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Pan-Canadian Exam TCM > Pulse > Flashcards

Pulse Flashcards

1
Q

Pulse positions

A
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2
Q

How to take pulse?

A
  1. Find styloid process with middle finger (this is guan position)
  2. Put index finger on cun position
  3. Put ring finger on chi position
  4. Must feel each level for at least 5 beats per level
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3
Q

Superficial Pulse

A

External Disease

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4
Q

Deep pulse

A

Internal disease

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5
Q

Middle pulse

A

Spleen/ Stomach disease

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6
Q

Normal pulse

A

72 bpm
(4-5 bpb)

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7
Q

Moderate pulse

A

60-70 bpm
(4 bpb)

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8
Q

Slow pulse

A

<60 bpm
(<4 bpb)

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9
Q

Rapid pulse

A

90-120 bpm
(5-6 bpb)

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10
Q

Racing pulse

A

> 140 bpm
(7-8 bpb)

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11
Q

Floating pulse

A
  1. External wind (+tight=cold, +rapid=Heat)
  2. Yin xu with yang floating
  3. Fall or autumn
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12
Q

Types of floating pulse

A
  1. deficient
  2. drum skin
  3. Feeble/Minute
  4. Full/ Flooding
  5. Hollow
  6. Scattered
  7. soggy/soft
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13
Q

Floating at different positions

A

Cun= Upper jiao, heaache, wind heat obstructing causing dizziness

Guan= Middle jiao, spleen qi xu or liver qi stag

Chi= Excess yang causing difficulty passing stool and urine

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14
Q

Strong under slight pressure, loses strength when pressure is increased

A

Floating pulse

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15
Q

Floating with slow strong beats but becomes soft when pressure is applied

A

Deficient floating

Qi, blood and yang xu

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16
Q

Floating and wiry, almost rapid with no substance in center

A

Drum skin pulse

Kidney essence or yin xu
blood and jing loss from yang xu, miscarriage, excess sperm loss

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17
Q

Floating, extremely thin and soft but still felt with pressure

A

Feeble

severe qi and blood xu
yang xu
emergency
collapse

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18
Q

Floating, rough and big with beats that rise strongly but fade out as well

A

Full or flooding

Fire
Full Heat
empty heat
Healthy in summertime

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19
Q

Floating, big and soft under slight pressure, but without substance at the center under heavier pressure

A

Hollow

hemorrhage (loss of blood or body fluids, allows yang qi to float to surface)

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20
Q

Floating, large, indistinct without strength or root. Palpable and irregular when slight pressure is applied, but vanishes when pressure is increased.

A

Scattered

Severe qi/blood Xu
Severe Kid Qi xu
Yuan QI xu
serious

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21
Q

Floating, very thin, and without strength. Disappears when pressure is increased. Only felt at the superficial level.

A

Soggy

Spleen qi xu unable to control damp
yin xu
blood xu
jing xu

22
Q

Can only feel under strong pressure to the level of the tendons and bones

A

Deep

23
Q

Deep at different levels

A

Cun= upper jiao, water retention, phlegm obstructing chest/diaphragm.
Guan= Middle jiao, excess stagnant pain inducing cold
Chi= Lower jiao, damaged yuan yang qi (vaginal discharge, incontinence of urine, diarrhea, KD xu lumbago)

24
Q

Types of deep pulse

A
  1. Excess
  2. firm
  3. hidden
  4. Thready
  5. Weak
25
Q

Deep, often felt all three levels, big, long, wiry, strong beats.

A

Excess

Severe accumulation of heat

26
Q

Very deep, almost hidden, strong, long, wiry, and impatient.

A

Firm

Liver qi stasis
Pain
Interior cold

27
Q

Very deep, cannot be felt until deep pressure is applied to the level of the bone, and even then the beats seem to come from below.

A

Hidden

Internal acumulation of cold
Cold pathogens blocking yang Qi
Severe painLOC/Coma

28
Q

Thready (thin/fine)

A

Thready (thin/fine)

Xu (Qi, blood, yin, yang)
Damp blocking vessels

29
Q

Deep, very soft and thin under deep pressure and not felt at the superficial level.

A

Weak

Jing Xu
Yin xu
yang Qi xu
Blood Xu
Can be normal in elderly

30
Q

90 bpm

A

Rapid

heat or fire
Deficiency yang floating upwards due to yin xu

31
Q

Rapid pulse at different levels

A

Cun= Upper jiao, Heart fire blazing or dry heat in lung
Guan= Middle jiao, liver fire or stomach fire
Chi= Fire blazing from lower jiao

32
Q

Types of rapid pulse

A
  1. Moving
  2. Racing
  3. Skipping
  4. Slippery
  5. Tight
33
Q

Rapid, tight, slippery, and short with strong beats.

A

Moving

Shock
Fright
Pain
yin/yang conflict

34
Q

Very Rapid, over 120

A

Racing

Excess yang causing yin xu.
Impending exhaustion of yuan qi from excess yang.

35
Q

Rapid but loses a beat at irregular intervals

A

Skipping

Severe heat
Fire causing Qi stasis
Exces blood, food stag, phlegm
Qi and blood stasis from heat drying yin fluids

36
Q

Round and smooth and flows evenly

A

Slippery

Phlegm
Damp
Food retention
Pregnancy
Excess heat
Children

37
Q

Rises and falls without strength and vibrates to the left and right.

A

Tight

Cold (exterior and interior)
Pain (contracting due to cold)

38
Q

Under 60 bpm

A

Slow

Cold
Qi/Blood Xu causing cold
Extreme Heat causing obstruction of blood
Athletic

39
Q

Slow pulse on different levels

A

Cun= cold in Upper jiao
Guan= cold in Middle jiao
Chi= cold in Lower jiao, heavy painful loins and thighs, incontinence or urine or scrotal hernia.

40
Q

Types of slow pulse

A
  1. Choppy
  2. Intermittent
  3. Knotted
  4. Moderate
41
Q

Slow pulse on different levels

A

Cun= cold in Upper jiao
Guan= cold in Middle jiao
Chi= cold in Lower jiao, heavy painful loins and thighs, incontinence or urine or scrotal hernia.

42
Q

Slow, thin minute, difficult, stagnant, and short with uneven flow beating 3-4 times with irregular rhythm.

A

Choppy

Blood xu
Blood stasis
Xu of blood or body fluids and essence
Phlegm or food stasis

43
Q

Loses a beat and then pauses a little longer before starting again, at regular intervals

A

Intermittent

heart organ problems
zang Qi weakness
Excess emotions

44
Q

Leisurely, but loses a beat at irregular intervals

A

Knotted

blockage (Qi, blood, phlegm, cold)
Qi and blood xu

45
Q

Leisurely, but loses a beat at irregular intervals

A

Knotted

blockage (Qi, blood, phlegm, cold)
Qi and blood xu

46
Q

60 bpm, if imbalanced pulse feels thick and viscous with slack.

A

Moderate

Spleen Xu
Damp
Not enough blood to fill vessels
Healthy

47
Q

Large, fills up fingertip, forceful. Can be floating or deep.

A

Large

Disease developing due to domination of pathogenic factors

Deficiency syndrome (yang floating, large will feel weak)

48
Q

Extends past the cun and chi positions

A

Long

Excess heat
Excess liver yang
Toxic heat
Pathogenic heat
Robust health

49
Q

Fails to fill both the Cun and the Chi positions.

A

Short

Qi xu
Qi stasis
Blood Xu (will also be floating)

50
Q

Taut, long and strong (and down to get the friction on, jk), whether under pressure or not,a nd passes straight under the fingers without vibrating to the right or left or giving any wave like sensations.

A

Wiry

LR/GB disharmony
pain
phlegm
spring
seniors
stasis

51
Q

Umbrella term for forceful pulses, excessive, wiry, tight, slippery, long, large,firm

A

Forceful

Excess syndromes
Excess heat
EPI heat disease

52
Q

Umbrella term forceless pulses, thready, xu, hollow, scattered, soggy, intermittent

A

Forceless

Xu
Hyperactivity of yang du to yin xu

Pan-Canadian Exam TCM (10 decks)

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