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Pulse Maciocia

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. “Empty in the middle”
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