\u4e2d\u533b\u8109\u8bca<\/p>\n\n\n\n
Pulse diagnosis refers to the speed, strength, and depth of the pulse. In the Jin Dynasty, Wang Shuhe’s “Pulse Classic” categorized the pulse into twenty-four types. In the Ming Dynasty, Li Shizhen’s “Binhai Pulse Studies” expanded this to twenty-seven types, and Li Zhongzi’s “Diagnostic Correct Views” increased it to twenty-eight types. Throughout history, while different medical practitioners have had varying classifications of pulse, there is general agreement, and modern traditional Chinese medicine recognizes twenty-eight common pulse types.<\/p>\n\n\n\n
Pulse elements refer to the basic components of pulse diagnosis, including position, count, form, and force; generally divided into four main categories: floating, sinking, slow, and rapid.<\/p>\n\n\n\n
Here is a mnemonic for pulse diagnosis; please take note:<\/strong><\/p>\n\n\n\n Pulse theory, focus on detail, remember the three methods and four categories well. Human pulse is difficult, requiring diligent study. Observing form and distinguishing pulse types is not easy; floating, sinking, slow, and rapid are fundamental. Expand knowledge of each pulse type. This principle should be understood before diagnosis. Avoid missteps by new practitioners; remember pulse details as a consistent method. The following are key points for pulse diagnosis.<\/p>\n\n\n\n Floating Pulse<\/strong>: Light on palpation but none when pressed, floating pulse drifts on the surface. If floating, it indicates exterior conditions; if weak, it suggests a lack of vitality. Floating pulse has seven variations (floating tight, floating slow, floating slippery, floating rapid, floating delayed, floating empty, floating flood), which require experience to discern.<\/p>\n\n\n\n Flooding Pulse<\/strong>: A full and forceful pulse, like waves, strong when it comes and fades naturally. A flooding pulse signifies exuberant Yang, not necessarily indicative of fire.<\/p>\n\n\n\n Full Pulse<\/strong>: Full and strong with a solid feel, strongest when pressed. In acute cases, it indicates excessive fire; in chronic conditions, it may suggest Qi stagnation.<\/p>\n\n\n\n Long Pulse<\/strong>:<\/p>\n\n\n\n A long pulse extends beyond its usual position, resembling a long rod. It suggests strong heart and kidney function, connecting to solid pulses like a sword.<\/p>\n\n\n\n Short Pulse<\/strong>: Appears like a turtle, hidden at both ends. It is difficult to discern at the wrist. Short pulse indicates difficulty in treatment and often suggests Qi deficiency.<\/p>\n\n\n\n Empty Pulse<\/strong>: Hard on the sides, empty in the middle, resembling soft green onions. It indicates blood overflow and deficiency when observed as delayed and faint. It suggests a deficiency of Qi and blood.<\/p>\n\n\n\n Scattered Pulse<\/strong>: A floating and irregular pulse, scattered and unable to be consolidated. Scattered pulse is associated with early pregnancy, potential miscarriage, or severe illness.<\/p>\n\n\n\n Sinking Pulse<\/strong>: Heavy and pressing down like a stone sinking in water. If weak, it suggests deficiency; if strong, it indicates stagnation. Sinking pulse variations include sinking tight, sinking slippery, sinking wiry, sinking fine, sinking rapid, sinking delayed, and sinking faint.<\/p>\n\n\n\n Minute Pulse<\/strong>: Extremely fine and barely perceptible. It is not suitable for the young and vigorous but is typical for the elderly or weak in spring and winter.<\/p>\n\n\n\n Hidden Pulse<\/strong>: Extremely deep and difficult to palpate. It suggests obstruction of Qi flow and potential blockages.<\/p>\n\n\n\n Weak Pulse<\/strong>: Soft and feeble, indicating Qi and blood deficiency. It may suggest severe exhaustion in the young.<\/p>\n\n\n\n Deficient Pulse<\/strong>: Weak and slow, with a hollow feel. It indicates deficiency of both spirit and blood, often associated with excessive sweating.<\/p>\n\n\n\n Firm Pulse<\/strong>: Deep and strong, firm and long. It signifies persistent damage to Qi and blood, often related to symptoms like asthma or hernias.<\/p>\n\n\n\n Reeling Pulse<\/strong>: Rapid and floating, resembling the feeling of a drum skin. It often indicates conditions like bleeding or weakness in men or irregularities in women.<\/p>\n\n\n\n Slow Pulse<\/strong>: Extremely slow with a clear, weak rhythm. It can indicate cold in the exterior or internal cold conditions. Subcategories include slow, knotted, intermittent, and rough pulses.<\/p>\n\n\n\n Moderate Pulse<\/strong>: Even and moderate, like the gentle breeze of willows. It reflects balanced Qi and blood.<\/p>\n\n\n\n Knotted Pulse<\/strong>: Intermittent and irregular, associated with conditions like emotional stress or stagnation.<\/p>\n\n\n\n Intermittent Pulse<\/strong>: Slow and irregular, indicating severe Qi deficiency or serious conditions like pregnancy.<\/p>\n\n\n\n Rough Pulse<\/strong>: Difficult to smooth and irregular, reflecting Qi and blood stagnation or deficiencies.<\/p>\n\n\n\n Rapid Pulse<\/strong>: Fast and frequent beats, indicating heat or fire. Variants include urgent, tight, wiry, slippery, moving, and hurried pulses. A rapid pulse over the standard rate signifies a severe condition.<\/p>\n\n\n\n Tight Pulse<\/strong>: Fast and wiry, resembling a tight rope. It suggests cold conditions if floating and pain if deep.<\/p>\n\n\n\n Wiry Pulse<\/strong>: Stiff and straight, like a taut string. It reflects the severity of illness and is assessed by its strength and flexibility.<\/p>\n\n\n\n Slippery Pulse<\/strong>: Smooth and flowing, like pearls rolling. It often indicates digestive issues or pregnancy in women.<\/p>\n\n\n\n Moving Pulse<\/strong>: Unstable and irregular, like a bean-shaped circle. It indicates palpitations, anxiety, or sweating.<\/p>\n\n\n\n Hasty Pulse<\/strong>: Extremely rapid, reflecting severe heat or fire conditions.<\/p>\n\n\n\n Thin Pulse<\/strong>: Weak and floating, often suggesting blood and Qi deficiency. It reflects overall weakness and potential for night sweats.Understanding these pulse types and their characteristics is crucial for accurate diagnosis and treatment.<\/p>\n\n\n\n \u8109\u8c61\uff0c\u662f\u6307\u8109\u640f\u7684\u5feb\u6162\u3001\u5f3a\u5f31\u3001\u6df1\u6d45\u7684\u60c5\u51b5\uff1b<\/p>\n\n\n\n \u664b\u00b7\u738b\u53d4\u548c\u300a\u8109\u7ecf\u300b\u7ec6\u5206\u4e3a\u4e8c\u5341\u56db\u8109\uff0c<\/p>\n\n\n\n \u660e\u00b7\u674e\u65f6\u73cd\u300a\u6fd2\u6e56\u8109\u5b66\u300b\u589e\u4e3a\u4e8c\u5341\u4e03\u8109\uff0c<\/p>\n\n\n\n \u660e\u00b7\u674e\u4e2d\u6893\u300a\u8bca\u5bb6\u6b63\u773c\u300b\u589e\u4e3a\u4e8c\u5341\u516b\u8109\uff0c<\/p>\n\n\n\n \u53e4\u5f80\u4eca\u6765\uff0c\u4e0d\u540c\u533b\u5bb6\u5173\u4e8e\u8109\u8c61\u7684\u5206\u7c7b\u867d\u6709\u5dee\u5f02\uff0c\u4f46\u662f\u5927\u4f53\u4e00\u81f4\uff0c\u73b0\u4ee3\u4e2d\u533b\u8ba4\u4e3a\uff0c\u5e38\u89c1\u8109\u8c61\u670928\u79cd\u3002<\/p>\n\n\n\n \u8109\u8c61\u8981\u7d20\u6307\u8109\u8c61\u7684\u57fa\u672c\u7ec4\u6210\u90e8\u5206\uff0c\u5305\u62ec\u4f4d\u3001\u6570\u3001\u5f62\u3001\u52bf\u7b49\u56db\u4e2a\u65b9\u9762\uff1b\u4e00\u822c\u5206\u4e3a\u6d6e\u3001\u6c89\u3001\u8fdf\u3001\u6570\u56db\u5927\u7c7b\u3002<\/p>\n\n\n\n \u4ee5\u4e0b\u4e3a\u8109\u8c61\u53e3\u8bc0\uff0c\u8bf7\u4ed4\u7ec6\u54c1\u5473\uff1a<\/strong><\/p>\n\n\n\n \u8109\u7406\u516e\uff0c\u7528\u5fc3\u7ec6\uff0c\u4e09\u6cd5\u56db\u4e2d\u8981\u719f\u8bb0\u3002<\/p>\n\n\n\n \u4eba\u8109\u96be\uff0c\u9700\u52e4\u7406\uff0c\u5bdf\u5f62\u8fa8\u8c61\u975e\u5bb9\u6613\uff0c\u6d6e\u6c89\u8fdf\u6570\u529b\u4e3a\u4e2d\uff0c\u6269\u5145\u5404\u8109\u771f\u6d88\u606f\uff0c\u6b64\u7406\u9700\u660e\u672a\u8bca\u524d\uff0c\u514d\u4e4b\u65b0\u533b\uff0c\u5403\u8109\u8bb0\uff0c\u7ecf\u4e3a\u4e00\u8d2f\u7528\u5fc3\u673a\uff0c\u6307\u4e0b\u56de\u58f0\u8bca\u5999\u8bb0\u3002<\/p>\n\n\n\n \u6d6e\u8109<\/strong>\uff1a\u8f7b\u5bfb\u6709\u3001\u6309\u65e0\u6709\uff0c\u6d6e\u8109\u6f02\u7136\u8089\u4e0a\u6e38\uff0c\u6c34\u5e06\u6728\u6d6e\u672a\u5b9a\u5411\uff0c\u6d6e\u8109\u4e2d\u95f4\u4ed4\u7ec6\u7a76\uff0c\u6709\u529b\u6076\u98ce\u89c1\u8868\u5b9e\uff0c\u65e0\u795e\u65e0\u529b\u6307\u865a\u6d6e\uff0c\u6d6e\u8109\u91cc\u6709\u4e03\u74e3\uff08\u6d6e\u7d27\u3001\u6d6e\u7f13\u3001\u6d6e\u6ed1\u3001\u6d6e\u6570\u3001\u6d6e\u8fdf\u3001\u6d6e\u865a\u3001\u6d6e\u6d2a\uff09\uff0c\u5176\u4e2d\u7406\u6027\u8981\u7ecf\u9a8c\u3002<\/p>\n\n\n\n \u6d2a\u8109<\/strong>\uff1a\u6d2a\u8109\u6ee1\u6307\u6ce2\u6d9b\u4f3c\uff0c\u6765\u65f6\u529b\u72b6\u53bb\u81ea\u7136\u3002\u8109\u6d2a\u9633\u76db\u867d\u590f\u65fa\uff0c\u975e\u662f\u706b\u76db\u6cbb\u707e\u51e1\u3002<\/p>\n\n\n\n \u5b9e\u8109<\/strong>\uff1a\u5b9e\u6bd5\u6bd5\u66f4\u5c5e\u957f\uff0c\u4e3e\u6309\u5145\u5b9e\u529b\u6700\u5f3a\uff0c\u65b0\u75c5\u9022\u65f6\u662f\u706b\u76db\uff0c\u4e45\u75c5\u9022\u65f6\u6216\u6c14\u75db\u3002<\/p>\n\n\n\n \u957f\u8109<\/strong>\uff1a\u957f\u8109\u76f4\u8fc7\u672c\u4f4d\u524d\uff0c\u8fe2\u8fe2\u81ea\u5f31\u7c7b\u957f\u6746\uff0c\u5fc3\u80be\u8eab\u5f3a\u6c14\u672c\u72b6\uff0c\u5b9e\u8109\u76f8\u8054\u4f3c\u5251\u957f\u3002<\/p>\n\n\n\n \u77ed\u8109<\/strong>\uff1a\u77ed\u8109\u8c61\u5f62\u4f3c\u9f9f\uff0c\u85cf\u5934\u9732\u5c3e\u8109\u4e2d\u7b4b\uff0c\u5bf8\u5c3a\u53ef\u51ed\u5173\u4e0d\u8bca\uff0c\u6da9\u5fae\u52a8\u7ed3\u4f3c\u76f8\u968f\uff0c\u4e3b\u75c5\u9022\u4e4b\u4e3a\u96be\u6cbb\uff0c\u6982\u4f3c\u771f\u5143\u6c14\u591a\u4e8f\u3002<\/p>\n\n\n\n \u82a4\u8109<\/strong>\uff1a\u4e24\u8fb9\u5b9e\u4e2d\u95f4\u7a7a\uff0c\u82a4\u5f62\u8109\u4f3c\u8f6f\u5982\u8471\uff0c\u5bf8\u9633\u89c1\u82a4\u8840\u4e0a\u6ea2\uff0c\u82a4\u73b0\u8fdf\u8109\u4e0b\u6d41\u7ea2\uff0c\u82a4\u5f62\u6d6e\u7ec6\u987b\u8f7b\u8bca\uff0c\u7761\u7720\u6d6e\u8109\u50cf\u5f97\u8bca\uff0c\u6c14\u8840\u4f24\u8017\u7cbe\u795e\u635f\uff0c\u81ea\u6c57\u9633\u865a\u9aa8\u84b8\u6df1\u3002<\/p>\n\n\n\n \u6563\u8109<\/strong>\uff1a\u6563\u8109\u5f62\u6d6e\u65e0\u6c89\u5019\uff0c\u5982\u5bfb\u81f3\u6570\u62d8\u4e0d\u5b9a\uff0c\u6ee1\u6307\u6563\u4e71\u4f3c\u626c\u5148\uff0c\u6309\u4e4b\u5206\u6563\u96be\u5f52\u6574\uff0c\u4ea7\u662f\u751f\u65e9\u80ce\u4e3a\u5815\uff0c\u4e45\u75c5\u8109\u6563\u5fc5\u4e27\u547d\u3002<\/p>\n\n\n\n \u6c89\u8109<\/strong>\uff1a\u6c89\u8109\u58ee\u91cd\u8fce\u6307\uff0c\u5982\u77f3\u6295\u6c34\u5f80\u4e0b\u6c89\uff0c\u6309\u4e4b\u65e0\u529b\u771f\u5143\u5f31\uff0c\u6709\u529b\u4e3a\u75db\u6ede\u6c14\u4fb5\uff0c\u4e2d\u5bd2\u5176\u8109\u5747\u6c89\u7c7b\uff0c\u6c89\u7d27\u3001\u6c89\u6ed1\u3001\u6c89\u5f26\u3001\u6c89\u7ec6\u3001\u6c89\u6570\u3001\u6c89\u8fdf\u3001\u6c89\u5fae\uff0c\u6570\u5934\u673a\u5173\u52ff\u8bef\u4eba\u3002<\/p>\n\n\n\n \u5fae\u8109<\/strong>\uff1a\u7ec6\u5fae\u5c0f\u81f3\u5982\u5f26\uff0c\u6c89\u800c\u6781\u7ec6\u6700\u4e0d\u65ad\uff0c\u6625\u590f\u5c11\u5e74\u5747\u4e0d\u5b9c\uff0c\u6625\u51ac\u8001\u5f31\u786e\u4e3a\u5584\u3002<\/p>\n\n\n\n \u4f0f\u8109<\/strong>\uff1a\u6c89\u4e4b\u6df1\uff0c\u4f0f\u8109\u6e38\uff0c\u4e0b\u6307\u63a8\u7b4b\u9760\u9aa8\u6c42\uff0c\u771f\u6c14\u4e0d\u884c\u75c7\u75de\u7ed3\uff0c\u8109\u4e27\u6cfb\u4e4b\u4e0d\u51fa\u5934\u3002<\/p>\n\n\n\n \u5f31\u8109<\/strong>\uff1a\u6c89\u7ec6\u8f6f\u7ef5\u4f3c\u5f31\u8109\uff0c\u8f7b\u5bfb\u65e0\u677f\u91cd\u91c7\u77e5\uff0c\u5143\u6c14\u8017\u635f\u7cbe\u8840\u865a\uff0c\u5c11\u5e74\u53ef\u8651\u767d\u5934\u77e3\u3002<\/p>\n\n\n\n \u865a\u8109<\/strong>\uff1a\u865a\u8109\u4e3e\u6307\u8fdf\u5927\u8f6f\uff0c\u6309\u4e4b\u65e0\u529b\u53c8\u7a7a\u6d1e\uff0c\u7cbe\u795e\u6c14\u8840\u90fd\u4f24\u635f\uff0c\u75c5\u56e0\u865a\u6cd5\uff0c\u6c57\u591a\u4e2d\u3002<\/p>\n\n\n\n \u7262\u8109<\/strong>\uff1a\u6c89\u800c\u4f0f\u529b\u5f88\u5f3a\uff0c\u7262\u5f62\u5b9e\u5927\u548c\u5f26\u957f\uff0c\u52b3\u4f24\u5fae\u75be\u771f\u7cbe\u635f\uff0c\u6c14\u5598\u8179\u759d\uff0c\u4e03\u60c5\u4f24\u3002<\/p>\n\n\n\n \u9769\u8109<\/strong>\uff1a\u9769\u8109\u80a2\u4f53\u81ea\u6d6e\u6025\uff0c\u8c61\u8bca\u771f\u4f3c\u6309\u9f13\u76ae\uff0c\u5973\u4eba\u534a\u4ea7\u5e76\u5d29\u6f0f\uff0c\u7537\u5b50\u8840\u865a\u6216\u201c\u68a6\u9057\u201d\u3002<\/p>\n\n\n\n \u8fdf\u8109<\/strong>\uff1a\u5bfb\u8089\u5185\u81f3\u6765\u4e09\uff0c\u6765\u5f80\u6781\u6162\u5fae\u8fdf\u8109\uff0c\u6d6e\u8fdf\u8868\u5bd2\u662f\u8868\u8bc1\uff0c\u6c89\u8fdf\u91cc\u51b7\u5fc5\u5b9a\u89c1\u3002\u7f13\u3001\u7ed3\u3001\u4ee3\u3001\u6da9\u5c45\u8fdf\u7c7b\uff0c\u4e0d\u7a76\u8be6\u7ec6\u83ab\u8f7b\u8c08\u3002<\/p>\n\n\n\n \u7f13\u8109<\/strong>\uff1a\u7f13\u56db\u81f3\u901a\u4e0d\u504f\uff0c\u548c\u98ce\u6768\u67f3\u8885\u81ea\u7136\uff0c\u6b32\u4ece\u8109\u91cc\u6c42\u795e\u6c14\uff0c\u53ea\u5728\u4ece\u5bb9\u548c\u7f13\u95f4\uff0c\u7f13\u8fdf\u6c14\u8840\u7686\u4f24\u635f\uff0c\u548c\u7f13\u4ece\u5bb9\u4e3a\u6c14\u5b89\u3002<\/p>\n\n\n\n \u7ed3\u8109<\/strong>\uff1a\u7f13\u4e00\u6307\u590d\u53c8\u6765\uff0c\u7ed3\u8109\u80a2\u4f53\u8bb0\u5728\u6000\uff0c\u60b2\u8651\u79ef\u4e2d\u6210\u90c1\u7ed3\uff0c\u4e94\u82a4\u4ea4\u653b\u4e3a\u75de\u707e\u3002\uff08\u4e94\u82a4\uff1a\u6c14\u3001\u8840\u3001\u75f0\u3001\u996e\u3001\u98df\uff09<\/p>\n\n\n\n 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In the Jin Dynasty, Wang Shuhe’s “Pulse Classic” categorized the pulse into twenty-four types. In the Ming Dynasty, Li Shizhen’s “Binhai Pulse Studies” expanded this to twenty-seven types, and Li Zhongzi’s “Diagnostic Correct Views” increased it to twenty-eight types. 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