Which pulse is characterized as forceful and tight like a stretched rope?

The tight pulse, known in Traditional Chinese Medicine as "jin mai," is indeed characterized as forceful and tight, akin to a stretched rope. This pulse quality signifies a condition where there is an abundance of energy or Qi, but it is often accompanied by a sense of tension, suggesting possible underlying imbalances such as excess internal heat or cold constraining the flow of Qi and blood.

A tight pulse can indicate various health issues, such as tension, pain, or certain types of internal diseases. Its tightness can reflect a defensive response in the body to expel pathogens or to protect itself from internal turmoil.

While the wiry pulse is also taut but commonly indicates a more acute condition or stagnation of Qi, the tight pulse emphasizes a more generalized tension. The knotted pulse may indicate a more serious, sporadic condition often linked to blood stasis, and the confined pulse reflects a weak yet deep sensation, indicative of a more chronic or deficient state. Therefore, understanding these distinctions in pulse qualities can provide critical insights into the patient's overall health and guide appropriate treatment in TCM.