• 검색 결과가 없습니다.

Proposal for Pulse Diagnosis Positions (Chon-Kwan-Chuk) for Pulse Analyzer Based on Literature Review and Anthropometry

N/A
N/A
Protected

Academic year: 2022

Share "Proposal for Pulse Diagnosis Positions (Chon-Kwan-Chuk) for Pulse Analyzer Based on Literature Review and Anthropometry"

Copied!
10
0
0

로드 중.... (전체 텍스트 보기)

전체 글

(1)

서 론

,

,

, ,

.

2007 6 20 2007 6 26

2007 7 15

: , 461-24

(Tel : 042-868-9558, Fax : 042-868-9480, E-mail : ssmed@kiom.re.kr)

. (0405-OI00-0815-0002)

김현호3, 이전1, 김기왕2, 김종열1

Proposal for Pulse Diagnosis Positions (Chon-Kwan-Chuk) for Pulse Analyzer Based on Literature Review and Anthropometry

Hyun-ho Kim3, Jeon Lee1, Ki-wang Kim2, Jong-yeol Kim1

1Korea Institute of Oriental Medicine

2Dept. of Diagnosis, College of Oriental Medicine, Sang Ji University

3College of Oriental Medicine, Kyung Hee University

Objectives : To obtain pulse information, oriental medical doctors usually use the three finger pulse diagnosis method. Although the diagnostic positions are very important, the exact positions are not known because of the uncertain conversion of measures of length (bun, chon, chuk) and misunderstanding of the related concepts of oriental medicine. In this study, we proposed relative positions for the detection of three pulses with a pulse analyzer.

Methods : The proposal was made based mainly on several literature reviews, especially the original texts, and the examination of anthropometric characteristics of 78 individuals.

Results : The Kwan is the spot where the radial pulse can be felt well near the eminent head of the radius at wrist, high bone. The position of Chon should be apart from Kwan by 6/10 distance between the high bone and wrist joint of each individual. Finally, the position of Chuk is apart from Kwan by 6.5/100 distance between the high bone and the elbow joint of each individual.

Conclusions : Adapting those proposed positions for measuring three pulses can provide more consistent information to what an oriental doctor obtains than a pulse analyzer applied to other positions.

Key Words : Chon-Kwan-Chuk, pulse analyzer, high bone, relative position

(2)

,

.

,

.

.

. ,

.

.

,

1).

.

, ,

.

,

.

.

,

.

연구방법 및 대상

.

‘ ’

, .

, , ,

78

.

,

.

,

. 20 54

45 33 , 150

190 .

, (distal direction)

, (sca-

phoid) (radius) .

. (humerus) (radius)

,

(3)

.

.

,

.

1.‘高骨’의 위치에 관한 문헌조사 및 해부학적 논의

.

.

.

.

3)’ ‘ ’

.

,

.

,

. ‘ ’

Arterial Patterns Our findings reviews

Arm

1 artery Brachial

Superficial brachial

76.06%

4.9%

- 7.28%

2 arteries

Brachial and accessory brachial Brachial and brachioradial

Brachial and superficial brachioradial Brachial and brachioulnar

Brachial and superficial brachioulnar Brachial and superficial brachioulnoradial Brachial and superficial brachiomedian Brachial and brachiointerosseus

0.26%

13.8%

0.26%

0.26%

4.2%

0.52%

0.26%

0.26%

0.25%

11.1%

0.24%

0.33%

2.7%

0.48%

- - Forearm

1 artery Ulnar and radial absent Radial and ulnar absent

0.26%

0.26%

0.03%

0.015%

2 arteries

Ulnar and radial Ulnar and brachioradial

Ulnar and superficial brachioradial Ulnar and superficial radial Radial and brachioulnar

Radial and superficial brachioulnar

81.22%

13.8%

0.26%

0.52%

0.26%

4.2%

- 11.1%

0.24%

0.74%

0.33%

2.7%

3 arteries

Ulnar and radial and brachiomedian

Ulnar, radial and superficial brachioradial (radial duplication) Radial, ulnar and superficial brachioulnar(ulnar duplication)

0.26%

0.26%

0.26%

0.02%

0.045%

(4)

‘ ’ ,

.

‘ ’

(styloid process of radius) ,

. ,

< 1>4).

(lateral direction) (distal dire- ction)

. (frontal direction)

,

‘ ’ .

‘ ’ ,

,

(extensor pollicis brevis) (abductor pollicis longus)

.

(proximal direction)

, .

,

. ,

(proximal

direction) 6 5).

2. 寸關尺 三脈의 定位에 관한 문헌 고찰

.

,

1

2

3 4

1.

2.

3.

4.

(5)

.

.

1 8 6:6:6 ,

1 9 8:3:8

. 6) 3

10: 10:10 , 1 9

7:6:6 .

3 10:10:10

7).

1 9 9:1:9 8)

.

,

1 .

1

.

, ,

,

9).

.

7) ,

.

1 , 1

, 20 ,

60 .

26 ,

. 1

,

.

‘ ’

.

10)

‘ ’

11)

3) ,

12) .

‘ ,

. , .’

. ‘ ’

. , ‘

,

10).

. (radius) (humerus)

. ,

13)

,

1 , ,

(6)

.

14)

‘ ’

.

. .

1 9 ,

‘ ’

. ‘ ’ ,

. , (

) .

,

9 ( ) 1

( )

3 . , 6

, 3

6 7

.

,

.

, 3

. , 6

7

. , 6

, 6.5

. < 2> .

,

.

3. 도량형에 관한 문헌고찰 및 데이터 분석을 통

한 문제 인식

,

1 9 , 6

, 6 , 7 .

,

, ,

.

, (distal direction) 6

완관절 주관절

(7)

, (proximal direction) 6.5

.

, ,

.

, , ,

.

, ,

15),

, ,

16). ,

1 1

,

.

17)

1 2

.

.

18).

,

.

1 ,

1 1:10(=0.1)

. 1:10(=0.1)

0.083, 0.011 0.1

(p- value=0.000). < 3>

24 22 20 18 16 14

12

150

키(cm) 26

160 170 180 190

(8)

0.475 .

.

15 ,

(1 =19.5 ) (1 =23.1 )16)

.

1 1.95 2.31

1

.

.

4. 정확한 측정위치를 위한 상대적 도량형 제안

과 데이터분석을 통한 유의성 증명

, , SI

,

.

. ,

1 , 10 1

(distal direction) 6

.

1 100 1

(proximal direction) 6.5

. ,

.

. , ,

,

.

78 <

2> ,

19 , 1

11.4 .

,

13.1 .

6 ( ) ( )

6.5 ( )

Mean 11.4 13.1 14.9

S.D. 1.7 1.3 1.2

Mean Difference Test Mean Difference 1.7 CI 95% : (1.3, 2.1) Mean Difference 1.8 CI 95% : (1.5, 2.1)

(9)

(1.3 , 2.1 ) . , 1.7 (distal direction)

. ,

14.9 ,

13.1 .

1.8mm

95% (1.5 , 2.1 ) .

1.8 (distal

direction) .

1.7 ,

1.8 2

,

. ,

,

,

, 1

.

결 론

,

.

’ (styloid

process of radius) ,

(proximal direction) (frontal direction) .

6 , 6 , 7

,

10).

,

.

,

, .

.

,

.

( (scaphoid)

(radius) ) ,

( (radius) (humerus)

) .

1

(distal

direction) 6 .

1

(proximal

direction) 6.5 .

,

,

.

(10)

,

.

감사의 말씀

. (0405-OI00-0815-0002)

참고문헌

1. , , .

. .

1999;3(1):28-36

2. M. RODRÍGUEZ-NIEDENFÜHR, T. VAZQUEZ, L. NEARN, B. FERREIRA, I. PARKIN, J. R.

SANUDO. Variations of the arterial pattern in the upper limb revisited : a morphological and statistical study, with a review of the literature . J. Anat . 2001;199:547-566

3. . . . 2006

4. , , , , ,

. ‘ ’ . Chinese Journal

of Clinical Anatomy . 2002;20(2):136-138

5. , , . ‘

’ . . 1999;7(1):

10-11

6. . . . 1995

7. . .

. 2005;24(4):198-199

8. . “ ” .

. 1988;12(2):116-117

9. .

. . 1992

10. , . , .

1999

11. . . . 1996

12. . . . 2006

13. . . .

1966;4:0-3

14. . . . 1982

15. . .

. 2003;19(1):13-34

16. . .

. 1979;1(1):121-126

17. , . .

. 2002

18. , , , 1980

참조

관련 문서

This paper deals with the path tracking performance of the lunar lander demonstrator with respect to the thruster controller based on Pulse Width Pulse Frequency Modulator

H4: When a pre-process, post-schedule wait occurs in a low expectations situation versus a high expectations situation, for a given service recovery strategy, cus-

However, by selective application of elevated PWHT time and temperature (Figure 13), control of bead shape during welding (Figure 15) to enhance interbead tempering or

저렴한 도입 및 유지 비용 저렴한 도입 및 유지 비용 빠르고 안정적인 대용량 전송 빠르고 안정적인 대용량 전송 꼭 필요한 기능의 간편한 UI 꼭 필요한 기능의 간편한 UI. 쉽게 따라 할

• 칩의 사용 공간이 좁고, 패키지의 역할을 해줄 수 있는 application의 경우.. 반도체 포장을 개봉한 다음부터 실장까지의 용이하게 하는 것이 패키지의 역할이므로, 그 과정에서

Each switching suitcase or each 1,000 test point switching unit in the 5,000 test point switching cabinet can be provided wired with 20 AUX output jacks if XXX has a

In addition, based on the proposed information security maturity concept, this study derives security activities for each maturity tier required for an infrastructure

7 INPUT Input terminals to banana plugs of the furnished cords 8 FREQUENCY 4-digit decade switch for establishing the reference frequency 9 PRESET 8-digit decade switch