Om Diagnosis Pulses

Front 1

A floating pulse is yin in nature and felt at the middle level only. T or F

Back 1

F: it is Yang and is easily felt superficially and slightly above te 1st pulse region

Front 2

Which floating pulses are rooted? 1) floating/tight 2)floating/large/weak 3)floating/moderate 4)floating/empty 5)floating/rapid

Back 2

1)floating/tight 3) floating/moderate 5)floating/rapid

Front 3

A floating pulse that is rooted is a reflection of 1)wind pathogen 2)KD/Yin xu

Back 3

1)wind cold, wind cold with underlying qi xu/wind damp, and wind heat are reflected when a root is present while KD/Yin xu is floating without a root

Hint 3

lack of substance fails to anchor and nourish the pulse

Front 4

A pulse that is identified by depth and reflects and interior position is 1)deficiency pulse 2)hesitant 3)deep 4)weak 5)all of the above

Back 4

Answer is 3& 4
3)deep pulse - only felt with heavier pressire - reflcts qi xu
4)weak pulse- fine, small, deep, no force, felt at deep level - Qi, Yang, Blood xu


hesitant=uneven, slow difficult, rough - Blood xu or stagnation
deficiency=slow, large, no force, empty with pressure - Qi xu

Front 5

1)deep/weak 2) deep/full
3)deep/rapid 4)deep/moderate
5)deep/wiry 6)deep/slippery
7)deep/tight
List the corresponding pathologies.

Back 5

1)Qi or Yang xu
2)stagnation 3)interior heat
4)damp 5)pain
6)plegm or food stagnation
7)interior cold stagnation

Front 6

A slow pulse is: chose all that apply & give examples when possible.
1)<4beats per breath or 60bpm
2)yang
3)yin
4)corresponds ot heat conditions
5)corresponds to cold conditions

Back 6

1) <4bpb, <60bpm
3) yin
5) slow/full= xs cold with stagnation
slow/weak= cold due to yang xu

Front 7

T/F all rapid pulses are dues to xs heat?

Back 7

F
rapid/forcefull=xs heat
rapid/weak=heat due to yin xu
rapid/large/weak/empty= outward floating of deficient yang (lo blood volume and no heat symptoms- the heart is working overtime to to circulate enough blood)

Front 8

An empty pulse is a form of a 1)floating pulse 2)soft pulse 3)weak pulse 4)deficiency pulse 5)hollow pulse
*describe the similarities and differences

Back 8

4)deficiency pulse

*both arrive slow without strength/force and due to Qi xu - with pressure a xu pulse feels empty like the vessels collapse under the fingers - an empty pulse feel like a half filled water balloon

Front 9

An XS pulse is felt stongly at 1)superficial level
2)deep level 3)middle level 4)all levels

Back 9

4)it is felt at all three levels

Front 10

An XS pulse is characteristic of a ___ condition, thus a xs/slow and xs/rapid reflect _____ & ____
1)xu, cold xu & heat xu
2)full, full cold & full heat
3)full, full heat & full cold
4)yin, empty heat & xs cold

Back 10

2)full condition, full cold & full heat

Front 11

A patient has the "4 Bigs" big pulse, big sweat, big fever, and big thirst characteristic of extreme/interior heat, they are likely to have
1)xs pulse
2)deficiency pulse
3)surging pulse
4)Abrupts pulse

Back 11

3)surging pulse aka: flooding/overflowing/tidal

Front 12

A pulse that arrives dynamically/hard/full, had long and large movement, is felt at all levels and has force with heavy pressure is a description of a
1)Surging pulse
2)XS pulse
3)Tense pulse
4)Abrupts pulse

Back 12

2)XS pulse

Front 13

A broad, large & forcefull pulse that arrives large/exuberant and departing long and fading debilitated, and is likely to extend beyond the 3 fingers is a description of what kind of pulse?

Back 13

Surging Puls

Front 14

Clinically, a ___pulse is characteristic of a yin xu, feeling distict/clear/hard
While a ____pulse is characteristic of Qi/Blood xu feeling softer/less distict

Back 14

A clinically Thready Pulse
vs a Thin Pulse

Front 15

What pulse has a smooth arrival and departure and feels round/oily like pearls on a plate?
1)Soft
2)Slippery/Rolling
3)Thready/Thin
4)Knotted/Bound

Back 15

2)Slippery Pulse

Front 16

Slippery pulses are characteristic of what 3 pathologies

Back 16

This pulse is characteristic of damp, phlem, and food stagnation
*sometimes in pregnant women
*sometimes with heat in the blood bc heat causes turbulance

Front 17

This pulse is known as the "Blood Pulse" characteristic of blood xu or stagnation

Back 17

Hesitant/Choppy/Rough pulse

Front 18

A Hesitant pulse is also known as

1)Choppy
2)Small
3)Vacuous
4)Rough
5)Wiry

Back 18

1&4 Choppy & Rough (blood pulse)

(small=Thready/thin/fine - qi, blood, yin xu)
(vacuous=deficiency-qi xu)
(Wiry=Stringy/taught-LV disharmony)

Front 19

A slippery pulse feels like________ while a Hesitant pulse feels like____

Back 19

Pearls rolling on a plate
vs
a knife cuttubg bamboo

Front 20

A ____pulse is rought and uneven, arrives slowly with difficulty, feels resistant and changes rate and intensity

Back 20

A hesitant/choppy/rough pulse (blood stagnation/xu)

Front 21

A Wiry/string taut pulse is characteristic of what disharmonies?

Back 21

*Liver Disharmonies
LV qi stag
GB disharmonies
Pain
Deep Phlegm-blocks qi flow so LV cannot maintain qi flow

Front 22

A patients pulse feels long straight and stiff, smacking the fingers without a wave form. This is a description of a:

1)Tense pulse
2)Abrupts Pulse
3)Surging Pulse
4)Wiry Pulse

Back 22

4) Wiry pulse (LV disharmony)

Front 23

Describe what a Tense/Tight pulse feels like

Back 23

Like a Wiry pulse with vibration -tight and forceful like a unevently stretched rope that snaps back and forth

Hint 23

Think wiry

Front 24

Cold, Pain, and Food Stag/Retention is characteristic of what kind of pulse?

Back 24

Tight/Tense Pulse

Hint 24

Cold confines- when you are cold you tightens up your body

Front 25

How does a soft/soggy pulse differ from a slippery one?

Back 25

The soft pulse is less damp and more qi xu (damp due to SP Qi xu)

Front 26

A soft pulse is also called
1)slippery
2)deficiency
3)hesitant
4)soggy

Back 26

4)soggy

Front 27

T/F a soft pulse is felt deep, and gradually appears with more pressure

Back 27

F: a soft/soggy pulse is superficial/felt with little pressure. it is thin and hits the fingers without strength. it gradually disappears with pressure

a deep pulse is detected wiht heavy pressure and not felt at superficial level

Hint 27

like a wet sponge

Front 28

Describe a soft pulse

Back 28

like a wet sponge it is felt superficially, it is thin lacks strengths and disappears with pressure

Front 29

What is the difference between a Weak pulse and a Deficiency pulse

Back 29

This is a weak pulse that is only felt at the deep level

Front 30

A patient has a fine, small, and deep pulse that lacks force, and it is only felt with heavy pressure. This pulse is
1)Deificiency
2)Weak
3)Soft
4)Hesitant

Back 30

2) Weak pulse

Front 31

a minute pulse is a variation of a ___pulse. the minute pulse is ____ in comparison

1)deficiency, stronger
2)deficiency, weaker
3)weak, stronger
4)weak, weaker

Back 31

4)it is a variation of a Weak Pulse, but it is weaker almost imperceptible

Front 32

A weak pulse is characteristic of what pathologies

Back 32

qi, yang, blood xu

Front 33

A minute pulse is typically

1)severe Qi xu
2)blood & Qi xu
3)Severe Yang xu
4)Yin xu
5)Severe Yin xu

Back 33

3)severe yang xu/yang collapse

Front 34

A pulse that is nearly absent is a ____ pulse

Back 34

minute pulse (variation nof a weak pulse indicating severe yang xu/collapse)

Front 35

Describe the differences beteen 1)abrupt pulse 2)intermittent pulse

Back 35

1)rapid with irregularly skipped beats
2)slower with rgular/predictable skipped beats, the stops are long and pulse arrives weak with little force

Front 36

What 3 pulses lack spirit?

Back 36

Abrupts/hurried/hasty/skipping
Knotted/bound
Intermittent

Front 37

The rapid aspect of an abrupts/hurried/hasty/skipping pulse is due to what pathology?

Back 37

Heart fire or HT qi xu with heat
*food retention and qi/blood xu can turn into heat over time and affect the HT*

Front 38

Name the 3 cardiac/HT pulses, and what causes the pathologies

Back 38

Abrupt/hurried/hasy/skpped
Knotted/Bound
Intermittent
"XS yin causes failure in Yang to rise"

Front 39

Cardiac pulses are caused because XS ____ causes a failure in the ___ to __

1)Yang, Yin to nourish
2)Yin, Yang to rise
3)Yang, Qi to rise
4)Yin, Qi to disperse

Back 39

2) xs yin causes failure in yang to rise

Front 40

A knotted pulse is similar to an abrupt pulse except it is

1)slower
2)faster
3)skips regularly
4)deeper

Back 40

1)it is slower- its arrives moderately, stops, and is restored

Front 41

What pathologies are associated with a knotted/bound pulse

Back 41

deficiency cold/HT yang xu
cold can congeal over time and cause cold phlegm and blood stasis

Front 42

knotted/bound pulse characteristics occure beacause
1)Heat rises up into the heart
2)cold rises into the heart

Back 42

2)cold rises into the hear and makes it hard to maintain a constant rhythm

(heat in HT causes and abrupt pulse)

Front 43

An intermittent pulse is most serious when the pulse skips
1)every 4th beat or less
2)every 6th beat or less
3)every third beat
4)every 5th beat

Back 43

1)every 4th beat or less could be serious sign pf declining yang organs

Front 44

What makes an intermittent pulse different from other cardiac pulses (abrupt & knotted)?

Back 44

This pulse has regular/predictable skipped beats. The skips are long and the pulse arrives with little force. These is a serious idsturbance of HT Qi and decline of Zang Qi

Front 45

Your patient has aids, what pulse are you likely feel?

Back 45

you are likely to feel an intermittent pulse

Hint 45

Declining yang organs

Front 46

What pathologies are associated with intermittent pulses?

Back 46

Serious disturbance of HT Qi, or conditions that weaken the HT, especially declining Zang Qi

Front 47

Your patient has internal bleeding, what pulse are you likely to feel?

Back 47

you are likely to feel a hollow pulse

Hint 47

acute blood loss

Front 48

Acute blood loss causes what kind of pulse?

Back 48

Hollow pulse

Front 49

Deficiency conditions often create ____ pulses, while XS conditions create ____ pulses

Back 49

short pulses vs long pulses

Front 50

A Patient who has been attacked by an exterior pathogen is most likely to have what kind of pulse?
1) Soggy
2) Floating
3) Intermittent
4) Wiry

Back 50

2) Floating

Hint 50

Floating are associated with exterior conditions

Front 51

What pulses are rootless? What are the causes

Back 51

1) Floating + Empty -> Yin Xu
2) Floating, large + weak -> Outward floating of yang qi
3) Rapid+ large, weak, empty -> outward floating of XU yang

Hint 51

1) Not enough Yin to fill the floating pulse

Front 52

If the pulse is deep and full this is a sign of?
1) pain
2) stagnation
3) damp
4) interior heat

Back 52

2) Stagnation

Front 53

What pulse would you expect with someone who has heat S/S as wells as dryness, night sweats, five center heat, and irritability?

Back 53

Rapid + Weak -> Heat due to Yin Xu

Front 54

Which pulse would you expect from someone with cold S/S plus extreme fatigue, profuse spontaneous sweating?

Back 54

Slow + weak -> Cold due to Yang Xu

Front 55

A person with Blood Xu is likely to have what pulse?
1) Flooding
2) Sinking
3) Vacuous
4) Small

Back 55

4) Small/thin/fine/thready

flooding/surging=xtreme interior heat
Vacuous/deficiency=Qi xu
Sinking/Deep=interior condition