• 대한한의진단학회지
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• 제13권1호
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• pp.36-44
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• 2009

Object : Pulse feeling(脈診) belongs to pulse feeling or palpation(切診) of methods of diagnosis in oriental medical terminology. Pulse appears at bio-energy condition of body, so it is a important part of disease diagnosis but we have been trouble in diagnosis by difficulty of pulse feeling(脈診). Methods : We investigate the books about pulse feeling, which are involved "Hwangjenaegyong", "Nangyong", "Maggyeng" etc. Conclusion : According to these, this paper helps you understand pulse feeling(脈診) through comparision and studying pulse condition at clasics with electro pulse machine.

• 대한한의학회지
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• 제42권1호
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• pp.1-11
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• 2021

Objectives: This pilot study aimed to evaluate the agreement between traditional face-to-face Korean medicine (KM) pattern identification and non-face-to-face KM pattern identification using the data from related questionnaires, tongue image, and pulse features in patients with cancer. Methods: From January to June 2020, 16 participants with a cancer diagnosis were recruited at the one Korean medicine hospital. Three experienced Korean medicine doctors independently diagnosed the participants whether they belong to the cold pattern or not, heat pattern or not, deficiency pattern or not, and excess pattern or not. Another researcher collected KM pattern related data using questionnaires including Cold-Heat Pattern Identification (CHPI), tongue image analysis system, and pulse analyzer. Collected KM pattern related data without participants' identifier was provided for the three Korean medicine doctors in random order, and non-face-to-face KM pattern identification was carried out. The kappa value between face-to-face and non-face-to-face pattern identification was calculated. Results: From the face-to-face pattern identification, there were 13/3 cold/non-cold pattern, 4/12 heat/non-heat pattern, 14/2 deficiency/non-deficiency pattern, and 0/16 excess/non-excess pattern participants. In cold/non-cold pattern, kappa value was 0.455 (sensitivity: 0.85, specificity: 0.67, accuracy: 0.81). In heat/non-heat pattern, the kappa value was 0.429 (sensitivity: 0.75, specificity: 0.72, accuracy: 0.75). The kappa value of deficiency/non-deficiency and excess/non-excess pattern was not calculated because of the few participants of non-deficiency, and excess pattern. Conclusions: The agreement between traditional face-to-face pattern identification and non-face-to-face pattern identification seems to be moderate. The non-face-to-face pattern identification using questionnaires, tongue, and pulse features may feasible for the large clinical study.

• 대한예방한의학회지
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• 제13권1호
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• pp.29-40
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• 2009

The demand of research for the development of pulse meter and analyzer by the examination questionnaire made from repeated preliminary investigations. Which was presented in the exhibition KIMES 2008, it's has been proved to be practical. 159 people(oriental medical doctor) sent in the question papers and selected the double answers in the relevant question. At the time of the development of the pulse meter and analyzer, we put the investigation for oriental medical doctor's demands in practice and found the following results. The development of the pulse analyzer is getting more important for modernization of oriental medicine. The purpose of this study was to find out the research needs for the pulse analyzer considering the practical use in the oriental medical clinics. A survey was conducted at the KIMES 2008 exhibition with a set of questionnaires. We collected the data from 159 oriental medical doctors who attended the exhibition, and we found following results. The more oriental doctors did not think the diagnostic devices were important in their clinical practices. Most responders preferred to use the Chon-Kwan-Cheok pulse diagnosis. To find out the mechanism of the pulse diagnosis and to standardize it, the clinical data base containing the results of the pulse diagnosis and the patten discrimination of each patient should be established. In conclusion, the researches on the standardization of Chon-Kwan-Chuk pulse diagnosis including the measurement techniques and the pulse-pattern correlations are very important for developing the pulse analyzer.

• Korean Journal of Acupuncture
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• 제28권4호
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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).

• 대한한방부인과학회지
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• 제31권2호
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• pp.31-48
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• 2018

Objectives: This study was performed to observe the correlations between the results of ABR-2000 and DSOM / 3D-MAC to evaluate the feasibility of ABR-2000 as a oriental medical diagnostic criteria. Methods: We studied 547 women visiting ${\bigcirc}{\bigcirc}$ hospital from December 2012 to June 2015. The subjects were categorized in two groups, 'Hypotonia' and 'Non-Hypotonia' by the result of ABR-2000 and assessed the result of DSOM, 3D-MAC for each group. The differences of pulse wave factors by group also studied. Results: 1. There was no significant difference between two groups about the output frequency of pathogenic factors in DSOM while the result showed the higher correlation in Hypotonia group in terms of the companion tendency of pathogenic factors and syndromes formed by the combination of pathogenic factors. 2. The pulse waves of Hypotonia group were mostly slow, weak, tense and stiff than Non-Hypotonia group. Conclusions: 1. In Hypotonia group, yin deficiency (陰虛) factor was frequently accompanied and consumption (虛損) of various organs based on the yin deficiency (陰虛) was observed. It means chronic and severe condition of exhaustion syndrome (虛勞). 2. The result of 3D-MAC also means pathological feature of yin syndrome (陰 證) and consumption (虛損). Besides, lower scores of Body Surface Area (BSA), body weight, and Body Mass Index (BMI) were associated with body weakness (體瘦), a symptom of exhaustion syndrome (虛勞).

• 대한한방부인과학회지
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• 제31권1호
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• pp.57-83
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• 2018

Purpose: This research has been carried out to find out correlation between test results of ABR-2000 and other diagnostic equipments to enhance significance of accurate diagnosis and clinical usage of ABR-2000. Methods: Duration of the 31 months from December 2012 to June 2015, records of 564 outpatients at gynecology department have been selected. The 564 patients were tested, using all 3 different test equipments of ABR-2000, DSOM, and 3D Blood Pressure Pulse Analyzer (3D-MAC) without test errors or mis-recordings. Correlation between 3D Blood pressure Pulse Analyzer, DSOM and ABR-2000 were analyzed by frequency & ratio factor of statistic data records of patients groups devided by 8 different disease symptom and by comparison of the groups in the form of Regulation and Graph presented on ABR-2000 equipment. Results: 1. The indicator L in all 1, 2, and 3 quadrant in the graph means the activity and reactivity of the upper body biodynamics detection rate is low and which result is very common symptom among gynecological patients. 2. The portion of patients with hypermenorrhea, endometritis, and menstrual pain symptom among the indicator L group in the reactivity 1-3 quadrantin is significantly high. 3. When 3D Mac analyzer indicates H, diastole decreases while systole increases and tachycardia increases then the blood circulation is expected to increase. In case of indication L, diastole increases and systole decreases then, the blood circulation is expected to decrease.

• 동의생리병리학회지
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• 제26권5호
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• pp.621-629
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• 2012

This study aimed to examine the possibility of data from pulse diagnosis device to be used for diagnosis of Sasang constitution. Systematic searches of 5 major Korean medical database were conducted for articles published up to May 2012. Searching key word was "Sasang" or "Constitution". Studies dealt with correlation between Sasang constitution and the pulse wave data from pulse diagnosis machine were included. Totally 2886 studies are searched and 3 studies are added from references of evaluated articles. Among them, 12 studies were met our inclusion criteria (2 Xishu Mac, 2 Self-made pulse diagnosis machine, 8 3D-Mac). Three of the eight 3D-Mac studies intended to develop a formula of constitutional differential diagnosis, 2 studies compared variables by Sasang constitution in healthy group and 3 studies compared variables by Sasang constitution in healthy group and special disease group. They all reported some significant variables, however results are not consistent between studies. The accuracy of the formula of constitutional differential diagnosis using 3D-Mac pulse diagnosis devices is 46.0% by now. Improvements in measuring pulse are required to achieve more accurate result and be used for diagnosis of Sasang constitution. Compensating B.M.I. among Sasang constitutional groups and separating constitutional pulse factors from acquired characteristics are also needed in further study.

• 동의생리병리학회지
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• 제25권2호
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• pp.339-344
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• 2011

The purpose of this study was to evaluate the relationship of Inyoung-Chongu pulse, body mass index (BMI) and Sasang constitution using pulse diagnosis device in college women. We measured the amplitude of Inyoung pulse, Chongu pulse, ratio of Inyoung to Chongu and ratio of Chongu to Inyoung on 69 college women. The data was analyzed by ANOVA and Pearson's correlation coefficient using SAS program. The results were as follow. There was no significant difference in Inyoung pulse, Chongu pulse, Inyoung to Chongu ratio and Chongu to Inyoung ratio according to BMI and Sasang constitution. There was significant difference in BMI among Sasang constitution. BMI was significantly high in Taeeumin than in Soyangin and Soeumin. We concluded that there was no relation among Inyoung-Chongu pulse, BMI and Sasang constitution. Therefore, we need to expand the sample size for in depth study.

• 한국인터넷방송통신학회논문지
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• 제12권2호
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• pp.243-249
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• 2012

요즈음 전자의무기록시스템을 구축하는 한방 병원이 많아지고 있다. 특히 질병을 과학적으로 진단하기위해서, 한방 병원에서는 맥진기가 개발되고 있다. 그러나, 한방 진료 체제는 아직까지 정확한 병명을 유추하기가 매우 어려운 실정이다. 이러한 문제점을 해결하기 위해서, 본 논문에서는 맥진 및 설진을 동시에 사용 가능한 EMR 챠트 시스템을 제안하였다. 그러므로 본 논문에서는 이러한 문제점을 해결하기위해서, 지능형 전자 챠트 시스템을 이용한 EMR 시스템을 제안하였다. 컴퓨터 모의실험 결과 EMR을 설치한 병원이 기존의 병원보다 편리하고 정확한 진단을 할 수 있음을 확인 하였다.

• 대한한방부인과학회지
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• 제29권3호
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• pp.23-34
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• 2016

Objectives: The purpose of this study was to survey the status of clinical use of a pulse tonometric device (PTD).Methods: We searched domestic and international articles using the PTD from online medical databases including OASIS, RISS, DBpia and PubMed. We selected articles on clinical application of PTD but excluded articles on mechanical design or software programming for developing a new PTD. Finally we found 13 articles and classified the articles according to the disease of clinical study.Results: Out of the 13 articles, 5 were focused on the dysmenorrhea. Three articles were focused on the infertility, two article were focused on the post mastectomy. According to the results, the pulse energy has been widely used in research as the primary outcome.Conclusions: We found out that until now the researches on clinical application of PTD mainly had been performed for producing a variety of PTDs. This results of this study will be used as a useful information during perform a clinical study and clinics. We suggest that the standard operating procedure for PTD will be developed, and researches for development and its application of various new contents will be performed.