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Floating Pulse

How Chinese medicine differentiates a floating pulse — a sign that something is happening near the surface, or that internal energy is weakened and drifting outward — into the six patterns you'll actually meet in practice, and the points for each. Acupuncture only — no herbs.

This page is educational, for practitioners and students — it is not a diagnostic tool and does not replace a proper in-person assessment. High fever, difficulty breathing, or a rapidly worsening infection needs prompt medical evaluation before assuming a simple pattern.
General Acupuncture Points

Acupuncture points traditionally used for a floating pulse — 9 key points, used across the patterns below rather than tied to just one.

PointKey action
L.I.-4Expels exterior Wind and releases the Exterior. Regulates Defensive Qi.
LU-7Promotes the descending and diffusing of Lung-Qi. Releases the Exterior and expels exterior Wind.
G.B.-20Expels exterior Wind. Extinguishes interior Wind. Subdues Liver-Yang. Clears Heat.
BL-12Expels external Wind. Regulates Nutritive and Defensive Qi. Strengthens the back. Benefits the nose.
DU-14Clears Heat. Releases the Exterior and expels exterior Wind.
ST-36Tonifies Qi and Blood. Tonifies the Stomach and Spleen.
REN-6Tonifies Qi and Yang. Raises sinking Qi.
BL-13Stimulates the diffusing and descending of Lung-Qi. Expels external Wind.
DU-20Extinguishes interior Wind. Subdues Liver-Yang. Raises Yang.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
SP-10Cools Blood. Invigorates Blood and eliminates stasis.
The Six Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Exterior Wind

Clinical manifestations: Aversion to wind/drafts, runny nose with clear discharge, sneezing, itchy throat, mild chills with low-grade fever, slight sweating, stiff neck and muscle aches.
Tongue: Normal pink body with thin white coat. Pulse: Floating and moderate, clearly felt superficially but weaker with deeper pressure.
Treatment principle: Release the exterior and expel Wind, harmonize Defensive and Nutritive Qi.
Note: no moxa. This site has no organ-nonspecific exterior-Wind slide outside the Lung-invasion decks (which are respiratory-framed), a gap confirmed on Occipital Headache last round — no pattern link is given here; points still link fine individually.

2. Exterior-Cold

Clinical manifestations: Strong chills with mild fever, absence of sweating, headache at the back of the head with neck stiffness, clear watery nasal discharge, no thirst.
Tongue: Normal or slightly pale with thin white moist coating. Pulse: Floating and tight, like a twisted rope.
Treatment principle: Release the exterior, disperse Wind-Cold, induce gentle sweating.
Note: no moxa. This site has no organ-nonspecific Wind-Cold slide, a gap confirmed absent many times over — no pattern link is given here; points still link fine individually.

3. Exterior-Heat View full pattern →

Clinical manifestations: Fever more than chills, mild sweating, sore/swollen throat, thirst and dry mouth, redness at the tongue tip/sides.
Tongue: Normal or slightly red tip/sides with thin white or faintly yellow coating. Pulse: Floating and rapid.
Treatment principle: Disperse Wind-Heat from the exterior, clear Heat, resolve toxicity.
Note: no moxa. Matched to this site's own Invasion-of-Lungs-by-Wind-Heat slide, the established exterior-invasion convention.

4. Protective Qi Deficiency View full pattern →

Clinical manifestations: Spontaneous sweating worsening with activity, frequent colds/infections, aversion to wind/drafts, fatigue and low stamina.
Tongue: Pale, puffy, possibly teeth-marked with thin white coating. Pulse: Floating, forceless, empty, soft and hollow under pressure.
Treatment principle: Tonify Qi, secure the exterior, strengthen the defensive barrier.
Note: moxa applicable throughout. Matched to this site's own Lung-Qi-deficiency slide — frequent colds, spontaneous sweating and fatigue are its own core markers too.

5. Qi Deficiency View full pattern →

Clinical manifestations: Floating pulse feeling weak/forceless, persistent fatigue worse with activity, shortness of breath on mild exertion, spontaneous sweating without effort, pale puffy tongue with scalloped edges.
Tongue: Pale, puffy, tender with scalloped edges, thin white coating. Pulse: Floating but forceless, empty or weak, thin at the surface, disappears under deep pressure.
Treatment principle: Tonify the Middle and augment Qi, raise sunken Yang.
Note: moxa applicable throughout. Matched to this site's own Spleen-Qi-deficiency slide as the plainest general-Qi-deficiency fit.

6. Blood Deficiency View full pattern →

Clinical manifestations: Floating but thin and forceless pulse, pale/sallow complexion, dizziness/lightheadedness, heart palpitations, scanty pale menstrual flow, pale lips and nail beds.
Tongue: Pale, thin body with thin white coating. Pulse: Floating, fine, forceless, possibly choppy.
Treatment principle: Tonify Qi and Blood, nourish Blood, strengthen the Spleen.
Note: no moxa on SP-10. Matched to this site's own Liver-Blood-deficiency slide via the same scanty-pale-menstruation marker as the Weak Pulse page.
Related conditions

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