서 론
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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
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1.‘高骨’의 위치에 관한 문헌조사 및 해부학적 논의
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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%
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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%
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0.24%
0.74%
0.33%
2.7%
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Ulnar and radial and brachiomedian
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0.26%
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과 데이터분석을 통한 유의성 증명
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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