• 동의생리병리학회지
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• 제23권5호
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• pp.1193-1198
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• 2009

Pulse diagnosis is a central diagnosis method used in traditional Oriental medicine. To standardize and modernize the pulse diagnosis method, it is essential to develop an instrument-based reinterpretation of the clinically used pulse images in terms of the physical quantities such as the strength, period, width, length, and depth of the pulse. As a step towards such standardization, we conducted a clinical study on the floating/sinking pulses based on an automated palpation instrument (3D-MAC, Daeyo Medi, Korea) for 213 female subjects in their 20s and 174 female subjects in their 60s. The floating/sinking pulses are the two representative pulse images depending only on the depth of the pulse, and can be conveniently scaled by the coefficient of the floating-sinking pulse ($C_{fs}{\in}(0,1)$), which represents how strong one should apply the hold-down pressure to obtain the maximal pulse strength. As a result, primarily we found that it tends to appear more floating-like pulse ($C_{fs}{\rightarrow}0$) at Gwan and more sinking-like pulse ($C_{fs}{\rightarrow}1$) at Cheek, at both age groups and at both wrists. This result is consistent with a previous study on the geometrical structure of the blood vessel by an ultrasonograph. Second, the pulse tends to be more sinking-like in the age group of 60s than 20s. Finally, the pulses at the right palpation positions were found to be more sinking-like than the left, at both age groups.

• 대한전기학회:학술대회논문집
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• 대한전기학회 2009년도 제40회 하계학술대회
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• pp.1966_1967
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• 2009

As an attempt to characterize the pulse behaviors at the three pulse diagnosis positions in the oriental medicine which are called Chon, Gwan, and Cheok, we measure the pluse waveforms by SphygmoCor apparatus, that has been used widely for the evaluation of the arterial stiffness, and examine the Augmentation Index (AIx) at the aorta. For the study, twenty healthy men at the age of twenties have participated as the subject group. The pulse has been measured twice at the three palpation positions, and by two-way repeated measures ANOVA we tested the repeatability and the mean differences in the aortic AIx between Chon, Gwan, and Cheok. The AIx was found to be statistically different between the measurement positions. Duncan's test shows that the AIx is statistically different between Chon and the other two positions. Our study may be used as a reference for further scientific quantification of the pulse diagnosis.

• 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.

• 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.

• Journal of Veterinary Science
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• 제24권3호
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• pp.39.1-39.6
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• 2023

A 7-year-old spayed female Shih Tzu dog was presented for evaluation of recurrent hypoglycemia. Serum insulin levels during hypoglycemia were 35.3 µIU/mL. Ultrasonography and computed tomography showed a mesenteric nodule between the kidney and the portal vein, but no pancreatic mass was observed. During surgery, the nodule had neither anatomical adhesions nor vascular connections to the pancreas. Pancreatic inspection and palpation revealed no abnormalities. Hypoglycemia improved after resection of the nodule. Histopathological examination confirmed the nodule to be an islet cell carcinoma. Although extremely rare, ectopic insulinoma should be considered as a possible cause of insulininduced hypoglycemia in dogs.

• 대한한의학원전학회지
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• 제26권2호
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• pp.47-59
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• 2013

Objective : Syndrome differentiation(辨證) has clinical importance in East Asian Traditional Medicine. There are several ways for Syndrome differentiation. However, Eight Principle Pattern Identification(八綱辨證) is the base of other Syndrome differentiations. Of the physicians focused on Eight Principle Patterns(八綱), I have researched for Eight Principle Pattern Identification concerning with Zhang Jie-Bin(張介賓), Cheng Guo-Peng(程國彭), and Jiang Han-Tun(江涵暾) in Ming(明) and Qing(淸.) Method : Applying to Eight Principle Pattern Identification, I have researched comparatively for 3 kinds for. First, Zhang Jie-Bin's Jingyuequanshu(景岳全書) that involves Yinyangpian(陰陽篇), Liubianbian(六變辨), Biaozhengpian(表證篇), Lizhengpian(裏證篇), Xushipian(虛實篇), and Hanrepian(寒熱篇), secondly, Cheng Guo-Peng's Yixuexinwu(醫學心悟) Hanrexushibiaoliyinyangbian(寒熱虛實表裏陰陽辨), at lastly Jiang Han-Tun's Bihuayijing(筆花醫鏡) Biaolixushihanreyinyangbian(表裏虛實寒熱辨). Results : All of sick cases can be explained totally by Eight Principle Patterns. Of Eight Principle Patterns, Yin(陰) and Yang(陽) include last Six Principle Patterns(六綱 : 表裏, 寒熱, 虛實). Six Principle Patterns can be divided normally by 6 pulses(六脈 : 浮沈 遲數 虛實). In all of pain cases, feeling comfortable(可按) or discomfortable(拒按) to palpation can be important foundation for distinguishing Xu(虛) from Shi(實). Physical constitution(體質) for Hanre Xushi(寒熱 虛實) and tongue-diagnosis(舌診) for Biaoli Hanre(表裏 寒熱) are used effectively. Related with tongue-diagnosis, tongue-coating(舌苔) for Biaoli and tongue status(舌質) for Hanre are used effectively. Symptoms should be divided following this sequence, Biaoli ${\rightarrow}$ Hanre ${\rightarrow}$ Xushi and lastly should be summarized of Yinyang. Conclusion : Diagnosing with Eight Principle Patterns, digestive function, urine, and feces should be checked at first. In addition, the pulse, tongue, physical constitution, and good or bad from palpation(觸診), these should be checked and give a result. And then the result can be an important evidence of syndrome differentiation. As a result, it would be the best to diagnosis that discriminating the sequence as Biaoli Hanre Xushi and summarizing with Yinyang.

• 한방안이비인후피부과학회지
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• 제17권3호
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• pp.38-60
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• 2004

We made an experiment if the extracts of DanGuiBoHyulTangGami-Bang(DBTG) and 15 kinds of the medical herbs used the materials of DBTG were effective on the hair formation palpation and the falling out of hair, and came to the following conclusions. 1. The extracts of Paeonia lactiflora, Cuscuta chinensis and Angelica tenuissima of DBTG consisted of the 15 kinds of the medical herbs kept the activity of 5${\alpha}$-reductase type Ⅱ from being active 75.3$\%$, 63.8$\%$. 75.5$\%$. 2. The hair growth index, 1.6(control group 0.8) of the extracts of DBTG bas a little effect on the hair growth palpation and that of Rubus coreanus 1.8(control group 0.4) was the most effective one of the medical herbs, and Paeonia lactiflora 2.3(control group 1.7) and Vitex rotundifolia 2.3(control group 1.5) showed the effect on hair formation palpation. 3. The hair growth period couldn't be extended by DBTG in this experimental stage. 4. The 15 kinds of constitution medicines of DBTG didn't have effects in dermal papilla cells DNA increase, IGF- I, KGF, HGF the revelation of a gene heredity, the protein synthesis of the hair follicle tissues. 5. All of the 15 kinds of constitution medicines of DBTG didn't have the antibacterial activity in Paper disc rule. 6. The results from the test of a radical scavenging activity of the 15 kinds of constitution medicines of DBTG showed that the extracts of Paeoria lactiflora, Scutellaria baicalensis, Rubus coreanus have the superior antioxidant activity in the concentration of 0.01$\%$ and 0.001$\%$ 7. In the formation controlled experiment, Vitex rotundifolia (70.6$\%$), Scutellaria baicalensis (47.1$\%$, Saposhnikovia (44.8$\%$) of the 15 kinds of constitution medicines of DBTG in the 50㎍／㎖ concentration controled NO forming and Vitex rotundifolia (12.7$\%$) controled NO forming in the 5㎍／㎖ concentration in order. 8. MTT(lC／50) of the extracts of Rehmannia glutinosa, Paeonia lactiflora, Scutellaria baicalensis, Lycium chinense, Rubus coreanus of the 15 kinds of constitution medicines of DBIG was more than 500㎍／㎖ and had the least cell virulence.

• 한국의학물리학회:학술대회논문집
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• 한국의학물리학회 2002년도 Proceedings
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• pp.481-484
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• 2002

In every cancer early detection and early treatment is the best way to decrease mortality of patients. Moreover early detection of breast cancer increases the possibility of breast conservation treatment. Although mammography is the most powerful modality for early detection, it is hazardous to be used for young women due to X-ray exposure. Another modality of image diagnosis is ultrasound echo technique. But it is not so powerful to detect breast cancer compared to mammography. Palpation is another modality, but is largely dependent on the skill and experience of medical doctors. A new technique is tested its validity in phantom experiments with good results.

• 한국임상수의학회지
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• 제41권2호
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• pp.123-126
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• 2024

A seven-month pregnant 15-year-old Thoroughbred mare presented with acute abdominal pain to Jeju National University Equine Hospital. At presentation, a nasogastric intubation revealed 10 L of gastric reflux; rectal palpation and ultrasound revealed dilated loops and thickening of the walls of the small intestine. An exploratory laparotomy revealed strangulation of the small intestine due to a large abdominal mass. The mass was double-ligated and resected blindly due to the short pedicle. An enterectomy was not performed as intestinal motility was detected following the mass removal. Histopathological examination confirmed that the mass was a lipoma, measuring 24 cm × 16 cm × 16 cm in size. On day 8 post-surgery, the mare was discharged without complications. This case report describes the diagnosis and treatment of strangulation of the small intestine by a pedunculated lipoma, thus providing useful information on lipoma in horses.

• 대한한의학원전학회지
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• 제17권4호
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• pp.155-170
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• 2004

The word "Sajeung(死證)" in "Huangjenaegyeong(黃帝內經)" includes a warning to lead to death if it is treated wrongly as well as a definite diagnosis saying that it is impossible to care diseases. A disorder condition of the body means that the balance of Eum-yang(陰陽) are broken or O-haeng(五行) doesn't have a good circulation. The prediction to progress is very important as much as decision of whether it is Sajeung or not because it can be changed by the time of day or night and also by changes of the seasons. In addition, according to the relations between Sangsaeng(相生) and Sanggeuk(相克) of O-haeng patients' diseases fall into a dangerous condition at the time under control. But sometimes it can be a severe illness even they are full of vigor. When living and dying has to be determined, it is emphasized the significance of inspection, auscultation and olfaction, inquiring and palpation(望聞問切法). Especially this is the key point to study people's face and pulse.