Summary of TCM Pulse Diagnosis


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The pulse diagnosis, also known as “qie mai” (切脉), is a diagnostic method used by TCM practitioners to assess the internal changes of diseases by palpating the patient’s arteries based on the pulse quality. This method has a long history and is a unique diagnostic technique developed by ancient Chinese medical practitioners!Summary of TCM Pulse Diagnosis 1. Floating Pulse Types (Fu Mai 类) (轻取即得浮脉主,浮洪濡散芤革全)1. Floating Pulse (Fu Mai): Easily felt with light pressure, indicating exterior conditions with floating yang deficiency.2. Surging Pulse (Hong Mai): Broad and strong pulse, indicating excess heat conditions.3. Soft Pulse (Ru Mai): Floating, thin, and weak pulse, indicating deficiency with dampness.4. Scattered Pulse (San Mai): Floating and diffuse without a root, indicating unstable pulse strength and potential loss of vital energy.5. Hollow Pulse (Kao Mai): Floating and large, resembling a scallion tube, indicating yin deficiency or blood loss.6. Leather Pulse (Ge Mai): Hollow in the center with firm edges, indicating blood loss or reproductive issues. 2. Deep Pulse Types (Chen Mai 类) (重按始得沉脉类,沉脉伏脉弱与牢)1. Deep Pulse (Chen Mai): Not felt with light pressure, only discernible with heavy pressure, indicating internal conditions.2. Hidden Pulse (Fu Mai): Felt only with deep pressure, indicating closed or obstructed conditions.3. Weak Pulse (Ruo Mai): Thin and weak pulse, indicating deficiency of yang and blood.4. Firm Pulse (Lao Mai): Strong and long pulse, indicating conditions of hernia or internal cold accumulation.3. Slow Pulse Types (Chi Mai 类) (一息不足四至迟,迟缓涩脉与结脉)1. Slow Pulse (Chi Mai): Less than four beats per breath, indicating cold conditions or accumulation of heat.2. Relaxed Pulse (Huan Mai): Slow and relaxed pulse, indicating spleen deficiency or dampness.3. Choppy Pulse (Se Mai): Stagnant and difficult pulse, indicating deficiency of essence or blood, and potential qi stagnation.4. Knotted Pulse (Jie Mai): Slow and intermittent pulse, indicating cold phlegm or blood stasis.4. Rapid Pulse Types (Shu Mai 类) (五至以上数脉征,数疾促动)1. Rapid Pulse (Shu Mai): More than five beats per breath, indicating heat conditions or internal deficiency.2. Racing Pulse (Ji Mai): Rapid pulse with seven to eight beats, indicating heat conditions or internal deficiency.3. Skipping Pulse (Cu Mai): Rapid and intermittent pulse, indicating excess yang or phlegm accumulation.4. Thready Pulse (Dong Mai): Short pulse like a bean, indicating strong and rapid conditions.5. Deficient Pulse Types (Xu Mai 类) (应指无力虚脉类,虚脉细脉微代短)1. Deficient Pulse (Xu Mai): Weak and soft pulse, indicating deficiency conditions.2. Thin Pulse (Xi Mai): Thin pulse like a thread, indicating deficiency of qi and blood.3. Minute Pulse (Wei Mai): Extremely thin and soft pulse, indicating severe deficiency of qi and yang.4. Intermittent Pulse (Dai Mai): Slow and stopping pulse, indicating potential collapse or shock.5. Short Pulse (Duan Mai): Short pulse, indicating weakness or stagnation of qi.6. Excess Pulse Types (Shi Mai 类) (应指有力实脉类,实滑弦紧长大)1. Excess Pulse (Shi Mai): Strong and full pulse, indicating excess conditions.2. Slippery Pulse (Hua Mai): Smooth and flowing pulse, indicating phlegm, dampness, or food accumulation.3. String-like Pulse (Xian Mai): Taut and long pulse, indicating liver or gallbladder issues.4. Tight Pulse (Jin Mai): Tense and tight pulse, indicating cold or pain conditions.5. Long Pulse (Chang Mai): Long and straight pulse, indicating excess yang or heat conditions.6. Wide Pulse (Da Mai): Broad pulse, indicating contrasting health conditions.Disclaimer: The content of this article, if it involves formulas or therapies, is for reference only. Please do not use it indiscriminately. The article and images are sourced from the internet; if there is any infringement, please contact for removal.


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