wk11 - pulses - 3 irregular

Question 1

Name the 3 irregular pulses.

Answer 1

· Skipping
· Bound
· Irregular / Intermittent

Question 2

Which of the irregular pulses have no pattern to their rhythm?

Answer 2

Skipping & Bound pulses lack a regular rhythm

Question 3

Which of the irregular pulses has a pattern to its rhythm?

Answer 3

Irregular (or Intermittent) pulse has a regularly irregular rhythm

Question 4

Skipping Pulse – description

Answer 4

· fast, rapid

· skips beats / irregular rhythm / no pattern

Question 5

Skipping Pulse – pathology

Answer 5

Heat, usu. in Heart:
· Excess Heat: Stagnant Blood or Phlegm (forceful)
· Deficiency Heat: Vacuity of Yin or Qi (forceless)

Question 6

Skipping Pulse – image

Answer 6

· depict beats somewhat close together, since this pulse is rapid
· no regular rhythm

Question 7

Bound Pulse – description

Answer 7

· slow, arriving idly (in contrast to Skipping Pulse)

· irregular rhythm

Question 8

Bound Pulse – pathology

Answer 8

Cold, usu. manifested in Heart:
· Excess: Phlegm Cold (forceful)
· Excess: Blood Stagnation combined w/ Cold (forceful)
· Deficient: Vacuity Cold aka Yang Vacuity (forceless)

Question 9

Bound Pulse – image

Answer 9

· represent beats shallower and beats not as close together as Skipping image, since Bound pulse is slower
· no regular rhythm

Question 10

What is the primary difference between the Bound & Skipping pulses?

Answer 10

Cold (Bound) vs Heat (Skipping)

Question 11

Intermittent / Irregular Pulse – description

Answer 11

· regularly irregular - skips beats in a regular manner

· most serious of the irregular pules (in biomedicine, may be precursor to ventricular fibrillation)

Question 12

Intermittent / Irregular Pulse – pathology

Answer 12

· pain & trauma / shock

· Qi & Blood Vacuity (usu. Heart Qi & Blood Vacuity)

Question 13

Intermittent / Irregular Pulse – image

Answer 13

· depict with beats like arches in staccato yet with a regular pattern