• 제목/요약/키워드: Feeling the pulse for diagnosis

검색결과 26건 처리시간 0.022초

맥의 빠르기, 크기, 깊이에 관한 전통맥진과 기기측정 맥진의 비교 연구 (Comparative Study of Speed, Size and Depth of Pulse on the Traditional Pulse Diagnosis and Pulse Analyzer)

  • 하인영;윤여충;윤대환;최찬헌;이영수;임승일;나창수
    • Korean Journal of Acupuncture
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    • 제28권1호
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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.

사암침 소장정격을 이용한 Meniere's disease의 발작성 현훈 치험 1례 (A Clinical Report on Episodic Vertigo with Meniere's Disease Treated by Saam Acupuncture Sojangjungkyuk)

  • 오기철
    • 대한한의진단학회지
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    • 제16권1호
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    • pp.35-44
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    • 2012
  • Objectives The purpose of this study is to report the effect of oriental demonstration treatment for episodic vertigo of Meniere's disease. Meniere's Disease characterized by recurrent prostrating episodic vertigo, nausea, vomiting, sensory hearing loss, tinnitus, and a feeling of fullness in the ear associated with generalized dilation of the membranous labyrinth (endolymphatic hydrops). The cause of Meniere's disease is unknown, and the pathophysiology is poorly understood. Methods We experienced one case of Meniere's disease treated with Asian medical treatment, acupuncture and herbal medication. 64-year-old female patient was diagnosed with Meniere's disease by western medical doctor. Methods: Saam acupuncture Sojangjungkyuk applied to the patient. Results After treatment her episodic vertigo, nausea, vomiting and endolymphatic hydrops were decreased but the level of tinnitus it was not improved as much as other symptoms. Conclusions Saam Acupuncture of Asian medical treatment could be safe and effective.

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

  • 지재동;김광중
    • 동의생리병리학회지
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    • 제25권5호
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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)'.

부정맥(不整脈)에 대한 동의보감(東醫寶鑑)의 판단기준 연구(硏究) (A Study of Judgment for Irregular Pulses Referred in Donguibogam(東醫寶鑑))

  • 조미정;정현종
    • 한국의사학회지
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    • 제26권2호
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    • pp.63-74
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    • 2013
  • Objective : In Donguibogam(東醫寶鑑), like a slow pulse with irregular intervals(結脈), an abrupt pulse(促脈) and a slow and weak pulse with regular intervals(代脈), an uneven pulse is written as a kind of arrhythmia. Such a recognition differs from the present one. In this study, I try to seize the meaning and deliberate whether those expressions are appropriate. Method : 1. Collect and compare the materials of the above four pulses among documentary records of feeling the pulse for diagnosis. 2. Grasp the aspect and trend of changes. 3. Reason whether records in Donguibogam(東醫寶鑑) are proper or not. Result & Conclusions : Donguibogam(東醫寶鑑) written "like a slow pulse with irregular intervals(結脈), an abrupt pulse(促脈) and a slow and weak pulse with regular intervals(代脈), an uneven pulse is written as a kind of arrhythmia". It is not 'an uneven pulse' is written about irregularity of pulse, but 'an uneven pulse' is written about irregularity of the sense able to be felt on the fingertip.

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

  • 홍문엽;박원환
    • 동국한의학연구소논문집
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    • 제8권2호
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    • pp.155-173
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    • 2000
  • 한의학의 진단(診斷)에는 망(望) 문(聞) 문(問) 절(切)의 사진법(四診法)과 여러 가지의 변증체계(辨證體系), 즉 기혈진액변증(氣血津液辨證) 장부변증(臟腑辨證), 육경변증(六經辨證), 위기영혈변증(衛氣營血辨證), 삼초변증(三焦辨證), 사상체질변증(四象體質辨證) 등이 응용되어 지고 있으며, 또한 그와 더불어 병상(症狀) 증후감병진단법(證候鑑別診斷法)등이 선택적으로 활용되어 지고 있다. 이러한 광범위(廣範位)한 진단방법(診斷方法)가운데 절진(切診)은 손가락 및 손바닥의 감각(感覺)을 운용(運用)해서 일정부위(一定部位)를 촉지(觸指), 접압(接壓)하는 검사방법(檢査方法)으로써 절맥진(切脈診)과 접진(接診)으로 크게 나눌 수 있다. 이중 안진(按診)이란 손을 사용하여 직접 환부에 촉모(觸摸) 안압(按壓)하여 이상변화를 알아내고 나아가서는 질병(疾病)의 부위(部位)와 성질(性質)과 병정(病情)의 경중(輕重) 등의 내부(內部)의 변화(變化)와 체표(體表)의 반응(反應)을 관찰(觀察)하여 중요(重要)한 변증자료(辨證資料)를 얻는 진단방법(診斷方法)의 한 종류(種類)를 말한다. 또한 접진(接診)에는 안기표(按肌表), 접수족(接手足), 안흉복(按胸腹), 접유혈진법(接兪穴診法)등을 들 수 있다. 배유혈(背兪穴)의 진단법(診斷法)은 경기(經綺)이라는 반응로(反應路)를 통(通)하여 체표(體表)에 발현(發現)되는 압통(壓痛), 자발통(自發痛), 긴장(緊張), 이완(弛緩), 경결(硬結) 및 조색상물(條索狀物) 등의 현상(現象)으로 부터 내부장기(內部臟器)의 병변(病變)을 진단(診斷)하는 방법(方法)이다. 이에 저자(著者)는 접진(接診)의 내용(內容)과 방법(方法)을 연구하면서 십이경맥(十二經脈)의 시동병(始動病) 소생병(所生病)을 알아보고 혈위진단(穴位診斷)의 방법(方法) 및 주의점(注意點)등을 아울러 정리하므로써 다음과 같은 결론(結論)을 얻었다. 1. 유혈(兪穴)은 각(各) 장부(臟腑)의 사기(邪氣)가 주입(注入)하는 곳으로 장병(臟病) 한증(寒症) 허증(虛症)의 의미를 내포한 음성병증(陰性病症) 치료(治療)에 중요(重要)한 곳이다. 2. 유차(兪次)의 촉진(觸診) 즉(卽) 모지(母指)로서 척추극돌기(脊椎棘突起) 좌우측(左右側)을 접압(接壓)하여서 상향(上向)이나 하향(下向)으로 추압지(推壓指)하면 극돌기(棘突起)의 돌(突), 함요(陷凹), 긴장(緊張), 이완(弛緩) 및 압통(壓痛)의 출현부위(出現部位)에 따라 계통별(系統別) 질환(疾患)을 판단(判斷)할 수 있다. 3. 실제(實際) 임상(臨床)에서 환자(患者)의 진단(診斷) 치료(治療)에 있어서 배부접진(背部接診)은 중요(重要)한 진단(診斷)의 한 영역(領域)으로 빠뜨리지 말고 꼭 참고(參考)하여야 할 것으로 사료(思料)된다. 4. 장부질환(臟腑疾患)에 대한 진단방법(診斷方法)의 다양화(多樣化)와 치료영역(治療領域)의 확대(擴大) 및 치료율(治療率)의 상승(上昇)을 위해 배부유혈(背部兪穴)의 정확(正確)한 인식(認識)과 유혈접진(兪穴接診)을 통하여 정확(正確)한 진단(診斷)이 되었으면 한다.

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임신맥(姙娠脈)에 대한 연구 (Study on Pregnancy Pulse)

  • 이혜연;김용찬;강정수
    • 동의생리병리학회지
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    • 제22권4호
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    • pp.725-732
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    • 2008
  • From old times, we think it is very important to become pregnancy with child and to give birth healthy, as the human gives not just body but also spirit. When we judge pregnancy, we usually check lady's menstrual cycle. But it is too difficult to diagnosis as pregnancy only check that. Therefore feeling pulse has been made use of knowing pregnancy or not, monthly pregnancy states and childbirth. "Haung-di-nei-jing" mentions pregnancy-pulse, for example, "Yin beats and Yang distinguishes", "Shou-shao-yin-mai moves severely", "Lady has some symptoms, but no Xie-mai". Since then, there are many opinions of schools about that. For the period of pregnancy, pulse shows special features, according as the symptoms differ from month to month. When pregnant woman is just about to bear, her pulse changes unusually. In oriental medicine, it is called as Li-jing-mai. Pregnancy-pulse is worth refering to pursue a clinical examination.

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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부위별(部位別) 한출(汗出)의 기전(機轉)에 대한 연구(硏究) (A Study on the Principles of Regional Perspirations)

  • 류정아;정창현
    • 대한한의학원전학회지
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    • 제22권1호
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    • pp.71-85
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    • 2009
  • For having good therapeutic value, putting the ideal of diagnosis and treatment based on overall analysis of symptoms and signs[辨證施治] into practice is very important, so the Eastern Medicine's peculiar diagnosis without interference by the western medical diagnosis is very important. The peculiar method of Eastern Medicine's diagnosis is four methods of diagnosis(四診法), a joint term for inspection, auscultation and olfaction, interrogation, pulse feeling and palpation. In the process of interrogation[問診], from analyzing the perspiration phase, doctor can get various physical information. Especially perspiration from particular region can be a clue for founding focus or cause of disease. This thesis divide the phase of perspiration into eight bodily region, perspiration from all body, head, face, back, chest and armpit, stomach, pubic region and lower part, hands and feet, and inquire the possible causes and principles of these perspirations. In conclusion, the regional perspiration can be a clue point out the origin of fever and condition of Gi(氣) flow. Perspiration from head, back, chest and armpit, hands and feet means that certain fever cannot extend to the outside of body, and at the same time, means the Gi(氣) flow of outside is being intercepted. So the perspirations from that region become an object of medical treatment.

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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) (The study on the origin of Shi-Dong-Ze-Bing and Shi-Zhu-Mou-Suo-Sheng-Bing)

  • 황민섭;손성철;배대영;김갑성;윤종화
    • Journal of Acupuncture Research
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    • 제19권2호
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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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난경(難經) 1-23난중(難中) 맥학조(脈學條)에 관한 연구(硏究) (A study on The Pulse taking diagnostics of Nan Jing 1-23 Nan)

  • 김법진;박원환
    • 동국한의학연구소논문집
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    • 제8권2호
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    • pp.131-154
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    • 2000
  • <난경(難經)>은 <내경(內經)>의 사상(思想)을 보다 자세(仔細)하고 심도(深度)있게 문답(問答)을 가설(假說)하여 의난(疑難)을 해석하는 방식으로 편찬된 서적(書籍)으로써, 논술(論述)은 기초이론(基礎理論)을 위주로 하고, 또 일부 병설(病說)도 분석(分析)하였는데 그 내용이 간요(簡要)하며, 변석(辨析)이 매우 정미(精微)하게 되어있다. 그 중 1-23난(難)은 맥(脈)을 논(論)하고, 23-29난(難)은 경락(經絡)을 논(論)하고, 30-47난(難)은 장부(臟腑)를 논(論)하고, 48-61난(難)은 병(病)을 논(論)하고, 62-68난(難)은 혈도(穴道)를 논(論)하고, 69-81난(難)은 침법(鍼法)을 논(論)하였다. 특히 <난경(難經)>에는 진법(診法)으로써 오늘날까지 한의학의 맥진방법(脈診方法)으로써, 가장 많이 응용되고 있는 '독취촌구법(獨取寸口法)'을 명확하게 밝히고 있다. 이에 본(本) 저자(著者)는 <난경(難經)>의 맥론(脈論)에 대한 이해를 높이기 위하여 <난경지연구(難經之硏究)>를 중심으로 1-23난(難)에 나오는 맥론(脈論)들을 정리하여 다음과 같이 정리하였다. 팔십일(八十一) 난경중(難經中) 일난(一難)부터 삼십삼난(三十三難)까지의 맥학(脈學)에 관(關)한 조문중(條文中)에는, 백맥(百脈)이 조회(朝會)하고 그 시작(始作)과 끝이 되는 촌구(寸口)를 중심개념(中心槪念)으로 하고 정상적(正常的)인 생리적(生理的) 맥(脈)과 병적(病的)인 맥(脈)이 대비(對比)되면서 제시(提示)되어있다. 1. 십난(十難)에서 오사(五邪)와 강유(剛柔)의 이론(理論)과 각(各) 장부(臟腑)의 고유(固有)한 맥상(脈狀)이 등장(登場)하고 있다. 2. 십삼난(十三難)에서는 색(色)과 맥(脈), 형육(形肉)의 세가지 요소(要素)가 상응(相應) 또는 상승(相勝)하는가에 따라서 병(病)의 난(難) 역치(易治)를 결정(決定)한다고 하였다. 3. 십사난(十四難)에서는 맥(脈)을 손(損)(지맥(遲脈))과 지(至)(수맥(數脈))으로 구분하는데, 맥(脈)의 손(損)에 따른 이경(離經), 탈정(奪精), 사(死), 절명(絶命)의 구분(區分)과, 맥(脈)의 지(至)에 따른 이경(離經), 탈정(奪精), 사(死), 절명(絶命)을 구분(區分)을 설명(說明)하였다. 4. 십오난(十五難)에서는 현(弦), 구(鉤), 모(毛), 석맥(石脈)으로 사시(四時)에 따라서 맥(脈)이 다르다는 것을 말하였다. 이와같이 난경(難經)에서는 "독취촌구(獨取寸口)"의 맥법(脈法)을 명화(明確)하게 확립(確立)하였으며, <내경(內經)>의 이론(理論)을 더욱 다져서 진일보(進一步)시키면서도 <내경(內經)>과는 다른 독창적(獨創的) 이론(理論)을 제시(提示)한 것이 <난경(難經)>의 가치(價値)를 더하게 하였다.

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