• Title/Summary/Keyword: 28-pulse diagnosis

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A Meaning of the Tan Pulse(彈脈) in the Qikoujiudaomai(氣口九道脈) Method for Examining the Eight Extra Meridians(奇經八脈) Pulse -Focusing on the Belt Pulse(帶脈)- (기경팔맥(奇經八脈)의 맥진법(脈診法)인 기구구도맥(氣口九道脈)에 나타난 탄맥(彈脈)의 의미에 관한 고찰 - 대맥(帶脈)을 중심으로 -)

  • Park, Geon Woo;Hwang, Min Sub;Yoon, Jong Hwa
    • Journal of Korean Medical classics
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    • v.35 no.1
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    • pp.33-42
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    • 2022
  • Objectives : This paper is to find the meaning of Tan pulse in Qikooujiudamai Diagnosis, Methods : In terms of Qikooujiudamai, the position to diagnose the Intermittent Pulse is Kwan(關) position and the pulse is Tan(彈) pulse. To find the meaning of Tan pulse, the symptoms of Intermittent pulse were analyzed. Then the symptoms were analyzed in terms of both Qikooujiudamai Diagnosis and 28-pulse diagnosis to find the correlation. Results & Conclusions : The Tan pulse at Kwan position is related to Hyen(弦), Kin(緊), Hwal(滑), Dan(短) pulse in 28-pulse diagnosis. The symptom of disease of Intermittent pulse's diagnosis is mostly concluded to those 4 pulses. Qikooujiudamai is the diagnosis for acupucture treatment, but with 28-pulse diagnosis, it can be developed to usage of medicine.

Development of Clinical Protocol on the Correlation Between Disease Cause Pattern Identification and Pulse Wave Variables (병인변증과 요골동맥 맥상파의 특성 파악을 위한 탐색적 관찰 연구 : 임상시험 프로토콜 개발)

  • Kim, Jihye;Yu, Hana;Ku, Boncho;Kim, Hyunho;Kim, Jongyeol;Jeon, Youngju
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.28 no.6
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    • pp.662-667
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    • 2014
  • The purpose of this clinical study is to develop structured clinical trial protocol and guideline for improvement of safety, useful and effective of pulse diagnosis devices. As a first step, papers on pulse diagnosis and pulse diagnosis devices from 2001 and 2013 were systematically reviewed. In the next step, we have collected the opinions from the specialists, companies, and statistician in pulse diagnosis to evaluate the current condition, the state and problem of domestic clinical trial cases of pulse diagnosis device. And we have to created protocol and case report form (CRF) in regards to site condition and characteristics of pulse diagnosis devices, and showed the guideline of eligibility criteria, operation process, investigation items, evaluation items and so on. This clinical protocol will become a basic information for a researcher in designing or performing a clinical study of pulse diagnosis devices, and be used as a useful material during acquisition of good clinical data. Furthermore, we hope to enhance the invigoration of pulse diagnosis clinical trials and the performance improvement of pulse diagnosis devices.

A Study on the Way of Pulse-diagnosis by Dongeuibogam (동의보감(東醫寶鑑)중 맥법(脈法)에 관한 연구(硏究))

  • Joo, Shin-Tak;Kim, Jung-Guk;Park, Won-Hwan
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.15 no.1
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    • pp.1-28
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    • 2011
  • Objectives: A study on the importance and consistency of pulse-daignosis in the Dongeuibogam Methods: We used Deyeuk Dongeuibogam of Dongeuibogam publishing company from original photographic edition. Results: The frequency of 27 mek (pulse condition) in Dongeuibogam is as in the following. Bumek (Floating pulse) appeared 120(8.9%) times, wanmek (moderate pulse) appeared 28(2%) times, chokmek (running pulse) appeared 7 (0.5%) times, gyumek (hollow pulse) appeared 19 (1.4%) times, saekmek (uneven pulse) appeared 33 (2.4%) times, sapmek (uneven pulse) appeared 51 (3.8%) times, kyulmek (knotted pulse) appeared 18 (1.3%) times, whalmek (slippery pulse) appeared 69 (5.1%) times, chimek (slow pulse) appeared 43 (3.2%) times, demek (intermittent pulse) appeared 13 (1%) times, silmek (replete pulse) appeared 45 (3.3%) times, bokmek (deep-sited pulse) appeared 29 (2.1%) times, neomek (firm pulse) appeared 4 (0.3%) times, hyunmek (taut pulse) appeared 110 (8.1%) times, yumek (soft pulse) appeared 20 (1.5%) times, dongmek (short and rapid pulse) appeared 16 (1.2%) times, kinmek (tense pulse) appeared 67 (5%) times, yakmek (weak pulse) appeared 46 (3.4%) times, semek (thready pulse) appeared 62 (4.6%) times, hongmek (full pulse) appeared 50 (3.7%) times, jangmek (long pulse) appeared 14 (1%) times, sakmek (rapid pulse) appeared 103 (7.6%) times, mimek (indistinctive pulse) appeared 65 (4.8%) times, danmek (short pulse) appeared 16 (1.2%) times, demek (large pulse) appeared 106 (7.9%) times, chimmek (deep pulse) appeared 112 (8.3%) times, heomek appeared 70 (5.2%) times, sanmek (scattered pulse) appeared 14(1%)times. Conclusions: We can know Donguibogam is given on the basis 27mek (pulse condition), because the frequency of 27mek (pulse condition) is high. But there are another expressions. So we can not say that Donguibogam is consistent in expressing mekbub(the way of pulse-diagnosis).

Analysis of Physical Quantification of Pulse Types by Pulse Diagnosis Literatures (문헌을 통한 맥상의 물리적 요소 분석)

  • Ryu, Hyun-Hee;Lee, Si-Woo;Lee, Jeon;Lee, Yu-Jung;Kim, Jong-Yeol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.21 no.6
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    • pp.1381-1387
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    • 2007
  • Pulse diagnosis that is one of important examination methods in traditional oriental medicine has been investigated for the standardization in many ways. Pulse analyzer device and clinical studies have been tried for this purpose. Additionally, literature study has significance for this standardization. In this study, we analyzed pulse types in literatures from the viewpoint of physics. We refered to Maijing, Maijue, siyanjuyao, Binhumaixue, Yixuerumen, zhenjiazhengyan. We established some physical factors for analysis. This factors that can be detected through pulse analyzer are depth, speed, power, width, and length. In this study, we defined 18 kinds of pulse types among 28 total types by physical factors. Furthermore, 6 kinds of pulse types were classified as basic pulse from these. The results of this study will improve the pulse analyzer to detect these pulse types.

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.

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 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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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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Proposal for Pulse Diagnosis Positions (Chon-Kwan-Chuk) for Pulse Analyzer Based on Literature Review and Anthropometry (문헌고찰 및 실측에 근거한 맥진기 측정시 촌관척 정위에 대한 제안)

  • Kim, Hyun-Ho;Lee, Jeon;Kim, Ki-Wang;Kim, Jong-Yeol
    • The Journal of Korean Medicine
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    • v.28 no.3 s.71
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    • pp.13-22
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    • 2007
  • Objectives : To obtain pulse information, oriental medical doctors usually use the three finger pulse diagnosis method. Although the diagnostic positions are very important, the exact positions are not known because of the uncertain conversion of measures of length (bun, chon, chuk) and misunderstanding of the related concepts of oriental medicine. In this study, we proposed relative positions for the detection of three pulses with a pulse analyzer. Methods : The proposal was made based mainly on several literature reviews, especially the original texts, and the examination of anthropometric characteristics of 78 individuals. Results : The Kwan is the spot where the radial pulse can be felt well near the eminent head of the radius at wrist, high bone. The position of Chon should be apart from Kwan by 6/10 distance between the high bone and wrist joint of each individual. Finally, the position of Chuk is apart from Kwan by 6.5/100 distance between the high bone and the elbow joint of each individual. Conclusions : Adapting those proposed positions for measuring three pulses can provide more consistent information to what an oriental doctor obtains than a pulse analyzer applied to other positions.

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Characteristic Study of the Pulse Position on CHON, KWAN and CHUCK Using the Ultrasonic Waves (초음파 분석을 이용한 촌관척 위치별 혈관의 특성연구)

  • Lee, Yu-Jung;Lee, Jeon;Lee, Hae-Jung;Ryu, Hyun-Hee;Choi, Eun-Ji;Kim, Jong-Yeol
    • Korean Journal of Oriental Medicine
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    • v.13 no.3
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    • pp.111-117
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    • 2007
  • The study aims to measure and analyze the thickness and depth of blood vessel on the pulse diagnosis locations and the blood velocity through the use of ultrasonic waves (LOGIQ5PRO, GE Medical, U.S.) in order to understand the structural difference of pulse diagnosis locations. The subjects included 44 healthy men and women(22.28${\pm}$2.62 age) considered normal in terms of Body Mass Index(BMI). The thickness and depth of the blood vessel and the blood velocity were measured three times on CHON, KWAN and CHUCK to obtain the average value. Results showed there is a statistically significant difference among the variables measured on CHON, KWAN and CHUCK. A difference according to gender was also observed. This explains why an oriental medical doctor can tell the difference in pulses depending on the location of CHON, KWAN and CHUCK. In addition, the difference in pressure between CHON and KWAN was higher than that in pressure between KWAN and CHUCK. The findings explain why oriental medical doctors take pulses by dividing CHON, KWAN and CHUCK in the short length of the three fingers. It can be used to develop a pulse diagnosis device enabling accurate measurement according to the characteristics of blood vessel structure based on where the pulse is taken. Furthermore, the results can be used as basic data for the development of a pulse diagnosis simulator.

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