TCM Pulse Diagnosis Flashcards
<p>Floating Pulses (6 kinds)felt with light pressure</p>
FS3HD floating surging soggy scattered hollow/empty/scallion drumskin
<p>Floating pulse:floatingwhat?indication?why?</p>
FS2HD
<p>felt clear with light pressure and weak with heavy pressureindication: exterior and deficiencywhy? pathogen struggle with zheng qivessel qi acting on the exteriorin a deficient body with chronic disease - floating and powerlesshappens when your body is telling us it's fighting off something, like when we feel when we get a flu</p>
<p>floating:surgingwhat?indication?why?</p>
FS2HD
<p>generous shape and powerfulroaring waves (powerful coming; fade away)indication?extreme heat patternswhy?pathogenic heat filling the vessels —> vessels become enlarged with exuberant qi and gushing blood</p>
<p>floating:soggywhat?indication?why?</p>
FS2HD
<p>floating, thin, and softindication?deficiencydampnesswhy?insufficient qi and blood with depleted vessels</p>
<p>floating:scatteredwhat?indication?</p>
FS2HD
<p>floating, scattered without rootdisappears on pressure and has an irregular pulse rateindication:yuan qi dissipationzang qi exhaustionunconstrained yin and yangvessel qi being scattered/disordered/loose</p>
<p>floating:hollow</p>
FS2HD
<p>large with an empty centerscallion stalkindication:loss of blood insufficient ying and bloodextreme damage to body fluidsdrained vesselsdamaged yin and yang unable to adhere</p>
<p>floating:drumskin</p>
FS2HD
<p>floating under the finger, hollow centerhard and leathery outside just like a drumindication:blood and essence exhaustionmetrorrhagia and metrostaxisextreme consumption of essence and bloodqi floating outside no longer being able to be held</p>
<p>Deep pulses (4 kinds)felt with heavy pressure</p>
<p>HiFiDeWdeephiddenweakfirm</p>
<p>deep-deep1.deep powerful2. deep powerless</p>
HiFiDeW
<p>not evident in light pressure but clear in heavy pressureindication: Interior pattern1. deep powerful - pathogen stagnating inside - qi and blood are blocked - vessel qi is restrained inside2. deep powerless - deficient zang-fu organ, yang deficiency, vessel qi isn't roused</p>
<p>deep-hidden</p>
HiFiDeW
<p>only evident with heavy pressure when bone is reachedindication: Interior stagnation of pathogens/food, syncope/unconciousness -- counterflow/disorder of qi movement, extreme pain -- qi retention or vessel qi lacking a diffusion and free flow</p>
<p>deep-weak</p>
HiFiDeW
<p>extremely soft, deep, and thinindication:insuficient qi/blooddeficiency/failure of yangcause:blood deficiencyempty vesselsqi deficiencypulse movement powerlessyang deficiency with lack of power</p>
<p>deep-firm</p>
HiFiDeW
<p>deep, large, powerful, long, only with heavy pressureindication:internal accumulation of yin-coldshan qi and concretions and conglomerationscause:pathogenic factors are steady and there is interior cold and decline of yang qi</p>
<p>slow pulses (4 kinds)arrives slowly</p>
<p>SMoCKSlowModerateChoppyKnotted</p>
<p>Rapid pulses (4 kinds)arrives rapidly>5 beats per breath</p>
<p>THRRobThrobbingHasty/SkippingRapidRacing</p>
<p>Rapid-rapid1. rapid powerful2. rapid powerless</p>
THRRob
<p>>5 beats per breathindication: heat patterns1. rapid powerful - exuberance of pathogenic heat with accelerated movement of qi and blood2. rapid powerless - deficient yang pattern</p>
<p>Slow-slow1. slow powerful2. slow powerless</p>
SMoCK
<p><4 beats per breathindication: cold pattern1. slow powerful - qi stagnation due to congealing cold2. slow powerless - yang deficiency, qi and blood moving slowly</p>
<p>slow-moderate/relaxed1. floating-relaxed 2. deep-relaxed 3. large-relaxed 4. relaxed-weak</p>
SMoCK
<p>4 beats per breath, arrives leisurelyindications:-spleen deficiency -- insuficiency of qi/blood, vessels are inadequately filled-damp patterns -- sticky and stagnant, blocks and stagnates the movement of qi-healthy person -- abundant spirit ///1. floating-relaxed - wind2. deep-relaxed - damp 3. large-relaxed - liver wind internally4. relaxed-weak - heart qi xu</p>
<p>slow - choppy</p>
SMoCK
- choppy powerful
- choppy powerless
<p>coarse, slowly, stagnatingknife scraping a bamboorough pulseindication:-qi stagnation-blood stasis1.choppy powerful - qi stagnation and blood stasis, vessels are blocked2. choppy powerless - essence damage or defieciency of blood, loss of nourishment in channels and collaterals</p>
slow - knotted
(knotted vs hasty)
SMoCK
- knotted powerful
- knotted powerless
bound pulse
slow
loss of beats, irregular intervals
indication:
- exuberant yin
- qi stagnation
- cold phlegm
- static blood
- concretions and conglomerations
- accumulations and gatherings
- deficiency and failure of qi and blood
- knotted powerful - cold pathogens and excess pathogens blocking channels and collaterals – vessel qi unable to flow smoothly
- knotted powerless - deficiency and failure of qi and blood – weakness of yang – vessel qi unable to flow
rapid - racing
THRRob
urgent/rapid
120-140bpm
seven-8 beats per breath
indication:
- excessive heat
- yin exhaustion
- floating yang – no root
- yuan qi will be depleted
rapid - hasty
(hasty vs knotted)
THRRob
- fast powerful
- rapid thin soft
skipping
rapid with irregular intervals
indication:
- exuberant yang and excessive heat
- stagnation and stasis of qi and blood
- accumulation of phlegm and food
- debilitaion and failure of zang qi
- fast powerful - exuberatnt yang and binding heat, excessive pathogens blocking and stagnating and vessel qi unable to flow smoothly
- rapid, thin, soft - deficiency and weakness of zang qi, failure and insufficiency of yin-blood
rapid - throbbing
THRRob
bouncing
spinning bean, slippery, rapid, powerful
indication:
- pain – disharmony of yin-yang and qi stagnated by blood
- fright – disorder of qi and blood, restlessness of pulse movement, yin struggling in yang
deficienct pulses (5 kinds)
powerless
D'FITS deficient faint intermittent thready short
deficient - deficient
D’FITS
forceless and empty in 3 depths
indication:
- deficiency pattern (qi/blood) – insufficient qi and blood
- all kinds of deficiency of zang-fu organs with depleted vessels
deficient - thready
D’FITS
thin/fine thread
very distinct and clear
indication:
- deficiency of qi and blood - not filling up or moved
- all kinds of deficiency
- dampness – blocking the vessels
deficient - faint
D’FITS
extremely thin and soft
hardly palpable by pressure
indication:
- all kinds of deficiency
- dangerous condition of yang deficiency
deficient - intermittent
D’FITS
loss of beats and pausing a little longer at REGULAR intervals.
indication:
- failure and weakness of zang qi – prevent the vessel qi from being smooth and rhythmical
- wind patterns
- pain patterns
- 7 emotions
- fright
- knocks
- falls
cause:
- excessive pathogens blocking and stagnating vessels with consequent stagnation of qi
deficient - short
D’FITS
- short powerful
- short powerless
short in extent
unable to reach the usual position
- short powerful - qi stagnation - qi stagnation and blood stasis which blocks the vessels
- short powerless - qi damage – qi deficiency and inability to keep the blood moving
excess pulses (6 kinds)
powerful beating acting against the fingers
WESTLL Wiry Excess Slippery Tight Large Long
excess-excess
WESTLL
vigorous and forceful in light and heavy pressure
indication:
excess patterns
healthy
cause: exuberant zheng qi excessive pathogens zheng qi struggling with pathogen congestion and exuberance of qi and blood fullness of the vessels
excess-slippery
WESTLL
round and smooth
bead rolling in a plate
indication: phlegm retention food accumulation excessive heat young people pregnant
cause: internal exuberance of excess pathogens excess qi and blood pulse moves smoothly sufficient and harmonised qi and blood
excess-wiry
WESTLL
bow-string
taut and long
indication: LV and GB diseases pain patterns phlegm-rheum retention malaria elderly - insufficient yin-blood, vessels loose softness usually wiry in spring time
cause: pathogens are stagnating in the liver channel qi loses its gentleness qi movement is stagnated phlegm-rheum is blocking vessel qi will be tense
excess-tight
WESTLL
tight and forcefully
stretched and twisted
vibrating
indication:
cold
pain
retention
cause:
excessive pathogens struggling rigourously with the zheng qi
excess-long
WESTLL
- long powerful
long extent
longer than basic position
indicates:
yang superabundance
heat patterns
healthy - sufficient qi and blood
- long powerful - yang hyperactivity and exuberant heat, phlegm-fire accumulated internally with fulllness of vessel qi
excess - large
WESTLL
wide broad
without turbulent force
indications:
healthy - sufficient qi and blood
development of disease - disease is long term and developed severely, body is full of pathogens
damp pulses
soggy
moderate
thready
healthy pulses
excess
long
large
moderate
knotted vs hasty
knotted - slow irregular
hasty - rapid irregular
yin deficiency symptoms
- afternoon fever
- night sweats
- 5 center heat
- malar flush
category pulses
- rate
- position
- breadth
- length
- strength
- fluency
- tension
- uniformity
- rate - slow/rapid
- position - superficial/deep
- breadth -
wide/large(Large/surging/excess/hollow/firm);
thready(thready/faint/soggy/weak) - length - long/short
- strength - excess/deficiency
- fluency - fluent/rough
- tension - tense/low tension
- uniformity -
what indicates a
floating rapid pulse
exterior heat pattern
what indicates a
floating slow pulse
exterior cold pattern
what indicates a
floating rapid powerless pulse
exterior deficient heat pattern
what indicates a
deep slow powerful pulse
interior excess cold pattern
Visceral exhaustion pulses (3 groups)
- without stomach
- without root
- without spirit
women pulse
- menstrual pulse
- pregnancy
- birthing pulse
- menstrual pulse - left guan and chi are fuller and larger than on the right
- pregnancy - slippery, rapid, rushing, harmonious; chi portion
- birthing pulse - chi is tense/taut rope/rolling bead; found in distal phalange of middle finger
children pulse
- one finger all 3 regions
- <= 3yo
- >=4yo
- 7-8yo
- >=9-10yo
- >=15
2.
- <3yo normal beats per breath?
- 5-6yo normal beaths per breath?
- tight pulse?
- moderate pulse?
- changes in beaths?
children pulse
- one finger all 3 regions
- <= 3yo - thum above styloid process not divided
- > =4yo- midling of styloid(guan), thumb moved along guan area
- 7-8yo - thumb shifted to feel the 3 areas
- > =9-10yo - press in order: chun guan chi
- > =15 - like adults
2.
- <3yo normal beats per breath? 7-8
- 5-6yo normal beaths per breath?6
- tight pulse?cold
- moderate pulse?damp
- changes in beaths?food retention
