• 제목/요약/키워드: 맥진(脈診)

검색결과 111건 처리시간 0.033초

맥진 위치에 따른 AIx 변화 특성 연구 (Characteristic behaviors of the AIx depending on the palpation positions)

  • 전영주;김재욱;이유정;유현희;이혜정;우영재;김종열
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2009년도 제40회 하계학술대회
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    • pp.1966_1967
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    • 2009
  • As an attempt to characterize the pulse behaviors at the three pulse diagnosis positions in the oriental medicine which are called Chon, Gwan, and Cheok, we measure the pluse waveforms by SphygmoCor apparatus, that has been used widely for the evaluation of the arterial stiffness, and examine the Augmentation Index (AIx) at the aorta. For the study, twenty healthy men at the age of twenties have participated as the subject group. The pulse has been measured twice at the three palpation positions, and by two-way repeated measures ANOVA we tested the repeatability and the mean differences in the aortic AIx between Chon, Gwan, and Cheok. The AIx was found to be statistically different between the measurement positions. Duncan's test shows that the AIx is statistically different between Chon and the other two positions. Our study may be used as a reference for further scientific quantification of the pulse diagnosis.

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맥상 분류 기준에 대한 방법론적 고찰 - "빈호맥학(瀕湖脈學)"을 중심으로 - (The Methodic Study on a Standard of Classification of Pulse Condition -a Focus of ${\ulcorner}$The Pulse Studies of Bin-Ho(瀕湖脈學)${\lrcorner}$-)

  • 이주호;최환수;김철중
    • 한국한의학연구원논문집
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    • 제10권1호
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    • pp.49-61
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    • 2004
  • The Standardization of terms in The Pulse studies(脈學) is a need for development of learning. This study, for the correction of existing misused terms in The Pulse studies, we study on modernly and objectively the terms in The Pulse studies. By a focus of ${\ulcorner}$The Pulse Studies of Bin-Ho(瀕湖脈學)${\lrcorner}$, we studies on the new classification of pulse condition. The error of a existing technical books on Pulse studies begin that the classification of pulse condition is not establish a Standardization. For the correction of existing misused terms in The Pulse studies, we study on the pulse condition is expressed objectively a blood vessel that it is a subject of pulse condition. The expression of blood vessel contain a depth of blood vessel, a speed of pulsation, a curve of blood vessel, thickness of blood vessel, a diameter of blood vessel in expand and contract of blood vessel, a interval in expand and contract of blood vessel, a distinctness on a boundary of blood vessel, a speed of blood flow in blood vessel, a volume of blood flow in blood vessel, a condition of blood in blood vessel, a propelling power of blood vessel. These is standard of the new classification of pulse condition.

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한의사 맥진 가압력 재현에 대한 고찰 (Considerations on an Oriental Medical Doctor like Indentation System)

  • 이전;우영재;전영주;이유정;유현희;김종열
    • 한국한의학연구원논문집
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    • 제14권3호
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    • pp.113-119
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    • 2008
  • In pulse diagnosis, the indentation pressure is one of the most important factors as well as the change of pulse shape and the distribution of pressure via time. But, on the oriental medical doctor's indentation pressure control, the understandings of the neurophysiological meanings and mechanisms have been lacked. So, in this paper, we considered on these issues and then proposed a proper system which can imitate the OMD's indentation pressure control mechanisms. As a result, both tactile information and kinesthetic information were found to be essential to the indentation pressure control so that a system, which can measure both the physical indent pressure and the displacement of an indentation arm, has been proposed. With this proposed system, while the indentation was being controlled through the moving step number of the step motor, the physical indentation pres sure and displacement of the indentation arm were measured. From these measured data, the relationships between the moving step number and both physical indentation pressure and displacement were revealed to have linear characteristics in early phase and to have nonlinear characteristics in latter phase. Additionally, three types of graph were generated whose X axis means the moving step number, the physical indentation pressure and the displacement respectively and Y axis means the pulse pressure. By comparing these graphs, we come to conclude that different concepts on indentation pressure control cause different diagnostic results on floating/sinking degrees for the same subject. Consequently, an indentation system for the pulse diagnosis should be able to provide both the tactile information and kinesthetic information, that is, the physical indentation pressure and the displacement of the indentation arm. In future, the proposed system should be optimized to the pulse diagnosis environment and how to combine the both information for more reliable diagnosis should be studied.

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중풍환자의 변증에 사용되는 맥진 지표에 관한 연구 (Study on the Basic Pulse Indicators for Pattern Identifications in Stroke)

  • 이정섭;고미미;강병갑;김소연;김정철;오달석;이인;김윤식;방옥선
    • 동의생리병리학회지
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    • 제23권5호
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    • pp.964-968
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    • 2009
  • The purpose of this study is to select the major pulse indicators and evaluate their significance in discriminating the subtypes of Pattern Identifications (PI) from stroke patients. Decision tree analysis was carried out using clinical data collected from 835 stroke patients with the same subtypes diagnosed identically by two experts with more than 3 year clinical experiences. Among the 10 pulse indicators, 6 major pulse indicators (slow, rapid, strong, weak, slippery, and fine pulse) were selected by decision tree analysis. The accumulated distributions of six pulse indicators in each PI showed that strong was major pulse indicator in Fire-Heat pattern, slippery in Dampness Phlegm pattern, weak in Qi Deficiency pattern. But there were two major combinations in Yin deficiency pattern, weak or fine with rapid pulse and weak or fine without rapid pulse. Therefore, it is suggested that 6 pulse indicators can be used for discrimination of PI in stroke patients, though the combination studies between these pulse indicators and the other PI indicators are left for further study.

지능형 맥진기 구현 (Implementation of Intelligence Pulse Wave Detection System)

  • 홍유식;유준상;장세진;선승호;이우범;남동현;유문성;최명복;이상석
    • 한국인터넷방송통신학회논문지
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    • 제13권2호
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    • pp.245-254
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    • 2013
  • 동양 의학에서는 맥파를 분석해서 많은 질병을 분류하고 치료하고 있다. 그러나 현재까지 맥파를 분석하는 방법은 매우 주관적인 방법을 사용하기 때문에 신뢰도가 떨어지는 문제점이 발생한다. 뿐만 아니라, 기존 맥진기의 문제점으로는 요골동맥에 정확하게 맥진 센서가 위치하지 못하기 때문에 측정 위치에 따라 측정결과가 상이하고 측정절차에 매우 민감하여 높은 재현성을 실현 못하고 있는 실정이다. 본 논문에서는 이러한 문제점을 해결하기 위해서 홀센서를 이용한 휴대용 맥진기를 이용해서 실맥 및 허맥을 분석 하는 연구 결과를 제안하였다. SPSS 통계 기법으로 분석한 실맥 및 허맥 최종 분석결과, 95% 신뢰도 구간에서 N.time(절흔점 시간) 및 S.amp (상승파형 크기) 평균치가 유의성이 있음을 입증하였다.

비체증(鼻涕證), 해수증(咳嗽證), 효천증(哮喘證) 환자(患者)에 대한 양도락(良導絡) . 맥진검사(脈診檢査)의 진단가치(診斷價値) (The Diagnostic Values of Ryodoraku and Pulse Analysis for a portion of Respiratory Disease)

  • 심봉암;이성헌;정희재;정승기
    • 대한한방내과학회지
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    • 제29권3호
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    • pp.535-542
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    • 2008
  • Objectives : Ryodoraku, which is a physiological function test using electric current, is closely related to skin sympathetic tone. Pulse analysis is known to reflect cardiovascular reactivity. Refer to the previous researches Ryodoraku and pulse analysis have value as tools for diagnosing respiratory diseases. In this study we examined the diagnostic values of Ryodoraku and pulse analysis for respiratory disease patients. Methods : For this study. we conducted Ryodoraku and pulse analysis on 114 people, including 83 respiratory disease outpatients and 31 volunteers who did not have any respiratory symptoms or disease history. The respiratory patients were divided into three subgroups according to their symptoms: rhinorrhea group, cough-sputum group and wheezing-dyspnea group. Then we compared the disease groups with the control group. Results : When all experimental groups were compared with the control group, mean Ryodoraku was significantly lower. Mean H2, mean H3 and mean H6 were significantly lower in the rhinorrhea group (P<0.05), all the test results of Ryodoraku were evidently lower in the cough-sputum group (P<0.01), and most results of Ryodoraku were evidently lower in the wheezing-dyspnea group except H1 (P<0.01). Compared with the control group on pulse analysis, mean YP+/YP- was significantly lower in the wheezing-dyspnea group (P<0.05). Conclusion : Ryodoraku and pulse analysis were found to have a high value as quantitative diagnosis tools reflecting individuals' weakness and firmness. Nevertheless, more research is needed to find the further values.

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맥진기 컨텐츠 개발을 위한 통합 데이터베이스 설계 및 구축 (Design and Construction of Integrated Database for Contents Development of Pulse Analysis System)

  • 소지호;전영주
    • 한국인터넷방송통신학회논문지
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    • 제17권5호
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    • pp.137-142
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    • 2017
  • 인구의 고령화와 의료서비스 수요의 증가로 한의학의 이론을 기초로 한 의료기기 개발이 증가하고 있다. 개발한 의료기기의 임상적 유효성 확보를 위한 다양한 임상시험들이 수행되고 있으며, 이 과정에서 다양하게 수집되는 정보들의 체계적인 관리의 중요성이 증가하고 있다. 본 논문에서는 한의학의 대표적인 진단 방법인 맥진을 기기화 한 맥진기를 이용하여 임상시험을 진행하는데 있어 환자의 의학적 정보, 맥진기의 측정 정보들을 체계적으로 관리할 수 있는 데이터베이스를 설계하고 구축하였다. 구축된 데이터베이스는 임상시험에 대한 다양한 정보 및 측정된 정보의 질관리를 통해 기존 알고리즘 검증 또는 새로운 알고리즘 개발 시 효율적인 대응이 가능하고, 임상 데이터의 통제 측면에서도 여러 장점들을 가지고 있다. 본 연구의 결과는 이종의 맥진기나 다른 생체신호 측정기와의 정보 공유가 가능한 통합 데이터베이스 관리 시스템 구축을 위한 한의 의료기기 데이터 표준안 구성에 기여할 수 있을 것이다.

맥진 가압 프로파일 측정 시스템 개발 (Development of Pulse Diagnosis Hold-down Pressure Measurement System)

  • 이전;이유정;전영주;유현희;우영재;김종열
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2008년도 제39회 하계학술대회
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    • pp.1997-1998
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    • 2008
  • Pulse diagnosis is the one of the most important diagnostic process to traditional medical doctors. Although the pulse diagnosis position, Gwan is apart from Chon or Cheok by 10$\sim$20mm at most, traditional medical doctors applies different indent pressures and even they states different pulse images are felt at Chon, Gwan and Cheok. One the other hand, the education on pulse diagnosis behavior includes tantalizing problem caused by no tool for communication between trainer and trainee. On account of this situation, we tried to develop a system which can measure the hold-down pressure during a pulse diagnosis and compare the hold-down pressure profile of trainer and that of trainee. This system can be divided into three parts - pulse pressure sensing part, signal acquisition part and data storing part. A correction curve was generated by the relation between output voltages and standard weights. Using this system, 3 channel hold-down pressure profile of a oriental medical doctor were recorded three times. In the profile, three period were observed and all period included two process for searching the depth of pulsation and for classifying the pulse feeling into one or more of 28 pulse types. The maximum value of pulse profile was 1.3$kg{\cdot}f$ which was more than reported by previous chinese groups and the mean values of three channel ranged from 240$g{\cdot}f$ to 430$g{\cdot}f$. In frequency domain, each channel has some dominant frequency components - about 10Hz, 35Hz and 75Hz. In further study, we want to collect more profiles from lage number of oriental medicine doctors and hope to develop a measuring system which can measure the hold-down pressure on subject's skin directly.

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FBG를 이용한 맥진 시스템 개발 (Development of the pulse analyzing system using FBG)

  • 전영주;이전;유현희;이재훈;이시우;김종열
    • 한국한의학연구원논문집
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    • 제13권3호
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    • pp.105-110
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    • 2007
  • This work reports the pulse diagnosis system using FBG sensors which can display pulse signals detected while oriental medical doctors are conducting pulse diagnoses and simultaneously pressing the sensors by three fingers. Each optical fiber has five FBG sensing units fabricated in 2 mm width and 2 mm inter-sensor spacing. Three optical fibers with the FBG units in the parallel line configuration are then placed on each finger-pressing region and thus overall 9 fibers are used for the pulse measurements on the so-called "chon", "gwan", and "ch대k". A fixture holding the optical fiber arrays is able to adjust the height of the FBG sensing units while placing the fibers on the wrist. The pulse signals detected by the FBG sensors from chon, kwan, and chuk have been analyzed using 4 channel spectrum analyzer connected to the optical fibers. The measured pulse signals exhibit variations due to the nonuniform pressure distributions applied. resulting in the differences in the detected pulse signals between fiber lines. However. this work is the first step towards objective and quantitative analyses of the pulse diagnosis in oriental medicine which has traditionally been performed on subjective basis. Future works will be devoted to improving sensor stability, developing the way applying pressure and algorithms reporting the objective classification of the pulse status from systemic measurements using the sensors instead of relying on the clinicians' diagnoses subjectively performed. A successful pulse diagnosis system emerging in the future is expected to contribute to education as well as promoting pulse diagnosis in oriental medicine to the scientific research area.

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수지부 감각정보에 중점을 둔 한의학적 전자 맥진 시스템에 대한 고찰 (Oriental Pulse Diagnostic Apparatus with an emphasis on sense on fingers)

  • 김병철;채한
    • 융합신호처리학회논문지
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    • 제9권2호
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    • pp.112-120
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    • 2008
  • 본 연구는 전통적인 수지(手指)를 이용한 진맥환경 하에서 객관성 있는 정량적 정보를 수집하기 위해 한의학 진단법에 입각한 맥상(脈象)과 병상(病象)진단을 위한 시스템을 개발하는데 그 목적이 있다. 이를 위하여 우선, 최적합한 진단정보를 취득하기 위한 진맥기로서 골무형태의 센서유닛을 제안하고, 이것을 인지, 중지, 약지에 장착하여 전통적인 방법으로 척관촌(尺關寸)점의 맥압파를 측정하는 방법을 제시하였다. 다음으로, 이 진맥기를 사용하여 한의 진단학에서 정의하고 있는 부침지삭허실(浮沈遲數虛實)맥으로 표현되는 육조맥(六祖脈)과 홍(洪), 유(濡), 혁(革), 산(散)맥 등을 포함하는 28맥을 객관적으로 인식할 수 있음을 해석적으로 밝혔다. 끝으로, 이 진맥기로서 측정한 압맥파로부터 맥상 진단에 기초가 되는 주요 파라미터를 추출하는 방법을 제시했다.

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