• Title/Summary/Keyword: pulse-taking

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A study on The Pulse taking diagnostics of Nan Jing 1-23 Nan (난경(難經) 1-23난중(難中) 맥학조(脈學條)에 관한 연구(硏究))

  • Kim, Bup-Jin;Park, Won-Hwan
    • The Journal of Dong Guk Oriental Medicine
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    • v.8 no.2
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    • pp.131-154
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    • 2000
  • Nan Jing(Difficult Classic), as a catechism, describes in detail and deeply the ideas in Nei Jing(Huangdi's Internal Classic). The description of Nan Jing is focused on basic theories including theories about some disease and is excellent in identification and analysis. The contents of Nan Jing are as follows: 1-23 Nan-pulse and pulse condition, 24~29 Nan-channels and collaterals, 30~47 Nan-viscera and bowels(Zang Fu organs), 48~61 Nan-disease, 62~68 Nan-acupuncture points, 69~91 Nan-acupuncture. Especially, diagnosis techniques in Nan Jing make 'Only method of cunkou pulse taking' that is a technique for feeling the pulse widely applied in these days in Oriental medicine clear. Thus, this book adjusts the theory of pulse and pulse condition given in 1~23 Nan of 'The Study of Nan Jing' in order to enhance an understanding about the theory of pulse and pulse condition. The text of 1~23 Nan about pulse lore centers on all pulse of human body interconnected each other and cunkou, both ends of the pulse, and contrasts regular pulse with irregular pulse. 1. 10 Nan describes the theory about five kinds of evils and hardness and softness, and unique pulse condition of each bowels. 2. 13 Nan explains that the relative difficulty of medical treatment is determined by the degree of balance or unbalance among three factors-colors, pulse and pulse condition, flesh shape. 3. 14 Nan divides pulse and pulse condition into slow pulse and rapid pulse, and explains separately abnormality, great loss of semen, death caused by slow pulse, and abnormality, great loss of semen, death caused by rapid pulse. 4. 15 Nan about taut pulse(弦), full pulse(鉤), floating pulse(毛), deep pulse(石脈) describes that pulse and pulse condition differs according to four seasons. Therefore, Nan Jing establishes clearly techniques of feeling the pulse in 'Only method of cunkou pulse taking(獨取寸口)' and advances the theory of Nei Jing. Futhermore, Nan Jing is more valuable in that it suggests unique theory different with Nei Jing.

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The Effect of Taking Gamitaeeumjowee-tang for 2 Weeks on Blood Pressure, Pulse Rate and Body Weight in Overweight or Obese Patients: A Retrospective Chart Review (가미태음조위탕 2주 복용이 과체중 또는 비만 환자의 혈압, 맥박수 및 체중에 미치는 영향: 후향적 차트리뷰)

  • Soyoung Park;Min-jeong Park;Eunjoo Kim;Eunseo Kim;Young-Woo Lim
    • Journal of Korean Medicine for Obesity Research
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    • v.24 no.1
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    • pp.68-75
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    • 2024
  • Objectives: This study was aimed to evaluate changes in blood pressure, pulse rate and body weight of overweight or obese patients after two weeks of taking Gamitaeeumjowee-tang. Methods: A retrospective chart review was conducted for patients with auscultatory blood pressure records who visited the clinic after two weeks from the first visit between July 8, 2019 and August 30, 2019. Results: A total of seventy-two patients were included. There were significant differences in systolic blood pressure (121.69±14.3 mmHg to 117.37±12.3 mmHg, P=0.002) and pulse rate (78.56±9.3 bpm to 82.99±9.0 bpm, P<0.001). There was no significant difference in diastolic blood pressure. There were significant differences in body weight (76.28±13.5 kg to 73.41±13.1 kg, P<0.001) and body mass index (28.82±4.4 kg/m2 to 27.75±4.3 kg/m2, P<0.001). Conclusions: In this study, blood pressure tended to decrease and pulse rate slightly increased after two weeks of taking Gamitaeeumjowee-tang. It is necessary to notice the possibility of pulse rate increase and the plan of action when using Gamitaeeumjowee-tang. Additional well-designed investigations are needed.

Suggestion for Objective Evaluation of Comparative Pulse Diagnosis

  • Jun-Sang Yu
    • Journal of Pharmacopuncture
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    • v.27 no.1
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    • pp.21-26
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    • 2024
  • Objectives: Pulse is a method of Korean medicine diagnosis and is an important clue to detect the organs, nature, and progress of the disease. Pulse examination is included in the basic examination of Korean medicine doctors, but there is no standardized method for diagnosing pulse although the types and methods of the pulse taking are briefly described in the literature, making it difficult to spread the examination method. In this regard, I would like to propose an objective evaluation method. Methods: Although the importance of pulse examination and the method of pulse examination are known in the literature, it is difficult for undergraduate students or inexperienced Korean medicine doctors to access it, so in this paper a method of marking the size of the pulse power in the blank space for objective evaluation was devised and presented. Results: The size of the pulse power should be indicated using the 1-cell, 3-cell, or 5-cell method according to the left and right wrists and the cun, guan and chi on both sides. Conclusion: The method of pulse diagnosis is an important diagnostic method as a verification process for making a Korean medical diagnosis. The remaining Korean medicine diagnostic methods, including pulse diagnosis, also need to undergo objectification. It is believed that the objectification of these diagnostic methods will lead to an improvement in the treatment rate of Korean medicine.

The study on ShanghanLun PingMaiFa (1) (『상한론(傷寒論)·평맥법(平脈法)』에 관한 연구(1))

  • Choi, Jin-Young;Park, Kwang-Cheon;Jeong, Han-Sol;Ha, Ki-Tae;Shin, Sang-Woo
    • The Journal of Korean Medical History
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    • v.25 no.2
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    • pp.63-96
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    • 2012
  • The PingMaiFa chapter, which is the second chapter of SongBon ShangHanLun, is the scholarly description(專論) of the pulse and pathological mechanism but has not been studied and published yet. This study is about article 1-13 which is the first part of The PingMaiFa chapter. We compared the original texts within the editions, comparing and analyzing the annotations of successive dynastic medical group. The articles of The SongBon ShangHanLun PingMaiFa chapter 1-13 is consisted as is shown: article 1 states about the general features of normal pulse (平脈) and its physiological mechanism and the morbid pulses (病脈) caused by wind, cold, retained fluid, pain and heat vexation, article 1,10 state about the normal pulses of Five viscera (lung, heart, spleen, liver and kidney) and their manipulations in pulse taking, article 2 states about the differentiations of deficiency and excess syndrome according to pulse conditions, article 3, 4 state about the estimation of good prognoses and a factitious disorder by the combination of pulses and symptoms, article 6 states about Latent qi (伏氣) and its diagnostic features, article 5 states about inspection and listening examination as co-diagnostic methods of the pulse diagnosis, article 7, 8, 9 state that the emotions, such as fear and shame, and the dietary are important factors to consider for making diagnosis, article 11 states about the overwhelming pulse (相乘脈) which indicates the abnormal correlations between five phases and appears in four patterns as the dissolute(縱), the unrighteous(橫), the unfavorable(逆) and the favorable(順), article 12 states about 6 harmful pulses(殘賊脈), which are string-like pulse(弦脈), tight pulse(緊脈), floating pulse(浮脈), slippery pulse(滑脈), sunken pulse(沈脈), rough pulse(澁脈), article 13 states about "JaeGoe"(災怪) which is an unexpected response after treatment and it comes because of the formulas that had before. Throughout all these articles, The PingMaiFa chapter not only offers great value for Pulse-taking diagnosis, but also leads to a better understanding of clinical applications.

Measurement of Qi Induced by the Needle Insertion on LI4, LI11 Accupoint using the Oriental Medicine Instruments (인체(人體)의 합곡(合谷) 곡지(曲池) 침자(鍼刺)에 관한 한방진단기기적(韓方診斷機器的) 접근(接近))

  • Jang, K.S.;Na, C.S.;So, C.H.
    • Korean Journal of Oriental Medicine
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    • v.1 no.1
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    • pp.159-178
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    • 1995
  • After acupuncture needles were inserted on apkok(LI4) and Kokchi(LI11) accupoints, physiological changes induced by the varitions of 'Qi' were measured. The body temperature and pulse frequency were fromed to be decreased observed and we presumed that the needle insertion induced some changes of Qi in meridian and this seemed to be achieved by a certain process of Qi induction. We applied EAV, nervinemeter and pulse-taking machine which is widely used as oriental medicine instruments, to the same vounteers and observed the significant variations for each apparatus in spite of partial lack of reproducibility. In this paper, we described about the physical quantity measured by the medical appartatus and how it was related to the variation of Qi The proper conditions used for good oriental medicine instruments have also been suggested.

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Study on Cold-Heat Pattern Identification in Hypertensive Patients with Antihypertensive Agents (항고혈압제제를 복용 중인 성인 고혈압 환자의 한열 특성에 관한 연구)

  • Yang, Na-Rae;Han, Chang-Ho
    • The Journal of Internal Korean Medicine
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    • v.34 no.3
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    • pp.267-277
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    • 2013
  • Objectives : The aim of this study was to investigate the correlation between Cold-Heat pattern tendency and demographic traits, physical character, and vital signs in hypertensive patients taking anti-hypertensive agents. Methods : 28 hypertensive patients 30 to 69 years old were recruited. We assessed their general characteristics, physical characteristics (height, weight, waist circumference, etc.), vital signs without respiratory rate (blood pressure, pulse rate, temperature) and administered a Cold-Heat pattern questionnaire. After that, we analyzed statistical data on separate groups according to Cold-Heat characteristics or other criteria. Results : 1. Heat group patients had statistically higher scores in waist, body mass index (BMI), waist circumference and pulse rate. 2. Over weighted group patients had statistically lower scores in cold Pattern Identification. 3. Higher BMI group (above 23/25) patients had statistically significantly higher Heat scores and lower Cold scores, higher waist circumference group patients had lower Cold scores. Conclusions : From the above result in hypertensive patients taking hypertensive agents, Heat group had a obesity tendency and the inverse is also valid. Later, progressed study based on more samples and varied data will contribute to diagnosis the Cold-heat Pattern identification in hypertensive patients.

A Study on the Wrist Pulse Six Positions Correlation in the Maiyaojingweilun Chapter of the Huangdineijing (『소문(素問)·맥요정미론(脈要精微論)』의 촌구(寸口) 육부정위(六部定位)에 대한 고찰)

  • Jang, Woochang;Nan, Jie
    • Journal of Korean Medical classics
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    • v.34 no.3
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    • pp.101-123
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    • 2021
  • Objectives : To examine the six positions correlation[六部定位] principle that is the basis of the wrist pulse diagnosis in the Neijing. Methods : The basis for argument was established by correcting an interpretation error of the theory of chi (尺) skin diagnosis. In order to accomplish this, the annotations of Yang Shangshan and Wangbing were investigated first, after which the specific meaning and methodology of the chi diagnostic method as written in many chapters of the Neijing were examined. The evidence and reasoning for the six positions correlation[六部定位] was looked into, in relation to Wangbing's annotation of the chapter, Maiyaojingweilun. The theoretical basis of the six positions correlation was searched throughout the entire Neijing, based on the correlation between Liuhe and the six positions, the five elements inter-supporting theory embedded in the six positions correlation as a diagnosis model that integrates zhangfu and meridians/channels, and the meaning of the spacial concepts used when describing the tactile technique within the chapter. Lastly, contents related to the five zhang channels within the Neijing were reviewed, to determine whether the six positions correlation was applied in wrist pulse taking Results & Conclusions : Some interpretations of the verse on matching the positions in the Maiyaojingweilun chapter of the Neijing are erroneous, while the argument that the three positions[cun-guan-chi] cannot be found in the Neijing is false as well. The wrist pulse taking in the Neijing is precisely based on the three positions correlation that divides the cun-guan-chi positions into three, and the correlation verse in the Maiyaojingweilun chapter clearly suggests the principle of matching the zhangfu and meridian/channels to the six positions of the cun-guan-chi of both left and right.

The study on the interrelationship of fixing the Ki-Gu(氣口) pulse and the Yin-Yeong(人迎) pulse in front of Kwan(關) the distance of 1 Pun(分) and the development of the Kwan-Pulse(關脈) (기구인영맥(氣口人迎脈)의 '관전일분처(關前一分處)' 비정(比定)과 관맥(關脈) 형성과정(形成過程)의 상관성(相關性)에 관한 연구(硏究))

  • Kim, Jeong-Giu
    • The Journal of the Society of Korean Medicine Diagnostics
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    • v.13 no.2
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    • pp.14-23
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    • 2009
  • In the Ki-Gu(氣口) pulse and the Yin-Yeong(人迎) pulse are the arterial pulsation position of the Lung Channel of Hand-Taeuem(手太陰) and the Stomach Channel of Foot-Yangmyeong(足陽明). At the pulses we can examine the circulation of Ki-Hyeol(氣血), the balance of Uem-Yang(陰陽), the deficiency and excess of the diseases, whether the disease is in Uem-Channel(陰經) or Yang-Channel (陽經), whether the disease is internel injury or externel injury. In the Ki-Gu(氣口) pulse and the Yin-Yeong(人迎) pulse are in front of the Right-Kwan(右關) and the Left-Kwan(左關) the distance of 1 Pun(分) because of completion of the Chon-Ku-Pulse-Taking(寸口脈診). The purpose of examnation is same to . In the Kwan-Pulse(關脈) doesn't have the position. It has only the role of a gateway of the circulation of Ki-Hyeol(氣血), the balance of Uem-Yang(陰陽). And it is same to role of the Ki-Gu(氣口) pulse and the Yin-Yeong(人迎) pulse in . So we can think that the Kwan-Pulse(關脈) in and the Ki-Gu(氣口) pulse and the Yin-Yeong(人迎) pulse in are the same thing. And we must have the different standard when examine the condition of Sam-Cho(三焦) and the circulation of Ki-Hyeol(氣血), the balance of Uem-Yang(陰陽) because the position of the Kwan-Pulse(關脈) came out after the time of .

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

  • Jee, Jae-Dong;Kim, Kwang-Joong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.25 no.5
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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)'.

A study on wiry pulse in hypertensive patients analyzed at 5 levels of applied pressure using 3 dimensional pulse imaging analyzer (3차원 로봇 맥 영상 분석기의 5단계 가압 맥파 분석에 의한 고혈압 환자의 현맥(弦脈) 연구)

  • Kang, Hee-Jung;Kwon, Young-Sang;Kim, Dal-Lae;Kim, Kyung-Cheol;Yim, Yun-Kyoung
    • Korean Journal of Acupuncture
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    • v.27 no.1
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    • pp.1-12
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    • 2010
  • Objectives: The purpose of this study is to gain the objective indicators for the classification of hypertension by oriental medical pulse diagnosis, through finding out the parameters which can distinguish the pulse of hypertensive patient from that of normal subject, and characterizes the wiry pulse of hypertension. Methods: 30-59 yr, male, 946 healthy volunteers and 35 hypertensive patients were enrolled in this study. All the hypertensive patients were taking medicine to control the blood pressure and the blood pressure of the hypertension group was not statistically different from that of the normal healthy group. Data were acquired using 3 dimensional pulse imaging analyser(DMP-3000, DAEYOMEDI, KOREA) and analysed according to the age bands and the applied pressure levels. Results: 1. RAI/t, w/t and t2/t decreased with the levels of applied pressure and increased with age in the normal healthy group, not in the hypertension group. 2. RAI/t, w/t, t2/t were significantly higher in the hypertension group than the normal healthy group in the 30-age band, and elasticity coefficient was higher in the hypertension group than the normal healthy group in the 40-age band. 3. Researches on the patients without hypotensive agents are needed to figure out whether these parameters are the components of hypertensive wiry pulse. Conclusions: Analysing the radial pulse at 5 applied pressure levels using 3 dimensional pulse imaging analyser may be useful to differentiate the pulses of the hypertensive patients from those of the normal subjects, and characterize the hypertension.