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Tight pulse (Jin Mai, tight pulse) primarily indicates cold syndrome and various pain syndromes. A floating-tight pulse indicates exterior cold, while a sinking-tight pulse indicates interior pain.
The tight pulse resembles the string-taut pulse (Xian Mai, string-taut pulse), but it possesses a more swaying, dynamic, and tortuous momentum, described as "like a turning rope." Yang Qi is constrained by cold pathogens, becoming rigid and uneven, thus producing this pulse condition. For other diseases exhibiting this pulse, the principle is the same. Floating palpation examines the exterior; if the pulse is floating and tight, cold is in the exterior. (Warm dispersal is indicated.) Sinking palpation examines the interior; if the pulse is sinking and tight, cold is in the interior. (Warming the middle is indicated.) The interior belongs to the Yin aspect. When Yin-cold pathogens invade the Yin aspect, Yang Qi is trapped and Yin condenses, resulting in pain.

The long pulse (Chang Mai, long pulse) has harmonious Qi, whereas the short pulse (Duan Mai, short pulse) indicates pathological Qi. The fine pulse (Xi Mai, fine pulse) indicates deficient Qi, and the large pulse (Da Mai, large pulse) indicates advancing disease.
The long pulse signifies smooth Qi flow, hence termed a normal pulse. The short pulse signifies hurried Qi, hence termed a pathological pulse. The fine pulse arises from deficiency of righteous Qi, hence deficient Qi. The large pulse arises from excess of pathogenic factors, hence advancing disease.

Floating long pulse indicates wind epilepsy; sinking short pulse indicates retained food. Blood deficiency presents with a deficient pulse; Qi excess presents with an excess pulse.
The long pulse is similar to the string-taut pulse and also represents the image of Liver Wood. The *Su Wen* (Plain Questions), Chapter on Jade Machine and True Visceral Pulses, states: "The Liver pulse is straight and long." Floating indicates wind; when Wind-Wood prevails excessively, epilepsy manifests. (Dispersing wind, resolving phlegm, and nourishing Ying is indicated, such as Hejian Xijiao Wan or Jiyan Longnao Anshen Wan.) Sinking indicates the interior; a sinking and short pulse reflects constrained Middle Qi and obstruction caused by retained food. (Warming and pushing out is indicated, such as Heji Ganying Wan or Hongwanzi.) The pulse is the mansion of blood; a deficient pulse indicates blood deficiency. The pulse moves with Qi; an excess pulse indicates Qi excess.

Hejian Xijiao Wan treats wind epilepsy, which occurs at regular intervals, characterized by flinging hands and feet, spitting saliva, loss of consciousness, sudden collapse, and limb flexion/extension.
Rhino Horn Powder (Ban Liang, half tael) Cinnabar Stone (San Liang, three taels) Mirabilite (Liang Er, two taels) White Stiff Silkworm (Yi Liang, one tael) Mint Leaf (Yi Liang, one tael)
Grind the above into powder, mix with dough paste to make pills the size of bird seeds. Take 20-30 pills each time with warm water. Two to three doses, taken at any time. If phlegm is excessive, reduce the dosage. Avoid greasy and roasted foods.
Jiyan Longnao Anshen Wan (See Section 19)
Heji Ganying Wan treats deficiency-cold accumulation in the Middle Jiao, weak Qi with injury, stagnation in the epigastrium unable to transmit and transform. It may be due to Qi injury from cold, irregular eating, or excessive alcohol consumption, leading to hardness and fullness below the heart, distending pain in both hypochondria, severe abdominal pain, cholera-like vomiting and diarrhea, frequent stools, tenesmus, difficult defecation, chronic dysentery with red and white discharge, mixed pus and blood, undigested food, recurrence after recovery. It also treats alcohol-induced vomiting, rebellious phlegm, nausea, drowsiness, dizziness, chest and diaphragm stuffiness, limb fatigue, loss of appetite, and treats all new or old cold accumulations.
Southern Costus Root Nutmeg Clove (Each Yi Liang Ban, one tael and a half) Dried Ginger (Pao, processed, Yi Liang, one tael) Croton Seed (Seventy grains, peeled, core and membrane removed, ground to extract oil) Apricot Kernel (One hundred forty grains, soaked in hot water, peeled, tips removed, ground) Baicao Shuang (Er Liang, two taels)
Grind the first four ingredients into powder, add Baicao Shuang and grind evenly, then mix uniformly with Croton Seed and Apricot Kernel (seven ingredients total). Use six taels of good yellow beeswax, melt into liquid, filter through double-layer silk to remove dregs; boil the wax in one sheng of good wine in a silver or earthenware vessel for a few boils, pour out and let cool until the wine is cold, the wax will float on top. Remove and weigh the wax. Make pills, prepared in spring and summer. Use one tael of clear sesame oil, heat in a pot until fragrant, then add four taels of wine-boiled wax, melt together, and while hot in the pot, mix with the aforementioned powder. Prepared in autumn and winter, use one tael and a half of clear sesame oil, cook until liquid, mix with powder to form a mass, divide into small cakes, wrap in oiled paper, store, and take as needed. Take thirty pills each time on an empty stomach with ginger decoction.
Heji Hongwanzi strengthens the Spleen and Stomach, eliminates retained food, and removes distension.
Burreed Rhizome (Soaked until soft, sliced) Curcuma Zedoaria (Roasted) Green Tangerine Peel (Remove white pith) Tangerine Peel (Remove white pith, five jin each) Dried Ginger (Processed) Pepper (Three jin each)
Grind the above into powder, use vinegar and dough paste to make pills the size of bird seeds, coated with alum-red. Take thirty pills each time after meals with ginger decoction. Adjust dosage for children as needed.