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Pulse Diagnosis

Pulses description - both CAM & Macciocia

QuestionAnswer
Superficial pulse DESCRIPTION EASILY FELT WITH GENTLE TOUCH (CAM) or FELT WITH A LIGHT PRESSURE OF THE FINGERS, JUST RESTING THE FINGERS ON THE ARTERY
Superficial pulse EXTERIOR SYNDROMES PRESENT AT EARLY STAGE OF EXOGENOUS DISEASE (CAM) or EXTERIOR PATTERN FROM AN INVASION BY AN EXTERIOR PATHOGENIC FACTOR (GM)
superficial & tense WIND-COLD
Superficial & rapid WIND-HEAT
Superficial, large & weak • PROLONGED ENDOGENOUS DISEASE • OUTWARD FLOATING OF YANG QI • CRITICAL SIGN
Superficial and deficient • INTERIOR CONDITIONS RARE: CANCER, ANEMIA
Deep DESCRIPTION FELT ONLY ON HEAVY PRESSURE (GM + Near the bone)
Deep Interior syndromes/conditions Problem is in the yin organs (GM)
Deep & Forceful Interior syndromes of the excess type
Deep & Excess • STASIS OF QI OR BLOOD IN THE INTERIOR • INTERIOR COLD • INTERIOR HEAT
Deep & Weak INTERIOR SYNDROMES OF THE DEFICIENT TYPE (CAM) or DEFICIENCY OF QI AND YANG (GM)
Slow DESCRIPTION SLOW, WITH LESS THAN FOUR BEATS PER BREATH, LESS THAN 60 BEATS PER MINUTE
Slow Cold Patterns/Syndromes
Slow & Forceful (or Slow & Full in GM) • INTERIOR SYNDROMES OF THE EXCESS TYPE CAUSED BY RETENTION OF YIN COLD IN THE INTERIOR (CAM) or FULL-COLD (GM)
Slow & Weak CAM: INTERIOR SYNDROME OF THE DEFICIENT TYPE DUE TO DEFICIENCY OF YANG QI (GM: EMPTY-COLD FROM DEFICIENCY OF YANG)
Rapid DESCRIPTION QUICK, MORE THAN 5 BEATS PER BREATH; MORE THAN 90 BEATS PER MINUTE
Rapid Heat Pattern/Syndrome
Rapid & Forceful EXCESS HEAT RETAINED IN THE INTERIOR & ANTIPATHOGENIC QI IS STILL STRONG (CAM) or Full Heat (GM)
Rapid and Weak DEFICIENCY OF YIN IN PROLONGED ILLNESS
Rapid, Superficial, & Deficient EMPTY HEAT FROM YIN DEFICIENCY
Rapid, Large, Weak & Empty OUTWARD FLOATING OF DEFICIENT YANG
DEFICIENCY TYPE PULSE DESCRIPTION GENERAL TERM FOR ALL THE FORCELESS PULSES FELT ON THE THREE REGIONS AND THREE LEVELS OF PRESSURE (CAM) or FEELS RATHER BIG BUT FEELS EMPTY ON A SLIGHTLY STRONG PRESSURE AND IS SOFT (GM)
Deficient pulse DEFICIENCY OF QI AND BLOOD CAUSING DEFICIENCY TYPE SYNDROMES (CAM) or Qi Deficiency (GM)
Excess pulse DESCRIPTION GENERAL TERM FOR ALL THE FORCEFUL PULSES FELT ON THE THREE REGIONS AND THREE LEVELS OF PRESSURE (CAM) or Feels full, rather hard and rather long (GM)
Excess EXCESSIVE QI AND BLOOD CAUSED BY STRONG ANTIPATHOGENIC QI AGAINST THE HYPERACTIVE PATHOGENIC FACTOR (CAM) or Full Pattern (GM)
Surging DESCRIPTION BROAD, LARGE, AND FORCEFUL LIKE ROARING WAVES WHICH COME ON POWERFULLY AND FADE AWAY (CAM) or Feels big, like it overflows (GM)
Surging Excessive heat (CAM) or • EXTREME HEAT • FREQUENTLY APPEARS DURING FEVER • FELT IN CHRONIC DISEASES CHARACTERIZED BY INTERIOR HEAT (GM)
Surging & Rapid Excessive heat
Large pulse DESCRIPTION SURGING PULSE THAT LACKS THE MOMENTUM OF ROARING WAVES
Large pulse Excessive heat
Surging but deficient EMPTY-HEAT FROM YIN DEFICIENCY
Thready DESCRIPTION FEELS LIKE A FINE THREAD BUT IS VERY DISTINCT AND CLEAR (CAM) or Thinner than normal (GM)
Thready • DEFICIENCY DUE TO OVERSTRAIN AND STRESS • DEFICIENCY OF QI & BLOOD • YIN XU AND BLOOD XU (in weak patient/consitution w/ prolonged illness) (CAM) or • DEFICIENCY OF BLOOD • May indicate internal dampness w/ severe qi xu
Rolling DESCRIPTION FEELS SMOOTH AND FLOWING LIKE PEARLS ROLLING ON A DISH (CAM) or FEELS SMOOTH, ROUNDED & SLIPPERY TO THE TOUCH, AS IF IT WERE OILY. IT SLIDES UNDER THE FINGERS
Rolling Phlegm, Retained Fluid/Dampness, Retention of Food, Pregnancy (Meaning sufficient & harmonious qi & blood) & Excessive Heat (CAM only)
Rolling & Weak Phlegm or dampness with a background of qi xu
Hesitant DESCRIPTION Feels rough & uneven (CAM) or Feels rough under the finger; Has a jagged edge to it (GM)
Hesitant & Forceful Qi & Blood Stag
Hesitant CAM: 1)Qi & Blood Stag; 2) Essence is impaired 3) Insufficient blood or GM: 1) Blood xu 2) Exhaustion of fluids 3) May occur after profuse/prolonged sweating/vomiting
Hesitant & Weak Essence is impaired; Insufficient blood
String-taut DESCRIPTION CAM: Feels taut, straight & long, giving the feeling of a string of a violin or GM: Feels taut like a guitar string
String taut pulse 1)Liver & GB disorders/disharmony 2)Pain 3)Phlegm & retained fluids
Tense DESCRIPTION CAM: Feels tight & forceful like a stretched rope ----GM: Feels twisted like a thick rope
Tense, Weak & Deep Interior Empty Cold
Soft DESCRIPTION CAM: Is superficial & thready, & hits the fingers without strength. GM: Felt only on superficial level. Very soft & only slightly floating. Disappears when a stronger pressure is applied to feel the deep level.
Soft Damp disorders (GM: Dampness with a background of qi deficiency.)
Weak DESCRIPTION CAM: Deep & thready & hits the fingers without strength. GM: Can't be felt on superficial level, but only at the deep level
Weak CAM: Various syndromes due to both qi & blood xu. GM: Yang deficiency. Sometimes blood deficiency.
Abrupt DESCRIPTION Hurried & rapid with irregularly missed beats (GM: Rapid; Stops at irreg. intervals
Abrupt •Extreme heat (CAM: Specific - Excessive yang heat.) •Qi & Blood Stag (CAM) • Food or phlegm retention (CAM) • Heart Qi Xu (GM) • Conditions of Heart Fire
Abrupt & Forceful Excess heat syndromes from: •Qi & Blood Stag •Phlegm or food retention •Pain & Swelling
Abrupt & Weak Sign of prostration (extreme exhaustion)
Knotted DESCRIPTION Slow with irregular missed beats (or slow; stops irreg intervals [GM])
Knotted From CAM: • Excessive Yin • Accum of Qi • Retention of Cold Phlegm • Stagnant Blood From GM: • Cold • Heart Yang Deficiency
Regularly Intermittent DESCRIPTION Slow & weak with missed beats at regular intervals (GM: Stops at regular intervals)
Regularly Intermittent CAM: • Decline in Zang Qi • Wind syndromes • Painful syndromes of fear & fright • Traumatic contusions & Sprains From GM: • Serious internal problems of 1 or more yin organs • Serious heart prob • Stops every 4 beats: Serious condition
Tense CAM: **Cold **Pain **Retention of Food ---GM: **Cold; **Frequently felt in asthma from cold in Lu; **Or in Stomach conditions from cold; **Indicates pain from an interior condition
Created by: c-rex
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