• Title/Summary/Keyword: Pulse

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A Study on the Way of Pulse-diagnosis by Dongeuibogam (동의보감(東醫寶鑑)중 맥법(脈法)에 관한 연구(硏究))

  • Joo, Shin-Tak;Kim, Jung-Guk;Park, Won-Hwan
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.15 no.1
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    • pp.1-28
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    • 2011
  • Objectives: A study on the importance and consistency of pulse-daignosis in the Dongeuibogam Methods: We used Deyeuk Dongeuibogam of Dongeuibogam publishing company from original photographic edition. Results: The frequency of 27 mek (pulse condition) in Dongeuibogam is as in the following. Bumek (Floating pulse) appeared 120(8.9%) times, wanmek (moderate pulse) appeared 28(2%) times, chokmek (running pulse) appeared 7 (0.5%) times, gyumek (hollow pulse) appeared 19 (1.4%) times, saekmek (uneven pulse) appeared 33 (2.4%) times, sapmek (uneven pulse) appeared 51 (3.8%) times, kyulmek (knotted pulse) appeared 18 (1.3%) times, whalmek (slippery pulse) appeared 69 (5.1%) times, chimek (slow pulse) appeared 43 (3.2%) times, demek (intermittent pulse) appeared 13 (1%) times, silmek (replete pulse) appeared 45 (3.3%) times, bokmek (deep-sited pulse) appeared 29 (2.1%) times, neomek (firm pulse) appeared 4 (0.3%) times, hyunmek (taut pulse) appeared 110 (8.1%) times, yumek (soft pulse) appeared 20 (1.5%) times, dongmek (short and rapid pulse) appeared 16 (1.2%) times, kinmek (tense pulse) appeared 67 (5%) times, yakmek (weak pulse) appeared 46 (3.4%) times, semek (thready pulse) appeared 62 (4.6%) times, hongmek (full pulse) appeared 50 (3.7%) times, jangmek (long pulse) appeared 14 (1%) times, sakmek (rapid pulse) appeared 103 (7.6%) times, mimek (indistinctive pulse) appeared 65 (4.8%) times, danmek (short pulse) appeared 16 (1.2%) times, demek (large pulse) appeared 106 (7.9%) times, chimmek (deep pulse) appeared 112 (8.3%) times, heomek appeared 70 (5.2%) times, sanmek (scattered pulse) appeared 14(1%)times. Conclusions: We can know Donguibogam is given on the basis 27mek (pulse condition), because the frequency of 27mek (pulse condition) is high. But there are another expressions. So we can not say that Donguibogam is consistent in expressing mekbub(the way of pulse-diagnosis).

Study on the Selection of Representative Pulse Wave

  • Kim, Jong-Yeol;Shin, Sang-Hoon
    • The Journal of Korean Medicine
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    • v.29 no.5
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    • pp.104-110
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    • 2008
  • Objectives : The purpose of this study is to develop the method of selecting representative pulse wave. Methods : The pulse waves were acquired at the right and the left Guan point(關部) with 1420 people who were apparently healthy. The shape agreement of right and left pulse wave and the floating-sinking ratio were compared with three cases, which were the pulse height based method, the pulse area based method, and the pulse time based method. Results : In the point of the shape accordance, the pulse time based method was the best, and the pulse area based method was the worst. In the point of the floating-sinking ratio, the pulse height based method was the worst, and the pulse time based method was the best. Conclusions : So, the pulse time based method was recommended for selecting the representative pulse wave. This study compared the selection methods of representative pulse using the physiological characteristics of pulse wave. Further studies are required, because the representative pulse wave is the main factor of determining the shape and the floating-sinking characteristic of the pulse wave.

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Analysing of pulse wave parameter and typical pulse pattern for diagnosis in floating and sinking pulses (부 ${\cdot}$ 침맥 진단에 유용한 맥상 파라메터 및 대표맥상 분석)

  • Lee, Yu-Jung;Lee, Jeon;Choi, Eun-Ji;Lee, Hae-Jung;Kim, Jong-Yeol
    • Korean Journal of Oriental Medicine
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    • v.12 no.2
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    • pp.93-101
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    • 2006
  • Pulse feeling is one of the most important diagnosis method in Oriental medicine. But it is not easy to make an objective and standardized diagnosis. In this study, we found how to quantify diagnosis. Specially dally the high practicality in clinic, we search some parameters especially well-related to floating and sinking pulse by statistic analysis. By extension, we find the pulse patterns of the floating and sinking pulse. We choose 15 subjects diagnosed as floating pulse and 15 subjects diagnosed as sinking pulse by oriental doctors. And their pulse signals were acquired by Pulse analyzer which has piezoresistive pressure sensor. For the quantification of the floating and sinking pulse, at first, we examined the parameters which were highly correlated with oriental doctor's diagnosis. And then we derived pulse patterns of the floating-sinking pulse from preprocessed signal and its ensemble average. We also looked trend variation (PH-Curve) between contact and pulse pressure. As a result, statistically there is the biggest difference between contact pressure, the maximum pulse pressure, diastolic area (Ad) and floating and sinking data. Through the PH-Curve, which represented the relationship between contact and pulse pressure, we could divide the floating and sinking pulse clearly. As a basic research of pulse diagnosis algorithm, we can contribute to select essential parameters in diagnosis algorithm And using these diagnosis method, we expect to find typical pulse patterns and some useful parameters about other pulses like slow/rapid, large/fine pulse and so on. We hope that this study will contribute pulse objectification.

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A Study on Comparative Pulse Diagnosis of Renying Pulse(人迎脈) and Cunkou Pulse(寸口脈) (인영촌구비교맥진(人迎寸口比較脈診)에 관한 연구)

  • Yun, Chang-Yeol
    • Journal of Korean Medical classics
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    • v.32 no.4
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    • pp.35-46
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    • 2019
  • Objectives : While Comparative Pulse Diagnosis of Renying pulse(人迎脈) and Cunkou pulse(寸口脈) is one of the three major pulse diagnostic methods in "Huangdineijing" along with Three Positions and Nine Indicators Pulse Diagnosis(三部九候脈診法) and Cunkou Pulse Diagnosis(寸口脈診法), it has died out in later periods. This study aims to examine this lost method. Methods : Annotations of "Huangdineijing" were examined along with descriptions of the author's own experience. Results & Conclusions : Renying is the Renying(人迎) point from the Stomach Channel(ST), while Cunkou is the Taiyuan(太淵) point from the Lung Channel(LU). These two points are compared in order to determine the deficiency and excess of the Zangfu(臟腑). Normal pulses(平脈) are Soft(軟脈) or Moderate(緩脈), while Stirred pulses(躁脈) are Stringy(弦脈), Tight(緊脈), Slippery(滑脈) or Long(長脈). If the Renying is once active where Shaoyang pulse is active, purge the Gallbladder and supplement the Liver. If there is Stirred pulse, purge the Triple Burner and supplement the Pericardium. If the Renying is twice active where Taiyang pulse is active, purge the Bladder and supplement the Kidney. If there is Stirred pulse, purge the Small Intestine and supplement the Heart. If the Renying is three times active, where Yangming pulse is active, purge the Stomach and supplement the Spleen. If there is Stirred pulse, purge the Large Intestine and supplement the Lung. If the Cunkou is once active where the Jueyin pulse is active, purge the Liver and supplement the Gallbladder. If there is Stirred pulse, purge the Pericardium and supplement the Triple Energizer. If the Cunkou is twice active where the Shaoyin pulse is active, purge the Kidney and supplement the Bladder. If there is stirred pulse, purge the Heart and supplement the Small Intestine. If the Cunkou is three times active where the Taiyin pulse is active, purge the Stomach and supplement the Spleen. If there is Stirred pulse, purge the Lung and supplement the Large Intestine.

Comparative Study of Speed, Size and Depth of Pulse on the Traditional Pulse Diagnosis and Pulse Analyzer (맥의 빠르기, 크기, 깊이에 관한 전통맥진과 기기측정 맥진의 비교 연구)

  • Ha, In-Young;Youn, Yeo-Chung;Youn, Dae-Hwan;Choi, Chan-Hun;Lee, Young-Su;Lim, Seung-Il;Na, Chang-Su
    • Korean Journal of Acupuncture
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    • v.28 no.1
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    • pp.23-37
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    • 2011
  • Objectives : The pulse diagnosis is an important method in Oriental Medicine. The aim of this study is to measure the similarity of the diagnosis by a traditional method using doctor's hand for feeling of pulse and by pulse diagnosis apparatus using Hwang-Je (HJ) pulse analyser, Hui-Su (HS) pulse analyser on Chon, Kwan and Chuk. Methods : Four korean medical doctors and HJ pulse analyser, HS pulse analyser have measured the speed (遲數), the size (微細弱緩大), and the depth (浮沈) of pulse waves of 23 volunteers. First, four korean medical doctors measured pulse waves of volunteers. And then, the pulse waves of volunteers were measured by HJ pulse analyser, HS pulse analyser. This was performed on the right Chon, Kwan and Chuk. Results : The traditional method and the HJ pulse analyser method had the 60.9% matches on the values of the pulse speed condition, the HS pulse analyser method had the 78.3% matches on the values of the pulse speed condition. The traditional method and the HJ pulse analyser method had the 56.5% (Chon), 65.2% (Kwan), 78.3% (Chuk) matches on the values of the pulse size condition, the HS pulse analyser method had the 65.2% (Chon), 13.0% (Kwan), 39.1% (Chuk) matches on the values of the pulse size condition. The traditional method and the HJ pulse analyser method had the 43.5% (Chon), 26.1% (Kwan), 47.8% (Chuk) matches on the values of the pulse depth condition, the HS pulse analyser method had the 45.5% (Chon), 30.4% (Kwan), 36.8% (Chuk) matches on the values of the pulse depth condition. Conclusions : According to these results, we suggest that the pulse analyser is necessary to develope for its high similarities with the traditional pulse diagnosis.

A study in Mack-Gyung(脈經) on taking pulse of relative weight to five Viscera attachment system in Nan-Gyung(難經) (난경(難經)에서 안맥(按脈)의 경중(輕重)에 따른 오장배속방법(五臟配屬方法)에 대(對)한 맥경(脈經)과의 비교(比較) 연구(硏究))

  • Nam, Doo-Yeul;Kim, Tae-Hee
    • The Journal of Internal Korean Medicine
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    • v.13 no.1
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    • pp.61-69
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    • 1992
  • In Nan-Gyung, showed that could know the lung condition taking pulse with the weight of three beans, the heart condition taking pulse with the weight of six beans, the spleen condition taking pulse with the weight of nine beans, the liver condition taking pulse with the weight of twelve beans, the kidney condition pressing to bone(骨). This theory is first suggested in Nan-Gyung(難經). In those case, the weight of three, six, nine, twelve beans and pressing to bone don't mean not the real weight but the relative weight(輕重) of taking pulse(按脈). In other words, those represent Boo Jung Chin(浮中沈), which are the conception of the upper, the meddle, the lower part(上中下). So, we could take pulse of the heart and the lung condition in Boo(浮), the spleen condition in Jung(中), and the liver and the kidney condition in Chim(沈). The heart and the lung pulse showed in the Boo(float level) must be seen with Boo-Mack(부맥 : float pulse), the liver and the kidney pulse showed in Chim (sinklevel) must be seen also with Chin-Mack(沈脈 : sink pulse). The result of the method of taking pulse of viscera with relative weight focused on the as pect of mornal pulse(平脈) and disease pulse(病脈) of five viscera in Mack-Gyung publeshed later than Nan-Gyung and special works which made a comprehensive survey the result is as follow. 1. In normal pulse of five viscera, the heart and the lunk pulse were shown with Boo-Mack(浮脈:float pulse) as the central figure, the liver's and the kidney's pulse were shown centering around Chim-Mack(沈脈: sink pulse) and the spleen's pulse was shown with Wan-Mack(緩脈) which is vital force of stomach(胃氣) and seen in only middle part. 2. In disease pulse of five viscera, frequently, the heart and the lung pulse was shown as Chim-Mack(sink pulse), the liver and the kidney pulse was seen as Boo-Mack (float pulse). 3. In the case of normal pulse. the method of taking pulse with relative weight in Nan-Gyung agree with the normal pulse of five viscera in Mack-Gyung. But in the case of disease pulse, they didn't correspond with the other. 4. So the method of taking pulse with relative weight in Nan-Gyung is not the exam pulse which ca be used in the clinical diagnosis but one of the feeling pulse way to bring in the conception of location of the visceras. 5. From now on, the method of taking pulse rdlated to relative weight need to be looked into minutely compared with later physician's theory than Mack-Gyung.

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Comparative Studies on the Concordance Rate of Pulse Condition Interpretation between Interpreters and Pulse Analyser (맥진기 결과에 대한 판독자간의 판독 일치율 비교 연구)

  • Kang, Sei-Young;Jang, In-Soo;Kim, Lak-Hyung
    • Korean Journal of Acupuncture
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    • v.28 no.4
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    • pp.91-99
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    • 2011
  • Objectives : The purpose of our investigation is to determine degrees of concordance rate among interpreters. Furthermore, we have examined how much concordance rate to come out when beginners have been compared with the pulse analyzer. Methods : Thirty-nine volunteers were enrolled for this study. These subjects took a 5-minute rest in a sitting position as instructed by the protocol. As they were not allowed to move or speak, radial artery pulse conditions were measured on the lower arm of each subject by means of the pulse analyzer under investigation. Two Korean medical doctors, who did not know the status of default pulse conditions, were also instructed to intuitively choose the most corresponding one in comparison with 13 default pulse conditions. Subsequently, we investigated results between interpreters as well as results between interpreter and pulse analyzer. Results : The total concordance rate, with similar concordance rates being included, between interpreters, between interpreter A and pulse analyzer, and between interpreter B and pulse analyzer was 56.4%, 79.5%, and 71.8% respectively. In faint fine weak pulse(微細弱脈) case, interpreter A and B selected 6 and 7 cases respectively, matched the concordance rate 5, and corresponded separately with the pulse analyzer interpreting 8 cases. Conclusions : In case of skipping pulse 2(促2脈), short pulse(短脈), faint fine weak pulse(微細弱脈), the concordance between interpreters also matches with results drawn from the pulse analyzer. The concordance rate goes higher in proportion with such smaller pulse conditions as faint fine weak pulse(微細弱脈) and short pulse(短脈).

A New Tailored Sinc Pulse and Its Use for Multiband Pulse Design

  • Park, Jinil;Park, Jang-Yeon
    • Investigative Magnetic Resonance Imaging
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    • v.20 no.1
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    • pp.27-35
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    • 2016
  • Purpose: Among RF pulses, a sinc pulse is typically used for slice selection due to its frequency-selective feature. When a sinc pulse is implemented in practice, it needs to be apodized to avoid truncation artifacts at the expense of broadening the transition region of the excited-band profile. Here a sinc pulse tailored by a new apodization function is proposed that produces a sharper transition region with well suppression of truncation artifacts in comparison with conventional tailored sinc pulses. A multiband pulse designed using this newly apodized sinc pulse is also suggested inheriting the better performance of the newly apodized sinc pulse. Materials and Methods: A new apodization function is introduced to taper a sinc pulse, playing a role to slightly shift the first zero-crossing of a tailored sinc pulse from the peak of the main lobe and thereby producing a narrower bandwidth as well as a sharper pass-band in the excitation profile. The newly apodized sinc pulse was also utilized to design a multiband pulse which inherits the performance of its constituent. Performances of the proposed sinc pulse and the multiband pulse generated with it were demonstrated by Bloch simulation and phantom imaging. Results: In both simulations and experiments, the newly apodized sinc pulse yielded a narrower bandwidth and a sharper transition of the pass-band profile with a desirable degree of side-lobe suppression than the commonly used Hanning-windowed sinc pulse. The multiband pulse designed using the newly apodized sinc pulse also showed the better performance in multi-slice excitation than the one designed with the Hanning-windowed sinc pulse. Conclusion: The new tailored sinc pulse proposed here provides a better performance in slice (or slab) selection than conventional tailored sinc pulses. Thanks to the availability of analytical expression, it can also be utilized for multiband pulse design with great flexibility and readiness in implementation, transferring its better performance.

Study on Classification of Pulse Condition of the Chronological Medical Practitioners (역대의가(歷代醫家)의 맥상(脈象) 분석(分類)에 대한 연구)

  • Park, Jae-Won;Kim, Byung-Soo;Kang, Jung-Soo
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.22 no.6
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    • pp.1347-1353
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    • 2008
  • Pulse condition is the essential division for conducting pulse diagnosis which is one of the most fundamental and important diagnostics in traditional Korean/Chinese medicine. We studied the pulse condition referred to classics of traditional medicine for a full understanding in present time and come to a conclusion like below. The reference to pulse condition was concluded to 'twenty four pulse conditions' which is the fundamental conception generally accepted in present age since it had first mentioned in "Huangdi Neijing" and after it had passed through "Nanjing", "pulse pattern identification-chapter of normal pulse"of Zhang Zhongjing and reached "Maijing"of Wang Shuhe. Although medical partitioners had different views to some extent about pulse condition, there were no significant differences in the main theoretical frame. Even though there had been a diversity of opinions on the classification of pulse-condition between various medical practitioners, the method of Dae-dae and the method of systematic endeavored by Zhou Xueting and Zhou Xuehai who were medical scholars in the Ch'ing dynasty have been a criterion for the classification of pulse-condition up to date. We were able to recognize that the change of pulse condition caused by pathological situation should be compared to physiological pulse condition for detecting the deficiency and excess by researching the analyzing methods of pulse condition mentioned in the "Lingshu", and the book of Hua Shou and Zhou Xuehai). To sum up, first normal pulse which is the physiological pulse condition should be a standard for detecting physiological pulse condition. Secondly, Zhou Xueting insisted that relaxed pulse should be a standard pulse condition for detecting normal pulse.

Proposal of pulse parameter useful for pulse wave analysis in oriental medicine: Preliminary study on floating and sinking pulses (통계분석을 통한 한의 맥진에 유용한 파라미터 도출: 부침맥을 중심으로 한 예비연구)

  • Lee, Jeon;Lee, Yu-Jung;Lee, Hae-Jung;Choi, Eun-Ji;Kim, Jong-Yeol
    • Proceedings of the KIEE Conference
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    • pp.244-246
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    • 2006
  • In this study, we search some parameters well-related to floating-sinking pulse by statistical analysis, because these pulses are frequently used in clinic. Pulse signals were acquired by 3D pulse analyzer and 30 subjects consist of 15 people diagnosed as floating pulse and 15 people diagnosed as sinking pulse by oriental doctors who have over 5 years clinical experience. Then, we made a representative beat template for each subject and, through a peak detection algorithm, we calculated several pulse parameters. To find the parameters related to floating-sinking pulse, we performed statistical testing with 17 parameters through the independence sampling, t-test. As a result, there is the biggest difference between pressure, the maximum pulse pressure, diastolic area(Ad) and float-sink data. (p < .05).

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