The Lakeside Master's Study of the Pulse
One of the great texts regarding the art and science of pulse diagnosis (as used in acupuncture) is Li Shi-zhen's 'The Lakeside Master's Study of the Pulse'. It is an expansion and explanation of a late Ming dynasty book from Cui Jia-yan called 'Gathered Essentials in Four Characters', written around 479 A.D. This earlier text set to rhyme four word or syllable lines which spell out the essential character of some 27 discrete pulse types. Li's expansion on this work involves the composition of seven word or syllable lines which sometimes repeat the previous material, and sometimes add new information to clarify it. The essential point of composing the work in verse was that it was meant as an aide memoire to students of Chinese medicine. The nature of its composition and succinct presentation, has therefore ensured that it is a perennial favourite in China, right up to the modern age.
Below are a few extracts describing some of the more common pulse qualities found in day-to-day examination. Although these descriptions may seem outlandish to a novice, clinical experience confirms that they are in fact accurate descriptions of the illusive and changing nature of the pulsative flow of blood through the vessels. As these are translations, the do not hold with the original syllable, word or rhyming scheme:
Slow Pulse
Slow Pulse, one respiration, three arrivals.
Departs and comes extremely slowly.
Slippery Pulse
A slippery pulse goes and comes, advances and retreats
Flowingly, uninhibited, unfurled, revolving.
It responds to the fingers like a pearl.
Seeping, seeping as if on the verge of escaping.
Bowstring Pulse
The bowstring pulse is level and straight like the long.
It is like a drawn bowstring.
Press and it does not vary.
Pluck, pluck, like pressing the strings of a dulcimer.
Its shape is like the strings of a zither.
Passing through, straight and continuous,
It is stiff under the fingers.
Fine Pulse
The fine pulse is small, but larger than faint.It also is constantly there.
Fine, straight, and also soft.
It responds to the fingers like a silk thread.


Reader Comments