促脈 Cu Mai Abrupt Skipping Hasty

15) Abrupt pulse (cu mai) An abrupt pulse feels hurried and rapid with irregular missed beats.

“Chinese Acupuncture and Moxibustion Reivised Edition” – Cheng

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SKIPPING PULSE

A skipping pulse arrives as urgent and skipping. Sometimes there is a pause, skipping a beat, but the
movement of the pulse does not have a definite rule. It simply stops without a definite beat. As Li Shi
Zhen said: 'A skipping pulse arrives and departs rapidly, sometimes there is a pause in its arrival.'
Clinically, this can be seen with heart palpitations, shortness of breath, or heart organ diseases such as
fearful throbbing.

“Practical Diagnosis of Traditional Chinese Medicine” – Deng

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Hasty

The Hasty pulse quality refers to the rhythm of the pulse: it denotes a pulse that is Rapid and stops at
irregular intervals.

“Diagnosis in Chinese Medicine” – Maciocia

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The hasty pulse is a rapid pulse which is felt mainly at the cun position and which sometimes rests for
one beat at irregular intervds.

“Pulse Diagnosis by Li Shi Zhen” – Huynh

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The rapid, irregularly interrupted pulse, or skipping pulse, is also broken by irregular pauses, but is
relatively fast.

“Fundamentals of Chinese Medicine” – Ellis & Wiseman

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Hasty Pulse (Yang)

Rushing and rapid arrival with interruptions; the length of the interruption is variable.

“Li Shi Zhen’s Pulse Studies, An Illustrated Guide” – Li & Morris

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A hurried pulse (cu mai) is a rapid pulse that skips beats irregularly.

“The Web has no Weaver, Understanding Chinese Medicine” – Kaptchuk

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Rapid-irregular Pulses (Cu Mai)

They are characterized by rapid heats with irregular intervals.

“Fundamentals of Acupuncture & Moxibustion” – Liu

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The skipping pulse, or rapid irregularly interrupted pulse 促脈 (cu mai), is also broken by irregular
pauses, but is relatively fast.

“Practical Dictionary of Chinese Medicine” – Wiseman

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XlV. RAPID IRREGULAR PULSE (Cu Mai)

DESCRIPTION: The pulse beats rapidly with irregular pauses.

TRADITIONAL DESCRIPTION: It feels very agitated and urgent, like a man running and suddenly falling
down.

KEY POINTS: rapid, irregular pauses

OTHER TRANSLATIONS: hasty, abrupt, skipping

“Traditional Chinese Medicine, Diagnosis Study Guide” – Yi & Stone

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A rapid pulse with irregular intermittence is called 促脈 [cu mai]. Various words have been used to
describe this pattern of pulse: "hurried", "hasty", "skipping", "running", "abrupt", "irregularly abrupt",
"rapid irregularly interrupted", etc. Some are explanatory. "Hurried" and "hasty" seem more concordant
with the Chinese original.

“On the Standard of Nomenclature of Traditional Chinese Medicine” – Xie

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The skipping pulse is a pulse coming and going rapidly with occasional interruption but having the ability
to recover.

“The Pulse Classic” – Wang

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The Agitated Pulse (pulsus agitatus, cu mo)

Iconography

An agitated. highly accelerated and strong, even hard pulse. stopping at irregular intervals.

“Chinese Medical Diagnostics, Comprehensive Textbook” – Porkert

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29. Cu mai, skipping pulse:

Rapid and irregularly intermittent.

The skipping pulse is the third of the interrupted or skipped beats pulses. Its distinguishing qualities are
that it is rapid, not relaxed or slow, and that it skips at irregular intervals. Therefore, of the three
interrupted pulses - the bound, regularly interrupted, and the skipping pulses - the skipping pulse is the
only one which is rapid. Interestingly, the skipping pulse is the last of the traditional pulse images to be
added to the list. First described in the Yuan dynasty, it only became standard in the Qing.

Definition to memorize:

1. Rapid

2. Skips beats at irregular intervals

“The Secret of Chinese Pulse Diagnosis” – Flaws

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Hasty: Urgent and rapid, seven or eight beats per breath.

“Chinese Medicine Study Guide” – Chen

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Skipping pulse 促脈 a rapid pulse with irregular intermittence.

“WHO INTERNATIONAL STANDARD TERMINOLOGIES ON TRADITIONAL MEDICINE IN THE WESTERN

PACIFIC REGION”