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TCM Pulse Diagnosis > TCM Pulse Diagnosis > Flashcards

TCM Pulse Diagnosis Flashcards

1
Q

<p>Floating Pulses (6 kinds)felt with light pressure</p>

A 
FS3HD
floating
surging
soggy
scattered
hollow/empty/scallion
drumskin
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2
Q

<p>Floating pulse:floatingwhat?indication?why?</p>

FS2HD

A

<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>

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3
Q

<p>floating:surgingwhat?indication?why?</p>

FS2HD

A

<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>

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4
Q

<p>floating:soggywhat?indication?why?</p>

FS2HD

A

<p>floating, thin, and softindication?deficiencydampnesswhy?insufficient qi and blood with depleted vessels</p>

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5
Q

<p>floating:scatteredwhat?indication?</p>

FS2HD

A

<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>

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6
Q

<p>floating:hollow</p>

FS2HD

A

<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>

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7
Q

<p>floating:drumskin</p>

FS2HD

A

<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>

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8
Q

<p>Deep pulses (4 kinds)felt with heavy pressure</p>

A

<p>HiFiDeWdeephiddenweakfirm</p>

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9
Q

<p>deep-deep1.deep powerful2. deep powerless</p>

HiFiDeW

A

<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>

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10
Q

<p>deep-hidden</p>

HiFiDeW

A

<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>

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11
Q

<p>deep-weak</p>

HiFiDeW

A

<p>extremely soft, deep, and thinindication:insuficient qi/blooddeficiency/failure of yangcause:blood deficiencyempty vesselsqi deficiencypulse movement powerlessyang deficiency with lack of power</p>

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12
Q

<p>deep-firm</p>

HiFiDeW

A

<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>

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13
Q

<p>slow pulses (4 kinds)arrives slowly</p>

A

<p>SMoCKSlowModerateChoppyKnotted</p>

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14
Q

<p>Rapid pulses (4 kinds)arrives rapidly>5 beats per breath</p>

A

<p>THRRobThrobbingHasty/SkippingRapidRacing</p>

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15
Q

<p>Rapid-rapid1. rapid powerful2. rapid powerless</p>

THRRob

A

<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>

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16
Q

<p>Slow-slow1. slow powerful2. slow powerless</p>

SMoCK

A

<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>

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17
Q

<p>slow-moderate/relaxed1. floating-relaxed 2. deep-relaxed 3. large-relaxed 4. relaxed-weak</p>

SMoCK

A

<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>

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18
Q

<p>slow - choppy</p>

SMoCK

  1. choppy powerful
  2. choppy powerless
A

<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>

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19
Q

slow - knotted

(knotted vs hasty)
SMoCK

  1. knotted powerful
  2. knotted powerless
A

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
  1. knotted powerful - cold pathogens and excess pathogens blocking channels and collaterals – vessel qi unable to flow smoothly
  2. knotted powerless - deficiency and failure of qi and blood – weakness of yang – vessel qi unable to flow
20
Q

rapid - racing

THRRob

A

urgent/rapid
120-140bpm
seven-8 beats per breath

indication:

  • excessive heat
  • yin exhaustion
  • floating yang – no root
  • yuan qi will be depleted
21
Q

rapid - hasty

(hasty vs knotted)
THRRob

  1. fast powerful
  2. rapid thin soft
A

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
  1. fast powerful - exuberatnt yang and binding heat, excessive pathogens blocking and stagnating and vessel qi unable to flow smoothly
  2. rapid, thin, soft - deficiency and weakness of zang qi, failure and insufficiency of yin-blood
22
Q

rapid - throbbing

THRRob

A

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
23
Q

deficienct pulses (5 kinds)

A

powerless

D'FITS
deficient
faint
intermittent
thready
short
24
Q

deficient - deficient

D’FITS

A

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
25
Q

deficient - thready

D’FITS

A

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
26
Q

deficient - faint

D’FITS

A

extremely thin and soft
hardly palpable by pressure

indication:

  • all kinds of deficiency
  • dangerous condition of yang deficiency
27
Q

deficient - intermittent

D’FITS

A

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

28
Q

deficient - short
D’FITS

  1. short powerful
  2. short powerless
A

short in extent
unable to reach the usual position

  1. short powerful - qi stagnation - qi stagnation and blood stasis which blocks the vessels
  2. short powerless - qi damage – qi deficiency and inability to keep the blood moving
29
Q

excess pulses (6 kinds)

A

powerful beating acting against the fingers

WESTLL
Wiry
Excess
Slippery
Tight
Large
Long
30
Q

excess-excess

WESTLL

A

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
31
Q

excess-slippery

WESTLL

A

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
32
Q

excess-wiry

WESTLL

A

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
33
Q

excess-tight

WESTLL

A

tight and forcefully
stretched and twisted
vibrating

indication:
cold
pain
retention

cause:
excessive pathogens struggling rigourously with the zheng qi

34
Q

excess-long
WESTLL

  1. long powerful
A

long extent
longer than basic position

indicates:
yang superabundance
heat patterns
healthy - sufficient qi and blood

  1. long powerful - yang hyperactivity and exuberant heat, phlegm-fire accumulated internally with fulllness of vessel qi
35
Q

excess - large

WESTLL

A

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

36
Q

damp pulses

A

soggy
moderate
thready

37
Q

healthy pulses

A

excess
long
large
moderate

38
Q

knotted vs hasty

A

knotted - slow irregular

hasty - rapid irregular

39
Q

yin deficiency symptoms

A
  1. afternoon fever
  2. night sweats
  3. 5 center heat
  4. malar flush
40
Q

category pulses

  1. rate
  2. position
  3. breadth
  4. length
  5. strength
  6. fluency
  7. tension
  8. uniformity
A
  1. rate - slow/rapid
  2. position - superficial/deep
  3. breadth -
    wide/large(Large/surging/excess/hollow/firm);
    thready(thready/faint/soggy/weak)
  4. length - long/short
  5. strength - excess/deficiency
  6. fluency - fluent/rough
  7. tension - tense/low tension
  8. uniformity -
41
Q

what indicates a

floating rapid pulse

A

exterior heat pattern

42
Q

what indicates a

floating slow pulse

A

exterior cold pattern

43
Q

what indicates a

floating rapid powerless pulse

A

exterior deficient heat pattern

44
Q

what indicates a

deep slow powerful pulse

A

interior excess cold pattern

45
Q

Visceral exhaustion pulses (3 groups)

A
  1. without stomach
  2. without root
  3. without spirit
46
Q

women pulse

  1. menstrual pulse
  2. pregnancy
  3. birthing pulse
A
  1. menstrual pulse - left guan and chi are fuller and larger than on the right
  2. pregnancy - slippery, rapid, rushing, harmonious; chi portion
  3. birthing pulse - chi is tense/taut rope/rolling bead; found in distal phalange of middle finger
47
Q

children pulse

  1. 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?
A

children pulse

  1. 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

TCM Pulse Diagnosis (1 decks)

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