• Title/Summary/Keyword: feeling of pulse

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

  • Lee, Jeon;Lee, Yu-Jung;Jeon, Young-Ju;Ryu, Hyun-Hee;Woo, Young-Jae;Kim, Jong-Yeol
    • Proceedings of the KIEE Conference
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    • 2008.07a
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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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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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A Study on the Acupuncture & Moxibustion of Huangdineijing - focused on Concept of Time - (『황제내경(黃帝內經)』의 침구법(鍼灸法) 연구 - 시간(時間) 개념을 중심으로 -)

  • Lyu, Jeong-ah
    • Journal of Korean Medical classics
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    • v.29 no.3
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    • pp.57-74
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    • 2016
  • Subject : Treatment of acupuncture & moxibustion in Huangdineijing Objectives : Discover the principles and substances of acupuncture & moxibustion treatment of Huangdineijing Methods : The author reviewed the Huangdineijing: Suwen, Lingshu to gain a realistic sense of the facts and the medical book's contents that deal with the practices of acupuncture & moxibustion treatment for clinical praxis. Conclusions : 1. The acupuncture & moxibustion of Huangdineijing can be defined as follows. A treatment for correcting of meridian's drift by proper selection of surgical site, using suitable implementation and appropriate manipulation skill from a correct judgement of meridian's flowing through sensing the pulse for diagnosis when the meridian's flowing which come and go constantly driven by the tidal order of defensive Qi tactually appeared hard or soft caused by diseases, thus bring out the soft & gradual 50 laps circulation of nutrient Qi moderately driven by defensive Qi. 2. Today's acupuncture & moxibustion treatments greatly differ from those of Huangdineijing in that we do not know the substance of that treatment which is correcting of meridian's drift and do not obligatorily carry out feeling of the pulse for diagnosis which is a measure & judgement of meridian's flowing against a preliminary treatment in parallel with treatment so reduce use and power of that treatment. 3. I could form a list of general principle from the substances of acupuncture & moxibustion of Huangdineijing like as the flowing or fate of meridian Qi(tidally going in order of defensive Qi and nutrient Qi), deficiency or excess of Meridian flowing, comparing diagnosis before and after treatment, bring out the soft & gradual Qi. That was imposing "the concept of time" on recognition and treatment to human body.

Study of Mu-acupuncture Treatment Focusing to the Pulse Diagnosis and 'Yu' (맥진(脈診)과 '유(痏)'를 중심으로 한 무자법(繆刺法)연구)

  • Jee, Jae-Dong;Kim, Kwang-Joong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.5
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    • pp.790-798
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    • 2011
  • 'Mu-acupuncture treatment(繆刺法)' and 'Geo-acupuncture treatment(巨刺法)' are the ways of taking acupuncture points on the sound side of a human body and not on the unsound side of a human body to treat disease, 'Mu-acupuncture treatment(繆刺法)' is applicable to 'Transverse meridian disease(絡脈病)', 'Geo-acupuncture treatment(巨刺法)' is applicable to 'Longitudinal meridian disease(經脈病)'. To diagnose a disease as transverse meridian disease or longitudinal meridian disease depends on 'Feeling pulse at the nine spots of three parts on a body for diagnosis (三部九候診)'. 'Mu-acupuncture treatment(繆刺法)' takes a 'Rak-acupuncture point(絡穴)' under a wrist and a ankle joint. The method of taking it, two ways, are 'Yu(痏)' and 'The treatment getting some blood(出血療法)'. 'Yu(?)' which is similar to 'Quick-getting acupuncture into and out (單刺法)' means the number of times doing acupuncture and is different from 'The treatment getting some blood (出血療法)' which is typically considered as 'Yu(?)'. Meanwhile, judging from the changes of the methods of feeling pulse for diagnosis and the symptoms of a certain disease, though it is a precondition that 'Biased-Gi(邪氣)' stays at 'The Large transverse meridian(大絡)' in 'The theory of Mu-acupuncture treatment(繆刺論)', it is hard to consider the symptoms of 'Transverse meridian disease(絡脈病)' described in 'The theory of Mu-acupuncture treatment(繆刺論)' as the pure symptoms of 'Transverse meridian disease(絡脈病)'.

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

  • Ma, Mi-Jin;Gang, A-Mi;Choi, Dong-Jun;Han, Chang-Ho;Lee, Won-Chul;Jun, Chan-Yong;Cho, Ki-Ho;Choi, Sun-Mi
    • The Journal of Internal Korean Medicine
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    • v.28 no.4
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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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Study of Concordance Rate to Measure Symptoms in Interanl Researchers (중풍변증 진료기록부 및 변증지표 측정에 관한 내부연구자간 일치도 연구)

  • Kang, Byung-Kab;Go, Ho-Yeon;Kim, Joong-Kil;Kim, Bo-Young;Ko, Mi-Mi;Kang, Kyung-Won;Yu, Byeong-Chan;Seol, In-Chan;Lee, In;Jo, Hyun-Kyung;Choi, Sun-Mi
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.6
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    • pp.1728-1731
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    • 2006
  • To develop the Korean Standard Differentiation of the Symptoms and sings, We investigate concordance rate of symptoms between Korean Medicine Doctors. Two Korean medicine doctor surveyed symptoms with the Korean Standard Differentiation of the symptoms and sings for the Stroke(KSDS) case report form in stroke patients within 1 month of onset. The concordance rate of inspection, auscultation and olfaction, inquiry, and pulse feeling and palpitation are respectively 0.79, 0.90, 0.91,0.80. The study of inspection, pulse feeling and palpitation will be continued to evaluate concordance rate.

Estimation of Systolic Blood Pressure using PTTL (PTTL을 이용한 수축기 혈압추정)

  • Kil, Se-Kee;Kwan, Jang-Woo;Yoon, Kwang-Sub;Lee, Sang-Min
    • The Transactions of The Korean Institute of Electrical Engineers
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    • v.57 no.6
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    • pp.1095-1101
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    • 2008
  • The desirable method to diagnose abnormal blood pressure is to measure and manage blood pressure continuously and regularly. However, the sphygmomanometers that are based on a cuff have faults in that they can not measure the blood pressure continuously and they cause an unpleasant feeling. Therefore, it is essential to develop a new measuring method that causes no pain and that can obtain blood pressure continuously without any unpleasant feeling. Thus, we propose here a regression method to estimate the systolic blood pressure by using the PTTL(pulse transit time on leg) with some body parameters which are chosen from the relational analysis with systolic blood pressure. The data we use to make the regression model were obtained in triplicate from each of 50 males who were from 18 to 35 years. And we made estimation experiments of blood pressure on 10 males who did not take part in the making the regression model. According to the results, the proposed method showed a mean error of 4.00 mmHg and the standard variance was 2.45 mmHg. When we comparing the results of the proposed method with the rule of American National Standards Institute of the Association of the Advancement of Medical Instruments(ANSI/AAMI), the results satisfied the rule of a mean error less than 5 mmHg and a standard variance less than 8 mmHg. Therefore we were able to validate the usefulness of the proposed method.

A study on Palpation of the back-shu points (배유혈(背兪穴) 안진(按診)에 관(關)한 고찰(考察))

  • Hong, Mun-Yeup;Park, Won-Hwan
    • The Journal of Dong Guk Oriental Medicine
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    • v.8 no.2
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    • pp.155-173
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    • 2000
  • The diagnosis in Oriental medicine is done by inspection, auscultation and olfaction, interrogation, four diagnostics of pulse feeling and palpation, and various system of identification like identification according to Qi(vital energy), Xue and body fluids, identification according to fair principles, identification according to principles of Wei, Qi, Ying and Xue, identification according to Sanjiao(the triple heater), identification according to four type physical constitution. Sometimes, symptoms and diagnosis techniques according to symptoms is selectively applied for the diagnosis. Among them the pulse feeling and palpation diagnosis technique using the sense of finger and palm of the hand is divided into feeling of pulse and palpation and pressing maneuver. Pressing maneuver is a diagnosis technique pressing and rubbing the affected part in order to attain data of identification including inside and outside condition of the body with regard to the nature, condition and relative seriousness of disease. There are palpation of the skin, palpation the hand and foot, palpation the chest and the abdomen, palpation shu points in pressing maneuver. The diagnosis of the Back Shu points is a technique to examine the change of disease condition from pressure ache, spontaneous ache, tension, relaxation, solidification revealed through channels and collaterals. I investigates starting disease and an attack of disease of twelve pulse and pulse condition through the study relative to the substance and technique of pressing maneuver, and adjusts diagnosis techniques of a region for acupuncture and matters to be attended. The conclusions are as follows. 1. The Shu or stream points in which pathogenic factors go are important to medical treatment of dormant diseases like bowels disease, cold symptom complex and insufficiency symptom complex. 2. Disease classified by system is diagnosed by the condition of process part like pro-trusion, cave-in, tension, relaxation, pressure ache through palpating the Shu or stream points, that is pressing upward or downward left and right sides of the backbone process by hands. 3. In real clinic pressing maneuver of one's back side is very important to patient's diagnosis treatment. Thus, pressing maneuver of one's back side have to be done without omission. 4. Diagnosis must be accomplished through the perception about the diversity of diagnosis technique of bowels disease, the exact knowledge about pressing maneuver of one's back side for enlargement of treatment range and rising of treatment rate, and pressing maneuver of the Shu or the stream points.

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The study on the origin of Shi-Dong-Ze-Bing and Shi-Zhu-Mou-Suo-Sheng-Bing (고대(古代) 경맥병증체계(經脈病證體系)에 있어서 "시동칙병(是動則病)"과 "시주모소생병(是主某所生病)"의 연원(淵源)에 관한 연구(硏究))

  • Hwang, Min-Seop;Sohn, Sung-Chul;Bae, Dae-Young;Kim, Kap-Sung;Yoon, Jong-Hwa
    • Journal of Acupuncture Research
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    • v.19 no.2
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    • pp.14-27
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    • 2002
  • Objective : The aim of this study is to reveal the meaning of Shi-Dong-Bing and Suo-Sheng-Bing through investigating the origin of Shi-Dong-Bing and Suo-Sheng-Bing. Methods : We analyzed and compared the meridian symptoms of "ju Bi Shi Yi Mai Jiu Jing, "Ju Bi", "Yin Yang Shi Yi Mai Jiu Jing" and "Lin Shu Jing Mai". Results : Suo-Sheng-Bing seems to have been originated from the meridian symptoms of "Ju Bi" and Shi-Dong-Bing is different from the meridian symptoms of "Ju Bi". therefore two meridian symptoms differ in the source of formation and they seems to be different concerning recognition system for disease. Conclusion : Shi-Dong-Bing is the meridian symptoms, in case of feeling abnormal beat by pulse diagnosis, and this pulse diagnosis method is comparative pulse diagnosis method that compare all the pulse point of every meridians. Suo-Sheng-Bing seems to be the meridian symptoms describing the disease of somatic surface with making reference to meridian-circulating positions, afterward have been increased to the related internal organ's disease.

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