Library

The pulse at the Cun position is floating, indicating Wind-stroke (Zhongfeng), with symptoms of heat and pain in the head.
The Cun position belongs to the Yang aspect. The Floating pulse (Fu Mai) is a Yang pulse. Wind pathogen belongs to Yang Qi. The head is the convergence point of all Yang meridians. Now that a Floating pulse appears at both Cun positions, it indicates Wind-Heat attacking the head and eyes from above.
According to the *Mai Jing* (Pulse Classic), when the Kou position (Cunkou) pulse is Floating, it presents as Wind-stroke with fever and headache. It is appropriate to administer Guizhi Tang (Cinnamon Twig Decoction) and Gegen Tang (Kudzu Decoction), needle Fengchi (GB20) and Fengfu (GV16), warm-moxa the body facing fire, apply wind-treating ointment, and cover the patient to induce sweating. It also states: When the Kou position pulse is Floating and vigorous, the disease is in the exterior.

The pulse at the Guan position is Floating, indicating abdominal distension and deficiency of Stomach Qi.
Mr. Xiong said: The left Guan corresponds to the Liver, and the right Guan corresponds to the Spleen. A Floating pulse at the left Guan indicates Liver Wood generating Wind; a Floating pulse at the right Guan indicates that Wind fails to control Earth (Spleen/Stomach), leading to empty Stomach Qi and abdominal distension.
According to the *Mai Jing*, when the Guan position pulse is Floating, there is abdominal pain and fullness below the heart (epigastrium). It also states: Abdominal fullness with loss of appetite; a Floating pulse signifies false/fullness due to deficiency. It is appropriate to administer Pingwei Wan (Pingwei Pill), Fuling Tang (Poria Decoction), and Shengjiang Qianhu Tang (Fresh Ginger and Peucedanum Decoction), needle Weiguan (CV12) using the method of draining first and tonifying later. It also states: When the Guan position pulse is Floating and large, Wind is in the Stomach, manifesting as gasping with open mouth and shoulder movement (shoulder breathing), palpitations below the heart, decreased appetite, and nausea.

When the Chi position shows a Floating pulse, it indicates Wind entering the Lung, and dryness/astringency of the Large Intestine causing difficulty in passage.
A Floating pulse at the Chi position primarily indicates dryness and astringency of the Large Intestine. Why is it said that Wind enters the Lung? The classic states: Above the Yangming, Dryness Qi governs, and it internally connects with Taiyin. The Hand-Taiyin Lung Meridian and the Hand-Yangming Large Intestine Meridian are connected because the collaterals of the Large Intestine link to the Lung, and the collaterals of the Lung link to the Large Intestine. The Large Intestine resides in the lower abdomen, which is why the Chi position is used to inspect the interior of the abdomen. A Floating pulse represents Wind. Since Wind has entered the Lung but does not transmit to the Zang organs, it transmits to the Fu organs, resulting in dryness and astringency of the Large Intestine making passage difficult. Zhang Shixian explained that the Wind is not in the Mingmen (Gate of Life) but in the Lung and Large Intestine, thus causing dryness and difficulty in passage. With Wind in the Lower Jiao, treat with Qisheng Wan (Seven Sages Pill); the formula is found in the section on Knot Pulse later.
According to the *Mai Jing*, when the Zhong (middle/Chi) pulse is Floating, there is difficulty in urination. It also states: When the Chi pulse is Floating, there is Heat-Wind in the lower part, causing difficulty in urination. It is appropriate to administer Qumai Tang (Dianthus Decoction) and Huashi San (Talc Powder), needle Henggu (KI11) and Guanyuan (CV4) using the draining method. Some say this Floating pulse indicates Exogenous Heat in the Lower Jiao.