The manic pulse is an important component of the ancient pulse method. Although it does not belong to the traditional 28 pulses

it often appears in the classic medical books and has unique clinical value. After

Huangdi Neijing

the pulse descriptions of manic pulse rarely appear in the medical literature and classics

and its meaning is unclear. This article reviews the historical documents and the understanding of modern physicians

and conducts an induction and deduction to rediscover the connotation

derivation and clinical application significance of the manic pulse. From the aspects of diagnostic indications

formation mechanism

clinical significance

and identification of common concurrent pulses

the manic pulse was differentiated and discussed

and the following conclusion were drawn. The manic pulse is a type of pulse potential

which is opposite to the tranquil pulse

and is defined as not soft

unstable

and unsteady. The manic pulse is a composite pulse condition formed by the combination of various elements including increased blood flow rate

unstable pulse wave strength and speed. The manic pulse is often accompanied by an increased pulse rate

a rapid pulse

but the manic pulse is not necessarily frequent and fast

and even a slow and manic pulse. The main disease of the manic pulse can be divided into two groups: usually a floating manic pulse represents diseases of the hand meridians and the beginning of the fever

while a deep manic pulse represents qi stagnation. The deficiency and excess should be identified based on the strength and weakness when the pulse is pressed heavily. The appearance of a manic pulse means that the disease is at an important node of development

the change and struggle between vital qi and the pathogen

which is especially worthy of attention.