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Abnormal Pulse Images
- -categorization: exterior and Interior (floating and deep)
- ex: if pathogen is on interior pulse is deep
- -cold and heat (slow/rapid)
- -repletion and vacuity (replete/vacuous)
- -abnormal changes in rhythm
- -abnormal changes in form
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Floating Pulses (superficial) Fu Mai
- -obtained with light pressing
- -fades with great pressure
- -governs exterior
- -exterior conditions (exterior windcold, wind heat
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Exceptions for floating pulses
- interior disease
- enduring disease
- depletion of qi and xue or yin xu
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Yin Xu pulse
Floating, deficient, and rapid (yin cannot anchor the yang)
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Scallion Stalk pulse (hollow) Kou Mai
- -Emptiness inside the scallion plant (no xue)
- -floating and large. floating and deep level can be felt, middle is empty
- -blood vessel is soft and limp
- -blood desertion, loss of blood
- -serious blood xu
- -essence loss (seminal fluid)
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soggy pulse (soft)
Ru Mai
- -superficial, shallow, fine and soft, small, forceless
- -lacks root...disappears on pressure
- -qi and blood vacuity
- -damp evil invading - qi and blood rush to surface, pulse is floating
- -dampness oppresses (squashes) vessel - thin
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SOFT
- Superficial
- O
- Forceless
- Thin
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Scattered Pulse
San Mai
- -felt only on the superficial level : no root
- -doesn't feel like wave...more like small dots, feels chaotic, uneven
- -disappears with slight pressure
- -scattered is original qi scattering
- -Always serious condition - severe qi and blood xu, especially kidney qi xu
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Drumskin pulse (leather)
Ge Mai
- -floating, wiry (string like), hard and tight on outside and empty within
- -felt hard and straight on light pressure, feels empty on heavy pressure
- -blood collapse, loss of blood, massive bleeding
- -kidney yang xu with loss of essence, frequent nocturnal emission
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Deep Pulse
Chen Mai
- -felt clearly only on heavy pressure, felt near sinew and bone
- -more normal in winter
- -internal disorders
- -can indicate internal repletion or vacuity
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Hidden pulse
Fu Mai
- -felt extremely deep, must apply considerable pressure and pushing of tendon and bone to begin to feel it clearly
- -vacuity : extreme yang vacuity (yang cannot raise pulse)
- -repletion - cold obstruction of channels and vessels, extreme pain
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confined pulse
Lao Mai
- -felt only with heavy pressing at deep level
- -felt as if tied to bone, wiry, long, replete (wiry at very deep level)
- -opposite of drumskin pulse
- -replete, stubborn, difficult to treat patterns
- -obstruction and stagnation due to cold or hard masses
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Confined Pulse is an _pulse
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