What body constitution does a pulse rate of 60 beats per minute indicate?

Dec 10, 2025 Source: Cainiu Health
Dr. Sun Lianqing
Introduction
Pulse rate is only one of several reference indicators for determining constitution. A pulse rate of 60 beats per minute, with regular rhythm and moderate strength, typically indicates a balanced (harmonious) constitution. Individuals with this constitution generally have harmonized qi and blood, normal organ function, and no obvious bias toward cold or heat. They usually exhibit abundant energy, a lustrous complexion, regular eating and sleeping patterns. A steady pulse reflects sufficient qi and blood and smooth circulation within the body.

A pulse rate of 60 beats per minute may generally correspond to balanced constitution, yang deficiency, qi deficiency, phlegm-dampness, or blood stasis constitutions. The specific analysis is as follows:

1. Balanced Constitution: A pulse of 60 beats per minute with regular rhythm and moderate strength typically indicates a balanced constitution. This constitution reflects harmonious qi and blood, normal organ function, and no significant bias toward cold or heat. Daily manifestations include abundant energy, ruddy complexion, and regular eating and sleeping patterns. A steady pulse externally reflects sufficient qi and blood circulating smoothly.

2. Yang Deficiency Constitution: Some individuals with yang deficiency may have a pulse rate of 60 beats per minute. Due to insufficient yang qi, the force driving qi and blood circulation weakens, resulting in a pulse that, although within the normal range, may feel deep and weak. Common accompanying symptoms include aversion to cold, cold hands and feet, and loose stools. Deficient yang leads to slow and weak circulation of qi and blood.

3. Qi Deficiency Constitution: In individuals with qi deficiency, diminished organ function and inadequate heart qi may result in a pulse of 60 beats per minute that feels weak. Typical symptoms include fatigue, shortness of breath, reluctance to speak, and excessive sweating. Qi deficiency impairs the generation of qi and blood, leading to a pulse with regular rhythm but insufficient strength, reflecting an overall state of organ-level qi deficiency.

4. Phlegm-Dampness Constitution: Internal obstruction by phlegm-dampness impedes the smooth flow of qi and blood, possibly resulting in a pulse of 60 beats per minute that feels slippery and slow. Individuals with this constitution often experience heaviness in the body, chest tightness, abdominal distension, and thick, greasy tongue coating. Phlegm-dampness obstructs qi movement, disrupting normal circulation and giving rise to these pulse characteristics.

5. Blood Stasis Constitution: In individuals with blood stasis, impaired circulation and blocked channels may lead to a pulse of 60 beats per minute with slightly irregular rhythm or a choppy,涩 (se) quality. Common signs include numbness in limbs, dull complexion, and bluish-purple sublingual veins. Internal blood stasis obstructs circulation, causing the pulse to reflect stagnation and poor flow.

The pulse is only one of several reference indicators for determining constitution and should be evaluated together with overall symptoms, diet, sleep, and other factors. If accompanied by discomfort, it is recommended to consult a qualified Traditional Chinese Medicine practitioner for syndrome differentiation and diagnosis.

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