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Pulse Diagnosis

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Created by: clehmann

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Question	Answer
Superficial/floating pulse generally means	External problem
XS type Superficial/floating pulse means	OPI invasion
DEF type Superficial/floating pulse means	Floating Yang, general deficiency
Deep/sinking pulse generally means	Internal problem
XS type Deep/sinking pulse means	Internal cold, Qi or Blood stagnation
DEF type Deep/sinking pulse means	Qi a/o Blood deficiency
Fast/rapid pulse generally means	Heat
XS type Fast/rapid pulse means	Full Heat
DEF type Fast/rapid pulse means	Any Deficiency Yang (Floating) Yin (Deep)
Slow pulse generally means	Cold
XS type Slow pulse means	Excess Cold
DEF type Slow pulse means	Yang Deficiency, Qi Deficiency in blood
Empty/deficient pulse generally means	Deficiency of Qi a/o Blood
SLOW type Full/Excess pulse means	Excess Cold & Strong Vital Qi
FAST type Full/Excess pulse means	Excess Heat & Strong Vital Qi
Thin/thready pulse generally means	Deficiency of Qi & Blood or Yin & Blood
Thin/thready & STRONG pulse means	Damp/ Phlegm obstruction of Qi & Blood Pain/ Cold Attack
Wide/big pulse generally means	Excess (Strong Patho)/ Deficiency
EMPTY Wide/big pulse means	Deficiency of Qi (SP) a/o Blood
DISTINCT Wide/big pulse means	Excess Heat in Yang Ming (ST/LI), pulse is rapid too
Slippery/rolling pulse generally means	Excess
Slippery/rolling pulse specifically means	Phlegm/Excess Damp Food Stagnation Pregnancy Phlegm/ Fluid Retention
Wiry pulse generally means	Stagnation (Qi)
Wiry pulse specifically means	LV/GB disorder (Yang rising, Qi Stag) Pain/ Stagnation Food/ Phlegm/ Fluid
Tight pulse generally means	Excess
Tight pulse specifically means	Excess cold Stagnation b/c Cold/Phlegm Pain (interior, Cold type)
Flooding/surging pulse generally means	Heat/Excess
Flooding/surging pulse specifically means	Excess Heat injuring Fluids or Yin Imminent Qi collapse (floating) Deficiency Heat
Soft/soggy pulse generally means	Deficiency
Soft/soggy pulse specifically means	Pathogenic Damp Any Deficiency (Blood, Essence, Yin)
Weak/frail pulse generally means	Deficiency
Weak/frail pulse specifically means	Deficiency of Qi, Blood or Yang
Difference between a soft/soggy and a weak/frail pulse is	Depth, soft is more superficial, weak is deep
Minute/ Faint pulse generally means	Deficiency
Minute/ Faint pulse specifically means	Severe Def. of Qi, Blood Yang Collapse
Minute/ Faint pulse is felt at which level	Any level, heavy pressure will push through it
Long pulse generally means	Excess
Long pulse specifically means	Strong vitality, Tight/wiry means Excess (heat)
Short pulse generally means	Deficiency
XS Short pulse means	Stagnation/blockage
DEF Short pulse means	Qi Deficiency
Irregular/intermittent pulse generally means	Deficiency, regularly irregular (pattern of skipped beats)
Irregular/intermittent pulse specifically means	Yin organ exhaustion, HT disharmony, Shock/trauma disorder
Choppy/rough/hesitant pulse generally means	Deficiency/Stasis, irregular
XS Choppy/rough/hesitant pulse means	Qi a/o Blood Stagnation Food/ Phlegm Stag
DEF Choppy/rough/hesitant pulse means	Blood & Jing Deficiency Fluid loss after sweating/vomiting
Swift/ Hasty/Abrupt/Hurried pulse generally means	Heat agitating Qi & Blood, irregular
XS Swift/ Hasty/Abrupt/Hurried pulse means	Hyper Yang Activity Excess Heat/ Phlegm Heat
DEF Swift/ Hasty/Abrupt/Hurried pulse means	Deficiency HT Fire/ HT Qi Yin Deficiency Possible imminent collapse (Yin) Phthisis
Knotted pulse generally means	Cold (Excess Yin) irregular
XS Knotted pulse means	Obstruction of Qi & Blood b/c Cold or Cold Phlegm HT Blood Stasis
DEF Knotted pulse means	HT Qi/ Blood Deficiency Blood Deficiency
Leather pulse generally means	Deficiency
Leather pulse specifically means	Severe KD Jing Deficiency External Cold (Wei Qi response)
Firm/prison pulse generally means	Internal Excess Cold
Firm/prison pulse specifically means	Internal Excess Cold accumulation (mass, hernia)
Hollow pulse generally means	Deficiency
Hollow pulse specifically means	Sudden Blood loss Severe Yin Deficiency
Scattered pulse generally means	Deficiency
Scattered pulse specifically means	Severe Qi & Blood Deficiency KD Yang floating away
Hidden pulse generally means	Deficiency
Hidden pulse specifically means	Extreme KD Yang Deficiency L.O.C. Severe Pain/ Stagnation
Moving/”Spinning Bean” pulse specifically means	shock/anxiety/trauma/Pain
Moderate Pulse Means	Sp Qi deficiency Wind/ Damp Attack
SLOW Pulse Generally Means	Cold Syndrome Internal Heat (Forceful) Abd Mass
Rapid Intermittent (Running) Pulse	Hyper Yang/ Excess Heat Blood/ Phlegm/ Qi Stagnation Rebellion