What is a characteristic of a Knotted (Jie Mai) pulse?

A Knotted (Jie Mai) pulse is characterized by a slow rhythm that feels irregular and has pauses, which can be described as "stopping at irregular beats." This pulse suggests the presence of a stagnation or blockage in the flow of Qi and blood, often associated with conditions such as phlegm or internal cold that disrupt the normal rhythm of the pulse.

The slow nature of the pulse reinforces the idea of a deficiency in energy or movement within the body, while the irregular pauses indicate that the flow is not continuous, which is a hallmark of the Knotted pulse type. Understanding this characteristic is essential for practitioners to make accurate diagnoses and formulate appropriate treatment plans in Traditional Chinese Medicine.