• 제목/요약/키워드: 맥상(脈象)

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맥경(脈經) 권삼(卷三) 오장(五臟)의 허(虛).실(實).적(賊).미사(微邪)에 따른 맥상(脈象)과 병증(病證)에 대(對)한 연구(硏究) II (A Study on the Pulse Conditions and Symptoms of Diseases Related with Pathogenic Factor of Deficiency Type, Excess type, Zei Pathogenic Factor and Indistin ct Pathogenic Factor of the Five Viscera in the Third Volume in the Maek Kyoung(脈經) Ⅱ)

  • 성백만;박경
    • 대한한의진단학회지
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    • 제9권1호
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    • pp.23-46
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    • 2005
  • Background and purpose: Maek Kyoung(脈經) is a book written, compiled, and edited by Wang Hui circa 3 A.D. This book is the first technical book devoted to the diagnostics. These are very important data but never make a special study and translate. so I hope this treatise can be great help to understand diagnosis study. Methods: Maek Kyoung(脈經) consists of ten volumes, and the third volume consists of the five chapters, including inter-generation and inter-restriction of the five viscera and the six entrails and prognosis of diseases. This treatise is made up of principal, notes, study and conclusion, we tried to make a translation faithful to the original. Results and Conclusion: Chapter 3 refers to five things. The first is relation between spleen and stomach, the second is how to diagnose diseases by using intergneration and inter-restriction of five elements, the third is roles of spleen that has an influence on four viscera through four seasons, the forth is the fact that quantity of gastroqi decides prognosis of diseases, and the fifth is that climate change has influence on the seriousness of diseases. Chapter 4 refers to four things. The first is relation between lung and large intestines, the second is ordinary and extraordinary pulse condition of lung, the third is that pulse condition including its speed, and the forth is how to diagnose diseases by using intergneration and inter-restriction of five elements and climate change.

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심혈관 노화가 맥상(脈象)에 미치는 영향 (A Study of the Cardiovascular Aging Effect on the Pulse Shape)

  • 신상훈;임혜원;박영재;박영배
    • 대한한의진단학회지
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    • 제9권1호
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    • pp.59-68
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    • 2005
  • Background and purpose: Cardiovascular disease will undoubtedly rise along with the aging of the 'baby-boom' generation. The purpose of this study is to find the new index of the cardiovascular aging. Methods: The effects of aging on the heart and the arterial system are surveyed in the point of structure and function. Results: Arterial stiffening is due to the fatiguing effects of periodic stress on the arterial wall and is the main reason for increasing pulse wave velocity. The systolic hypertension is caused by the early return of wave reflection. The increased after-load by the arterial change leads to the development of left ventricular hypertrophy. The reduction in left ventricular compliance cause the impairments of the diastolic function. In contrast to the lower limb, aging effect in the upper limb are almost due to the ascending aortic pressure wave and the reflected wave from the lower limb. Conclusion: We have the following points. (1) The change of physiological pulse pattern by age can be explained by the early returning of reflected wave. (2) The atrial pulse in old age are generated by the left ventricular hypertrophy.

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초기 중풍 환자에 있어서 맥상(脈象)과 NIHSS과의 상관성 연구;다기관 임상연구 (The Relationship between Pulse Pattern and NIHSS Score in Early Stroke Patient;Multi Center Trials)

  • 마미진;강아미;최동준;한창호;이원철;전찬용;조기호;최선미
    • 대한한방내과학회지
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    • 제28권4호
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    • pp.727-732
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    • 2007
  • Objectives : This study investigated using National Institutes of Health Strokes Scale in acute and subacute stroke patients and evaluated relativity of pulse pattern to NIHSS. Methods : 104 acute and subacute stroke patients were selected from 4 oriental medical hospitals from April 2007 to May 2007. The patients were admitted to hospital within 1 month after stroke. Pulse feeling diagnosis was done by oriental medical doctor and classified into 7 subtypes. Results : There were significant results statistically between slow/rapid pulse and NIHSS score in the male group; in the female group, there were no significant results statistically but the results showed that slow pulse has lower NIHSS score than rapid pulse. Patients with surging pulse had lower NIHSS score than the other patients. Another pulse pattern had no relativity to NIHSS score.

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초음파기기를 이용한 맥상(脈象) 연구 (A Study on Pulse Pattern Using Ultrasonic Device)

  • 김희영;박정빈;금유정;여인금;엄동명;송지청
    • 대한한의학원전학회지
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    • 제34권2호
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    • pp.85-94
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    • 2021
  • Objectives : Pulse diagnosis is one of the main diagnostic methods of Korean Medicine that understands the patient's condition and illness by reading changes in the patient's pulse, which is described in terms of pulse condition While they are described in detail in medical texts, it is difficult to grasp their true nature, as the written descriptions fail to do justice to the experience of pulse taking it tries to convey. As a way to approach pulse condition the effect of the body's tension on the radial vein was measured using an ultrasonic device, after which the measured changes and how they could be reflected in pulse condition were studied. In other words, changes in the radial vein following induced tension were analyzed. Methods : 1) The thickness of the subject's radial vein was measured using a linear probe of an ultrasonic device[LOGIQ 5 Basic, GE, USA]. 2) Fatigue level was increased through artificial stimulation using the Gripmeter[ks-301, Lavisen, Korea]. 3) Thickness of the radial vein post tension induction was measured. 4) The results were analyzed with the Tukey test or paired t-test as post hoc tests. Results : Thickness of the radial vein of the subject pre- and post- Gripmeter stimulation decreased with significance. Conclusions : Constriction of the radial vein that happened after tension induction could be linked to the Tight Pulse[緊脈] that is related to patterns of contraction and pulling.

사상체질별 건강수준에 따른 맥상, 안면, 피부, 음성의 물리량 도출을 위한 문헌고찰연구 (Literature Study for Categorizing Physical Properties of Face, Pulse, Skin and Voice Based on Health State of Sasang Constitutions)

  • 이재철;이유정;김재욱;김상길;강남식;김종열;김상혁
    • 동의생리병리학회지
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    • 제25권4호
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    • pp.755-758
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    • 2011
  • Sasang Constitutional Medicine (SCM) suggests the concept of health condition which is owned of different properties by each Sasang Constitution. But SCM theory has concentrate to explaining different symptoms that distinguish health condition, not much concerned with practical methods like face features, pulse diagnosis, skin surface properties and voice features. Physical properties of practical diagnosis methods from literature finding have been researched. As a result, complexion and face moisture were described to be physical properties related to health State. In scope of pulse diagnosis, depth, rate, contour, width and pressure are related. Skin surfaces' elasticity, moisture, fraction properties were also suggested as factors of health State of Sasang Constitution. We assume that this study would contribute further studies for objectifying and quantifying diagnosis methods to evaluate health state grades of Sasang Constitution.

개체 요인 및 생활 습관 요인이 맥상에 미치는 영향 (A Study on Personal and Lifestyle Factors that Affects Pulse Types)

  • 정현정;윤상훈;강원석
    • 대한한의진단학회지
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    • 제16권3호
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    • pp.11-22
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    • 2012
  • Objectives: The aim of this study was to elucidate the relationship between pulse types measured by pulse analyzer and several factors including smoking, drinking alcohol, exercises etc. Methods: The subjects were 71 persons who were tested by oriental health examination. A self-reported questionnaire was used to gather age, smoking, drinking alcohol, exercise state and gender. The pulse types were measured by DMP 1000. The index of stress and fatigue were measured by SA 3000. We analyzed the frequency of pulse types according to gender, ages, smoking, drinking alcohol etc by chi-square test with SPSS ver. 19.0. Results: In the main pulse types, there were significant differences according to age(p<0.05) and marginal differences according to drinking alcohol(p<0.1). In the secondary pulse types, there were marginal differences according to exercise, ages. But there was no significant differences according to gender, smoking, body mass index (BMI), accelerated photoplethysmography (APG) feature, stress and fatigue. Conclusions: This study suggests that the pulse types are affected by drinking alcohol, ages, exercise.

중국 젠지고우 연-아연 광상의 돌로마이트 산상과 화학조성 (Occurrence and Chemical Composition of Dolomite from Zhenzigou Pb-Zn Deposit, China)

  • 유봉철
    • 광물과 암석
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    • 제34권3호
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    • pp.177-191
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    • 2021
  • 젠지고우 연-아연 광상은 중국 동북지역에선 가장 규모가 큰 연-아연 광상 중의 하나로 지체구조상 Jiao Liao Ji belt내 Qingchengzi mineral field에 위치한다. 이 광상의 주변지질은 시생대의 그래뉼라이트(granulite)와 이를 관입한 고원생대의 미그마타이트질 화강암과 고-중원생대의 소딕(sodic) 화강암을 부정합으로 피복한 고원생대의 Liaohe 층군 및 이들을 관입한 중생대의 섬록암과 몬조나이틱 화강암으로 구성된다. 이 광상은 고원생대의 Liaohe 층군내 Langzishan 층 및 Dashiqiao 층내에서 층상 광체 및 맥상 광체로 산출되며 층준규제 퇴적분기형 또는 퇴적분기형 광상에 해당된다. 이 광상에서 산출되는 돌로마이트들은 산출 광물조합 및 정출순서를 기초로 1)모암인 돌로마이트(D0), 2)녹색편암상의 변성작용에 의한 층상 광체내 돌로마이트(백색운모, 석영, 칼리장석, 섬아연석, 방연석, 황철석, 유비철석)(D1) 및 3)석영맥과 함께 산출되는 맥상 광체내 돌로마이트(석영, 인회석, 황철석)(D2)로 산출된다. 이들 돌로마이트의 화학조성은 각각 Ca1.00-1.03Mg0.94-0.98Fe0.00-0.06 As0.00-0.01(CO3)2(D0), Ca0.97-1.16Mg0.32-0.83Fe0.10-0.50Mn0.01-0.12Zn0.00-0.01Pb0.00-0.03As0.00-0.01(CO3)2(D1), Ca1.00-1.01Mg0.85-0.92Fe0.06-0.11Mn0.01-0.03As0.01(CO3)2(D2)로써 이론적인 돌로마이트의 화학조성보다 미량원소들의 함량이 높다. 특히, 이들 돌로마이트내 FeO 및 MnO 함량은 각각 0.05-2.06 wt.%, 0.00-0.08 wt.%(D0), 3.53-17.22 wt.%, 0.49-3.71 wt.%(D1) 및 2.32-3.91 wt.%, 0.43-0.95 wt.%(D2)로써 층상 광체에서 산출되는 돌로마이트(D1)에서 높은 함량을 갖는다. 또한 다른 미량원소들은 ZnO, As2O5, PbO, Sb2O5 및 HfO2 원소들이 소량 함유되며 단지층상 광체에서 산출되는 돌로마이트(D1)에서 ZnO 및 PbO 원소들의 함량이 다소 높게 나타난다. 젠지고우 연-아연 광상의 Do 및 D2는 Ferroan 돌로마이트에 해당되며 D1는 철백운석(ankerite)과 Ferroan 돌로마이트에 해당된다. 따라서 1)모암에서 산출되는 돌로마이트(D0)는 고원생대의 Jiao Liao Ji 분지내 해양증발석호(marine evaporative lagoon) 환경에서 퇴적된 Ferroan 돌로마이트, 2)층상 광체내 돌로마이트(D1)는 고원생대의 화성활동 및 녹색편암상의 변성작용에 의한 열수교대작용으로 의한 돌로마이트화작용에 의해 형성된 철백운석(ankerite) 및 Ferroan 돌로마이트 및 3)맥상 광체내 돌로마이트(D2)는 중생대의 화성활동에 수반된 열수용액에 의해 형성된 Ferroan 돌로마이트이다.

상한론(傷寒論) 조문중(條文中) 상견복증(常見腹證)에 관한 연구(硏究) (A Study of Abdominal Syndrome in Shanghanlun)

  • 신상습;박원환
    • 동국한의학연구소논문집
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    • 제7권2호
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    • pp.47-67
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    • 1999
  • 상한론(傷寒論)은 복증(腹證)에 관한 내용이 전체의 1/4에 달할 정도로 重히 다루고 있으며 방증변증(方證辨證)이 중심이 되어 복증(腹證)을 통한 변증이 매우 발달되어 있어서 진단학(診斷學)의 발전에 크게 기여하였다. 이후 진단학診斷學)의 발전(發展)은 진맥(診脈), 진설(診舌)을 위주로 했으며, 복진(腹診)의 운용(運用)에 대해서는 역사적으로 사회적인 특수한 배경으로 인하여 계속 발전되지 못하였다. 최근 한의학적(韓醫學的) 진단방법(診斷方法)과 치료방법(治療方法)이 매우 강조되어 활발한 연구가 계속 진행되면서 복증변증(腹證辨證)에 관한 관심이 매우 집중되고 있기에, 복부진단(腹部診斷)에 관한 연구(硏究)의 한 방법(方法)으로써 상한론(傷寒論) 조문(條文)에 실려있는 상견복증(常見腹證)에 관련된 내용(內容)을 정리한 결과(結果) 약간의 지견(知見)을 얻었다.

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부맥주병에 대한 연구 (硏究于浮脉主病)

  • 김경철;류경호;이해웅;김중한;김훈;두승희
    • 대한한의학원전학회지
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    • 제24권3호
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    • pp.65-70
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    • 2011
  • 문헌(文獻)에 기재된 내용을 근거로 병맥주병(病脉主病)을 단맥(單脈)과 상겸맥(相兼脈)을 구분하는 입장에서 연구하는 것이 단맥(單脈), 상겸맥(相兼脈)이 혼재하는 맥진학(脈診學) 분야에서 병맥주병(病脈主病) 연구에 도움이 된다고 생각되어, 먼저 부맥주병(浮脈主病)을 중심으로 단맥주병(單脈主病)과 상겸맥주병(相兼脈主病) 연구에 임하게 되었다. 부맥(浮脈) 병맥주병(病脉主病)을 단맥(單脈)과 상겸맥(相兼脈)으로 구분하여 조사한 결과, 다음과 같은 지견을 얻을 수 있었다. 맥진(脈診) 제가(諸家)는 이론적인 입장보다는 임상적인 자료에 근거한 실용적(實用的)인 입장(立場)으로서, 좌우수(左右手) 촌관척(寸關尺)의 부맥(浮脈)의 단맥주병(單脈主病)은 외감(外感) 호흡기(呼吸器) 증상(症狀)으로, 촌관척(寸關尺) 6부위별(部位別) 단독 부맥(浮脈) 단맥주병(單脈主病)은 촌관척(寸關尺)의 장상론적(藏象論的)인 증상(症狀)으로 관찰하였으며, 오장(五臟) 육부(六腑) 촌관척(寸關尺) 배속(配屬)의 입장에서는 대장(大腸)과 방광(膀胱)을 척부(尺部)에서 진맥(診脈)하는 실용적인 입장을 보였다. 제가(諸家)들은 부맥(浮脈) 상겸맥(相兼脈) 주병(主病)에서 대(大), 홍(洪), 완(緩), 긴(緊), 삽(澁), 삭(數), 지(遲), 허맥(虛脈)을 높은 빈도(頻度)의 상겸맥(相兼脈)으로 취급하고 있으며, 장(長), 활(滑), 세(細), 질(疾), 단(短), 芤, 미(微), 유(濡), 현(弦), 산맥(散脈)을 낮은 빈도(頻度)의 상겸맥(相兼脈)으로 다루고 있다. 또한 기본(基本) 단일(單一) 맥상(脈象)으로는 대(大), 삽(澁), 삭(數), 지(遲), 허(虛), 장(長), 활(滑), 세(細), 질(疾), 단(短), 현(弦), 산맥(散脈)이, 두개 이상(以上)의 맥(脈)이 결합(結合)된 합병맥상(合幷脈象)으로는 홍(洪), 완(緩), 긴(緊), 규(芤), 미(微), 유맥(濡脈)이 부맥(浮脈) 상겸맥(相兼脈)으로 주로 다루어지고 있다. 부대(浮大), 부장(浮長), 부완(浮緩), 부세(浮細), 부긴(浮緊), 부단(浮短), 부삭(浮數), 부허(浮虛), 부미(浮微), 부현(浮弦)의 상겸맥(相兼脈)은 맥위상(脈位上)으로 부맥(浮脈)의 속성(屬性)을 합리적으로 인정(認定)하는 상겸맥(相兼脈)으로 판단되나, 홍맥(洪脈), 허맥(虛脈), 규맥(芤脈), 유맥(濡脈)과의 부맥(浮脈) 상겸맥(相兼脈)은 이미 갖추고 있는 부맥(浮脈) 속성(屬性)에 또 다시 부맥(浮脈)과 상겸(相兼)하는 중복성(重複性)의 문제가 있으므로, 앞으로 부맥(浮脈)의 단맥(單脈)과 상겸맥(相兼脈) 주병(主病)에서 보다 깊은 연구가 있어야 할 것으로 생각한다.

뇌경새(腦梗塞) 환자(患者)와 건강인(健康人)의 맥상(脈象)과 사상체질(四象體質)에 관(關)한 연구(硏究) (Comparative Study on the Pulse Wave Variables and Sasang Constitution in Cerebral Infarction Patients and Healthy Subjects)

  • 고기덕;김경요;김종열;이시우;주종천
    • 대한약침학회지
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    • 제10권2호통권23호
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    • pp.119-132
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    • 2007
  • This study was performed to determine whether a pulse analyzer was useful 1) to characterize the variables of pulse wave of cerebral infarction patieno (CI), compared with those of healthy subjects, as well as 2) to determine Sasang Constitution in CI and healthy subjects. 1. Calibrated in Gwan, the amount of energy(Energy), height of main peak(H1), height of aorticvalley(H2), height of aortic peak(H3), total area of pulse wave(At), and area of main peak width(Aw) of the CI group were higher than those of the healthy group. 2. Calibrated in Cheek, Energy, H1, H2, H3, height of valve valley(H4), At, Aw, and main peak angle(MPA) of the CI group were higher than those of the healthy group. 3. Among the healthy (subjects) group, Taeumin showed the highest contact pressure(CP) and height of valve peak(H5) calibrated in Chon. The main peak width divided by whole time of pulse wave(MPW/T) calibrated in Gwan and Cheok, was highest in Soyangin and was lowest in Taeumin. The H3 divided by H1(H3/H1) and the time to valve valley minus the time to main peak and divided by T[(T4-T1)/T] calibrated in Cheek were highest in Soyangin. The time to main peak(T1) was longest in Soumin. 4. Among the CI group, At calibrated in Chon was widest in Taeumin and was narrowest in Soumin The time to aortic peak(T3) calibrated in Cheek was longest in Soumin and was shortest in Soyangin. The time to valve peak(T5) was shortest in Soyangin. 5. There were main effects of cerebral infarction in the area of systolic period(As) and area of diastolic period(Ad) calibrated in Chon, Energy calibrated in Cwan, and Energy, H1, H2, H3, (H4+H5)/Hl, and MPA calibrated in Cheek. 6. There were main effects of Sasang Constitution in (T4-T1)/T, area of systolic period(As), and Ad calibrated in Chon. 7. The interactions between the cerebral infarction and Sasang Constitution were observed in H5/H1 , T, At, As, Ad, and MPA calibrated in Chon, H4, T4, (T4-T1)/T, As, and Ad calibrated in Cwan, and 74,75, and MPW calibrated in Cheok. Therefore, we concluded that pulse analyzer was useful to determine the risk degree of cerebral infarction and Sasang Constitution.