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Wiry Pulse

How Chinese medicine differentiates a wiry pulse — taut like a guitar string, almost always accompanying pain, distension, or emotional tension — into the eight 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.
General Acupuncture Points

Acupuncture points traditionally used for a wiry pulse — 11 key points, used across the patterns below rather than tied to just one.

PointKey action
LR-3Subdues Liver-Yang. Extinguishes interior Wind.
LR-14Promotes the smooth flow of Liver-Qi and harmonizes Liver and Stomach.
REN-12Tonifies Stomach and Spleen. Resolves Dampness and Phlegm.
P-6Opens the chest and moves Qi and Blood. Calms the Mind.
ST-36Tonifies Qi and Blood. Tonifies the Stomach and Spleen.
G.B.-20Expels exterior Wind. Extinguishes interior Wind. Subdues Liver-Yang. Clears Heat.
LR-2Drains Liver-Fire and subdues Liver-Yang. Extinguishes interior Wind.
G.B.-34Promotes the smooth flow of Liver-Qi. Resolves Damp-Heat. Benefits the sinews.
SP-6Strengthens the Spleen. Nourishes Blood and Yin.
SP-9Regulates the Spleen. Resolves Dampness.
BL-20Tonifies Spleen and Stomach. Resolves Dampness. Lifts Spleen-Qi.
ST-40Resolves Phlegm and Dampness. Opens the chest and subdues rebellious Qi.
BL-23Tonifies the Kidneys and nourishes Kidney-Essence. Strengthens the lower back.
The Eight Patterns

↑ reinforcing   ↓ reducing   ⊥ even method.

1. Liver Qi Stagnation View full pattern →

Clinical manifestations: Rib-side distension, frequent sighing, irritability/mood swings, wiry pulse most prominent at the left middle (Guan) position.
Tongue: Normal or slightly dark body, red or slightly purple sides, thin white coat. Pulse: Wiry, taut like a guitar string, most prominent at the left middle position.
Treatment principle: Spread Liver Qi and relieve constraint, move Qi and alleviate pain.
Note: no moxa. Direct exact-name match with this site's own Liver-Qi-stagnation slide.

2. Liver Qi Stagnation Invading the Stomach View full pattern →

Clinical manifestations: Distending upper abdominal pain radiating to the ribs, frequent belching/acid reflux, symptoms worsen with emotional stress, irritability/easy anger, chest fullness.
Tongue: Normal or slightly red body, redder sides, thin white coat. Pulse: Wiry, especially at the left and right middle positions.
Treatment principle: Soothe the Liver, regulate Qi, harmonize Stomach Qi.
Note: no moxa. Matched to this site's own Rebellious-Liver-Qi-invading-the-Stomach slide.

3. Rebellious Liver Qi View full pattern →

Clinical manifestations: Belching/hiccups, irritability with frequent sighing, nausea/vomiting, headache/dizziness.
Tongue: Normal or slightly red on the sides, thin white coating. Pulse: Wiry, most prominent at the left middle position.
Treatment principle: Direct rebellious Liver Qi downward.
Note: no moxa. Direct exact-name match with this site's own Rebellious-Liver-Qi slide.

4. Liver Yang Rising View full pattern →

Clinical manifestations: Throbbing/distending temple headache, dizziness with head heaviness/light feet, heat sensation rising to the face, flushed face/red eyes, irritability/quick temper, lower back/knee soreness.
Tongue: Red body with redder sides, thin dry yellow or scanty coat. Pulse: Wiry, forceful, rapid, especially strong at the left middle (Guan) position.
Treatment principle: Subdue rising Liver Yang, calm internal Wind.
Note: no moxa. Direct exact-name match with this site's own Liver-Yang-rising slide.

5. Liver Fire Blazing View full pattern →

Clinical manifestations: Throbbing temple/crown headache, red/painful/burning eyes, bitter taste, intense irritability/short temper, flushed red face, burning rib pain.
Tongue: Red body with redder sides, dry yellow coating, possible red prickles. Pulse: Wiry, rapid, forceful, especially in the left Guan position.
Treatment principle: Clear Liver Fire and drain Damp-Heat.
Note: no moxa. Direct exact-name match with this site's own Liver-Fire-blazing slide.

6. Damp-Heat in the Liver View full pattern →

Clinical manifestations: Bitter taste, yellow greasy tongue coating, rib pain/distension, dark yellow urine, genital itching/swelling, aversion to greasy food, body heaviness.
Tongue: Red body with redder sides, yellow greasy coating. Pulse: Wiry, slippery, rapid.
Treatment principle: Clear Damp-Heat from the Liver/Gallbladder, resolve Liver Qi stagnation.
Note: no moxa. Direct match with this site's own Damp-Heat-in-the-Liver slide — this pattern's own genital-itching/swelling marker is an exact fit for that slide's genital-specific framing.

7. Phlegm-Fluids

Clinical manifestations: Chest/upper abdominal fullness/stuffiness, copious white/clear phlegm, dizziness/heavy foggy head, gurgling stomach sounds, aversion to cold.
Tongue: Pale, swollen with tooth marks, white greasy slippery coating, excessively moist. Pulse: Wiry and slippery, often deep.
Treatment principle: Warm Yang, transform fluid retention, strengthen the Spleen.
Note: moxa applicable on BL-20. This is a digestive-Phlegm-Fluids presentation distinct from this site's Lung-specific Phlegm-Fluids slide (which is respiratory-framed) — no pattern link is given here; points still link fine individually.

8. Cold-Phlegm View full pattern →

Clinical manifestations: Copious white watery/frothy phlegm, feeling cold especially in the limbs, chest stuffiness/fullness, no thirst or desire for warm drinks only, fatigue/low energy, wheezing/gurgling throat sounds.
Tongue: Pale, swollen with teeth marks, white greasy slippery coating appearing wet. Pulse: Deep, slippery, slow, may feel wiry.
Treatment principle: Warm the Lungs, transform Cold-Phlegm.
Note: moxa applicable on BL-23. Direct match with this site's own Cold-Phlegm-in-the-Lungs slide.
Related conditions

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