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TCM Diagnosis Maciocia Textbook > pulse indications > Flashcards

pulse indications Flashcards

1
Q

‘normal’ slippery pulse

A

normal for pregnant women- indicates sufficient and harmonious qi & blood

in the absence of any pathogenic changes the slippery pulse can be found in a healthy person

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2
Q

consistently irregular, forceless

A

qi and/or blood deficiency

zang fu organ qi deficiency

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3
Q

‘normal’ thin pulse

A

in those of smaller constitution, a thin pulse is not considered pathological

also thin pulse is more commonly encountered in females than in males

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4
Q

wide and forceful

A

excess heat

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5
Q

confined pulse

A

interior excess cold (hernia, lumps, masses)

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6
Q

‘normal’ moving pulse

A

the moving pulse may be seen in pregnant women in their 1st trimester, at which time this is considered a normal pulse

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7
Q

fan guan mai

A

radial artery is found on the dorsal side of the radius

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8
Q

slow irregular

A

excess: stagnation, cold, tumor mass
deficiency: heart qi deficiency

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9
Q

decreased length

A

qi deficiency which fails to activate the flow of blood

or a pathogenic factor that has obstructed the vessels and prevented the qi and blood from filling the pulse to its normal length

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10
Q

‘normal’ long pulse

A

when moderate in strength can be a sign of health

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11
Q

hollow

A

this is a yang pulse but becasue it is not rooted, it is a sign of severe deficiency

the pulse shows a solitary yang without yin

after loss of blood, the yin and blood cannot fill up the vessel and contain the yang qi

the yang looses its anchor and floats to the superficial layers

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12
Q

short and forceless

A

qi deficiency

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13
Q

short pulse can also be seen in cases where there is profuse sweating but little intake of fluid

A

!

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14
Q

changes of pulse shape due to

A

excess pathogenic factors obstructing the flow within the vessel

excess qi and blood fails to flow smoothly

severe qi, blood or jing deficiency which fails to fill the vessel and causes the shape of the vessel to change

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15
Q

deficient pulse

A

wide without strength, forceless in all 3 positions, sense of emptiness in pulse or… may be at any position or depth may be rapid or slow it is also a group of pulses that beat without strength and indicate deficiency exa: frail, soggy and faint

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16
Q

rapid, forceful

A

excess heat

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17
Q

floating, forceless

A

yang deficiency yang floating to the surface

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18
Q

normal shape of the pulse

A

smooth and gentle, reflecting smooth flow of qi and blood inside the vessel

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19
Q

moving pulse

A

pain

fright

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20
Q

hidden pulse

A

pathogens obstructing the interior

yang deficiency

(yang & qi obstructed or too weak to push qi & blood to flow outward to exterior of body)

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21
Q

choppy and forceless

A

blood deficiency

jing deficiency

threatened miscarriage

seminal emission

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22
Q

A pulse that is slack or loose indicates

A

qi and blood deficiency

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23
Q

floating, forceless, thin

A

yin deficiency (yang floating to surface)

blood deficiency

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24
Q

hollow and rapid

A

yin depletion

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25
Q

rapid, thin

A

yin deficiency

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26
Q

scattered pulse

A

this pulse indicates a critical condition

if in third trimester of pregnancy, labor is imminent

if in second trimester of pregnancy, it indicates a potential miscarriage

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27
Q

liu yang mai

A

all six pulse positions are evenly forceful and wide but there is no illness

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28
Q

thin width

A

insufficiency of yin and blood

insufficient yin and blood fails to fill the blood vessels

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29
Q

faint pulse

A

yin deficiency

yang deficiency

qi deficiency

blood deficiency

severe vomiting, profuse sweating, blood loss

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30
Q

‘normal’ rapid

A

physical or emotional activities can temporarily increase pulse rate

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31
Q

A pulse that is taut or has tension indicates

A

qi and blood stagnation

blood vessel constriction

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32
Q

decreased rate

A

obstruction of the yang qi by pathogenic cold or deficiency of yang may prevent it from promoting the normal circulation of qi and blood

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33
Q

deficiency, slow

A

yang deficiency

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34
Q

racing and forceful

A

hyperactivity of yang and excessive heat

heart conditions

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35
Q

‘normal’ submerged pulse

A

wintertime or in a heavy person

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36
Q

submerged, forceless

A

interior deficiency

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37
Q

yin and yang of pulses

A

yang:

  • forceful strength
  • superficial depth
  • rapid speed
  • long length

yin:

  • forceless
  • deep
  • slow
  • short
38
Q

thin

A

deficiency of qi, blood, yin

or excess dampness

39
Q

superficial depth

A

the qi and blood are moving outward toward the superficial layers

  • exterior pattern
  • hyperactivity of yang due to insufficient yin/blood
40
Q

slippery pulse

A

food stagnation

phlegm

dampness

excess heat

41
Q

‘normal’ rapid irregular

A

in cases of congenital variation, this pulse could prove normal for some individuals

42
Q

floating and forceful

A

exterior excess (exterior wind)

43
Q

increased rate

A

yang governs movement, and yang hyperactivity or the relative hyperactivity of yang qi may cause the qi and blood to circulate more quickly inside the vessels.

44
Q

long pulse

A

excess syndrome

liver yang rising

excess interior heat

45
Q

hollow and forceless

A

loss of blood

46
Q

racing and forceless

A

yin exhaustion

zheng qi collapse

heart conditions

47
Q

soggy pulse

A

dampness or deficiency syndrome

(qi, yin or blood are deficient)

48
Q

leather pulse

A

blood loss

jing exhaustion

miscarriage/abortion

metrorrhagia

metrostaxis

49
Q

increased length

A

excessive qi and blood filling the vessels

50
Q

tight

A

cold pattern

food stagnation

pain

51
Q

deficiency, submerged

A

internal deficiency

52
Q

short and forceful

A

qi stagnation

53
Q

forceless

A

deficiency of qi and blood

esp deficiency of qi which fails to fill and move the blood in the vessels

54
Q

slow, forceless

A

deficiency cold qi deficiency

55
Q

excessive pulse

A

long, wide forceful at all 3 positions, at all three depths any excess syndrome:

pathogenic cold

food stagnation

phlegm

retention qi or blood stagnation

hyperactivity of pathogenic factors - strong zheng qi (antipathogenic qi)

56
Q

rapid irregular, forceless

A

yin and yang disharmony

57
Q

slow, forceful

A

cold accumulation qi deficiency

58
Q

arrhythmic pulse

A

heart yang qi fails to keep the blood moving constantly in the vessels

or qi exhaustion in other organs affects the heart yang qi

59
Q

rapid, hollow

A

blood deficiency

60
Q

moderate pulse

A

dampness

ST/SP deficiency

61
Q

submerged, forceful

A

interior excess

62
Q

scattered pulse

A

exhaustion of qi

functional failure of zang fu organs

63
Q

if yin and blood are deficient…

A

the vessel will not fill up

64
Q

flooding pulse

A

excess heat on the qi level

65
Q

‘normal’ consistently irregular

A

in cases of congenital variation, this pulse could prove to be the normal pulse for some individuals

this pulse can also be found during the second and third month of pregnancy at which time it is again considered normal

66
Q

deep depth

A

failure of qi and blood to flow outward from the interior of the body due to internal pathogens obstructing the flow of qi and blood

or a deficiency of qi and blood whihc inhibits their ability to flow outward from the interior

67
Q

‘normal’ moderate pulse

A

this pulse may indicate a normal physiological pulse

if the moderate pulse if found in a patient who is suffering from a prolonged or cirtical disease, it is a sign of the restoration of zheng qi. although the pulse indicates a pathology, compared to critical disease, it is still apositive sign

68
Q

soggy pulse

A

if this pulse is present in a young or otherwise strong patient, the prognosis is not good

excessive diseases with deficient pulses do not suggest a good prognosis

69
Q

taut tension

A

the blood vessels feels tight and hard under the fingers due to

qi stagnation or blood vessel constriction

70
Q

deficient, floating

A

qi deficiency

71
Q

wide width

A

hyperactivity of yang:

excessive heat in the body which raises and moves the qi and blood to expand the blood vessels

hyperactivity of ynag due to yin deficiency:

outward floating of yang due to depleted yin failing to control the yang

72
Q

‘normal’ flooding pulse

A

canbe a normal pulse in the summer

73
Q

“normal” floating pulse

A

arrives in the autumn or in thin individuals or in patient taking vasodilating pharmaceuticals

74
Q

choppy and forceful

A

qi stagnation

blood stagnation

food stagnation

phlegm retention

75
Q

‘normal’ wiry

A

wiry is a normal pulse during the springtime

76
Q

if yang and qi are deficienct the pulse will be…

A

forceless

77
Q

forceful

A

strong qi and blood fighting off an invasion of pathogenic factors

or stagnation of qi and blood

78
Q

‘normal’ slow

A

seen in some healthy persons specifically athletes or those who engage in daily physical labor

79
Q

‘normal’ hidden pulse

A

during pregnancy, a woman may have a hidden pulse

in the absence of other signs and symptoms this pusle would not indicate any pathological changes

80
Q

‘normal’ racing pulse

A

this is a critical pulse,

however it is considered normal for a healthy infant

81
Q

frail

A

yin deficiency

yang deficiency

qi deficiency

blood deficiency

severe vomiting, profuse sweating, blood loss

82
Q

floating and moderate

A

exterior deficiency (exterior wind)

83
Q

consistently irregular and rapid

A

pain, emotional shock

or pathogenic factor (wind syndrome)

all causing causing qi stagnation

84
Q

deficiency, rapid

A

yin deficiency

85
Q

slack vessels

A

the blood vessel feels soft and loose due to qi and blood deficiency failing to fill up the vessels

86
Q

deficiency, choppy

A

blood deficiency

87
Q

xie fei mai

A

radial artery isn’t found where it is expected to be. deviated angle pulse

88
Q

wide and forceless

A

deficiency

89
Q

‘normal’ slow irregular pulse

A

in cases of congenital variation, this pulse could prove to be normal for some individuals

90
Q

rapid irregular, forceful

A

excess heat

stagnation

91
Q

wiry

A

liver/gallbladder

phlegm

pain

malaria

TCM Diagnosis Maciocia Textbook (19 decks)

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