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TCM > Pulse Diagnosis > Flashcards

Pulse Diagnosis Flashcards

1
Q

Hot Hands/ Feet

A

Yang Excess (whole hand heat)/Yin Deficiency

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2
Q

Cold Hands/ Feet

A

Yang deficiency/yin excess (Cold/dampness/blood stasis)

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3
Q

Cold body, hands, and feet

A

Cold-reversal

- collapse of yang

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4
Q

Hot body, cold hands, and feet

A

Heat-reversal

- Heat stagnant in interior obstructing circulation to extremities

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5
Q

Abdomen: Press and Pain is made better

A

Deficiency

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6
Q

Abdomen: Press and pain is made worse

A

Excess

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7
Q

Abdomen: HARD, immobile masses with fixed pain

A

Blood stasis

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8
Q

Abdomen: Formless “masses” which come and go; pain not fixed

A

Qi Stasis

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9
Q

Position For Taking Pulse

A

Position Left Right
Cun Heart Lung, Chest
Guan Liver, GB Spleen, Stomach
Chi Kidney Yin Kidney Yang

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10
Q

Normal Pulse Image

A
  • Felt in all three positions
  • 4-5 beats per breath
  • Moderate, peaceful, flexible and forceful with an even rhythm
  • Can be felt as even, moderate, forcefull with heavy pressure in Chi position.
  • Normal will change based on season, weather, physical activity
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11
Q

Three characteristics of a Normal Pulse

A

With Stomach qI -
Peaceful and moderate, with even rhythm

With Shen -
With strength

With Root-
Deep pressure of Chi position. even and moderate. Doesn’t disappear with heavy pressure

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12
Q

Variations of a normal pulse in Spring

A

Wirey

wood, LIV/GB

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13
Q

Variations of a normal pulse in Summer

A

Surging

wider more forceful, floating up. HEAT

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14
Q

Variations of a normal pulse in Autumn

A

Floating
(lung. lung governs the exterior.)

Dryness = more yang = lighter =float up

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15
Q

Variations of a normal pulse in Winter

A

Deep

cold, yin

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16
Q

Variations in Male Pulse

A

Forceful

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17
Q

Variations in Female Pulse

A

Soft, fine, a bit rapid

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18
Q

Age

A

The younger the age, the faster the pulse

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19
Q

Variations of a normal pulse in Heavy Person

A

Deep and Fine

Damp /yin

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20
Q

Variations of a normal pulse in Thin Person

A

Floating and Large Pulse

tend toward heat

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21
Q

Variations of a normal pulse in Tall Person

A

Long pulse

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22
Q

Variations of a normal pulse in Short Person

A

Short Pulse

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23
Q

Variations of a normal pulse JOY

A

Moderate/ Slack pulse

Best vasodilator

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24
Q

Variations of a normal pulse ANGER

A

Wirey pulse

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25
Q

Variations of a normal pulse Fright

A

Rapid and jumpy/stirring

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26
Q

Variations of a normal pulse After Eating

A

Rapid and Forcefull

Qi and Blood are moving to digest

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27
Q

Variations of a normal pulse when Hungry

A

Slow and Weak

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28
Q

Depth Catagories

A

Deep

Floating

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29
Q

Rate

A

Rapid

Slow

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30
Q

Strength

A

Strong

Weak

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31
Q

Floating Pulse:

FLOATING PULSE

A

Felt easily with light pressure

excess or deficiency

Mechanisim (there is an external pathogen, Zheng qi fighting pathogen on ext. pulse floats up. Deficiency - yin not able to hold yang, pulse floats up)

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32
Q

Floating and Tight

A

TAIYANG COLD DAMAGE

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33
Q

Floating and Moderate

A

TAIYANG WIND STRIKE

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34
Q

Floating and rapid

A

EXTERIOR WIND HEAT

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35
Q

EXTERIOR Floating Pulses

A

Floating and Tight (Taiyang cold damage)
Floating and Moderate (Taiyang wind strike)
Floating and Rapid (exterior wind heat)

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36
Q

Deficiency Floating Pulse

A

Floating, large and forceless

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37
Q

FLOATING PULSES Catergories

A

Floating
Surging
Soggy

38
Q

SURGING PULSE

A

Floating, large, full. Arrives with force, departs weakly

Indications:

  • Normal - Summer (pulse slight surging d/t heat)
  • Excess heat in Qi level-

Mechanism: Internal heat excess, qi abundant, blood surging, blood vessels dilated, the pulse is surging.

39
Q

KEY WORDS:

FULL

A

EXCESS

40
Q

Surging, rapid and forceful pulse, high fever, strong thirst, profuse sweating, scant and yellow urine, constipation with dry stool, red tongue with dry, yellow coat.

A

INET EXCESS HEAT / EXCESS HEAT AT QI LEVEL

SURGING PULSE

41
Q

Floating Pulses:

SOGGY PULSE

A

Floating, thin, soft. Disappears when pressing deeply

Indications:

Deficiency patterns:

Deficiency and damp

Dampness

Mechanism:

Deficiency of qi and blood, can’t fill vessels. Dampness pressing down on vessels.

42
Q

Soggy and Moderate

A

cold damp accumulating in spleen

43
Q

Soggy and Rapid

A

damp heat accumulating in Spleen

44
Q

Soggy Pulse deficiency patterns

A

Deficiency:
Primarily Blood deficiency also qi deficiency
Spleen qi deficiency

Deficiency and Damp

Spleen qi deficiency and dampness

45
Q

Soggy Pulse dampness patterns

A

Soggy and Moderate

Soggy and Rapid

46
Q

SOGGY PULSE

A

Floating, thin, soft. Disappears when pressing deeply.

47
Q

Deep Pulse

A

Located deeply. Cannot be felt with light or medium pressure - only felt with heavy pressure.

Indications:

Normal Pulse in winter, in overweight people

Interior Patterns
Deep and forceful: Interior Excess
Deep and weak: Interior Deficiency

Mechanism: Excess pathogen constrained internally, qi and blood stagnate and can’t circulate and go through vessels, pulse is deep, forceful. Organs, qi blood deficient, no strength to lift the pulse up, pulse is deep and weak.

48
Q

Deep Pulse

A

Located deeply. Only felt with Heavy Pressure

49
Q

Deep and Forceful

A

Interior Excess

50
Q

Deep and Weak

A

Interior Deficiency

51
Q

KEY WORDS

DEEP

A

INTERIOR

52
Q

Deep Pulses

A

DEEP PULSE

WEAK PULSE

53
Q

Deep Pulse

WEAK PULSE

A

Deep, thin, soft

Deficiency: Qi, Blood (yang)

Mechanism: Insufficient Blood to fill vessels, insufficient qi so pulse is weak.

54
Q

SLOW PULSES

A

Slow Pulse

Moderate Pulse

Choppy Pulse

Knotted Pulse

55
Q

SLOW PULSE

A

LESS THAN FOUR BEATS PER BREATH < 60 BPM

Arrives and Departs very slowly

Indications:

Normal: athletes

Cold patterns:

Slow and Forceful

Slow and Weak

Mechanism: Cold causes stagnation, blood doesn’t move easily. Def of yang qi, too weak to move blood.

56
Q

Slow and Forceful

A

Excess Cold

Cold causes stagnation, blood doesn’t move easily

57
Q

Slow and Weak

A

Deficiency Cold

Def of yang qi, too weak to move blood.

58
Q

Moderate Pulse

A

Four beats per breath comes and goes leisurely.

Slightly faster than slow pulse

59
Q

Moderate and Weak

A

Spleen and Stomach deficiency, often with dampness

leads to qi and blood def, no strength to move pulse.

60
Q

Moderate, not lifting up Much

A

Dampness

Yin pushes pulse down) (Dampness obstructing the vessels and inhibiting movement of qi and blood

61
Q

Moderate, has strength, not floating or deep, regulare rhythem

A

Normal Pulse “Have Stomach qi”

62
Q

Choppy Pulse

A

Slow (in general) rough, uneven

63
Q

Choppy and Weak

A

Damaged essence, weak blood

Deficient blood and essence can’t moisten vessels.

64
Q

Choppy and Strong

A

Stagnation of Qi and Blood

Qi and blood stasis impairs movement of blood in vessels.

65
Q

Knotted Pulse

A

Slow or moderate. Stops irregularly ( irregularly irregular)

Slow and Relaxed with Irregular pauses

Indications:

Excess cold with knotting of qi

Cold Phlegm knotting and stagnation

Stagnation of qi / blood due to cold

(Cold congealing, qi stagnating, plegm knotting, then qi and blood are impaired, vessel qi impaired/stagnant, pulse comes moderately and occasionally stops)

EXCESS COLD IMPAIRS HEART YANG - CAN’T BEAT REGULARLY

66
Q

RAPID PULSES

A

RAPID PULSE

SKIPPING PULSE

67
Q

RAPID PULSE

A

6-7+ BEATS PER BREATH > 90 BPM

Indications:
Heat:

Rapid and Forceful: Excess Heat

Rapid and Weak: Deficiency Heat

68
Q

Rapid and Foreceful

A

Excess Heat

Heat excess quickens qi and blood circulation, pulse is rapid and forceful.

69
Q

Rapid and Wear

A

Deficiency Heat

Deficient yin can’t restrain yang. unrestrained yang quickens pulse, pulse is rapid and weak.

70
Q

KEY WORDS:

RAPID

A

HEAT

71
Q

KEY WORDS:

Weak

A

Deficiency

72
Q

Skipping pulse

A

Rapid with irregular pauses (Irregular Irregular)

“Arrives and departs rapidly, sometimes with a pause in its arrival”

Indications:

Qi and blood stagnation (with heat)

Phlegm / food retention/stagnation

Excess heat

( Stais of qi, blood, phlegm, food transform into heat, yang excess. Can’t harmonize w yin, pulse rapid and out of control, vessel-qi can’t maintain regularity, sometimes stops.)

  • turbid yin can’t go down, backs up into chest. stagnante heat rises up to heart. heart cause sweat - also go into shock.
73
Q

KEY WORDS:

PALPATIONS

A

HEART

74
Q

Deficiency/Vacuity Pulse

A

Combines four forms:

floating, large (slow), soft

Weak in all three positions. Feels soft and empty

Indications:

Deficiency patterns: Qi, Blood, Organs

( Qi weak, no strength to command blood, pulse comes slow and large. Blood weak, can’t fill vessels, so pulse is empty and soft)

Due to Blood loss - qi yang def
Thin weak - blood def

75
Q

KEY WORDS:

SOFT

A

LACKING FORCE

76
Q

KEY WORDS:

EMPTY

A

BLOOD DEFICIENCY

77
Q

Deficiency/ Vacuity Pulses

A

Deficiency/ Vacuity

Thin/Fine

Regularly Intermittent

78
Q

Thin and Fine Pulse

A

Feels like a fine thread, but can’t be felt distinctly

Indications:

Deficiency patterns:
Qi, blood, “ Deficiency taxation” (overworkP)

Dampness

( Qi and Blood wear so can’t fill the vessels. Dampness pushing down on vessels)

79
Q

Regularly Intermittent pulse (dai mai)

A

Relatively moderate pulse with stops that occur at regular intervals and (last a relatively long time.)

Regularly Irregular

Indications:

Dai and weak: def of organs (heart qi def)

Dai and strong: Internal wind, pain, trauma (blood stasis)

( def of organs leads to weakness of qi and blood, weakness of vessel qi leads to inability to regulate heart rhythm)

80
Q

Dai and weak

A

Deficiency of Organs ( Heart Qi def)

Congestive Heart Failure.

( def of organs leads to weakness of qi and blood, weakness of vessel qi leads to inability to regulate heart rhythm)

81
Q

Dai and strong

A

Internal Wind, pain, traumatic injury ( blood stasis)

Major Pain

82
Q

Excess/Replete Pulses

A

Excess/Replete

Slippery

Tight

Wiry/String-taut

83
Q

Excess Replete pulse

A

long, large, strong and slightly wiry in all three positions and all three depths.

Indications:
Excess and rapid: Excess Heat

Excess and slow: excess cold

(Pathogen is replete (full/excess) and Zheng qi is not deficient, so they fight, causing qi and blood to move in large amount and fill the vessels)

84
Q

Excess and rapid

A

Excess Heat (more wide)

85
Q

Excess but Zheng qi weak

A

Deficiency pattern

86
Q

Excess and slow

A

Excess Cold (more thin)

87
Q

Slippery pulse

A

Arrives and departs smoothly; round and smooth/slippery. Like a ball-bearing or greasy round ball sliding under the fingers.

Normal:
Slippery and harmonious
Slipper and strong in pregnancy

Phlegm -rheum/fluids, food stagnation, excess heat (rapid and wide)

( Phlegm, food and heat stagnate in INT, cause qi and blood to move vigorously.)

88
Q

Tight pulse

A

Feels tight/tense, strong

Indications:

Excess Cold
Floating and tight: exterior cold excess (Taiyang cold damage)

Depp and tight: interior cold excess

Pain (with cold, blood stasis)

Food stagnations (with cold)

(Cold and pain cause tightening of vessels)

89
Q

Wiry/String-taught pulse

A

Long, straight, and stiff/hard

Normal:
wiry and moderate: healthy persons pulse in Spring

Liver/GB disorders (Shaoyang pulse)

Phlegm-rheum/fluids
Pain
Malarial disorder

(Liver shu xie (coursing and moving) function impaired, vessels contract and become tense,

90
Q

Shaoyang Pulse

A

Wiry LIVER/GALLBLADDER disharmony

TCM (3 decks)

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