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MENTAL MODEL · M2052

Leather Pulse / Ge Mai

Leather Pulse / Ge Mai
TechnicalHigh supportTraditional Chinese Medicine
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Updated 2026-08-01

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INTRODUCTION

English translation pending.

CORE DEFINITION

The leather pulse is taut and tight on light pressure, as if the finger rests on a drumhead or a piece of leather, but hollow and powerless when pressed deeply. It is attributed to extreme depletion of essence and blood with yang qi left without a root, floating to the surface. The qualifier is the contrast between the two depths: the surface tension is misleading, and the empty deep layer is the real message.

SCAFFOLDING EFFECT

psychology

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- Depth check: always press deeply, since the surface tension alone gives the opposite reading - Severity flag: treat the hollow deep layer as an emergency signal, not an ordinary deficiency - Diagnostic pairing: combine the pulse with complexion, sweating, and mental state before concluding

anchor

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Blood and essence normally anchor yang qi inside the vessels. When they are severely depleted, the vessels lose their content and the unanchored yang floats outward, tightening the wall while leaving the interior hollow. Light pressure therefore feels hard, and deep pressure finds nothing. That mismatch between surface and depth is what makes the pulse a sign of impending collapse rather than of strength.

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Source support: Explicit

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    baike.baidu.comhttps://baike.baidu.com/item/%E9%9D%A9%E8%84%89ZH · Explicit
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