CN102716024B - Intelligent evidence-based acupuncture diagnosis and treatment instrument for treating stenocardia - Google Patents
Intelligent evidence-based acupuncture diagnosis and treatment instrument for treating stenocardia Download PDFInfo
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Abstract
The invention discloses an intelligent evidence-based acupuncture diagnosis and treatment instrument for treating stenocardia which comprises a front-end diagnosis and treatment device and a background control system. The front-end diagnosis and treatment device at least comprises any one or more of an abdomen diagnosis and treatment board (1), an arm portion diagnosis and treatment board (2) and a long-barrel-shaped diagnosis and treatment boot (3). The background control system comprises an acupuncture point detection module, an acupuncture point positioning module, an acupuncture treating module, a data transmission module, a stenocardia acupuncture evidence-based information analysis system, a microprocessor, a display unit and a voice broadcasting unit. The intelligent evidence-based acupuncture diagnosis and treatment instrument can prevent occurrence of the stenocard, can quickly alleviate pain of patients suffered from the stenocard, replaces a traditional drug treatment method, effectively avoids side effects of drugs, provides safe treatment, is communicated with a background server in real time, updates treatment prescription in real time, brings convenience to the patients to choose the best treatment scheme, and enables the patients to obtain the best treatment effect. Furthermore, the intelligent evidence-based acupuncture diagnosis and treatment instrument has the advantages of being simple in structure, convenient to use, fast in diagnosis and treatment effect, low in cost, safe, reliable and the like.
Description
Technical field
The present invention relates to a kind ofly treat anginal intelligence and follow card acupuncture medical instrument.
Background technology
Angina pectoris refers to because coronary atherosclerosis causes coronary insufficiency, the temporary transient ischemia of cardiac muscle and the caused one group of syndrome take precordialgia as main clinical manifestation of anoxia.Along with the development of science and technology, the continuous progress of human civilization, the human life-span improves constantly, aged tendency of population and the rejuvenation of morbidity colony, cardiovascular patient increases year by year.Wherein, coronary heart disease is year by year ascendant trend at the sickness rate of China at present, and the people's Health and Living in serious harm.So popularize the knowledge of publicity coronary heart disease, prevent effectively that actively coronary heart disease from being is significant for the health that improves the people.
More than the height of cardiovascular diseases's sickness rate, death toll, startling, be known as " human the first killer ", convenient cardiovascular diseasess such as treatment angina pectoris, Western medicine has been made comparatively outstanding contribution, especially interventional therapy aspect.Yet the side effect that Western medicine uses is larger, and relapse rate is higher, and can improve patient's Drug resistance, has brought very large misgivings to the patient.
Acupuncture and moxibustion therapy can overcome the shortcomings of Drug therapy, successful, and treatment safety has no side effect, and is one of distinctive treatment means of China, and acupuncture and moxibustion treatment is the part of motherland's medical heritage, also is the distinctive a kind of national therapy of China.Some are come out one after another based on the treatment instrument for angina pectoris of acupuncture Clinics, yet less for the acupuncture point that angina pectoris acupuncture and moxibustion therapy is selected, therapeutic effect is general, and structure is all very complicated, and price is also comparatively expensive.
Vast patient with angina pectoris be engraved in invariably the time expecting a kind of safe and reliable, diagnosis and treatment instant effect, painful less, the appearance of low-cost angina pectoris treatment equipment.
Summary of the invention
The object of the invention is to solve the deficiencies in the prior art, provide a kind of safe and reliable, easy to use, treat anginal intelligence cheaply and follow the card acupuncture and moxibustion therapeutic apparatus.
The objective of the invention is to be achieved through the following technical solutions: a kind ofly treat anginal intelligence and follow card acupuncture medical instrument, formed by front end diagnosing and treating apparatus and background control system, described front end diagnosing and treating apparatus comprise at least in abdominal part diagnosis and treatment plate, arm part diagnosis and treatment plate and the long cartridge type diagnosis and treatment boots any one or multiple, abdominal part diagnosis and treatment plate is strapped in user breast abdomen position by bandage a, arm part diagnosis and treatment plate is strapped in the user arm position by bandage b, and long cartridge type diagnosis and treatment boots are set on user foot and shank position;
At least be provided with on the abdominal part diagnosis and treatment plate in SHANZHONG acupoint probe, Juque cave probe, ZHONGWAN acupoint probe, QIHAI acupoint probe, Guanyuan acupoint probe and the Zhongji acupoint probe any one or multiple;
At least be provided with on the arm part diagnosis and treatment plate in Quze cave probe, Xinab cave probe, chien shih cave probe, Neiguan acupoint probe, Daling acupoint probe and the Taiyuan cave probe any one or multiple;
At least be provided with on the long cartridge type diagnosis and treatment boots in tsusanli acupoint probe, Shangjuxu cave probe, Fenglong acupoint probe, SANYINJIAO acupoint probe, TAICHONG acupoint probe, Gongsun point probe and the too white cave probe any one or multiple;
Described background control system comprises that acupuncture point detection module, acupuncture point locating module, acupuncture and moxibustion therapy module, data transmission module, angina pectoris acupuncture follow card information analysis system, microprocessor, display unit and voice broadcast unit, microprocessor follows the card information analysis system by data transmission module and angina pectoris acupuncture and is connected, the angina pectoris acupuncture follows the angina pectoris treatment prescription that stores real-time update in the card information analysis system, be used for real-time update and load up-to-date angina pectoris treatment prescription, microprocessor also is connected with voice broadcast unit, display unit;
The acupuncture point detection module also comprises signal gathering unit and signal processing unit; Signal gathering unit comprises any one or the multiple combination in Body surface impedance detection module, acousto-electric detection module, infrared temperature detection module, cold light intensity detection module, biological magnetic detection module and the EMG detection module, the Body surface impedance detection module is comprised of driving source and impedance measurement sensor, one end of driving source is electrically connected with microprocessor, the other end be located at the front end diagnosing and treating apparatus on each probe in impedance measurement sensor is communicated with the loop that consists of the detection impedance of point by human body; The acousto-electric detection module is comprised of sonic generator harmony electrical measurement sensor, one end of sonic generator is electrically connected with microprocessor, the other end be located at the front end diagnosing and treating apparatus on each probe in acoustic-electric measuring transducer is communicated with the loop that consists of detection acupuncture point acoustic-electric by human body; The infrared temperature detection module comprises the infrared temperature-test sensor in each probe of being located on the front end diagnosing and treating apparatus; Cold light intensity detection module comprises the cold light ionization meter sensor in each probe of being located on the front end diagnosing and treating apparatus; Biological magnetic detection module comprises the biological magnetic measurement sensor in each probe of being located on the front end diagnosing and treating apparatus; The EMG detection module comprises the electromyogram measuring transducer in each probe of being located on the front end diagnosing and treating apparatus; Signal processing unit comprises amplifying circuit, filter circuit and A/D sample circuit, and the output of each measuring transducer links to each other with microprocessor with the A/D sample circuit by amplifying circuit, filter circuit respectively successively;
The acupuncture point locating module also comprises the image collecting device of being located in acupoint therapy and the sensor probe, and the outfan of image collecting device is connected with microprocessor;
The acupuncture and moxibustion therapy module comprises any one or the multiple combination in D/A change-over circuit, massage concussion circuit for generating, the infrared circuit for generating of thermotherapy, electromagnetism circuit for generating and the pulse current generating circuit, the outfan of microprocessor is connected with the D/A change-over circuit, and the D/A change-over circuit treats by any one or interior concussion massage module, infrared therapeutic module, electromagnetic curing module and the pulse current of multiple and acupoint therapy and sensor probe in massage concussion circuit for generating, the infrared circuit for generating of thermotherapy, electromagnetism circuit for generating, the pulse current generating circuit that module is corresponding to be connected.
The present invention also comprises memorizer, and described memorizer is connected with microprocessor by internal bus.
Voice broadcast of the present invention unit comprises loudspeaker and audio conversion module, and the outfan of described microprocessor is connected with loudspeaker by audio conversion module.
Display unit of the present invention is comprised of touch screen and button.
Data transmission module of the present invention comprises any one or the multiple combination in usb interface module, WIFI interface module and the GSM/GPRS module.
Pulse current generating circuit of the present invention comprises uniformly-spaced continuous impulse generation module, discontinuous wave generation module, amplitude modulation(PAM) pulse generating module and frequency modulation(PFM) pulse generating module.
The invention has the beneficial effects as follows: the present invention can prevent the generation of angina pectoris disease, and can when morbidity according to patient the different angina pectoris state of an illness regulate the stimulus intensity of each acupuncture point probe on each front end diagnosing and treating apparatus, can alleviate rapidly the misery that angina pectoris brings to patient; Replace the conventional medicament Therapeutic Method, nowadays a lot of medicines are looked forward to making profit as one's only aim, and the use safety of medicine can't guarantee that really the side effect that the acupuncture diagnosis and treatment method has effectively avoided drug administration to bring has reduced the untoward reaction of drug administration; Therapeutic instrument keeps the real-time communication of itself and background server by data transmission module, the real-time update treatment prescription is convenient to the patient and is selected therapeutic regimen, strives for best therapeutic effect; The characteristics such as in addition, this acupuncture medical instrument has simple in structure, and is easy to use, safe and reliable, and diagnosis and treatment instant effect and cost are low.
Description of drawings
Fig. 1 is structural representation block diagram of the present invention;
Fig. 2 is front end diagnosing and treating apparatus human body user mode schematic diagram of the present invention;
Fig. 3 is abdominal part diagnosis and treatment plate of the present invention and acupuncture point partial enlarged drawing;
Fig. 4 is arm part diagnosis and treatment plate of the present invention and acupuncture point partial enlarged drawing;
Fig. 5 is the present invention's long cartridge type diagnosis and treatment boots and acupuncture point partial enlarged drawing;
Among the figure, 1-abdominal part diagnosis and treatment plate, 2 arm part diagnosis and treatment plates, the long cartridge type diagnosis and treatment of 3-boots, 4 bandage a, 5 bandage b, 6-SHANZHONG acupoint probe, 7 Juque caves probe, 8 ZHONGWAN acupoint probe, 9 QIHAI acupoint probe, 10 Guanyuan acupoint probe, 11 Zhongji acupoints probe, 12 Quze caves probe, 13 Xinab caves probe, 14 chien shih caves probe, 15 Neiguan acupoints probe, 16 Daling acupoints probe, 17 Taiyuan caves probe, 18 tsusanli acupoints probe, 19-Shangjuxu cave probe, 20 Fenglong acupoints probe, 21-SANYINJIAO acupoint probe, 22 TAICHONG acupoint probe, 23 Gongsun points probe, 24 too white cave probes.
The specific embodiment
Further describe technical scheme of the present invention below in conjunction with accompanying drawing: as shown in Figure 1, a kind ofly treat anginal intelligence and follow card acupuncture medical instrument, formed by front end diagnosing and treating apparatus and background control system.Background control system comprises the acupuncture point detection module, the acupuncture point locating module, the acupuncture and moxibustion therapy module, data transmission module, the angina pectoris acupuncture follows the card information analysis system, microprocessor, display unit and voice broadcast unit, microprocessor follows the card information analysis system by data transmission module and angina pectoris acupuncture and is connected, described data transmission module comprises usb interface module, in WIFI interface module and the GSM/GPRS module any one or multiple combination, the angina pectoris acupuncture follows the angina pectoris treatment prescription that stores real-time update in the card information analysis system, is used for real-time update and loads up-to-date angina pectoris treatment prescription.Microprocessor also is connected with voice broadcast unit, display unit, and display unit is comprised of touch screen and button, and the voice broadcast unit comprises loudspeaker and audio conversion module, and the outfan of described microprocessor is connected with loudspeaker by audio conversion module.It also comprises memorizer, and described memorizer is connected with microprocessor by internal bus.
The acupuncture point detection module also comprises signal gathering unit and signal processing unit; Signal gathering unit comprises any one or the multiple combination in Body surface impedance detection module, acousto-electric detection module, infrared temperature detection module, cold light intensity detection module, biological magnetic detection module and the EMG detection module, the Body surface impedance detection module is comprised of driving source and impedance measurement sensor, one end of driving source is electrically connected with microprocessor, the other end be located at the front end diagnosing and treating apparatus on each probe in impedance measurement sensor is communicated with the loop that consists of the detection impedance of point by human body; The acousto-electric detection module is comprised of sonic generator harmony electrical measurement sensor, one end of sonic generator is electrically connected with microprocessor, the other end be located at the front end diagnosing and treating apparatus on each probe in acoustic-electric measuring transducer is communicated with the loop that consists of detection acupuncture point acoustic-electric by human body; The infrared temperature detection module comprises the infrared temperature-test sensor in each probe of being located on the front end diagnosing and treating apparatus; Cold light intensity detection module comprises the cold light ionization meter sensor in each probe of being located on the front end diagnosing and treating apparatus; Biological magnetic detection module comprises the biological magnetic measurement sensor in each probe of being located on the front end diagnosing and treating apparatus; The EMG detection module comprises the electromyogram measuring transducer in each probe of being located on the front end diagnosing and treating apparatus; Signal processing unit comprises amplifying circuit, filter circuit and A/D sample circuit, and the output of each measuring transducer links to each other with microprocessor with the A/D sample circuit by amplifying circuit, filter circuit respectively successively.
The acupuncture point locating module also comprises the image collecting device of being located in acupoint therapy and the sensor probe, and the outfan of image collecting device is connected with microprocessor; The acupuncture and moxibustion therapy module comprises any one or the multiple combination in D/A change-over circuit, massage concussion circuit for generating, the infrared circuit for generating of thermotherapy, electromagnetism circuit for generating and the pulse current generating circuit, and pulse current generating circuit comprises uniformly-spaced continuous impulse generation module, discontinuous wave generation module, amplitude modulation(PAM) pulse generating module and frequency modulation(PFM) pulse generating module.The outfan of microprocessor is connected with the D/A change-over circuit, and the D/A change-over circuit treats by any one or interior concussion massage module, infrared therapeutic module, electromagnetic curing module and the pulse current of multiple and acupoint therapy and sensor probe in massage concussion circuit for generating, the infrared circuit for generating of thermotherapy, electromagnetism circuit for generating, the pulse current generating circuit that module is corresponding to be connected.
The front end diagnosing and treating apparatus comprise at least in abdominal part diagnosis and treatment plate 1, arm part diagnosis and treatment plate 2 and the long cartridge type diagnosis and treatment boots 3 any one or multiple, abdominal part diagnosis and treatment plate 1 is strapped in user breast abdomen position by bandage a4, arm part diagnosis and treatment plate 3 is strapped in the user arm position by bandage b5, and long cartridge type diagnosis and treatment boots 3 are set on user foot and shank position.
As shown in Figure 2, the front end diagnosing and treating apparatus is comprised of abdominal part diagnosis and treatment plate 1, arm part diagnosis and treatment plate 2 and long cartridge type diagnosis and treatment boots 3, abdominal part diagnosis and treatment plate 1 is strapped in user breast abdomen position by bandage a4, arm part diagnosis and treatment plate 3 is strapped in the user arm position by bandage b5, and long cartridge type diagnosis and treatment boots 3 are set on user foot and shank position.
As shown in Figure 3, be provided with SHANZHONG acupoint probe 6, Juque cave probe 7, ZHONGWAN acupoint probe 8, QIHAI acupoint probe 9, Guanyuan acupoint probe 10 and Zhongji acupoint probe 11 on the abdominal part diagnosis and treatment plate 1.
As shown in Figure 4, be provided with Quze cave probe 12, Xinab cave probe 13, chien shih cave probe 14, Neiguan acupoint probe 15, Daling acupoint probe 16 and Taiyuan cave probe 17 on the arm part diagnosis and treatment plate 2.
As shown in Figure 5, be provided with tsusanli acupoint probe 18, Shangjuxu cave probe 19, Fenglong acupoint probe 20, SANYINJIAO acupoint probe 21, TAICHONG acupoint probe 22, Gongsun point probe 23 and Tai Bai cave probe 24 on the long cartridge type diagnosis and treatment boots 3.
It is anginal that to follow card acupuncture information bank and analytic process as follows:
One, name of disease is included foundation in
1, ancient times name of disease include foundation in
Angina pectoris is the name of disease of modern medicine, in traditional Chinese medical science name of disease in ancient times, does not have the nomenclature of diseases of corresponding equivalence, difference in view of name of disease in modern, ancient times, comprehensively as follows with reference to " Chinese and western medicine name of disease contrast voluminous dictionary " (Lin Zhaogeng chief editor, People's Health Publisher, in JIUYUE, 2002):
World Health Organization (WHO) was divided into exertional angina pectoris and spontaneous angina with angina pectoris in 1979, and wherein exertional angina pectoris comprises again the onset exertional angina pectoris, stablizes exertional angina pectoris, worsens exertional angina pectoris three classes.Angina pectoris name of disease in corresponding ancient times comprises angina pectoris, precordial pain with cold limbs, pained, palpitation with a distress feeling, the thoracic obstruction, cardiopalmus in " Chinese and western medicine name of disease contrast voluminous dictionary ", comprehensive above situation, we will be recited as the include object of the content of the diseases such as " angina pectoris ", " precordial pain with cold limbs ", " pained ", " palpitation with a distress feeling ", " thoracic obstruction ", " cardiopalmus " as typing in the document.
2, modern name of disease includes foundation in
Hat atherosclerotic heart disease (coronary atheroslerosis heartdisease) is that the atherosis stenosis or occlusion that causes occurs coronary artery, or merge on this basis vasospasm, and thrombosis causes tube chamber to block, and causes myocardial ischemia-anoxemia or downright bad heart disease.Angina pectoris is an important typing of coronary heart disease.
Chronic stable angina pectoris diagnostic criteria (" Chinese internal medicine yearbook " 2007)
The position: typical angina pectoris position is behind breastbone or left front breast, scope is not often limited to, can emit to cervical region, eye, jaw section, epigastrium, shoulder back, left arm and left hand and refer to the inboard, also can be radiated to other positions, angina pectoris can also occur in beyond the chest such as epigastrium, pharyngeal, cervical region etc.Each angina pectoris attacks position is similar often.
Character: often be constriction, strand press sense, constriction, burn feeling, breast suppress, uncomfortable in chest or sensation of asphyxia, sense of heaviness arranged, some patients only state and are the chest discomfort, the subjective sensation individual variation is larger, but generally can not be acupuncture sample pain, and showing as of having be weak, breathe hard.
Persistent period: be the paroxysmal outbreak, continue several minutes, generally can not surpass l0 minute, can written in water or lasting a few hours yet.
Risk factor and alleviation mode: the outbreak of chronic stable angina and labour or excited relevant, as walk fast road, climbing the time is brought out, stopping has a rest can alleviate, and mostly occurs the labour at that time rather than afterwards.The sublingual administration nitroglycerin can be in 2～5 minutes rapid relief of symptoms.
Two, the collection of the thoracic obstruction, pained ancient literature
1, document scope
Acupuncture monograph before pre-Qin days to 1911 year, classical Chinese medicine doctor nationality, the comprehensive medical book of the traditional Chinese medical science are as the source.Collect content in the ancient books comprehensively and may relate to the thoracic obstruction, pained Acupuncture Literature.In strict accordance with being selected into input database behind the standard screening.
2, document is collected
According to " the Acupuncture Clinical Literature Acquisition bibliography table in ancient times " determined early stage, the form that utilization copies picture (e-book) or the mode (paper book) of taking a picture copy original contents get off, and its source books (comprising title, publishing house, publication time, the page number) of itemized record.On the basis of previous 973 projects, main " the acupuncture and moxibustion prescription, acumoxibustion prescription voluminous dictionary " edited take Peng Rongchen is as main.
3, document screening
3.1 document inclusive criteria:
Comprise angina pectoris, precordial pain with cold limbs, pained, palpitation with a distress feeling, the thoracic obstruction, cardiopalmus in the prescription.Patient age, sex, race, the course of disease are not limit.Take acupuncture and moxibustion treatments such as acupuncture, moxibustion therapy as the primary treatment means, separately or in conjunction with the document of other method.
3.2 document exclusion standard:
Mention pained in the prescription but painful area reaching take the document of massage as the primary treatment means take gastral cavilty section as the master.
4, data typing
The standard compliant document of collecting is entered among the acupuncture and moxibustion prescription, acumoxibustion prescription data base in ancient times.Typing pertinent literature in ancient times is 72 altogether.
Three, the collection of angina pectoris Modern Literature
1, document scope
Take acupuncture domestic over 19492011 years, traditional Chinese medical science periodical as the source.The method that adopts computer search to combine with manual information retrieval cures mainly name of disease in the modern Acupuncture Clinical report of comprehensive collection and is the listed acupuncture and moxibustion prescription, acumoxibustion prescriptions of disease such as " coronary heart disease ", " angina pectoris " " ischemic heart desease " " myocardial infarction " " thoracic obstruction " " pained ".
2, document is collected
Adopt computer search with the method that manual information retrieval combines relevant Modern Literature to be collected.
2.1 computer search (electronic databank):
1. Chinese database: CBMDISC (CBMdisc), Chinese sci-tech periodical full-text database (VIP), CJFD (CNKI, Full-text Periodical Database, Dissertation Database), WanFang Data (Digital Journals data base, Dissertation Database, meeting paper data base), Chinese CMCC (CMCC).
2. foreign language data base: Pubmed, Medline, EMBASE, EBM (Cochrane DSR, ACP Journal Club, DARE, CCTR), Cochrane library.
3. replenish retrieval: http://www.google.cn/; Http:// www.controlled-trials.com; Http:// www.clinicaltrials.gov replenishes retrieval.
2.2 manual information retrieval: replenish in the electronic databank and include infull document.
3, the screening of document
3.1 document inclusive criteria
1. document type: comprise the periodical literature of formally delivering, academic dissertation has been registered the clinical experimental study that carries out but not yet finish or deliver.Literature content comprises all research types.As: random contrast clinical trial (" random assortment ", " being divided at random ", " at random " printed words, the research of carrying out in a plurality of patients appear in the same period of two or more intervening measures relatively in the involving clinical study); Controlled clinical trial (same period of two or more intervening measures relatively, be provided with matched group but not with the clinical research same period of random method grouping); (descriptive research document, case are reviewed and retrospective study in nonrandom comparative study; Anecdotal case series is observed; Clinical case analysis without matched group; Expert opinion; Comment, commentary and expertise what is said or talked about, doctor's readme etc.).
2. object of study: according to the modern name of disease of the thoracic obstruction and coronary heart disease include in according to and standard, include the related diseases kind in.Patient age, sex, race, the course of disease are not limit.
3. research contents: the point take the fourteen channels acupuncture points on the human body as Main Function, take acupuncture and moxibustion treatments such as acupuncture, moxibustion therapy, acusector, laser needle, dermal needle, intradermal imbedding needle, catgut implantation at acupoint, transcutaneous electrostimulations as the primary treatment means, separately or in conjunction with the clinical research of other method treatment Treating Patients of Angina Pectoris.
3.2 Modern Literature exclusion standard
1. document type: digest, summary.
2. object of study: take animal as object of study, can't judge study subject according to literature content, or in a research, be difficult to extract the specific aim material for the target name of disease.
3. research contents: without the clinical research of specifically describing with the cave; Act as the clinical research of main research purpose to observe the non-fourteen channels acupuncture points on the human bodys such as the ear acupoint, a cave line, Ashi point, extra nerve points, i.e. points not mentioned in the ancient medical classics; Grind by the theoretical acupoint selection treatment of eight methods of intelligent turtle, method of eight flight, the midnight-noon and ebb-flow doctrine thoracic obstruction, pained or the clinical of coronary heart disease
4. repeat to deliver: keep and to deliver nearest one piece of the time limit, all the other eliminatings; Different times during same Long-term clinical studied is reported stage by stage, keeps and finally delivers document (research is finished) or deliver recently one piece in document (research is not yet finished), all the other eliminatings.
4, the typing of data
The standard compliant document of collecting is entered among the modern acupuncture and moxibustion prescription, acumoxibustion prescription data base.The typing pertinent literature is 281 altogether, and wherein the angina pectoris document is 141.
Four, data mining results and analysis
(1), the thoracic obstruction, pained ancient literature data mining results are analyzed
Consult the ancient books such as acupuncture monograph that the pre-Qin days to the Qing Dynasty includes the science of acupuncture and moxibustion content last years of a dynasty or reign, classical Chinese medicine doctor nationality, the comprehensive medical book of the traditional Chinese medical science, wherein relate to 72 of the thoracic obstruction, pained data, be used for acupuncture and moxibustion prescription, acumoxibustion prescription data in ancient times totally 72 records of data mining.
1 data mining analysis result
1.1 acupuncture points on the human body uses the rule result
1.1.1 the acupuncture points on the human body frequency of usage is analyzed
Article 72, use altogether 78 of acupuncture points on the human bodys in the thoracic obstruction, the pained data in literature, always use the frequency 274 times, see table 1 for details.The frequency surpasses in 5 the acupuncture points on the human body, and 4 at pericardium meridian arteries and veins acupuncture point is mainly: daling, Nei Guan, Quze, chien shih.
The table 1 acupuncture and moxibustion therapy thoracic obstruction, pained acupuncture points on the human body use the frequency statistics table
1.1.2 Acupoints law-analysing
The analysis result of Acupoints rule shows, in the thoracic obstruction, the pained side's compatibility with daling=in to close the frequency that occurs the highest, secondly be daling=Quze, the middle part of gastric cavity=daling, tsu san li=Shangwan, Nei Guan=the 25th of Quze apportion.Concrete outcome sees Table 2.
Table 2 acupuncture and moxibustion therapy in the ancient times thoracic obstruction, pained Acupoints commonly used
1.1.3 acupoint region association analysis
The association analysis of table 3 acupoint region
1.2 meridians are chosen law-analysing
The acupuncture points on the human body that has 13 meridians applies in the thoracic obstruction, the pained acupuncture and moxibustion prescription, acumoxibustion prescription, does not relate to the acupuncture points on the human body of small intestine meridian, and concrete condition sees Table 4.
The association analysis of table 4 acupuncture points on the human body meridians
1.3 specific acupoint association analysis result
1.3.1 specific acupoint frequency of usage
Table 5 specific acupoint frequency analysis
What frequency of usage was maximum in the five-shu point is the pericardium meridian acupuncture points on the human body, and frequency usage degree is followed successively by: daling, Quze, chien shih, Zhong Chong, Laogong, frequency of usage account for 34.3% of all five-shu point frequency of usage.Except five-shu point, frequency of usage surpasses 8 times specific acupoint and is: Shangwan 17(confluent acupoint), interior pass 16(confluent acupoint, heart luo-connecting point), tsu san li 12(confluent acupoint), middle part of gastric cavity 12(stomach the Mu-front acupoints), Juque 9(heart the Mu-front acupoints), Hsinshu (acupoint) 8(back shu points),, Danzhong 8(heart the Mu-front acupoints, the Eight Strategic Nerve Points).
1.3.2 specific acupoint compatibility association analysis result
For the compatibility analysis between the specific acupoint, specific acupoint compatibility analysis demonstration source points and five-shu point, the eight confluent acupoints connecting the eight extra channels and source points, the eight confluent acupoints connecting the eight extra channels and the five-shu point compatibility frequency are higher, and concrete statistics sees Table 6,7.
Table 6 specific acupoint compatibility association analysis (pressing the specific acupoint classification)
Table 7 specific acupoint compatibility association analysis (by concrete specific acupoint)
2 conclusions
2.1 select from meridians
2.1.1 attention differentiation of syndromes of meridian:
From the result that selects of meridians, differentiation of syndromes of meridian is paid attention in ancient times acupuncture and moxibustion therapy, the thoracic obstruction, painedly belongs to the pericardium channel disease from the dialectical viewpoint analysis of Chinese medicine meridian, according to the basic law of " passages through which vital energy circulates institute mistake cures mainly in one's power ", should select the acupoint therapy of JUE YIN meridian.Meridians association analysis result shows that the pericardium channel acupuncture points on the human body selects the frequency to occupy front first place, is higher than the selection of other meridian points far away, has confirmed the utilization of this rule in the meridians disease.
2.1.2 get the yin channel acupuncture points on the human body more:
Use frequency statistics from the acupuncture and moxibustion therapy thoracic obstruction, pained acupuncture points on the human body, the frequency surpasses in 16 acupuncture points on the human bodys of 5, and the yin channel acupuncture points on the human body has 14, and wherein brothers' JUE YIN meridian cave commonly used is daling, Quze, chien shih, Xinab, Nei Guan, Qimen, too punching etc.; The cave commonly used of brothers' shaoyin channel is spring, Taixi, Shenmen, Tongli, yin chieh etc.
2.2 select from acupuncture points on the human body
2.2.1 far-end selects the cave take the following specific acupoint in patella ulnaris joint as main:
The acupuncture and moxibustion therapy thoracic obstruction, pained specific acupoint frequency of usage statistics show, five-shu point, source points, the Mu-front acupoints, luo-connecting point, the Eight Strategic Nerve Points and the eight confluent acupoints connecting the eight extra channels frequency of utilization rank among the best, these acupuncture points except the Mu-front acupoints are positioned at below the patella ulnaris joint, all be through gas fill Sheng, through gas import, the arteries and veins gas phase is logical or internal organs Primordial Qi through staying the position of ending, not only clinical manipulation is convenient, the patient reaction is sensitive, and often therapeutic domain is extensive at these acupuncture points, and therapeutic effect is more remarkable.
Above result proves that also the research that data mining technology applies to the ancient literature Acupuncture Clinical is reasonable, can be used as replenishing and theoretical consolidation that traditional knowledge sums up.
2.3 from Acupoints
On the Acupoints of prescription is selected, remain emphatic on the cave of selecting of JUE YIN meridian arteries and veins, daling, Nei Guan; Daling, Quze all are that high acupuncture point appears in the Acupoints medium frequency.
(2), anginal Modern Literature data mining results is analyzed
The modern angina pectoris acupuncture and moxibustion prescription, acumoxibustion prescription that is used for data mining is totally 141 records, derives from acupuncture domestic over nearly 50 years, traditional Chinese medical science periodical.
1 data mining analysis result
1.1 acupuncture points on the human body uses rule
1.1.1 acupuncture points on the human body is used the frequency statistics result
Article 141, use altogether 72 of acupuncture points on the human bodys in the angina pectoris data, always use the frequency 566 times, totally 10 of the acupuncture points on the human body of use more than 10 times.The acupuncture points on the human body that frequency of usage is surpassed 5 times is arranged successively following (seeing Table 8) by descending.
Table 8 acupuncture and moxibustion therapy angina pectoris acupuncture points on the human body frequency of usage statistical table
As can be seen from Table 1, the acupuncture points on the human body that utilization rate is the highest is arranged in order and is respectively: interior pass (pericardium meridian), Hsinshu (acupoint) (bladder meridian), Danzhong (conception vessel), bl 14 (bladder meridian), Shenmen (heart channel of Hand-Shaoyin), tsu san li (stomach channel of foot-Yang-ming), sp 6 (spleen meridian), Xinab (pericardium meridian), Juque (conception vessel) and ke shu (bladder meridian).Closing frequency of usage wherein and rank first, is 118 times, far above other acupuncture point.
1.1.2 Acupoints law-analysing
Front 20 Acupoints of Acupoints support are listed by descending, and concrete outcome sees Table 9.
The association analysis of table 9 acupuncture and moxibustion therapy angina pectoris fourteen channels Acupoints
The analysis result of Acupoints rule shows, and is the most common with interior pass and other Acupoints in the angina pectoris prescription compatibility of medicines, and that the Hsinshu (acupoint) support is joined in interior pass is the highest.All make up with interior pass, Hsinshu (acupoint), Danzhong, bl 14, tsu san li, sp 6, Xinab, 8 acupuncture points of Juque in front 20 Acupoints of support, 8 acupuncture points on the human bodys are specific acupoint.
1.1.3 the association analysis result of acupuncture points on the human body branch
The acupuncture points on the human body that uses is carried out branch's statistics by position, health place, the results are shown in Table 10.
The association analysis of table 10 acupoint region
Can find out from the acupuncture points on the human body distribution statistics, the acupuncture and moxibustion therapy angina pectoris is equipped with neighboring point selection simultaneously take upper limb section acupoint selection as main, and the head-neck acupoint selection is less.
1.2. meridians association analysis
According to statistical result showed, the applied acupuncture points on the human body of acupuncture and moxibustion therapy angina pectoris is distributed widely in fourteen channels, and concrete condition sees Table 11.
Table 11 acupuncture and moxibustion therapy angina pectoris fourteen channels acupuncture points on the human body is returned through reaching the frequency of usage statistics
As can be seen from Table 11, the anginal fourteen channels acupuncture points on the human body of acupuncture and moxibustion therapy all has and relates to, but mainly concentrates on pericardium meridian with the cave, and acupuncture points on the human body uses 165 times altogether under it, accounts for all acupuncture points on the human bodys and uses 29.2% of total frequency; Secondly be bladder meridian, acupuncture points on the human body uses 137 times altogether under it, accounts for all acupuncture points on the human bodys and uses 24.25% of total frequency.Two use total frequency to account for the over half of whole acupuncture points on the human bodys through used acupuncture points on the human body.
1.3 specific acupoint frequency of usage and association analysis
1.3.1 specific acupoint classification and frequency of usage statistics
Anginal 71 acupuncture points on the human bodys of acupuncture and moxibustion therapy are classified, be divided into specific acupoint and nonspecific cave, the corresponding frequency of usage statistics of every class acupuncture points on the human body sees Table 12.
The association analysis of table 12 acupuncture and moxibustion therapy angina pectoris acupuncture points on the human body specific acupoint
The result can find out from the anginal acupuncture points on the human body classified statistic of acupuncture and moxibustion therapy, and specific acupoint is used in the acupuncture and moxibustion therapy angina pectoris in a large number.In 141 pieces of documents including in, use 11 in nonspecific cave, frequency of usage adds up to 23 times, only account for whole acupuncture points on the human bodys and use 2.6% of total frequency, and the specific acupoint usage ratio is 97.4%.
1.3.2 specific acupoint compatibility association analysis result
60 specific acupoints are carried out the compatibility association analysis, and the result sees Table respectively 13,14.
Related front 10 (the pressing the specific acupoint classification) of table 13 acupuncture and moxibustion therapy angina pectoris specific acupoint compatibility
Can find out: the specific acupoint of the most often using in the anginal document of acupuncture and moxibustion therapy is luo-connecting point.
Claims (6)
1. the anginal intelligence for the treatment of is followed card acupuncture medical instrument, formed by front end diagnosing and treating apparatus and background control system, it is characterized in that: described front end diagnosing and treating apparatus comprise at least in abdominal part diagnosis and treatment plate (1), arm part diagnosis and treatment plate (2) and the long cartridge type diagnosis and treatment boots (3) any one or multiple, abdominal part diagnosis and treatment plate (1) is strapped in user breast abdomen position by bandage (4), arm part diagnosis and treatment plate (2) is strapped in the user arm position by arm bandage (5), and long cartridge type diagnosis and treatment boots (3) are set on user foot and shank position;
At least be provided with on the abdominal part diagnosis and treatment plate (1) SHANZHONG acupoint probe (6), Juque cave probe (7), ZHONGWAN acupoint probe (8), QIHAI acupoint probe (9), Guanyuan acupoint probe (10) and Zhongji acupoint pop one's head in (11) any one or multiple;
At least be provided with on the arm part diagnosis and treatment plate (2) Quze cave probe (12), Xinab cave probe (13), chien shih cave probe (14), Neiguan acupoint probe (15), Daling acupoint probe (16) and Taiyuan cave pop one's head in (17) any one or multiple;
At least be provided with on the long cartridge type diagnosis and treatment boots (3) tsusanli acupoint probe (18), Shangjuxu cave probe (19), Fenglong acupoint probe (20), SANYINJIAO acupoint probe (21), TAICHONG acupoint probe (22), Gongsun point probe (23) and too white cave pop one's head in (24) any one or multiple;
Described background control system comprises that acupuncture point detection module, acupuncture point locating module, acupuncture and moxibustion therapy module, data transmission module, angina pectoris acupuncture follow card information analysis system, microprocessor, display unit and voice broadcast unit, microprocessor follows the card information analysis system by data transmission module and angina pectoris acupuncture and is connected, the angina pectoris acupuncture follows the angina pectoris treatment prescription that stores real-time update in the card information analysis system, be used for real-time update and load up-to-date angina pectoris treatment prescription, microprocessor also is connected with voice broadcast unit, display unit;
The acupuncture point detection module also comprises signal gathering unit and signal processing unit; Signal gathering unit comprises any one or the multiple combination in Body surface impedance detection module, acousto-electric detection module, infrared temperature detection module, cold light intensity detection module, biological magnetic detection module and the EMG detection module, the Body surface impedance detection module is comprised of driving source and impedance measurement sensor, one end of driving source is electrically connected with microprocessor, the other end be located at the front end diagnosing and treating apparatus on each probe in described impedance measurement sensor is communicated with the loop that consists of the detection impedance of point by human body; The acousto-electric detection module is comprised of sonic generator harmony electrical measurement sensor, one end of sonic generator is electrically connected with microprocessor, the other end be located at the front end diagnosing and treating apparatus on each probe in described acoustic-electric measuring transducer is communicated with the loop that consists of detection acupuncture point acoustic-electric by human body; The infrared temperature detection module comprises the infrared thermography sensor in each probe of being located on the front end diagnosing and treating apparatus; Cold light intensity detection module comprises the cold light ionization meter sensor in each probe of being located on the front end diagnosing and treating apparatus; Biological magnetic detection module comprises the biological magnetic measurement sensor in each probe of being located on the front end diagnosing and treating apparatus; The EMG detection module comprises the electromyogram measuring transducer in each probe of being located on the front end diagnosing and treating apparatus; Signal processing unit comprises amplifying circuit, filter circuit and A/D sample circuit, and the output of each measuring transducer links to each other with microprocessor with the A/D sample circuit by amplifying circuit, filter circuit respectively successively;
The acupuncture point locating module also comprises the image collecting device in each probe of being located on the described front end diagnosing and treating apparatus, and the outfan of image collecting device is connected with microprocessor;
The acupuncture and moxibustion therapy module comprises the D/A change-over circuit, the acupuncture and moxibustion therapy module also comprises massage concussion circuit for generating, the infrared circuit for generating of thermotherapy, in electromagnetism circuit for generating and the pulse current generating circuit any one or multiple combination, the outfan of microprocessor is connected with the D/A change-over circuit, and the D/A change-over circuit is by massage concussion circuit for generating, the infrared circuit for generating of thermotherapy, the electromagnetism circuit for generating, concussion massage module in each probe in the pulse current generating circuit any one or the multiple and described front end diagnosing and treating apparatus, the infrared therapeutic module, electromagnetic curing module and corresponding connection of pulse current treatment module.
2. according to claim 1ly a kind ofly treat anginal intelligence and follow card acupuncture medical instrument, it is characterized in that: described background control system also comprises memorizer, and described memorizer is connected with microprocessor by internal bus.
3. according to claim 1ly a kind ofly treat anginal intelligence and follow card acupuncture medical instrument, it is characterized in that: described voice broadcast unit comprises loudspeaker and audio conversion module, and the outfan of described microprocessor is connected with loudspeaker by audio conversion module.
4. according to claim 1ly a kind ofly treat anginal intelligence and follow card acupuncture medical instrument, it is characterized in that: described display unit is comprised of touch screen and button.
5. according to claim 1ly a kind ofly treat anginal intelligence and follow card acupuncture medical instrument, it is characterized in that: described data transmission module comprises any one or the multiple combination in usb interface module, WIFI interface module and the GSM/GPRS module.
6. according to claim 1ly a kind ofly treat anginal intelligence and follow card acupuncture medical instrument, it is characterized in that: described pulse current generating circuit comprises uniformly-spaced continuous impulse generation module, discontinuous wave generation module, amplitude modulation(PAM) pulse generating module and frequency modulation(PFM) pulse generating module.
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| CN103655177B (en) * | 2013-11-21 | 2015-07-01 | 成都淞幸科技有限责任公司 | Self-help-type intelligent acupuncture and moxibustion evidence-based health-care instrument and using method thereof |
| CN103893005B (en) * | 2014-03-31 | 2015-11-18 | 南京中医药大学 | A kind of intelligent abdominal part meridian point massage device |
| CN108020246A (en) * | 2018-01-22 | 2018-05-11 | 河北工业大学 | Acupuncture gimmick based on electromagnetic induction quantifies equipment |
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| CN1846604A (en) * | 2006-04-27 | 2006-10-18 | 上海中医药大学 | Detection method and instrument for infrared radiation spectrum of human body acupoint |
| CN101085396A (en) * | 2007-07-02 | 2007-12-12 | 南宁松景天伦生物科技有限公司 | Therapeutic apparatus for irradiating radial artery, vein and/Neiguan point by laser |
| CN101524574A (en) * | 2009-04-02 | 2009-09-09 | 金同(广州)医疗保健品有限公司 | Treatment unit of electrostatic field |
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| CN1846604A (en) * | 2006-04-27 | 2006-10-18 | 上海中医药大学 | Detection method and instrument for infrared radiation spectrum of human body acupoint |
| CN101085396A (en) * | 2007-07-02 | 2007-12-12 | 南宁松景天伦生物科技有限公司 | Therapeutic apparatus for irradiating radial artery, vein and/Neiguan point by laser |
| CN101524574A (en) * | 2009-04-02 | 2009-09-09 | 金同(广州)医疗保健品有限公司 | Treatment unit of electrostatic field |
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