The invention discloses a high-precision fast-response dynamic three-dimensional pulse detector, and mainly relates to the field of traditional Chinese medicine pulse detection devices. The high-precision fast-response dynamic three-dimensional pulse detector comprises a detection workbench, a computer, a support frame, a line-scan digital camera, an optical interference microscope structure assembly, a gas-filling device assembly, an airbag device assembly and a position adjustment device assembly, wherein the airbag device assembly comprises an airbag upper cover, an airbag transparent window, a sealing ring, a sensing airbag and an airbag bottom cover, and the optical interference microscope structure assembly corresponds to positions of the line-scan digital camera and the sensing airbag; the position adjustment device assembly comprises a position adjusting platform, a forearm supporting platform, a stepper motor driver, a height adjusting device and a transverse adjustment device. The high-precision fast-response dynamic three-dimensional pulse detector has the advantages that positioning of the cun, guan and chi of a wrist can be achieved automatically, and enough space information and timing information of a pulse can be acquired through high-speed acquisition of data; moreover, a basis for traditional Chinese medicine diagnosis can be provided through the comparison of cloud data, detection data points are dense, and the high-precision fast-response dynamic three-dimensional pulse detector is high in precision and quick in time response.