What is indicated by a hidden-minute pulse?

The hidden-minute pulse, often described as 'wei' or 'hidden pulse', is characterized by a pulse that is very faint and requires significant pressure to discern. This subtlety indicates an underlying weakness in the heart's functioning, often related to a serious deficiency or collapse.

In the context of traditional Chinese medicine, a hidden-minute pulse is specifically associated with Heart Yang Collapse. This condition reflects a severe deficiency of heart Yang energy, which can lead to inadequate circulation and vital force. When heart Yang is deficient, it cannot properly support the blood and Qi, resulting in a barely perceptible pulse.

The other conditions listed—such as Liver Yang Rising, Heart Blood/Yin Deficiency, and Gallbladder Damp-Heat—do not typically present with the hidden-minute pulse. Instead, they have distinct pulse characteristics: Liver Yang Rising may show signs of a wiry pulse, Heart Blood or Yin deficiency might exhibit a thin or weak pulse, and Gallbladder Damp-Heat can manifest as a slippery pulse. Each of these conditions has its unique clinical presentation that helps distinguish them from Heart Yang Collapse, highlighting the importance of pulse diagnosis in traditional Chinese medicine.