Identification of 27 Pulse Qualities by 10 Parameters Indications of 27 Pulse Qualities

1. Yang Vacuity: Force Cold s/s 2. Cold: Force Cold s/s

Slow

Wall Tension

Occlusion
3. Yang Obstruction: Force Heat s/s 4. Health: Good Force Short Systole Long Diastole

Rhythm
Contour Flow Wave

Length
Depth

Width

Force
Rate
Rapid 1. Yang Repletion Heat: Force 2. Yin Vacuity: Force
Moderate 1. Damp, SP/ST/Yang Qi Vacuity: Force 2. Health: Good Force Slow & Slippery
Slow <60
Floating 1. EPA: Force if Wei Qi Strong 2. Yin Vacuity: Force 3. Qi & Blood Vacuity
Rapid >90
Sinking 1. Internal Pathogen / Qi & Blood Obstruction: Force 2. Yang Qi & Blood Vacuity: Force
Moderate 60 Rounded contour
Hidden 1. Severe Yang Obstruction: Force 2. Severe Yang Qi Vacuity: Force
Floating
Long 1. Health: Abundant Qi & Blood 2. Heat 3. Phlegm 4. LR Disharmony
Sinking
Short 1. Qi Vacuity: Force 2. Qi Stagnation: Force
Hidden
Long
Fine 1. Blood & Qi Vacuity 2. Body Fluid Depletion 3. Internal Damp: compressed artery

Short Skipping 1. Internal Heat 2. Consumption of Yin Fluids 3. Exhausted HT Qi & Blood

Fine Bound 1. HT obstructed by Cold 2. Qi & Blood Obstruction 3. Yang & Yuan Qi Vacuity
Irregular Intermittent 1 Exhaustion of HT Qi 2 Severe Vacuity of Essential Substances 3 Pain 4 Early Pregnancy
Skipping >90
Pause
Stringlike 1. LR Disharmony 2. Phlegm or Damp 3. Pain
Irregular
Bound <60
Pause Tight 1. Pain 2. Internal Cold 3. Cold EPA 4. Food Retention
Regular
Intermittent Replete Heat or Fire meets Strong anti-Pathogenic Qi
Pause
Stringlike ++ Firm 1. Replete Pathogenic Interior Cold 2. Qi or Blood Stasis
Tight ((+)) Scallion 1. Acute after Severe Bleeding: Blood Loss Blood Viscosity
Replete Stalk 2. Chronic Yin/Blood Vacuity: Yang not anchored by Yin Blood
Firm
1. Acute Profuse Yin Fluid Loss or Cold EPA with underlying Yin Vacuity
Scallion Stalk Drumskin 2. Chronic Severe Blood / Body Fluid or Jing Vacuity
Drumskin ++
Scattered 1. Severe Qi & Blood Vacuity 2. Severe Yuan Qi or KD Qi Vacuity 3. Giving Birth
Scattered ++
Vacuous Vacuous 1. Qi & Blood Vacuity 2. Heat Exhaustion (fluid loss)
Soggy Soggy 1. Qi & Blood or Yin Vacuity 2. Qi & Blood Vacuity & Damp
Weak
Weak Yang Qi & Blood Vacuity: inherited weak constitution, long term illness, old age
Faint ++
Smooth rounded contour, Faint 1. Acute: Yang Collapse or Shock 2. Chronic: Severe Qi & Blood Vacuity
distinct expansion &
Slippery 1. Health 2. Pregnancy 3. Phlegm, Damp or Heat 4. Food Retention
contraction of wall, arrives & Slippery
departs smoothly 5. Menstrual Mid Cycle: ovulation Oestrogen
Irregular contour, uneven
Rough Irregular Rough 1. Yin Fluid Vacuity: Body Fluid Loss Blood Viscosity 2. Blood Stagnation, Phlegm
flow wave
Large contour, distinct
Surging 1. Yang Ming stage Cold EPA Febrile Disease 2. Qi Level of Heat EPA Febrile Disease
arrival & indistinct departure Surging 3. Severe Yin Vacuity with Hyperactive Yang
1 Rounded contour, vibrating
Stirred >90
pos wave
Stirred Very Severe Dysfunction from Heat, Trauma, Pain, Fright, HT Dysfunction

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