20/60대 여성을 중심으로 살펴본 좌우 촌관척 부/침맥 정량화 임상연구

Clinical Study of the Floating-Sinking Pulse Quantification Analysis on Ages, Left/Right, and Palpation Positions

  • Kim, Jae-Uk (Division of Constitutional Biology and Medical Engineering Research Center, Korea Institute of Oriental Medicine) ;
  • Kim, Sung-Hun (Division of Constitutional Biology and Medical Engineering Research Center, Korea Institute of Oriental Medicine) ;
  • Jeon, Young-Ju (Division of Constitutional Biology and Medical Engineering Research Center, Korea Institute of Oriental Medicine) ;
  • Ryu, Hyun-Hee (Division of Constitutional Biology and Medical Engineering Research Center, Korea Institute of Oriental Medicine) ;
  • Lee, Yu-Jung (Division of Constitutional Biology and Medical Engineering Research Center, Korea Institute of Oriental Medicine) ;
  • Lee, Hae-Jung (Division of Constitutional Biology and Medical Engineering Research Center, Korea Institute of Oriental Medicine) ;
  • Kim, Jong-Yoel (Division of Constitutional Biology and Medical Engineering Research Center, Korea Institute of Oriental Medicine)
  • 발행 : 2009.10.25

초록

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.

키워드

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