• The Journal of the Society of Korean Medicine Diagnostics
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• v.12 no.2
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• pp.8-17
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• 2008

Objectives: For the traditional pulse diagnosis in Oriental Medicine, not only the pulse shape in time domain, but the width, length and depth of arterial pulse also should be measured. However, conventional pulse diagnostic systems have failed to measure the spatial parameters of the arterial pulse e.g. effective length of arterial pulse in the wrist. In fact, there are many ways to measure that kind of spatial features in arterial pulsation, but among them, the method using image sensor provides relatively cheap and simple way, therefore I tested feasibility of measuring 2-dimensional pressure distribution by imaging devices. Methods: Using widely used PC cameras and dotted balloons, the subtle oscillation of skin over the radial artery was recorded continuously, and then the displacement of every dot was calculated. Consequently, the time course of that displacements shows arterial pulse wave. Results: By the proposed method I could get pressure distribution map with 30Hz sampling rate, 21steps quantization resolution, and approximately 1mm spatial resolution. With reduced quantization resolution, $3cm{\times}4cm$ view angle could be achieved. Conclusion: Although this method has some limitations, it would be useful method for detecting 2-dimensional features of arterial pulse, and accordingly, this method provides a novel way to detect 'narrow pulse', 'wide pulse', 'long pulse', 'short pulse', and their derivatives.

• The Journal of the Society of Korean Medicine Diagnostics
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• v.16 no.1
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• pp.1-8
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• 2012

Objectives Although the faith that pulse diagnosis via a thread, namely "Xuanxizhenmai", had been applied to some women in royal families, is widely spread in East Asian countries, but it is still controversial that whether this faith is based on historical facts or just originated from some folk tales. So we provided some reasonable clues to interpret that faith. Methods The digitalized Annals of Joseon Dynasty and Twenty Five Books of Chinese History were used for historical example search. Conventional internet search engines are widely used for investigation of other examples and related interpretations. Additionally, a pilot observation with nylon threads and optical vibration detection devices was performed to confirm it's feasibility. Results Although there are a few evidences supporting Xuanxizhenmai's existence in Qing dynasty, no evidence was found to show it's existence in authoritative annals of Korea and China. The pilot observation showed that in optimal environment, some intense arterial pulse could be propagated dozens of centimeter, but it was not applicable to clinical needs. Conclusions Pulse propagation via a thread was proved to be reproducible within limited extents, but pulse diagnosis via a thread, namely Xuanxizhenmai, seem to have never been used for proper clinical purpose.

• The Journal of the Society of Korean Medicine Diagnostics
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• v.16 no.2
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• pp.1-10
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• 2012

Objectives : Recently, for over ten years, various arterial pulse simulators have been developed for training of pulse palpation technique. In this paper, we summarized development trends of those apparatuses. Materials and methods : To search the cases of development, we mainly used China Knowledge Infrastructure (CNKI), National Discovery for Science Leaders (NDSL), Korean Traditional Knowledge Portal, Patent Search by Baidu (百度專利搜索), and some general search engines. Some domain cases introduced were collected based on personal experience. Results : It was found that there were two types of arterial pulse simulators. The first type uses fluids and pumps, while the second type uses actuators without fluid circulation parts. Conclusion : From year 2000, various arterial pulse simulators have been developed. In general, they could be classified two types. Further effort toward Maixiang (脈象) simulation and validation in field is needed.

• The Journal of the Society of Korean Medicine Diagnostics
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• v.9 no.1
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• pp.59-68
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• 2005

Background and purpose: Cardiovascular disease will undoubtedly rise along with the aging of the 'baby-boom' generation. The purpose of this study is to find the new index of the cardiovascular aging. Methods: The effects of aging on the heart and the arterial system are surveyed in the point of structure and function. Results: Arterial stiffening is due to the fatiguing effects of periodic stress on the arterial wall and is the main reason for increasing pulse wave velocity. The systolic hypertension is caused by the early return of wave reflection. The increased after-load by the arterial change leads to the development of left ventricular hypertrophy. The reduction in left ventricular compliance cause the impairments of the diastolic function. In contrast to the lower limb, aging effect in the upper limb are almost due to the ascending aortic pressure wave and the reflected wave from the lower limb. Conclusion: We have the following points. (1) The change of physiological pulse pattern by age can be explained by the early returning of reflected wave. (2) The atrial pulse in old age are generated by the left ventricular hypertrophy.

• Journal of Korean Medical classics
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• v.24 no.3
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• pp.15-25
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• 2011

The acupuncture procedures in Hwangjenaekyung (黃帝內經) was different to modern ones in many aspects. Especially, the role of pulse diagnosis in acupuncture was totally different and the pulse diagnosis was essential part in acupuncture therapy in Hwangjenaekyung era. We found four noteworthy features on the pulse diagnosis before and after acupuncture in Hwangjenaekyung : (1) Pulse diagnosis was a mandatory process in acupuncture (2) Doctors who used pulse diagnosis in 12 meridians (十二經脈遍診脈法), pulse diagnosis in 9 points of 3 body parts (三部九候脈法), and comparative pulse diagnosis between radial artery and carotid artery (人迎寸口對比脈法) followed the former rule ((1)). (3) The major pulse features to detect before and after acupuncture were conversion between the vacuous pulse (虛脈) and the replete pulse (實脈), and conversion between slippery pulse (滑脈) and rough pulse (澁脈). (4) Deukki (得氣, Deqi) was synonym of Kiji (氣至), and it referred to the changes of arterial pulse, not the sensation followed by acupuncture manipulation.

• Journal of Biomedical Engineering Research
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• v.10 no.3
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• pp.229-236
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• 1989

This paper describes an idea of design and construction for a radial pulse wave detector, In acquiring arterial pulse signal noninvasively, a new combinational fiber-optic transducer was used which has a detecting part and a sensing part. The mechanism of detecting part is composed of special form of structure that can detect changing pulses in contact with skin, and transmits arterial wall movements to the sensing part. It consists of elastic reflector and optical fibers, which are arranged in a fiber pair. Then, the intensity of the reflected light will be proportional to the displacement changed by inclined reflector. Using this transducer, it expected to make a clinically useful tool for arterial pulse wave diagnosis, especially on the application of "MACK- CHIN" in the field of Korean traditional medicine, since : his transducer has a simple structure and has an easy and clear signal acquisition method.on method.

• The Journal of the Society of Korean Medicine Diagnostics
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• v.16 no.1
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• pp.19-26
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• 2012

Objectives The aim of this study is to develop a cardiovascular simulator that can reproduce blood pressure pulse and blood flow similar to those of the human body. Methods In order to design a system similar to the human cardiovascular system, the required performances were determined by investigating the hemodynamic characteristics of the heart and the arterial system. Main organ to be imitated is heart in simulator. The rest of the system was minimally designed. Also, a blood pressure and blood flow measurement system was developed for measuring the results. Results The developed system showed blood pressure pulse at similar range of the human aorta. The result waveform include primary wave caused by ventricular systole except reflected wave. Conclusions The blood pressure and blow flow patterns were replicated by the simulator. These patterns were similar to those of the human body. The system will play an important role in studying pulse diagnostics.

• The Journal of the Society of Korean Medicine Diagnostics
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• v.11 no.1
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• pp.48-60
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• 2007

Palpation of the pulse has been used in Korean traditional medicine since ancient times to assess physical health. Pulse wave contour may be obtained by measuring arterial pressure or blood volume change of skin. The latter is called as Photoplethysmography(PPG) or digital volume pulse(DVP). The PPG signal is measured by a device comprising an infrared light sourece and a photodetector. Although less widely used, this technique deserves further consideration because of its simplicity and ease of use. The contour of the PPG is formed as a result of a complex interaction between the left ventricle and the systemic circulation. It usually exhibits an early systolic peak and an early diastolic peak. the first peak is formed mainly by pressure trasmitted along a direct path from the left ventricle to the finger. The second peak is formed in part by pressure transmitted along the aorta and large arteries to sites of impedance mismatch in the lower body. The contour of the PPG is sensitive to changes in arterial tone and is influenced by ageing and large artery stiffness. Measurements taken directly from the PPG or from its second derivative can be used to assess these properties. In some mathematical approaches, the extraction of periodic components using frequency analysis was tried to analysis of the PPG. But we don't understand yet what kind of factor in the cardiovascular system or human body is related with the respective specific Fourier components of PPG. This review describes the background to measurement principles, representative contour, contour analysis and frequency domain analysis of PPG, and current and future.

• The Journal of the Society of Korean Medicine Diagnostics
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• v.13 no.2
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• pp.1-13
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• 2009

Objectives: Huangdineijing, the major classic of Oriental Medicine, preserves several precedent diagnostic classics and it's methods. Qihaishu (奇咳術), is a name of such classic, and the name of it's essential method at the same time. Up to now, the whole features of that method has not been unveiled. In the present thesis, I presented some clues to figure out the method - Qihaishu. Methods: By comparison of some articles in Canggongliechuan (in Shiji) (史記倉公列傳) to those of Huangdineijing Suwen (黃帝內經素問), I reconstructed the diagnostic steps of Qihaishu. Results: It was proved that Qihaishu method was carried by comparison of left and right arterial pulse under the Wuxing (五行) context. Conclusion: Qihaishu is not a set of knowledge describing the features of diseases, but a pulse palpation method to get prognosises.

• Journal of Acupuncture Research
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• v.21 no.5
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• pp.241-248
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• 2004

Objectives : The purpose of this study is to examine the hemodynamic characteristics of pulse point. Methods : The computational analysis algorithms of arterial tree system was derived. In order to investigate the effect of internal organ on the pulse point, the diameter of celiac artery was reduced by half. Results : The sensitivity of flow change at the Inyoung(Renying) is better than that of the Chongu(Cunkou). but the Inyoung was worse than the Chongu in the point of the left and right symmetry. The pressure changes at the Inyoung and the Chongu were in the similar range. Conclusions : It was found from the result that the Chongu shows the more symmetrical hemodynamic characteristics than the Inyoung.