Fine Pulse / Xi Mai
Updated 2026-08-02
INTRODUCTION
English translation pending.
CORE DEFINITION
The fine pulse is a classical pulse form in traditional Chinese medicine. It is described as thread-thin while still distinctly palpable under the fingers. It has two classical explanations: depletion of yin and blood, where reduced fluid narrows the channel, and compression by dampness, where an external obstruction squeezes the vessel. The key qualification is that a fine pulse alone does not indicate which cause is at work, so it must be interpreted alongside the rest of the presentation; treating the two causes as one is the standard error.
SCAFFOLDING EFFECT
Reduce cognitive load
- Narrowing channel: Read a thin but persistent output as reduced carrying capacity rather than as lost function. - Cause split: Ask whether the channel narrowed because the medium shrank or because something is pressing on it. - Capacity check: Before pushing for more output, check whether the underlying resource base can support it.
Anchor fast decisions
Signal width in a channel tracks the amount of medium moving through it. When blood and yin are depleted the channel narrows and the pulse thins; when dampness compresses the vessel from outside it also narrows, but by a different mechanism with a different correction. Both produce the same surface reading, so the finding is only actionable once the direction of the cause is established. Reading thinness as a demand for more pressure ignores that one cause is a shortage and the other is a squeeze.
MINIMUM ACTION
In progress 0/1Practice this model in one real situation:
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