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Strength Depth Width Rate Shape Rhythm

EMPTY
• Big but soft
and weak
• Feels
empty on
heavier
palpation
• Qi (&
Blood)
deficiency
[SOFT]
• Empty +
very soft
slightly
floating
• !isappears
with heavy
palpation
• "in and
#ing
deficiency
[SCATTERE
D]
• Empty +
very small
superficial
broken up
• $evere Qi
and blood
deficiency
FULL
• Big strong
pounding
against
palpation
• E%cess
condition
FLOATIN
• $uperficial
buoyant with
very light
palpation but
obscured with
heavier palpation
• floating & tight
or rapid & E'F
• floating & empty
& yin def( (rarely
e%treme )i
deficiency)
• + *ollow &
+eather
DEEP
• $inking found
with heavier
palpation
• "in organ
conditions,
)i & yang def(
(weak) or )i or
blood stasis (full)
[WEA"]
• !eep + soft
• "ang def(
[FIRM]
• !eep hard wiry
• $tasis and pain
(from cold if
slow)
[#IDDEN]
• !eep as if below
bone
• $evere yang def(
T#IN$FINE
• !istinct &
clear like a
fine thread
• Blood
deficiency
(will fill
out with t%
esp( with
mo%a)
[MINUTE]
• -hin.fine +
e%tremely
thin and
small
• $evere )i
and blood
deficiency
WIDE$
O%ER&
FLOWIN
• !istinct &
broad
• /cute
conditions
with heat
[LON]
• 0ide.overf
lowing +
long
• *eat
[S#ORT]
• 0ide.overf
lowing +
short
• Qi deficient
RAPID
• 1ore than 2 beats
per respiration or
higher than the
given normal rate
• *eat
[#URRIED]
• 3apid + agitated &
urgent
• Fire e%hausting the
yin
[MO%IN]
• 3apid + trembling
shaking rapid
somewhat slippery
• $hock an%iety
fright or pain
SLOW
• +ess than 4 beats
per respiration or
lower than the
normal rate
• 5old
[SLOWED DOWN]
• + 4 beats per
respiration
Normal Pulse Rates
/ge 3ate
674 86+
4796 :4
967;2 <=7:6
;2726 <67<>
26+ =:
SLIPPERY
• $lides under the
finger smooth &
oily
• Full & damp or
phlegm
• Empty & damp
or phlegm with
)i deficiency
• 'regnancy
C#OPPY
• ?neven rough
@agged edges
• 5an be irregular
in rhythm &
strength
• Blood deficiency
WIRY
• -aut hard like a
guitar string
pushing against
the fingers
• 5an be deficient
or full
• +3.AB problems
or pain or
phlegm causing
obstructions
TI#T
• +ike a twisted
rope thick full
elastic vibrating
can seem faster
than it is
• 5old.pain
"NOTTED
• $low pulse
that misses
beats
irregularly
• 5old
obstructing
)i or heart
deficiency
()i blood
or yang)
#ASTY
• Fast pulse
that misses
beats
irregularly
• *eat
agitating )i
and blood
INTER&
MITTENT
• 1isses
beats in a
regular
rhythm
• "in organ
deficiency.
e%haustion
N'rma( P)(*e
• *as $tomach )i
o Feels gentle (thereBs a connection but it in no way invades another personC not insubstantial)
o Feels calm (tress nicely swaying in the wind no disturbance or agitationC cow chewing cud)
o *as 4 beats per respiration (can use the rhythm of your breath to count if the personBs is erratic)
• *as $pirit
o $oft (shouldnBt be malleableDsoft on outside and strong and resilient on inside)
o Eeither big nor small
o 3egular in rhythm & )uality (not intermittent or missing beats no speed changes)
• *as a 3oot
The 28 Pulse Qualities
o 5larity in deep position (yin) and ;
rd
pulse positions (clarity & pulse should be a distinct entity)
Tongue Diagnosis: Body Shape
+'dy Shape C(ini,a( Signi-i,an,e
Thin
• !eficient blood (pale body)
• !eficient yin (red body)
Swollen
• $' and.or FG yang deficiency with dampness
• !amp7heat in $- and $'
• *- and $- heat (red body)
• /lcoholic to%in (red body)
Swollen edges • $' )i deficiency
Swollen sides • 3ising +3 yang or +3 fire
Swollen tip
• *- Fire blaHing (red body)
• *- )i deficiency (normal color)
Swollen bet. tip & center • +? )i def( with phlegm retention
Swollen along center
crack
• *- fire blaHing (red body)
• *- )i deficiency (normal color)
Hammer-shaped • $- $' and FG deficiency
Stiff
• E%terior heat invading '5 (red or dark red body)
• *eat in@uring body fluids (red body) or *- Fire blaHing
• Gnternal wind (normal color)
Flaccid
• E%hausted )i & blood (pale body)
• E%treme heat in@uring fluids (red body)
• FG yin deficiency with heat (deep red body)
ong • BlaHing *- Fire or 'hlegm7Fire in *-
Short
• $' yang defiency internal cold (pale body)
• *eat stirring +3 wind (red body)
• !eficient body fluids due to heat from e%cess (red body
w.coating)
• !eficient heat (red body w.out coat)
• $' yang deficiency with damp and phlegm (pale body and
slippery coating)
!racked
• *oriHontal cracks, yin deficiency
• 5racks like ice floaes, $- yin deficiency
• -ransverse cracks on sides, $' )i deficiency
• Iertical cracks in center, *- yin deficiency or blaHing *- fire
• -ransverse cracks behind tip, +? yin deficiency
• Iery deep central crack with other small cracks, FG yin
deficiency with heat
oose
• Gnterior e%cess heat (red body)
• 'hlegm7fire clouding *- (red body with slippery coating)
• *- )i deficiency (pale body)
Numb
• *- Blood deficient (pale body)
• +3 0ind (red or normal color)
• 0ind7phlegm (slippery coating)
"o#ing
• *- Fire and internal wind (red body)
• $' heat with e%haustion of body fluids (red & dry body)
$ui#ering
• $' )i deficiency (pale body)
• E%treme heat generating internal wind (red body)
• 5ollapse of *- and $' )i (pale body)
• 5ollapse of yang (pale and thin body)
Rolled
• *eat from e%cess (tip rolled over)
• !ef( heat (tip rolled under)
Tooth marked • $' )i deficiency
%lcerated
• BlaHing *- fire (red body)
• *- heat from FG yin def( (red and peeled body)
• $' and FG heat (red body)
Tongue Diagnosis: Body Color, Tip-Root/Let Right
+'dy C'('r C(ini,a( Signi-i,an,e
Pale
• $lightly dry, blood deficiency
• 0et, yang deficiency
Pale& bright and shin' • Qi and blood deficiency particular of $- and $'
Red
• 0ith coating, heat in the nutritive or blood levels
• 0ithout coating, yin deficiency with heat
Red and wet • *eat with retention of damp
Red and dr'
• 0ith coating, heat from e%cess burning body fluids
• 0ithout coating, deficiency heat and e%haustion of body
fluids
Red and shin' • $tomach or FG yin deficiency
Red with red points or spots • *eat with blood stasis
Red with pricles • *eat in the nutritive level or in the upper or middle burner
Red w(a purple spot in center • Blood stasis and heat in $-
Red and peeled • *eat from $- and FG yin deficiency
)ark red with a dr' center • $- fire blaHing or $- yin deficiency with heat
Reddish purple • *eat and blood stasis
Reddish purple and distended
• E%treme heat with blood stasis and to%in from alcohol
in@uring the *eart
*luish purple • Blood stasis from internal cold
*luish purple and moist
• Blood stasis from internal cold stiffening the tendons and
bones
*lue • $evere internal cold with blood stasis
*lue without coating • $evere internal cold with stasis and e%haustion of blood
*lue central surface • $' yang deficiency with retention of phlegm in chest
*lue in a pregnant woman • !anger of imminent miscarriage
)istended #eins on underside of
tongue
• !eficiency and stagnation of )i
• Gf veins also dark, blood stasis
Tip&R''t Le-t&Right
*od' !olor
-ip and root of different color,
stagnation of )i or blood
!ifferent color on left and right, )i
stagnation
*od' Shape
/) 0hole tongue swollen tip
more so, long7term problem
imbalance between *- and FG
B) Jnly tip swollen, overwork
Jnly one side swollen with red points,
ipsilateral malnourishment of channels
!oating
"ellow coating on one side only,
/) AB heat affecting the $-
B) Gpsilateral phlegm in the chest
"oisture
-ip red & dry root dirty &
swollen,
defective transformation of body
fluids
Jne side wetter,
movement of fluids in the chestC
+ung )i problem
A hea(thy t'ng)e .'dy ha* the -'(('/ing 0)a(itie*1
• Gt is supple in shape
• Gt is pale red & fresh looking.vibrant in color (due to healthy heart )i and blood) (the
color of fresh lamb)( -he color should be coming from the back of the tongue with
consistency(
• Gt has a thin white coating (due to healthy $- )i regulating digestion)
• Gt is rooted (due to inherited )i from the kidney and ac)uired )i from the stomach)
o
K Eiki *( Bilton 9888
Tongue Diagnosis: Coating
C'ating C(ini,a( Signi-i,an,e
+hite or white and thin • 0ind cold or damp in the e%terior (or normal)
+hite& thin and slipper' • E%terior attack of damp7cold
+hite& thick and slipper'
• !amp in the middle @iao
• 5old w.food retention in the $-
+hite& thin and dr'
• Blood deficiency (body pale)
• "ang deficiency (body pale)
• E%terior attack of wind7cold or wind7heat
• +? fluids in@ured (body color normal)
• E%terior attack of dryness (body color normal)
+hite& thick and wet
• E%terior attack of wind7cold (body color normal)
• Gnterior damp7cold in the middle @iao (body color
normal)
+hite& thick and dr' • !irty fluids in the interior with heat
+hite& thick and greas' • "ang deficiency with food retention or dampness
+hite& thick& greas' and slipper' • $' yang deficiency with damp7cold or phlegm
+hite& thick&& greas' and dr' • !amp with e%haustion of body fluids or heat
+hite& rough and cracked • /ttack of summer heat in@uring the )i ()i level)
+hite& stick' and greas'
• !amp or phlegm in middle @iao
• E%terior attack of damp at the )i level
+hite and mold'
• FG and $- yin deficiency
• !amp7to%in in the interior
,ellow or pale 'ellow
• E%terior attack of wind7heat
• 0ind7cold turning into heat
• !amp7heat in the chest and middle @iao
,ellow and slipper' • !amp heat
)irt' 'ellow • !amp7heat in the $- and intestines
,ellow& stick' and greas' • *eat and phlegm
,ellow root& white tip • E'F @ust changing to heat and penetrating the interior
*ilateral 'ellow strips -rest white. • *eat in the +3 and AB
Half-'ellow& half-white - and R. • *eat in the +3.AB
/ra'(/ra'& wet and slipper' • !amp7cold in the $'
/ra' and dr' • *eat from e%cess
*lack(*lack& slipper' and greas' • !amp7cold in the $- and intestines
*ilateral black on white
• 5old from deficiency of middle burner (wet)
• *eat from e%cess in the $- and $' (dry)
+hite coat& black points
• E'G penetrating to the interior and transforming into
heat
+hite coating& black prickles
• -rue cold false heat
• 5old turned into heat
*lack cntr& white & slipper' sides • $' yang deficiency with damp7cold in the interior
*lack& dr' and cracked
• E%haustion of FG
• "ang deficiency with interior cold
+hite and 'ellow
• 0hite center yellow rest, E'F @ust penetrating
interior & changing to heat
• "ellow in center white around, interior heat @ust
starting to clear
+hite and gra'
• 0hite gray and moist, damp cold on the interior
• 0hite gray and dirty, damp7cold or phlegm of long
standing
• *alf white half gray, cold half e%terior half interior
+hite& gra' and black -white in
• !amp in $'