Slippery Pulse / Hua Mai
Updated 2026-08-01
INTRODUCTION
English translation pending.
CORE DEFINITION
The slippery pulse is one of the classical pulse qualities: it comes and goes smoothly and feels round and gliding under the finger, like beads rolling on a plate. It indicates that something substantial is moving within the vessels, and it is classically associated with phlegm-damp, food stagnation and excess heat. It is also a normal finding in pregnancy and in people with abundant qi and blood. The pattern is therefore determined by combining the pulse with the overall presentation rather than from the pulse alone.
SCAFFOLDING EFFECT
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- Content Check: a rolling quality suggests something physical is present in the flow - Candidate List: run through phlegm, stagnation, heat and pregnancy before concluding - Context Decides: the same sign can be normal or pathological depending on the case
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A pulse reflects the interaction between the vessel wall and what moves through it. When the contents are thicker or more numerous than usual, the wave transmits with a smooth rolling feel rather than a flat one. Because the same physical effect arises from several causes, including normal pregnancy, the sign establishes that something is present without establishing what it is, which is why it must be paired with other findings.
MINIMUM ACTION
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Source support: Explicit
- dayi.org.cnhttps://www.dayi.org.cn/symptom/1152993verified
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