How to determine the condition by taking the pulse of a Chinese medicine practitioner

Chinese medicine pulse taking is a medical practitioner to judge the condition of the disease by feeling the pulse’s position, speed, length, beating strength, width, regularity, fluency, tension, and so on. The pulse is mostly taken at the inches, i.e. at the radial artery of both hands. The pulse should be taken by a professional Chinese medicine practitioner and should not be judged on one’s own. The location of the pulse represents the depth of the disease, such as floating pulse mostly represents the evil on the surface of the body, and sinking pulse mostly represents the evil in the depth. The speed of the pulse represents the nature of the disease, e.g. a counting pulse represents heat and a late pulse represents cold. The length of the pulse represents the strength of positive qi and yang qi in the body, e.g. a long pulse represents sufficient yang qi, solid evidence, hot evidence, while a short pulse represents a deficiency of positive qi or obstruction of qi flow. The strength of the pulse represents the nature of the disease, e.g., a solid pulse represents a solid case, while a weak pulse represents a weak case. The width of the pulse represents the strength of positive Qi and the nature of the disease. For example, a flooded pulse usually represents excessive Yang heat, or strong Qi and weak positive Qi, while a thin pulse usually represents a deficiency or dampness syndrome. Irregular pulsations of the pulse represent obstruction of qi and blood flow, such as knotted pulse and substituted pulse, which represent cold or blood stasis, or qi and blood deficiency; and rapid pulse, which represents solid heat, phlegm, fire and food obstruction of qi and blood. Whether the pulse is fluent or not represents the smoothness of qi and blood flow, e.g. Slippery Pulse indicates that qi and blood are full and unobstructed, which is seen in phlegm-dampness, solid heat, or accumulation of food in the stomach; Astringent Pulse indicates that qi and blood are insufficient or obstructed, which is seen in stagnation of qi and blood, stagnation of blood, or blood deficiency. The tension of the pulse represents the softness of liver qi. Stringy pulse is a pulse that is as tense as pressing on the strings of a zither, which mostly represents liver and gallbladder diseases, pain, phlegm and fluid (pathological products of impaired metabolism of water and fluid); Moist pulse is a pulse that is soft and feeble, which mostly represents deficiency and dampness.