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Chinese/Japanese Pulse Image chart: Inverted Lotus pulse

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Credit: Chinese/Japanese Pulse Image chart: Inverted Lotus pulse. Wellcome Collection. Attribution 4.0 International (CC BY 4.0)

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Illustration of Inverted Lotus pulse (fulian mai) from Renyuan maiying guizhi tushuo (Pictorial Handbook of Pulse Images Based on the Person). This is a specialist text on pulse diagnosis attributed to the third-century master Shuhe, edited and revised by Shen Jifen in the Ming period (1368-1644). It discusses various pulse images and the medical conditions to which they relate, and contains 48 pulse image diagrams. This undated edition was engraved and published in Japan.

The text states: Inverted Lotus pulse is one of the Sixteen Weird Pulses (guai mai). It is also known as Escorting Corpse pulse (song shi mai). Its pulse image is like a lotus upside down on the finger. As it arrives, it is slight at first, then greater. It does not coincide with a consistent number of breaths.This pulse is found with fullness in the chest and shortness of breath, wheezing and panting. An elderly patient having this pulse will die within three days; a young one within one day.



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