The choppy or rough pulse is the opposite of the slippery pulse, it is a pulse that has difficulty arriving. Sometimes it seems to disappear, without being arrhythmic.

• "Like a serrated knife scraping bamboo". It is also described as feeling like fine hairs or sand.
• It is somewhat related to the parasympathetic nervous system; the heart pumps blood with less force.
• It belongs to an Empty pattern.

May indicate

Lack of circulation, of fluidity of the Blood.

• Blood deficiency. If Blood is deficient, Yang cannot transform and Qi-Xue becomes stagnant.
• Cold-Dampness enters the Blood: Blood stasis, pain.
• Accumulation, stagnation: Phlegm, masses, excess of food does not allow Blood to circulate. Thicker Blood.
• In women: menstrual disorder.

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