• Title/Summary/Keyword: pulse diagnosis(脈診)

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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.

Moving Artefacts Detection System for a Pulse Diagnosis System (맥진기를 위한 동잡음 검출 시스템)

  • Lee, Jeon;Woo, Young-Jae;Jeon, Young-Ju;Lee, Yu-Jung;Kim, Jong-Yeol
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.45 no.5
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    • pp.21-27
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    • 2008
  • Despite recent studies on development of pulse diagnosis systems and needs for commercializing them, the reproducibility is one of the most controversial issues as ever. Because the pulse pressure value, which is one of the important parameters to evaluate reproducibility, is very vulnerable to moving artifacts, the reproducibility can not be obtained easily. In this paper, we suggested a moving artefacts detection system for a pulse diagnosis system so that a pulse diagnosis system can be robust to theses kinds of artefacts by excluding the contaminated parts from the pulse wave signal to be analyzed. This moving artifacts detection system was designed to consist of a three-axis accelerometer, an electromyography amplifier and a two-axis tilt sensor. To assess the suitability of the system, we examined the characteristics of each sensor's output signals with regard to the three specific motions such as extension, flexion and rotation. And, we also examined the each sensor's response to the high-frequency and low-frequency moving artifacts while the pulse wave signal was acquired from a pressure sensor for the pulse diagnosis. From these results, we could find that the response to subject's motions would be reflected in electromyography signal first, in accelerometer signals and in tilt sensor sequently. And, the facts that a stable pulse wave can be acquired in two seconds after high frequency or low frequency motions ended, were also found. Consequently, based on these findings, we set up some rules on the moving artifacts detection and designed an algorithm which is fit for our moving artifacts detection system.

A Study on the Web-based Remote Pulse Diagnosis System (Web 기반 원격 맥진 시스템 구축에 관한 연구)

  • Lee, J.Y.;Lee, S.J.;Kim, J.H.;Lee, M.H.
    • Proceedings of the KIEE Conference
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    • 2001.07d
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    • pp.2821-2822
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    • 2001
  • This study has conducted researches in the web-based diagnosis data management system of pulse waveform as well as the method of transmitting the data of pulse waveform. In order to set the standard for the documents of the pulse waveform of patients, the web-based clinical database management system has been developed.

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Design of multi-array pulse diagnosis sensor with FDB process (FDB 방식을 채용한 멀티 어레이 맥진 센서 설계)

  • Jeon, Y.J.;Lee, J.;Lee, Y.J.;Woo, Y.J.;Ryu, H.H.;Kim, J.Y.
    • Proceedings of the KIEE Conference
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    • 2008.10b
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    • pp.367-368
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    • 2008
  • 한의학의 주요 방법 중 하나인 맥진은 한의사가 환자의 손목 부위를 손가락으로 진맥하여 환자의 맥동을 감지하는 행위이다. 하지만 이러한 맥진은 주관적이고 형이학적 이어서 맥진의 발전을 위해서는 맥진의 객관화와 정량화가 요구된다. 본 연구는 기존의 와이어 본딩(wire bonding)을 이용한 맥진 센서의 단점인 내성을 극복하기 위하여 FDB(Face Down Bonding) 방식을 이용하였으며, $3{\times}3$ 멀티 어레이 센서간의 crosstalk를 극복하고자 센서들을 격리시킬 수 있는 댐(dam)을 형성하였다. 또한, 댐을 감싸고 상단 및 하단에 들기를 형성하는 패드를 이용하여 피부에 접촉하도록 제작하였다. 센서의 특성을 평가하기 위하여 각 센서 출력 단자의 저항 값을 측정하였으며 센서 스펙에서 제공하는 값과 동일함을 확인하였고, 실제 요골동맥 부위에서 맥파를 측정하여 전형적인 요골동맥 맥과 파형이 측정됨을 확인하였다.

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The study of non-contact/non-invasive pulse analyzing system using Optical Coherence Tomography (OCT) for oriental pulse diagnosis (비접촉식 광생체단층촬영 기술을 이용한 맥진 연구 -맥의 빠르기, 크기 및 맥력을 중심으로-)

  • Na, Chang-Su;Youn, Dae-Hwan;Kim, Young-Sun;Lee, Chang-Ho;Jung, Woon-Sang;Kim, Jee-Hyun;Choi, Chan-Hun
    • Korean Journal of Acupuncture
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    • v.26 no.2
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    • pp.1-13
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    • 2009
  • Objective: Optical Coherence Tomography (OCT) has emerged as an important optical imaging modality in non-invasive medical diagnostics. Hence, 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 the non-contact/non-invasive pulse analyzing system using OCT on Chon(寸), Kwan(關), Chuk(尺). Method: Four korean medical doctors and the non-contact/non-invasive pulse analyzing system using OCT have measured the rapidity, the dimension, and the power of pulse waves of 25 volunteers. First, four korean medical doctors measured pulse waves of volunteers. During measuring, four doctors were separated from each other and so were volunteers. And then, the pulse waves of volunteers were measured by OCT. This was performed on the right Chon(寸), Kwan(關), Chuk(尺). Results: The study showed that the traditional method and the OCT based method had the 88% matches on the values of the slow and rapid pulse condition (遲數), 64% matches on the values of the small and big pulse condition(微細弱緩大[洪]), and 72% matches on the values of the weak and strong pulse condition(虛實). Conclusions: Based on the high similarities of the measurements of two approaches, we suggest that the OCT based pulse diagnosis method is useful for compensating the traditional method for the pulse diagnosis.

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A Study on Method that Estimate Expertness of Pulse Diagnosis in 8 Constitution Medicine (8체질맥진(體質脈診) 숙연도(熟練度) 평가방법(評價方法)에 관(關)한 연구(硏究))

  • Shin, Yong-Sup;Park, Young-Jae;Oh, Hwan-Sup;Park, Young-Bae
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.10 no.1
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    • pp.78-97
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    • 2006
  • Background: There was seldom study about method that estimate expertness of pulse diagnosis in 8 Constitution Medicine in spite of the diagnostician importance in 8 Constitution Medicine Objectives: This study is to evaluate diagnostician's consistency and accuracy about pulse diagnosis in 8 Constitution Medicine using Cage R&R study. Methods: The subjects were comprised of 28 volunteers. Among theme, 3 diagnosticians and 10 participants were chosen through questionnaire. Diagnosticians diagnosed participant's Constitution by pulse diagnosis in 8 Constitution Medicine with hiding their eyes by eyepatch. MINITAB statistical software(ver. 13.20) was used for statistical analysis: Attribute Cage R&R study was used to verify the results. Results: 1. In the measurements of consistency, diagnostician b(agreement=80%, Value of k=0.8276)was very good, diagnostician a(agreement=70%, Value of k=0.7465) was good, and diagnostician c(agreement=50%, Value of k=0.5365) was moderate. 2. In the measurements of accuracy, diagnostician b(agreement =70%, Value of t=0.6812) was good, diagnostician a(agreement=60%. Value of t=0.6414) was good, and diagno-stician c(agreement=0%, Value of k=-0.1000) was poor. 3. In cofidence of diagnosis, diagnostician c was 75%, diagnostician a was 70%, and diagnostician b was 64%. Conclusion: The results suggest that diagnostician's consistency and accuracy about pulse diagnosis in 8 Constitution Medicine can be evaluated by Cage R&R study. further study is needed for estimation method of pulse diagnosis in 8 Constitution Medicine.

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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)'.

Observational Clinical Study on Mibyeong Based on Korean Medicine Diagnosis, Questionnaire, and Radial Artery Tonometry (한의사의 진단, 설문지, 맥진을 이용한 미병 관리에 관한 관찰적 임상연구)

  • Heeyoung Moon;Minsoo Kim;Su Hyun Lim;Younbyoung Chae;In-Seon Lee
    • Korean Journal of Acupuncture
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    • v.40 no.2
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    • pp.44-53
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    • 2023
  • Objectives : This study was conducted to reveal the relationship between multiple factors of traditional Korean Medicine diagnosis and consider the further probabilities of treating people with physical and mental problems not defined as diseases, which is called 'Mibyeong' in traditional Korean Medicine. Methods : 40 healthy participants were included in the observational clinical trial. The participants were asked to complete health questionnaires (e.g. State-Trait Anxiety Inventory, Pittsburgh Sleep Quality Index, Stress Response Inventory) and they went through a traditional diagnosis process, including four stages of diagnosis (looking, listening/smelling, inquiring, and pulse taking), by a Korean Medicine doctor. Both the Korean Medicine doctor and an artery tonometry device performed the pulse diagnosis. Results : Although all participants were healthy people with no history of disease, more than half of participants had a problem related with severe level of fatigue (n=19), sleep disturbance (n=26) and stress (n=27) status according to the related questionnaires. Participants diagnosed with phlegm syndrome by the Korean Medicine doctor showed significantly greater score in phlegm pattern questionnaires than participants who were not. However, there was little agreement between the doctor's pulse diagnosis and radial artery tonometry results. Conclusions : We conducted a pulse diagnosis and measured health-related information along with the traditional Korean Medicine diagnose procedure, including four stages of diagnosis, and we found a linkage between diagnosis of phlegm and the phlegm pattern questionnaire score. The results suggest that a number of healthy participants, with no disease diagnosed, have Mibyoung symptoms which need further clinical management. Thus, we suggest that Mibyoung management programs based on qualified diagnosis tools and traditional Korean medicine diagnosis procedures be developed, and that future research using various diagnostic tools be carried out on a large population.

A study on the concept of pulse of the vital gate assigned on left or right by sex distinction (명문맥(命門脈)의 남우여좌(男右女左) 개념에 대한 연구)

  • Eun, Seokmin
    • Journal of Korean Medical classics
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    • v.28 no.1
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    • pp.1-19
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    • 2015
  • Objectives : This study was done to find the philological origin of the concept of pulse of the vital gate being assigned left or right according to sex distinction, and study its theoretical features that had been applied to clinical diagnosis. Methods : Medical books such as Maijue(脈訣), Leizheng Huorenshu(類證活人書), Maijuezhizhang(脈訣指掌), Yixuerumen(醫學入門), which directly mentions or having been considered to mention such concept of pulse of the vital gate, were inquired to find the philological origin of the concept. And after the philological origin was confirmed, combination between this concept and traditional pulse theory was also discussed. Results & Conclusions : The philological origin of the concept was confirmed as having the Taoist origin. In this study it was discussed through the contents of Xiyuedouxiansheng Xiuzhenzhinan(西嶽竇先生修眞指南). A term that is called 'the vital pulse(命脈)' appears in this book, and it could be said that the concept of 'the vital pulse' which is assigned on left or right according to sex distinction in the book like this had lead the pulse assignment of the vital gate into such a form that considers the sex distinction. After being accepted in medical theory, this concept also had been united with traditional pulse theory that appears in Nanjing(難經) and Maijing(脈經) to become a applicable theory in clinical diagnosis.

Counting Method and Application of Pulse-taking on both Carotid and Wrist Pulses in Suwen·LiuJieCangXiangLun (『소문(素問)·육절장상론(六節藏象論)』의 인영(人迎)·촌구(寸口) 맥진(脈診)의 셈법과 활용에 대한 연구)

  • Jo, Hak-jun
    • Journal of Korean Medical classics
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    • v.30 no.3
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    • pp.77-93
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    • 2017
  • Objectives : Clear and detailed analysis on Pulse-taking on both Carotid and Wrist Pulses is an absolute prerequisite if it is to be applied in real practice or its practical value proven. Methods : The original notes found in Suwen and Lingshu, their translations, and conventional studies regarding Suwen LiuJieCangXiangLun's Pulse-taking are compared and analyzed to find cases within medical texts where this method was used and to get an idea of the direction taken by the conventional study. Results : The ilsung, esung, samsung, and sasung of Carotid (or wrist pulses) refers that the pulse is one-, two-, three-, four-fold in differences. Refrainment should be practiced while comparing carotid and wrist pulses. Rather, they need to be compared with their normal states. Used by Luo Tianyi in Ming Dunasty, this method of pulse-taking was used for (radial artery) when diagnosing and treating the degree of seriousness of food injury. The measurement of maximum blood flow velocity using TCD done recently proved the validity of this pulse-taking, and it's been used for alleviating hypertension or tinnitus through acupuncture, or abating intractable diseases (around carotid). Conclusions : The obscurity of the measuring method of this pulse-taking can be resolved, and the problem which occurs while comparing carotid and wrist pulses can be solved. Even though there are differences in opinion regarding the positions when comparing the two pulses, their practical values are acknowledged since their usages in diagnosis, treatments, experiments, and researches have yielded positive results to a degree. They may not be used that often, but they are nonetheless under utilization.