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In the past, it was universally believed that the Wiry pulse (Xian Mai) was an ominous sign for various diseases. Upon careful reflection, I have come to realize that there are instances where the Wiry pulse is considered auspicious. This necessarily refers to a situation where initially, the pulse feels granular and discontinuous under the fingers, with breaks in continuity. After taking medicine, the Spleen Qi (Pi Qi) recovers and continues, causing the pulse form to become connected; initially, the Cun position does not reach the Guan position, or the Chi position does not reach the Cun position, or there is pulse at both ends but not at the Guan, after which the San Jiao Qi (Triple Burner Qi) becomes unobstructed, and the pulse form becomes straight and long; initially, the pulse is floating and superficial, empty and rootless, after which the Kidney Qi (Shen Qi) returns to its origin, and the pulse form becomes dense and solid; initially, the pulse is deep and weak, lacking strength, listless and depressed, after which the Liver (Gan) and Spleen Qi flourish, and the pulse momentum becomes strong; initially, the pulse is scattered without boundary, vague and unclear, after which Yin fluids return and Qi gathers, and the pulse form becomes firm and condensed; initially, the pulse is fine and rapid, lacking Shen (Spirit), with unclear rising and falling, after which Yang Qi returns and Qi becomes abundant, and the pulse momentum becomes smooth and grand, rising and falling simultaneously from head to tail. These are all cases where the Wiry pulse represents a turning point from a failing pulse to recovery, as the Qi transitions from broken to continuous, from contracted to extended, from empty to full, from scattered to gathered, and from declining to revitalized. It is called "Wiry" rather than "Long" because when Yin and Yang Qi first recover, their energy can only fill within the vessel walls, making the pulse form straight and forceful, but not yet overflowing outside the vessels to make the pulse momentum smooth, warm, and abundant. Zhang Zhongjing stated: "After vomiting or purging in Cold Damage syndrome, if there has been no bowel movement for five or six days, accompanied by grasping at bedclothes, random grabbing, delirium, inability to recognize people, slight wheezing, and fixed gaze, if the pulse is Wiry, the patient will live; if the pulse is Choppy (Se), the patient will die." He also said: "If excessive sweating leads to Yang collapse and delirium, a Short pulse indicates death, while a self-harmonious pulse indicates survival." He further stated: "In Spasm disease, if the pulse is Deep and Firm, and after sweating, the pulse moves like a snake, or sudden abdominal distension occurs, the condition is about to resolve." Shen Rou stated: "In Deficiency Consumption disease, if the six pulses are Harmonious and Moderate, and after taking Si Jun Zi Tang (Four Gentlemen Decoction) or Bao Yuan Tang (Protect the Origin Decoction), the fever subsides and the pulse gradually becomes Wiry, followed by diarrhea and bloody stool, this indicates Yin Fire scorching and blood coagulating in the collaterals, with pathogenic factors exiting through the lower orifices; some present with symptoms resembling Wind-Cold invasion, with pathogenic factors exiting through the upper orifices." He also said: "For Tight and Rapid pulses, both exterior and interior are deficient. A Tight pulse still retains Stomach Qi, whereas a Rapid pulse lacks Stomach Qi." Yu Jiayan explained Zhang Zhongjing's statement regarding dysentery where a contrary Wiry pulse, accompanied by fever and sweating, leads to spontaneous resolution, stating: "In chronic dysentery, pathogenic factors have deeply penetrated the Yin levels, so the pulse should be Deep, Weak, Fine, and Choppy. If it suddenly turns Wiry, this indicates the emergence of Shaoyang (Lesser Yang) generating and ascending Qi, with vitality clearly palpable under the fingers." These are all arguments for considering the Wiry pulse as auspicious. Therefore, in patients with chronic illness, a Wiry and Tight pulse with strength indicates that True Qi (Zhen Qi) is contained internally and has roots; this is particularly evident in the Chi position. When the disease is critical and severe, and the Cun and Guan positions show Knotted or Sunken pulses, but the Chi position is full, long, Wiry, Solid, with distinct rising and falling and strength, it indicates that the Root remains intact. Why? Because True Qi cannot reach the upper body, it must accumulate in the lower body. The world only knows that the Chi pulse should avoid being Wiry, but fails to realize that the Chi pulse should not fear the Wiry quality, but rather fear Sluggish (Huan) and Slippery (Hua) qualities. A Sluggish pulse is stiff, soft, and devoid of Qi; a Slippery pulse is broken and discontinuous. What is feared as "Wiry" refers to isolated hardness without root, not to a Long and Solid quality.