Which pulse type is considered to have a forceful quality?

The tight pulse is characterized by its forceful quality, which can indicate a condition of excess or tension within the body. This pulse type typically feels firm, full, and can be somewhat resisting to pressure when palpated. In Traditional Chinese Medicine (TCM), a tight pulse is often associated with factors such as cold, pain, or Qi stagnation, reflecting an internal state that is overly contracted or tense. The sensation of the pulse can provide insights into the underlying pathology and help practitioners discern the nature of a patient's condition.

The other pulse types listed each have their distinct qualities and meanings. For instance, the intermittent pulse is associated with irregular rhythms and is commonly seen in chronic or serious conditions. The wiry pulse, while also firm, conveys a sharp or string-like feeling, often related to liver Qi stagnation or stress. The slippery pulse is characterized by a smooth quality often seen in conditions of abundance, such as phlegm or excess, and suggests a different clinical picture that does not imply forcefulness. Understanding these nuances helps practitioners accurately diagnose and treat by correlating pulse qualities with the broader context of TCM principles.