Pulse Diagnosis Flashcards
1
Q
Hot Hands/ Feet
A
Yang Excess (whole hand heat)/Yin Deficiency
2
Q
Cold Hands/ Feet
A
Yang deficiency/yin excess (Cold/dampness/blood stasis)
3
Q
Cold body, hands, and feet
A
Cold-reversal
- collapse of yang
4
Q
Hot body, cold hands, and feet
A
Heat-reversal
- Heat stagnant in interior obstructing circulation to extremities
5
Q
Abdomen: Press and Pain is made better
A
Deficiency
6
Q
Abdomen: Press and pain is made worse
A
Excess
7
Q
Abdomen: HARD, immobile masses with fixed pain
A
Blood stasis
8
Q
Abdomen: Formless “masses” which come and go; pain not fixed
A
Qi Stasis
9
Q
Position For Taking Pulse
A
Position Left Right
Cun Heart Lung, Chest
Guan Liver, GB Spleen, Stomach
Chi Kidney Yin Kidney Yang
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
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
12
Q
Variations of a normal pulse in Spring
A
Wirey
wood, LIV/GB
13
Q
Variations of a normal pulse in Summer
A
Surging
wider more forceful, floating up. HEAT
14
Q
Variations of a normal pulse in Autumn
A
Floating
(lung. lung governs the exterior.)
Dryness = more yang = lighter =float up
15
Q
Variations of a normal pulse in Winter
A
Deep
cold, yin
16
Q
Variations in Male Pulse
A
Forceful
17
Q
Variations in Female Pulse
A
Soft, fine, a bit rapid
18
Q
Age
A
The younger the age, the faster the pulse
19
Q
Variations of a normal pulse in Heavy Person
A
Deep and Fine
Damp /yin
20
Q
Variations of a normal pulse in Thin Person
A
Floating and Large Pulse
tend toward heat
21
Q
Variations of a normal pulse in Tall Person
A
Long pulse
22
Q
Variations of a normal pulse in Short Person
A
Short Pulse
23
Q
Variations of a normal pulse JOY
A
Moderate/ Slack pulse
Best vasodilator
24
Q
Variations of a normal pulse ANGER
A
Wirey pulse
25
Variations of a normal pulse Fright
Rapid and jumpy/stirring
26
Variations of a normal pulse After Eating
Rapid and Forcefull
| Qi and Blood are moving to digest
27
Variations of a normal pulse when Hungry
Slow and Weak
28
Depth Catagories
Deep
Floating
29
Rate
Rapid
Slow
30
Strength
Strong
Weak
31
Floating Pulse:
FLOATING PULSE
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)
32
Floating and Tight
TAIYANG COLD DAMAGE
33
Floating and Moderate
TAIYANG WIND STRIKE
34
Floating and rapid
EXTERIOR WIND HEAT
35
EXTERIOR Floating Pulses
Floating and Tight (Taiyang cold damage)
Floating and Moderate (Taiyang wind strike)
Floating and Rapid (exterior wind heat)
36
Deficiency Floating Pulse
Floating, large and forceless
37
FLOATING PULSES Catergories
Floating
Surging
Soggy
38
SURGING PULSE
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
KEY WORDS:
FULL
EXCESS
40
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.
INET EXCESS HEAT / EXCESS HEAT AT QI LEVEL
SURGING PULSE
41
Floating Pulses:
SOGGY PULSE
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
Soggy and Moderate
cold damp accumulating in spleen
43
Soggy and Rapid
damp heat accumulating in Spleen
44
Soggy Pulse deficiency patterns
Deficiency:
Primarily Blood deficiency also qi deficiency
Spleen qi deficiency
Deficiency and Damp
Spleen qi deficiency and dampness
45
Soggy Pulse dampness patterns
Soggy and Moderate
Soggy and Rapid
46
SOGGY PULSE
Floating, thin, soft. Disappears when pressing deeply.
47
Deep Pulse
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
Deep Pulse
Located deeply. Only felt with Heavy Pressure
49
Deep and Forceful
Interior Excess
50
Deep and Weak
Interior Deficiency
51
KEY WORDS
DEEP
INTERIOR
52
Deep Pulses
DEEP PULSE
WEAK PULSE
53
Deep Pulse
WEAK PULSE
Deep, thin, soft
Deficiency: Qi, Blood (yang)
Mechanism: Insufficient Blood to fill vessels, insufficient qi so pulse is weak.
54
SLOW PULSES
Slow Pulse
Moderate Pulse
Choppy Pulse
Knotted Pulse
55
SLOW PULSE
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
Slow and Forceful
Excess Cold
Cold causes stagnation, blood doesn't move easily
57
Slow and Weak
Deficiency Cold
Def of yang qi, too weak to move blood.
58
Moderate Pulse
Four beats per breath comes and goes leisurely.
Slightly faster than slow pulse
59
Moderate and Weak
Spleen and Stomach deficiency, often with dampness
| leads to qi and blood def, no strength to move pulse.
60
Moderate, not lifting up Much
Dampness
| Yin pushes pulse down) (Dampness obstructing the vessels and inhibiting movement of qi and blood
61
Moderate, has strength, not floating or deep, regulare rhythem
Normal Pulse "Have Stomach qi"
62
Choppy Pulse
Slow (in general) rough, uneven
63
Choppy and Weak
Damaged essence, weak blood
| Deficient blood and essence can't moisten vessels.
64
Choppy and Strong
Stagnation of Qi and Blood
| Qi and blood stasis impairs movement of blood in vessels.
65
Knotted Pulse
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
RAPID PULSES
RAPID PULSE
SKIPPING PULSE
67
RAPID PULSE
6-7+ BEATS PER BREATH > 90 BPM
Indications:
Heat:
Rapid and Forceful: Excess Heat
Rapid and Weak: Deficiency Heat
68
Rapid and Foreceful
Excess Heat
| Heat excess quickens qi and blood circulation, pulse is rapid and forceful.
69
Rapid and Wear
Deficiency Heat
| Deficient yin can't restrain yang. unrestrained yang quickens pulse, pulse is rapid and weak.
70
KEY WORDS:
RAPID
HEAT
71
KEY WORDS:
Weak
Deficiency
72
Skipping pulse
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
KEY WORDS:
PALPATIONS
HEART
74
Deficiency/Vacuity Pulse
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
KEY WORDS:
SOFT
LACKING FORCE
76
KEY WORDS:
EMPTY
BLOOD DEFICIENCY
77
Deficiency/ Vacuity Pulses
Deficiency/ Vacuity
Thin/Fine
Regularly Intermittent
78
Thin and Fine Pulse
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
Regularly Intermittent pulse (dai mai)
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
Dai and weak
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
Dai and strong
Internal Wind, pain, traumatic injury ( blood stasis)
Major Pain
82
Excess/Replete Pulses
Excess/Replete
Slippery
Tight
Wiry/String-taut
83
Excess Replete pulse
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
Excess and rapid
Excess Heat (more wide)
85
Excess but Zheng qi weak
Deficiency pattern
86
Excess and slow
Excess Cold (more thin)
87
Slippery pulse
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
Tight pulse
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
Wiry/String-taught pulse
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
Shaoyang Pulse
Wiry LIVER/GALLBLADDER disharmony
