PUVU: Price Up Volume Up is bullish regardless of whether the market is trending up or down. In an uptrend it confirms the continuation of a trend. In a downtrend, it signals a possible reversal.
PUVD: Price Up Volume Down is regarded as somewhat bearish. In an uptrend, it means the buyers are losing strength and the trend my reverse soon. In a downtrend, it means the bulls were able to stage an up day, but on weak volume. It usually signals a continuation of the downtrend.
PDVU: Price Down Volume Up means different things depending on recent price action. After an extended uptrend PDVU signals strong selling pressure, and a new downtrend may ensue. After an extended downtrend, PDVU signifies oversold conditions and the market will often reverse course.
PDVD: Price Down Volume Down can be either bullish or bearish like PDVU. In a strong uptrend, PDVD shows decreased selling pressure on the pullback. The market will often continue upward after the consolidation. In the middle of a downtrend PDVD shows complacency between bulls and bears. The downtrend will often continue downward when the dominant PV relationship is PDVD.
Below is a chart of the S&P, with some key PV Relationships called out.

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