Abnormal Pulse Conditions and their clinical Significance:
- The Pulse Classics lists 21 kind of Abnormal Pulses.
- Now 28 Abnormal Pulses are listed in 6 Categories:
- Floating and Deep.
- Slow and Rapid.
- Feeble and Replete.
- Feels distinct only on Light Touch and slightly weakned on Pressing.
- "The wood floating on water."
Clinical Significance Floating Pulse:
- Exterior Syndrome:
- Def Syndrome.
- Upward escape of Yang Qi.
Pulse feels distinct only on Heavy Pressing.
Clinical Signficance Deep Pulse:
- Interior Syndrome:
- Interior Def- Deep and Feeble.
- Interior Excess Syndrome- Deep and Energetic.
Pulse whose frequency is less than 60/min.
Clinical Signficance Slow Pulse:
- Cold Syndrome:
- Def Cold Syndrome- Slow and Feeble.
- Excess Cold Syndrome- Slow and Energetic.
Pulse whose freq faster than 90/min.
Clinical Significance Rapid Pulse:
- Heat Syndrome:
- Def Heat Syndrome- Rapid and Feeble.
- Excess Heat Syndrome- Rapid and Energetic.
- Feels Full and Large, coming vigorously like waves surging and going gently.
- "The tide waves."
Clinical Significance Flooding Pulse:
- Exuberance of Qi and Hyperactivity of Fire.
- Febrile Heat in Qi Level.
Extremely Soft and Thready; discernable one moment, indistinct the next.
Clinical Significance Indistinct Pulse:
- Collapse of Yang.
- Extreme Exhaustion of Qi and Blood.
Thin and Feeble, yet easily perceptible.
Clinical Significance Thready Pulse:
Exhaustion of Qi and Blood, or other kinds of Def.
Floating, diffusing on Light touch and Faint on Heavy pressing; its Rhythm is Irregular.
Soft, Feeble, and Hollow.
Clinical Significance Feeble Pulse:
Def of Qi and Blood, or depletion of Body Fluids.
Vigorous in coming and going, and Energetic on Light touch, and Heavy pressing too.
Clinical Significance Full Pulse:
Slippery while it comes and goes.
Clinical Significance Slippery Pulse:
- Excess Syndrome.
- Existence of Phlegm.
Unsmooth while coming and going, like scraping of bamboo with a knife.
Clinical Significance Choppy Pulse:
- Def of Blood, Essence, or Body Fluids.
- Stagnation of Qi and Blood.
Extending longer than Cun-Guan-Chi.
Clinical Significance Long Pulse:
- Healthy State: Long and Moderate Pulse.
- Both Pathogenic Evil and Righteous Qi are Exuberant: Long and Stiff Pulse.
Pulse which is distinct only at Bar, or a short extent.
Clinical Significance Short Pulse:
- Def of Qi and/or Blood: Short and Feeble.
- Depression of Vital Energy: Short and Energetic.
- Accumulation of Phlegm: Short and Energetic.
- Dyspepsia: Short and Energetic.
Straight and Long, like the string of a Harp.
Clinical Significance Wiry Pulse:
- Hyperactivity of LR & GB.
- Retention of Phlegm or Fluid.
Floating, Large, and Hollow; like the leaf of Scallion.
Clinical Significance Hollow Pulse:
- Sudden, profuse loss of Blood.
- Critical depletion of Yin.
Tense and Energetic; like a cord stretched tight.
Clinical Significance Tight Pulse:
- Existence of Cold.
Indicates a pulse w/ diminished tension and moderate frequency.
Clinical Significance Moderate Pulse:
- Healthy State.
- Dampness Syndrome.
- Debility of SP and ST.
Floating, Stringy, Exteriorly Taunt and Interiorly Hollow; like a drum surface.
Clinical Significance Leather Pulse:
Loss of Blood, such as in premature labor, metorrhagia, or spermatorrhea.
Replete, Energetic, Long, and slightly Stringy; it can only be felt on Heavy pressing.
Clinical Significance Firm Pulse:
- Internal Accumulation of Yin Cold.
- Mass in the ABD.
Extremely Soft, Feeble, and Thready; it can only be felt on Heavy pressing.
Clinical Significance Weak Pulse:
Def of Qi and Blood.
Floating, Thready, and Soft on Light touch; but Faint on Heavy pressing.
Deeper than the deep pulse and it can be felt only by pressing Hard to the bone.
Clinical Significance Hidden Pulse:
- Severe Pain.
- Internal Blockage 2' Pathogenic Evils.
Slippery, Rapid, and Energetic; like a bouncing pea.
Clinical Significance Moving Pulse:
- State of being frightened.
Hasty and Rapid, with Irregular Intermittance.
Clinical Significance Hasty Pulse:
- Exuberance of Excess Heat.
- Stagnation of Qi and Blood.
- Retention of Phlegm Fluid.
Slow with Irregular intervals.
Clinical Significance Knotted Pulse:
Stagnation of Qi and Blood.
Weak and Slow, with pausing at Regular intervals.
Frequency about 120-140/min.
Clinical Significance Hurries Pulse:
- Hyperactivity of Yang.
- Exhaustion of Yin.