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 $'