Understanding Pulse Patterns in Traditional Chinese Medicine: A Focus on Slippery and String-like Pulses

Personal Introduction: A “post-90s” TCM practitioner in their forties, with a Master’s degree in Traditional Chinese Medicine, a licensed TCM physician, ten years of experience in a tertiary hospital, and ten years of independent practice in the community. I adhere to classical TCM principles, with the life goal of making TCM understandable to the public and strengthening the Chinese nation through TCM.

Understanding Pulse Patterns in Traditional Chinese Medicine: A Focus on Slippery and String-like Pulses

Hello everyone, we continue our discussion on pulse patterns from the “Shang Han Lun” (Treatise on Cold Damage).

How do we understand the “slippery pulse” (hua mai)?

Understanding Pulse Patterns in Traditional Chinese Medicine: A Focus on Slippery and String-like Pulses

It feels primarily “smooth and slippery”, right?

Understanding Pulse Patterns in Traditional Chinese Medicine: A Focus on Slippery and String-like Pulses

Raise your hand if you agree.

Understanding Pulse Patterns in Traditional Chinese Medicine: A Focus on Slippery and String-like Pulses

Now let’s continue, how do you understand the string-like pulse (xian mai)?

First, who knows the strength of a normal guitar string?

There is no need to study the tight pulse; we can equate the tight pulse with the string-like pulse.

This is our school’s understanding; do not get caught up in textbooks, everything is for practical application.

The slippery pulse and string-like pulse refer to “pulse shape”; do not associate them with pulse position or pulse force, etc.

The “shape” of the slippery pulse does not refer to “smooth” or like “beads”.

Rather, the pulse’s beating is primarily “up and down”, with a rhythmic thumping.

Understanding Pulse Patterns in Traditional Chinese Medicine: A Focus on Slippery and String-like Pulses

Do not look at the left side’s floating and sinking; the pulse shape is like this, primarily up and down. Can you understand?

We can compare it with the string-like pulse.

Understanding Pulse Patterns in Traditional Chinese Medicine: A Focus on Slippery and String-like Pulses

This feels like pulling a rope at both ends.

Understanding Pulse Patterns in Traditional Chinese Medicine: A Focus on Slippery and String-like Pulses

The taut feeling, the pulse shape is consistent with the direction of the pulse, which is “horizontal”.

Can everyone understand?

You can experience this; try it with people around you, and you will definitely be able to feel it.

I will explain further.

Slippery pulse is actually like blowing up a balloon, the heat in the pulse channel surges and expands outward, creating a strong “expansion feeling”.

Understanding Pulse Patterns in Traditional Chinese Medicine: A Focus on Slippery and String-like Pulses

Understanding Pulse Patterns in Traditional Chinese Medicine: A Focus on Slippery and String-like Pulses

So, what does the slippery pulse indicate?

It indicates either “internal heat” or “heat”, regardless of whether it is superficial or deep, deficient or excess.

Do not be trapped by past fixed ideas; follow this line of thought, and it can be explained, right?

As for how to distinguish between superficial and deep?

——Floating and sinking.

And for deficiency and excess?

——Yes, it’s just about strength or weakness.

Isn’t this a complete differentiation of the eight principles?

FloatingSuperficial SinkingDeep

String-likeCold SlipperyHeat

StrongExcess WeakDeficient

Left handYin Right handYang

All set.

Understanding Pulse Patterns in Traditional Chinese Medicine: A Focus on Slippery and String-like Pulses

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Understanding Pulse Patterns in Traditional Chinese Medicine: A Focus on Slippery and String-like Pulses

More clinical practice, more experience!

Easy to learn and understand Practical and effective

Let TCM practitioners comprehend the classics

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Understanding Pulse Patterns in Traditional Chinese Medicine: A Focus on Slippery and String-like Pulses

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