and trembles under the finger. No definite shape (no head or tail just rising up in the center). Feels as if it is shaking and is also somewhat slippery |
| Moving (dong) significance | Shock anxiety, fright or extreme PAIN. Found in persons w/deep emotional problems, fear or suffered an intense emotional shock (even if years ago) |
| Hasty(Cu) feeling | Rapid and it stops at irregular intervals |
| Hasty (Cu) significance | Extreme heat and a Deficiency of Heart Qi, Heart Fire. |
| Knotted (Jie) feeling | Slow and it stops at irregular intervals |
| Knotted (Jie) significance | Cold with Deficiency of Heart Yang |
| Intermittent (Dai) feeling | Stops at regular intervals |
| Intermittent (dai) significance | Serious internal problem of 1 or more Yin organs. Heart problem in western medical sense |
| Hurried (Ji) feeling | Very rapid, but it also feels very agitated and urgent |
| Hurried (Ji) significance | Excess of yang with fire in the body exhausting Yin. *fire exhausting Yin* |
| What pulses fit into the Floating category | Floating. Hollow. Leather |
| What pulses fit into the deep category | deep. Firm. Hidden |
| What pulses fit into the slow category | Slow. Knotted |
| What pulses fit into the raid category | Rapid. Hasty. Hurried. Moving |
| What pulses fit into the empty category | Empty. Weak. Fine. Minute. Soggy. Short. Scattered |
| What pulses fit into the full category | Full. Overflowing. Wiry. Tight. Long |
Created by:
Jkellycal
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