TCM Pulse Diagnosis Flashcards

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1
Q

Floating Pulse

A

Pronounced at surface, deficient at lower depth
External Pattern

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2
Q

Floating & Tight

A

Wind Cold
Tai Yang External Excess Pattern

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3
Q

Floating & Rapid

A

Wind Heat

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4
Q

Floating, Empty, & Rootless

A

Chronic disease
Major blood loss
Severe Deficiency of Right Qi

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5
Q

Deep Pulse

A

Felt only at deep level
Interior disease

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6
Q

Weak Pulse

A

Deep, forceless, thin & small
Qi & Blood Deficiency
Yang Deficiency

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7
Q

Deep, Wiry and/or Full Pulse

A

Deep, forceful & tense; feels as though “tied” to the bone
Inner body stagnation
-Qi stagnation
-Interior excess heat
-Severe constipation
-Food stagnation
-Cold pain
-Phlegm retention

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8
Q

Rapid/Fast Pulse

A

6 beats per breath / 90-139 bpm
Heat (generally)

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9
Q

Fast & Forceful

A

Excess Heat

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10
Q

Fast & Thin

A

Deficiency Heat

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11
Q

Fast, Forceless & Large

A

Qi Deficiency

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12
Q

Slow Pulse

A

3 or less beats per breath / 40-60 bpm
Cold (generally)

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13
Q

Slow & Weak Pulse

A

Yang Qi Deficiency

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14
Q

Slow & Forceful

A

Obstruction of qi dynamic due to:
-cold
-phlegm turbidity
-blood stasis

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15
Q

Slow in Pregnancy

A

Uterine Deficiency Cold (insecurity of fetal qi)

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16
Q

Moderate Pulse

A

Slightly slower than normal (relaxed)
Smooth, flowing & resilient
No disease indications in absence of other s/s

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17
Q

Moderate, Slightly Less Forceful

A

Qi Deficiency

18
Q

Moderate, Slightly more Forceful

A

Dampness

19
Q

Slippery Pulse

A

Smooth, flowing, resilient; “like pearls in a dish”
Phlegm
Food Stagnation
Damp
Normal in pregnancy & athletes

20
Q

Slippery & Fast

A

Damp Heat

21
Q

Slippery & Large

A

Internal Excess Heat

22
Q

Rough or Choppy Pulse

A

Opposite of slippery; “like a knife scraping bamboo”
Thin, slow, short & rough; beating w/ difficulty

23
Q

Rough & Forceful

A

Blood Stasis

24
Q

Rough & Forceless

A

Qi & Blood Deficiency maybe w/ Blood Stagnation

25
Q

Wiry Pulse

A

Long, straight & tense, like a guitar string; usually somewhat forceful
Stagnation (generally)
Liver Patterns
Phlegm Cold / Phlegm Rheum
Pain
Cold Shan, ST Deficiency Cold, Acute Tetany, Ascites, Shao Yang Disease, Chest Bi, etc

26
Q

Wiry and Empty

A

Ascending Yang due to Yin Deficiency
Spleen Stomach Deficiency Cold
LIV/SP or LIV/ST Disharmony

27
Q

Tight Pulse

A

Like a twisted rope drawn tight
Similar to wiry but w/ marked forcefulness
Stagnation; more likely when there’s Cold or Pain

28
Q

Empty or Deficient Pulse

A

Large & Forceless; slightly floating; palpable on surface but empty on firm pressure
Qi Deficiency
Qi & Blood Deficiency
Summerheat Damage

29
Q

Empty & Fast

A

Yin Deficiency

30
Q

Soggy or Soft Pulse

A

Similar to empty but thin rather than large; main feature is softness
Dampness
Qi Deficiency
Qi & Blood Deficiency
Loss of Blood due to collapse
Taxation Detriment w/ damage to Essence Blood

31
Q

Full or Excess Pulse

A

Forceful, large, long, slightly wiry, palpable at all 3 depths
Food Stagnation or excess in bowels w/ bound stool
Normal in healthy/robust patients w/o disease signs

32
Q

Surging or Flooding Pulse

A

Similar to full but stronger coming than going; like waves beating against rocks
Yang Ming Channel Disease
In Deficiency Patterns: serious damage to Right Qi w/ risk of suddent worsening of condition
Normal in healthy patients during summer

33
Q

Thin Pulse

A

Thin & straight like a thread but palpable w/ moderate pressure; middle depth
Qi & Blood Deficiency

34
Q

Thin & Fast

A

Yin Deficiency

35
Q

Thin & Faint

A

Yang Deficiency

36
Q

Thin & Wiry

A

Liver Yin Deficiency

37
Q

Faint Pulse

A

Barely perceptible
Severe Acute Deficiency:
-loss of blood
-loss of fluids through profuse sweat, diarrhea, etc
-Collapse of Yang

38
Q

Long Pulse

A

Extends beyond pulse positions
Long & resilient: no disease indications; abundant qi & blood
Long & wiry: similar to wiry indications (stagnation)

39
Q

Short Pulse

A

Only felt at one position
Forceless: Qi & Blood Deficiency; Yang Qi Deficiency; Hemorrage
Forceful: Phlegm accumulation; Food Stagnation; Impaired flow of Qi & Blood

40
Q

Irregular Pulse

A

Pulse skips beat w/in 50-beat intervals
Regular skips: Debilitation of the Qi of the Zang organs, particularly the Heart
Heart Bi patterns w/ Blood Stasis & Phlegm Turbidity obstructing the qi of the chest