JP5307365B2 - Pulse diagnosis system, pulse diagnosis apparatus, operation method, and pulse diagnosis program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a pulse diagnostic apparatus by which a physician without a skill of a pulse diagnosis based on Chinese medicine, a physician who cannot perform a pulse diagnosis on a patient located in a remote location, or further a pharmacist who is not permitted to perform a pulse diagnosis by making contact with a patient can acquire a pulse diagnostic result based on the Chinese medicine. <P>SOLUTION: The pulse diagnostic apparatus comprises a pulse wave measuring part 410 for acquiring pulse wave data about a pulse wave which is a waveform acquired by measuring a pulse of the patient, a pressing force determining part 402 for comparing the acquired pulse wave data with a pulse wave type data in which a pulse parameter including at least one of pressure applied to the pulse of the patient at the time of the measurement, a frequency of the measured pulse wave, the waveform, an amplitude and an amplitude ratio of the waveform, and a measuring range of the pulse is related to types of pulse waves to specify the type of the pulse wave shown by the pulse wave data, a pressure range determining part 403, a heart rate determining part 404, a waveform determining part 405, a pulse wave determining part 406, and a display 202 for outputting information based on the specified type of the pulse wave. <P>COPYRIGHT: (C)2009,JPO&amp;INPIT

Description

The present invention relates to a pulse diagnosis system, a pulse diagnosis apparatus, an operation method, and a pulse diagnosis program for causing a computer to execute pulse diagnosis, and more particularly, a pulse diagnosis system, pulse diagnosis apparatus, and operation method for diagnosing a pulse based on Kampo medicine. And pulse diagnosis program.

  At present, there is a social trend that raises awareness of personal health, and along with this, various medical services such as remote diagnosis systems and counseling systems have been put into practical use. In particular, the remote diagnosis system transmits the patient's condition to the medical institution as image or sound data. The medical institution diagnoses based on the received data, transmits the result to the patient, and provides information necessary for treatment.

  As such a conventional technique, for example, a remote constitution discrimination health prescription screening management system described in Patent Document 1 can be cited. The remote constitution discrimination health prescription screening management system of Patent Document 1 is a system in which a system management center obtains and diagnoses patient screening data via a communication line. The patient inputs examination data using a videophone, and the management center diagnoses the examination data against a database of patient information, diagnosis information, and drug information, and provides treatment and lifestyle guidance.

According to such a system, a patient in an area where there is no medical institution can receive appropriate treatment and guidance. In addition, while being aware that it is desirable to receive a doctor's diagnosis, it is possible for a patient who is difficult to go to a medical institution due to time constraints to receive appropriate treatment and guidance. Furthermore, if such remote diagnosis is performed periodically, it is possible to detect symptoms that the patient was not aware of and to contribute to early treatment.
JP 2003-91599 A

  By the way, as is well known, Chinese medicine originating in China has been attracting worldwide attention. In recent years, the state of a patient is also diagnosed using a combination of Kampo medicine and Western medicine knowledge and techniques, and there is a demand for more widespread use of Kampo medicines and treatment methods. The remote constitution discrimination health prescription screening management system described in Patent Document 1 is also paying attention to this point, and the drug database stores not only western medicines and functional foods but also information on herbal medicines and medicines. Yes.

  Traditionally, Kampo medicines are prescribed based on the results of diagnosis by Kampo medicine. For this reason, even if Chinese medicine information is accumulated in the database as in Patent Document 1, it is difficult to select a Chinese medicine suitable for the patient's symptoms if the screening data cannot be diagnosed based on the Kampo medicine. It is. Diagnosis based on Kampo medicine greatly depends on the knowledge and experience of the doctor making the diagnosis. Therefore, at this stage, it is generally performed by a skilled Chinese medicine doctor.

For example, one of the diagnoses unique to Kampo medicine is the diagnosis of pulse waves. The pulse wave is one of diagnostic items in the pulse diagnosis, and is a parameter including not only the pulse rate per unit time but also its intensity and waveform. Pulse diagnosis based on pulse waves is a particularly important diagnostic item in Kampo medicine, and the result of pulse diagnosis is important information for prescribing Kampo medicine.
However, in a remote diagnosis system for a patient who is difficult to receive a diagnosis by a doctor, it is not realistic to employ a diagnostic method in which it is essential for a skilled doctor to make a pulse examination with the patient. In addition, according to the current doctor law, pulse diagnosis is not allowed for anyone other than doctors and nurses, so it is not possible to train pulse diagnosis engineers and dispatch them to facilities other than medical institutions.

  As a method for solving such a problem, it is conceivable to install a device for measuring a pulse wave in an organization that can be used by a patient, and to transmit waveform data of the patient's pulse to a skilled doctor who can make a diagnosis based on the pulse wave. . However, such skilled doctors generally gain knowledge and experience as a result of pulse examination in direct contact with the patient, so it is difficult to accurately associate waveform data with pulse waves of Kampo medicine. it is conceivable that.

The present invention has been made in view of the above-described points, and is a doctor who does not have the skill of performing pulse diagnosis based on Kampo medicine by touching the patient's pulse, or a doctor who is in a remote place and cannot diagnose the patient, further Provides a pulse diagnosis system, pulse diagnosis device, operation method and pulse diagnosis program that can obtain pulse diagnosis results based on Kampo medicine even for pharmacists who are not allowed to touch the heartbeat, The purpose is to support diagnosis based on pulse waves.

In order to solve the above problems, a pulse diagnosis system according to an aspect of the present invention is a pulse diagnosis system including a pulse diagnosis server device and a pulse diagnosis device connected to the pulse diagnosis server device through a network, The pulse diagnosis apparatus includes a pulse wave data acquisition unit that acquires pulse wave data related to a pulse wave that is a waveform obtained by measuring a patient's pulse, and pulse wave data acquired by the pulse wave data acquisition unit. A pulse in which the type of wave is associated with the pressure at which the patient's pulse is pressed at the time of measurement, the frequency of the measured pulse wave, the waveform, the amplitude and amplitude ratio of the waveform, and the pulse parameter including at least one of the pulse measurement ranges Compared with wave type data, pulse wave specifying means for specifying the type of pulse wave indicated by the pulse wave data, and information based on the type of pulse wave specified by the pulse wave specifying means is transmitted to the pulse diagnosis server Pulse wave data transmission Have a stage, the pulse wave data acquisition means is arrayed in the circumferential direction of the patient's wrist, a pressure sensor for detecting pulsation in contact with the body as a pressure, the length of the radial artery wrist of the patient The patient is mounted in a state in which a plurality of pressure sensors are arranged in a direction orthogonal to the direction, and the patient is detected by the number of pressure sensors that have detected a pressure equal to or higher than a predetermined threshold among the plurality of arranged pressure sensors. The thickness of the radial artery of the wrist is detected, and the type of the pulse wave is determined to be a normal wave, a narrow vein, or a dilated pulse .

  According to such an invention, the pulse diagnosis device acquires pulse wave data, and the acquired pulse wave data is converted into pulse parameters such as a pressing force and a pulse wave frequency and amplitude at the time of pulse wave measurement and a pulse wave type. Can be compared with the associated pulse wave type data. For this reason, it is possible to automatically specify what type of pulse wave the measured pulse wave data is. Then, the measured type of pulse wave can be transmitted to the pulse wave server device via the network. For this reason, a doctor who can receive information from the pulse wave server device via the network can know the type of pulse wave even if the doctor is not familiar with pulse diagnosis by Kampo medicine.

According to such a pulse diagnosis system, a doctor who does not have the skill to perform pulse diagnosis based on Kampo medicine by touching the patient's pulse, or a doctor who cannot remotely detect the patient at a remote place, or touch the patient for pulse diagnosis. Even a pharmacist who is not permitted to do so can obtain pulse diagnosis results based on Kampo medicine. Since the type of pulse wave is important information for Kampo medicine, even doctors who are not familiar with Kampo medicine or doctors in remote areas are suitable for the patient's constitution based on the type of pulse wave specified Chinese herbal medicine can be prescribed. In addition, those who are not doctors can refer to the preparation of prescribed Chinese medicine.
Furthermore, in the pulse diagnosis system for identifying the pulse wave on the side of the pulse diagnosis device, the patient, doctor, pharmacist, or the like who measured the pulse wave can immediately specify the type of the pulse wave. For this reason, doctors can prescribe Kampo medicines in a short time by comparing their own knowledge, types of pulse waves and information on Kampo medicines.

A pulse diagnosis system according to another aspect of the present invention is a pulse diagnosis system including a pulse diagnosis server device and a pulse diagnosis device connected to the pulse diagnosis server device via a network, and measures a patient's pulse. A pulse wave data acquisition means for acquiring pulse wave data relating to a pulse wave that is a waveform obtained in this manner, and a pulse wave data transmission means for transmitting the pulse wave data acquired by the pulse wave data acquisition means. The diagnostic device, the receiving means for receiving the pulse wave data transmitted by the pulse wave data transmitting means, the pulse wave data received by the receiving means, the type of pulse wave, and the patient's pulse at the time of measurement The pulse wave data indicates the pressure, the measured pulse wave frequency, the waveform, the waveform amplitude and amplitude ratio, and the pulse parameter including at least one of the pulse measurement ranges and the associated pulse wave type data. Pulse wave Seen including a pulse wave specifying means for specifying a type, and a pulse diagnostic server device and a diagnostic data transmitting means for transmitting information based on the type of pulse wave is identified to the outside by the pulse wave specifying means, The pulse wave data acquisition means includes a plurality of pressure sensors arranged in a circumferential direction of the patient's wrist, and includes a pressure sensor that detects pulsation as pressure in contact with the body, and is orthogonal to the length direction of the radial artery of the patient's wrist A plurality of the pressure sensors are arranged in the direction of the movement, and the radius of the wrist of the patient is determined according to the number of pressure sensors that have detected a pressure equal to or higher than a predetermined threshold among the plurality of arranged pressure sensors. It is characterized by detecting the thickness of the artery and determining whether the type of the pulse wave is a normal wave, a narrow vein, or a large pulse .

  According to such an invention, the pulse wave device can acquire pulse wave data and transmit it to the pulse diagnosis server device. The pulse diagnosis server device can compare the received pulse wave data with pulse wave type data in which pulse parameters such as pressing force, pulse wave frequency, and amplitude at the time of pulse wave measurement are associated with pulse wave types. . For this reason, it is possible to automatically specify what type of pulse wave the measured pulse wave data is. The type of pulse wave indicated by the measured pulse wave data can be transmitted to the outside via the network. For this reason, a doctor who can receive information from the pulse wave server device via the network can know the type of pulse wave even if the doctor is not familiar with pulse diagnosis by Kampo medicine.

  According to such a pulse diagnosis system, a doctor who does not have the skill to perform pulse diagnosis based on Kampo medicine by touching the patient's pulse, or a doctor who cannot remotely detect the patient at a remote place, or touch the patient for pulse diagnosis. Even a pharmacist who is not permitted to do so can obtain pulse diagnosis results based on Kampo medicine. Since the type of pulse wave is important information for Kampo medicine, even doctors who are not familiar with Kampo medicine or doctors in remote areas are suitable for the patient's constitution based on the type of pulse wave specified Chinese herbal medicine can be prescribed. In addition, those who are not doctors can refer to the preparation of prescribed Chinese medicine.

  Furthermore, a pulse diagnosis system that performs pulse wave identification on the side of the pulse wave server device is suitable for increasing the scale of a database that stores pulse wave type data. For this reason, more types of pulse waves can be specified. Furthermore, in addition to the type of pulse wave, the constitution of the patient corresponding to the type of pulse wave, the type of herbal medicine, etc. can be stored in the database, and the effect of pulse diagnosis support can be further enhanced.

A pulse diagnosis apparatus according to an aspect of the present invention includes a pulse wave data acquisition unit that acquires pulse wave data related to a pulse wave that is a waveform obtained by measuring a patient's pulse, and a pulse acquired by the pulse wave data acquisition unit. Wave data includes a pulse parameter including at least one of a pulse wave type, a pressure at which the patient's pulse is pressed at the time of measurement, a frequency of the measured pulse wave, a waveform, an amplitude and an amplitude ratio of the waveform, and a pulse measurement range. Are compared with the associated pulse wave type data, and the pulse wave specifying means for specifying the type of pulse wave indicated by the pulse wave data and the information based on the type of pulse wave specified by the pulse wave specifying means are output. An information output means , wherein the pulse wave data acquisition means comprises a plurality of pressure sensors arranged in the circumferential direction of the patient's wrist, and includes a pressure sensor that detects pulsation as a pressure in contact with the body, and the radial artery of the patient's wrist Orthogonal to the length direction of The radial artery of the wrist of the patient according to the number of pressure sensors that are mounted in a state where a plurality of pressure sensors are arranged in a direction and the pressure sensor detects a pressure equal to or higher than a predetermined threshold among the plurality of arranged pressure sensors. by detecting the thickness of the type of pulse wave is characterized that you determine which one normal wave, veinlets, Hiroshidaimyaku, the.

  According to such an invention, the waveform data is acquired, and the acquired waveform data is obtained by associating the pulse parameters such as the pressing force at the time of measuring the pulse wave and the frequency and amplitude of the pulse wave with the type of the pulse wave. It can be compared with type data. For this reason, it is possible to automatically specify what type of pulse wave the measured pulse wave data is. Then, information based on the measured pulse wave type is output. For this reason, doctors who do not have the skill to perform pulse diagnosis based on Kampo medicine by touching the patient's pulse, or doctors who cannot remotely detect the patient at a remote place, and are not allowed to touch the patient for pulse diagnosis Even a pharmacist or the like can obtain a pulse diagnosis result based on Kampo medicine. Since the type of pulse wave is important information for Kampo medicine, even doctors who are not familiar with Kampo medicine or doctors in remote areas are suitable for the patient's constitution based on the type of pulse wave specified Chinese herbal medicine can be prescribed. In addition, those who are not doctors can refer to the preparation of prescribed Chinese medicine.

Oite the above pulse MiSo location, the pulse wave specific means, using the pulse wave data obtained by measuring a plurality of pulsation pulse wave data or continuous, obtained by measuring a single pulse The type of the pulse wave may be specified .
According to such an invention, the type of pulse wave can be specified using either one period of pulse wave data or a plurality of periods. For this reason, an appropriate specifying method can be selected according to conditions such as the characteristics of the pulse wave to be specified and the detection accuracy.

Also, when the pulse wave data has a waveform including a plurality of peaks, the pulse wave type data, the type of pulse wave, even including Ndei data associating the ratio of the height between a plurality of peaks Good . According to such an invention, the type of pulse wave can be specified based on the waveform of the pulse wave data.

An operation method according to an aspect of the present invention includes a pulse wave data acquisition step of acquiring pulse wave data related to a pulse wave that is a waveform obtained by measuring a pulse of a patient, and a pulse wave acquired in the pulse wave data acquisition step. The data includes the type of pulse wave, and the pulse parameter including at least one of the pressure that pressed the patient's pulse at the time of measurement, the frequency of the measured pulse wave, the waveform, the amplitude and amplitude ratio of the waveform, and the pulse measurement range. Compared with the associated pulse wave type data, a pulse wave specifying step for specifying the type of pulse wave indicated by the pulse wave data, and information for outputting information based on the type of pulse wave specified in the pulse wave specifying step Output step, and in the pulse wave data acquisition step, a plurality of sensors are arranged in the circumferential direction of the patient's wrist, and are pressure sensors that detect pulsation as pressure in contact with the body, Direct to the length direction A plurality of the pressure sensors are arranged in the direction of the movement, and the radius of the wrist of the patient is determined according to the number of pressure sensors that have detected a pressure equal to or higher than a predetermined threshold among the plurality of arranged pressure sensors. Detecting the thickness of the artery and determining whether the type of pulse wave is a normal wave, a narrow pulse, or a large pulse, the above steps are controlled by the control means of the apparatus. And

  According to such a pulse diagnosis method, a doctor who does not have the skill to perform pulse diagnosis based on Kampo medicine by touching the patient's pulse, or a doctor who cannot remotely detect the patient at a remote place, or touch the patient for pulse diagnosis. Even a pharmacist who is not permitted to do so can obtain pulse diagnosis results based on Kampo medicine. Since the type of pulse wave is important information for Kampo medicine, even doctors who are not familiar with Kampo medicine or doctors in remote areas are suitable for the patient's constitution based on the type of pulse wave specified Chinese herbal medicine can be prescribed. In addition, those who are not doctors can refer to the preparation of prescribed Chinese medicine.

A pulse diagnosis program according to an aspect of the present invention is acquired by a pulse wave data acquisition function for acquiring pulse wave data related to a pulse wave that is a waveform obtained by measuring a patient's pulse in a computer, and the pulse wave data acquisition function. The measured pulse wave data includes at least one of the type of pulse wave, the pressure at which the patient's pulse was pressed at the time of measurement, the frequency of the measured pulse wave, the waveform, the amplitude and amplitude ratio of the waveform, and the pulse measurement range. Compared with pulse wave type data associated with pulse parameters, the pulse wave specifying function for specifying the type of pulse wave indicated by the pulse wave data, and information based on the type of pulse wave specified by the pulse wave specifying function An information output function that outputs a plurality of the pulse wave data acquisition function, wherein the pulse wave data acquisition function is a pressure sensor that is arranged in the circumferential direction of the patient's wrist and detects pulsation as pressure in contact with the body, hand The pressure sensor is mounted in a state in which a plurality of the pressure sensors are arranged in a direction orthogonal to the length direction of the radial artery, and a pressure equal to or higher than a predetermined threshold is detected among the plurality of arranged pressure sensors. ordinary wave by the number of pressure sensors, veinlets, characterized that you determine which one Hiroshidaimyaku, the.

  According to such a pulse diagnosis program, a doctor who does not have the skill to perform pulse diagnosis based on Kampo medicine by touching the patient's pulse, or a doctor who cannot remotely detect the patient at a remote place, or touch the patient for pulse diagnosis. Even a pharmacist who is not permitted to do so can obtain pulse diagnosis results based on Kampo medicine. Since the type of pulse wave is important information for Kampo medicine, even doctors who are not familiar with Kampo medicine or doctors in remote areas are suitable for the patient's constitution based on the type of pulse wave specified Chinese herbal medicine can be prescribed. In addition, those who are not doctors can refer to the preparation of prescribed Chinese medicine.

Embodiments 1 and 2 of a pulse diagnosis system, a pulse diagnosis device, an operation method, and a pulse diagnosis program according to the present invention will be described below with reference to the drawings. First, prior to the description of each of the first and second embodiments, a configuration common to the first and second embodiments will be described.
(System configuration)
FIG. 1 is a diagram for explaining the concept of a pulse diagnosis system common to the first and second embodiments. The illustrated pulse diagnosis system includes a server 1 and a pulse diagnosis apparatus 101 connected to the server 1 via a network N. The pulse diagnosis apparatus 101 acquires pulse wave data by measuring a pulse wave (a waveform obtained by measuring a patient's pulse).

  In the configuration of the first embodiment, the pulse diagnosis device 101 is configured to store pulse wave type data in which a pulse wave type and a pulse parameter are associated with each other, and the acquired pulse wave data is converted into pulse wave type data. By comparison, the type of pulse wave indicated by the pulse wave data is specified. The pulse parameter is a parameter including at least one of the pressure at which the patient's pulse is pressed during measurement, the frequency of the measured pulse wave, the waveform, the amplitude and amplitude ratio of the waveform, and the pulse measurement range.

  In the pulse diagnosis system configured as described above, the pulse diagnosis apparatus 101 is installed in a medical institution 3 such as a pharmacy 2 or a hospital where a counselor authorized by the administrator of the server 1 is located. The patient visits the pharmacy 2 or the medical institution 3 and receives a pulse diagnosis by the pulse diagnosis apparatus 101. The pulse wave data obtained as a result of the pulse diagnosis is compared with the pulse wave type data in the pulse diagnosis device 101 to identify the type of pulse wave. The type of pulse wave here refers to another type of pulse wave determined on the basis of Kampo medicine. Conventionally, a doctor takes a patient's hand and makes a pulse diagnosis.

  The specific result obtained by the pulse diagnosis device 101 is transmitted to the server 1 via the network N. The administrator of the server 1 creates a prescription for herbal medicine suitable for the patient based on the transmitted specific result and transmits it to a dispensing factory or a pharmacy capable of dispensing herbal medicine. In creating a prescription, the administrator of the server 1 may send a pulse wave type via the network N to the doctor group 5 or the like familiar with Kampo medicine as needed to request assistance.

  Further, an inquiry or tongue examination may be performed at the pharmacy 2 or the medical institution 3, and the result may be transmitted to the server 1 together with a specific result of the pulse wave. In such a case, it may be considered that the server 1 creates a prescription by comprehensively judging the results of the inquiry, tongue diagnosis, and pulse diagnosis. Dispensing factories and pharmacies dispense herbal medicines according to prescriptions. The dispensed Chinese medicine can be sent not only to the pharmacy 2 and the medical institution 3 but also to the pharmacy 4 in which the pulse diagnosis device 101 is not installed. Herbal medicine is delivered to the patient at the pharmacy 2, the medical institution 3, and the pharmacy 4.

  In this way, the patient can receive pulse diagnosis by Kampo medicine even in a medical institution without a doctor who is familiar with Kampo medicine. Further, by providing the pulse diagnosis device 101 in the pharmacy, it becomes possible to perform pulse diagnosis by a person other than a doctor who is not allowed to touch the patient's hand and perform pulse diagnosis. In addition, the geographical and temporal constraints on the patient's receipt of the dispensed Chinese medicine are eased.

In the pulse diagnosis system described above, the pulse diagnosis apparatus 101 is configured to identify the type of pulse wave and transmit it to the server 1. However, Embodiment 1 and Embodiment 2 are not limited to such a configuration.
For example, the pulse diagnosis device 101 may transmit the pulse wave data obtained by pulse diagnosis to the server 1 as it is. In such a configuration, the server 1 receives the pulse wave data, compares the received pulse wave data with the pulse wave type data, and identifies the type of pulse wave. Then, information based on the specified type of pulse wave may be transmitted to the outside. In the pulse diagnosis system in which the server 1 specifies the pulse wave, the network N functions as a pulse wave data transmission unit of the pulse diagnosis apparatus 101, a reception unit of the server 1, and a diagnosis data transmission unit.

(Pulse diagnosis device)
FIG. 2 is an external view of the pulse diagnosis apparatus 101. FIG. 3 is a diagram for explaining a sensor unit of the pulse diagnosis apparatus 101, and FIG. 4 is a functional block diagram relating to the configuration of the first and second embodiments of the pulse diagnosis apparatus.
As shown in FIG. 2, the pulse diagnosis apparatus 101 includes a fixing base 201 for fixing a patient's wrist, a sensor unit 204, and a main body 205. The main body 205 has a display 202 for displaying pulse wave data and an operation button 203 for operating the pulse diagnosis apparatus 101. The pulse diagnosis apparatus 101 can be realized by using, for example, an OMRON automatic blood pressure monitor HEM-9000AI (product name) and storing the pulse diagnosis program of the first embodiment in such an apparatus. Note that many of the devices applied to the pulse diagnosis device 101 can measure blood pressure and heart rate in addition to pulse waves. The illustrated display 202 displays numerical values such as the maximum blood pressure, the minimum blood pressure, and the heart rate along with the pulse wave.

  As shown in FIG. 3A, the sensor unit 204 is attached to the patient's wrist. For mounting, fixing with a belt or the like, or using a clip clip that sandwiches the entire wrist can be considered. The sensor unit 204 is provided with an automatic pressure controller 302 and a pressure sensor group 301 shown in FIG. The pressure sensor group 301 includes a plurality of pressure sensors 301 a arranged in the circumferential direction of the patient's wrist and detecting a pulse in contact with the patient's body (wrist). In the first embodiment and the second embodiment, it is assumed that the pressure sensor group 301 has 40 pressure sensors 301a arranged in one direction.

  The patient wears the sensor unit 204 and fixes his / her wrist to the fixed base 201 to receive a pulse diagnosis. At this time, as shown in FIG. 3B, the sensor unit 204 is attached to the patient's wrist so that the arrangement direction of the pressure sensors of the pressure sensor group 301 and the radial artery on the radius are orthogonal to each other. The The arrangement length of the pressure sensors 301a is longer than the orthogonal direction of the radial artery with respect to the pressure sensor group 301, and all the pulsations in the range 305 shown in the figure of the radial artery can be detected.

  Such a sensor unit is the pulse wave data acquisition unit of Embodiments 1 and 2, and the pressure sensor group 301 is a pressure measurement unit. According to such a configuration, it is possible to estimate the thickness of the radial artery based on the number of pressure sensors 301 a that have detected pressure due to pulsation in the pressure sensor group 301. That is, in the first and second embodiments, the pressure measurement range is determined based on the number of pressure sensors 301a in which the pressure can be detected among the plurality of pressure sensors 301a, and the determined range is set as the thickness of the radial artery. be able to. In addition, that the pressure as used in Embodiment 1 and Embodiment 2 was detected shall mean the state where the pressure more than the predetermined threshold value preset was detected.

When the sensor unit 204 is properly attached to the wrist, the pulse diagnosis apparatus 101 controls the automatic pressure controller 302 to press the pressure sensor group 301 against the wrist surface by a pump (not shown). The pressing force at the time of pressing is set so that the pressure sensor group 301 can detect an appropriate pressure. Such a pressing force serves as an index representing the distance between the wrist surface and the radial artery (the depth of the radial artery). The depth of the radial artery is one of the important factors for determining the type of pulse wave in Kampo medicine.
The vibration wave generated by the pulsation of the pressed radial artery is transmitted to the wrist surface and detected by the pressure sensor 301a. A signal detected by the pressure sensor 301a is converted from an analog signal to a digital signal, and is input to the control unit 401 after being subjected to normal electrical processing such as amplification as necessary.

  FIG. 4 is a functional block diagram for explaining a configuration including the control unit 401 of the pulse diagnosis apparatus 101. The control unit 401 includes a pulse wave measurement unit 410 that controls the pressure sensor group 301 to measure a pulse wave, and a communication control unit 411 that controls communication via the network N. The pulse diagnosis apparatus 101 stores pulse wave type data in which a pulse wave type is associated with a pulse parameter including at least one of a pulse wave frequency, a waveform, a waveform amplitude and an amplitude ratio, and a measurement range. It has a pulse wave DB 407.

  The control unit 401 inputs the measurement value measured by the pulse wave measurement unit 410 and the pressing force with which the pressure sensor group 301 is pressed against the patient's wrist surface during measurement. The control unit 401 includes a pressing force determination unit 402 that determines the value of the pressing force, a pressure measurement range determination unit 403 that determines the number of pressure sensors 301a whose pressure has been measured, a heart rate determination unit 404 that determines a heart rate, A waveform determination unit 405 that determines the waveform of the pulse wave is provided.

  The pressing force determination unit 402 is configured to determine the pressing force of the pressure sensor group 301, and is specifically a computer program. The pressure measurement range determination unit 403 is a computer program that determines the pressure measurement range, and the heart rate determination unit 404 is a computer program that determines the frequency of the pulse wave obtained as the heart rate. The waveform determination unit 405 is a computer program for determining the waveform, the amplitude of the waveform, and the amplitude ratio.

The determination results of the pressing force determination unit 402, the pressure measurement range determination unit 403, the heart rate determination unit 404, and the waveform determination unit 405 are input to the pulse wave determination unit 406. The pulse wave determination unit 406 compares the input determination result with the pulse wave type data acquired from the pulse wave DB 407. Then, the type of the pulse wave corresponding to the determination result is detected, and the detected type is specified as the type of the measured pulse wave.
Further, the pulse wave determination unit 406 outputs information based on, for example, the specified type of pulse wave. As an output method, for example, it is conceivable to display the name of the specified type on the display 202 of the pulse diagnosis apparatus 101. It is also conceivable that the communication control unit 411 transmits the information to the server 1 and presents it to a third party.

The information based on the type of pulse wave may be information on the patient's constitution and health condition determined from such a pulse wave, as well as information on herbal medicine suitable for the constitution and health condition. For example, such information is stored in the pulse wave DB 407 by associating information about the constitution or Chinese herbal medicine with the type of pulse wave. The pulse wave determination unit 406 can easily realize this by reading out the corresponding information together with the type of pulse wave and outputting or transmitting the information to the display 202.
In the above configuration, the sensor unit 204 and the pulse wave measurement unit 410 are pulse wave data acquisition means, a pressing force determination unit 402, a pressure measurement range determination unit 403, a heart rate determination unit 404, a waveform determination unit 405, and a pulse wave determination unit 406. The pulse wave identification unit, the pulse wave determination unit 406, the communication control unit 411, and the display 202 function as an information output unit.

(Embodiment 1)
Next, the pulse diagnosis system, pulse diagnosis apparatus, pulse diagnosis method, and pulse diagnosis program of the first embodiment will be described. The pulse diagnosis apparatus according to the first embodiment has a configuration in which the above-described control unit 401 specifies the type of pulse wave using pulse wave data obtained by measuring one pulsation.
FIG. 5 is a diagram illustrating pulse wave data used for specifying the type of pulse wave according to the first embodiment. The illustrated pulse wave data is a pulse wave waveform measured by the pulse wave measuring unit 10, and the horizontal axis indicates time t and the vertical axis indicates pressure P.

  The illustrated pulse wave data has a waveform including a plurality of peaks, and the pulse wave type data includes data in which a pulse wave type is associated with a peak value and a ratio of heights between a plurality of peaks. Contains. In the illustrated example, the pulse wave data has peaks 501, 502, and 503, the maximum amplitude value of peak 501 is a1, the amplitude value of peak 502 is a3, and the minimum value of the amplitude between peak 502 and peak 503 is shown. The difference between the maximum amplitude value of a4 and peak 503 and a4 is set as a5. Further, the maximum width of the portion of the peak 501 that does not overlap the peak 502 is defined as the peak width w. T shown in FIG. 5 indicates the period of the pulse wave, and the heart rate is approximately the inverse of the period t.

  Further, as shown in FIG. 6, the pulse diagnosis apparatus displays the measured amplitude value, the heart rate, and the pressing force of the pressure sensor group 301 in addition to the pulse wave data. The measured value 602 indicates the value a1, and the measured value 602 indicates the value a3. The measured value 601 is a measured value of the heart rate, and the set value 607 is the pressing force P of the pressure sensor group 301. Further, in the illustrated example, the pulse diagnosis apparatus also has a function of a sphygmomanometer (not illustrated), and the measured value 604 is a measured value measured by the sphygmomanometer.

(Pulse examination)
Here, the pulse diagnosis by the pulse diagnosis apparatus included in the pulse diagnosis system according to the first embodiment of the present invention will be described. In Kampo medicine, pulse waves are classified into many types according to the heart rate, depth, and pulse thickness. The type includes a normal wave that is a pulse wave of a user who has no abnormality in physical condition, a string pulse, a pulse, and the like. In many cases, the measured pulse wave does not correspond to one type of pulse wave such as a string pulse or a pulse, but has characteristics of a plurality of types of pulse waves. In this specification, a pulse wave having characteristics of a plurality of types of pulse waves is referred to as a phase / pulse.

  FIGS. 7A and 7B are diagrams illustrating pulse waves actually measured by the pulse diagnosis apparatus of the first embodiment. (A) is a pulse wave of a chordal vein, which is a phase / pulse of the chord and the vein. (B) is a stenosis that is a phase and a stenosis between a stenosis and a stenosis. In the first embodiment, the measured phase / pulse is classified into one of the types of pulse waves according to the feature. Then, the measured pulse wave of the user is associated with one of the types of pulse waves, and a pulse diagnosis is performed.

  FIG. 8 is a diagram showing data for classifying the measured pulse wave into any one of the pulse waves. The illustrated data includes the values and ratios of the waveforms a1, a3, a4, and a5 shown in FIG. 5, the peak width w, the number of pressure sensors 301a that detected pressure, the cycle of the pulse (represented by the heart rate), the pulse This is pulse wave type data in which a pulse parameter determined using the pressure pressed by the pressure sensor group 301 on the wrist at the time of diagnosis and the type of pulse wave are associated with each other. In the horizontal direction of FIG. 8, pulse parameters such as the pressing pressure at the time of pulse measurement, the heart rate, the number of pressure sensors 301a (indicated as the number of CH (channels) in the figure), the amplitude value, and the ratio thereof are described. Has been. In the vertical direction, the types of pulse waves such as normal waves, buoyancy, and stagnation associated with the pulse parameters written in the horizontal direction are described.

  In the illustrated example, for example, the pressure wave is in the range of 150 to 200 mmHg, the number of pressure sensors 301a in which the pressure is detected is 15 to 25, and the pulse wave in the range of 60 to 90 heartbeats is normal. It corresponds to a wave. The pulse wave measured by 15 or less pressure sensors 301a corresponds to a narrow pulse, and the pulse wave measured by 25 or more pressure sensors 301a corresponds to a large pulse.

A pulse wave with a heart rate of 90 or more corresponds to several pulses, and a pulse wave with a heart rate of 60 or less corresponds to a slow pulse. When the pulse is slow and has an arrhythmia, the arrhythmia is irregular, and the arrhythmia occurs regularly, and the arrhythmia occurs regularly. A pulse wave having a heart rate of 60 to 70 corresponds to a slow pulse, and if it is 120 or more, it corresponds to a pulse.
Furthermore, the pulse wave is classified as follows according to the waveform. That is, when a3 and a4 shown in FIG. 5 have similar values, this pulse wave corresponds to a smooth pulse. If a5 is in the range of 0 to 1, the pulse wave corresponds to a string pulse. The chords are further classified into a chord, chord I, chord II, and chord III according to the ratio between a1 and a3 (a1 / a3).

(Method of pulse examination)
Next, a pulse diagnosis method performed by the pulse diagnosis system and pulse diagnosis apparatus of the first embodiment described above will be described. FIG. 9 is a flowchart for explaining the overall processing of the pulse diagnosis method of the first embodiment, and is executed by the pulse diagnosis apparatus. In the pulse diagnosis apparatus of the first embodiment, first, the pulse wave measurement unit 410 measures the patient's pulse wave. Then, pulse parameters such as the pressing force P at the time of measurement, the number S of pressure sensors 301a, the heart rate r, the amplitude indicating the waveform and the amplitude ratio are input (S801).

The pulse diagnosis device executes a pressing force P determination subroutine by the pressing force determination unit 402, and determines the depth of the radial artery (S802). Subsequently, the pressure measurement sensor number determination unit 403 executes a pressure detection sensor number S determination subroutine to determine the thickness of the radial artery (S803), and the heart rate determination unit 404 executes the heart rate r determination subroutine. The frequency of the wave is determined (S804). Further, the waveform determination unit 405 executes a waveform determination subroutine to determine the peak value of the waveform and the peak value ratio (S807).
Then, the pulse wave determination unit 406 collects the results determined by the subroutines of steps S802 to 805, and comprehensively determines the type of pulse wave (S806). Then, the result is output by outputting it to the display 202 or recording paper.

FIG. 10 is a flowchart for explaining the pressing force P determination subroutine shown in step S802. The pressing force determination unit 402 determines whether or not the pressing force at the time of measurement is in a range from a preset lower limit value Pl to an upper limit value Ph (S901). If the result of this determination is that the pressing force is in the range between Pl and Ph (S901: Yes), the pressing force P determination subroutine returns to the main routine.
When returning to the main routine, information indicating that the pressing force is within a range of Pl or more and Ph or less is input to the pulse wave determination unit 406. The pulse wave determination unit 406 also collects determination results from the pressure detection sensor number S determination subroutine and the heart rate r determination subroutine. When all of the values of the pressing force, the number of pressure detection sensors, and the heart rate are within a predetermined range, it is determined that the pulse wave is a normal wave.

  Further, when it is determined in step S901 that the pressing force P is not within the range of not less than Pl and not more than Ph in step S901 (S901: No), the pressing force determining unit 402 determines whether the pressing force is smaller than Pl ( S902). As a result of the determination, when the pressing force is smaller than Pl (S902: Yes), the pressing force determination unit 402 determines that the pulse wave is a buoyancy (S903). When the pressing force is not smaller than Pl (S902: No), the pressing force determination unit 402 determines whether the pressing force is larger than Ph (S904).

  If it is determined in step S904 that the pressing force is greater than Ph (S904: Yes), the pressing force determination unit 402 determines that the pulse wave is a stagnation (S905). If the pressing force is not greater than Ph (S904: No), the pressing force determination unit 402 determines that an error has occurred in the measurement of the pressing force because the determination results contradict each other (S906). After the above processing ends, the pressing force P determination subroutine returns to the main routine.

FIG. 11 is a flowchart for illustrating the pressure detection sensor number S determination subroutine shown in step S803. The pressure measurement range determination unit 403 determines whether or not the number of pressure sensors 301a in which pressure can be detected is within a preset range between the lower limit number Sl and the upper limit number Sh of pressure sensors (S1001). .
As a result of this determination, if the number of pressure detection sensors is within the range of S1 or more and Sh or less (S1001: Yes), the pressure detection sensor number S determination subroutine returns to the main routine.

  If the pressure measurement range determination unit 403 determines in step S1001 that the number of pressure detection sensors S is not within the range of S1 or more and Sh or less (S1001: No), is the pressure measurement sensor number smaller than S1? It is determined whether or not (S1002). As a result of the determination, when the number of pressure detection sensors is smaller than S1 (S1002: Yes), the pressure measurement range determination unit 403 determines that the pulse wave is a narrow vein (S1003). When the number of pressure detection sensors is not smaller than S1 (S1002: No), the pressure measurement range determination unit 403 determines whether or not the number of pressure detection sensors is larger than Sh (S1004).

  In step S1004, when it is determined that the number of pressure detection sensors is larger than Sh (S1004: Yes), the pressure measurement range determination unit 403 determines that the pulse wave is a huge pulse (S1005). When the number of pressure detection sensors is not larger than Sh (S1004: No), the pressure measurement range determination unit 403 determines that an error has occurred in the measurement of the number of pressure detection sensors because the determination results are inconsistent ( S1006). After completion of the above processing, the pressure detection sensor number S determination subroutine returns to the main routine.

FIG. 12 is a flowchart for explaining the heart rate r determination subroutine of step S804. In this flowchart, heart rates r1, t2, t3, and t4 are set in advance, and t1 to t5 have the following magnitude relationship.
t1 <t2 <t3 <t4
The heart rate determination unit 404 determines whether or not the measured heart rate is within a preset heart rate r1 or more and heart rate r2 or less (S1101). As a result of this determination, when the measured heart rate is within the range of the heart rate r1 or more and the heart rate r2 or less (S1101: Yes), the heart rate determination unit 404 determines that the pulse wave is a slow pulse ( S1102). If the heart rate is not within the range of heart rate r1 or more and heart rate r2 or less (S1101: No), it is determined whether or not the heart rate is within the range of heart rate r1 or more and heart rate r3 or less (S1103). ). When it is determined that the heart rate is within the range of the heart rate r1 or more and the heart rate r3 or less (S1103: Yes), the heart rate r determination subroutine returns to the main routine.

  When it is determined that the measured heart rate is not within the range of the heart rate r1 or more and the heart rate r3 or less (S1103: No), it is determined whether or not the heart rate is smaller than the heart rate r1 (S1104). When it is determined that it is smaller than the heart rate r1 (S1104: Yes), the heart rate determination unit 404 further determines whether or not the pulse is an arrhythmia from the measured heart rate (S1105). If it is an arrhythmia (S1105: Yes), it is determined whether the arrhythmia is an arrhythmia that occurs regularly (S1106).

When the arrhythmia occurs regularly (S1106: Yes), the heart rate determination unit 404 determines that the pulse wave is a substitute pulse (S1107). If the heart rate determination unit 404 determines that arrhythmia occurs irregularly in step S1106 (S1106: No), it determines that the pulse wave is a conjunctiva (S1108). If it is determined in step S1105 that there is no arrhythmia (S1105: No), it is determined that the pulse wave is a slow pulse (S1109).
When it is determined in step S1104 that the heart rate is not smaller than the heart rate r1 (S1104: No), the heart rate determination unit 404 determines whether the heart rate is greater than the heart rate r4 (S1110). If the heart rate is greater than the heart rate r4 (S1110: Yes), it is determined that the pulse wave is a pulse (S1111).

When the heart rate is lower than the heart rate r4 (S1110: No), the heart rate determination unit 404 determines that the pulse wave is a pulse (S1111). If it is smaller than the heart rate r4 (S1110: No), it is further determined whether or not the heart rate is greater than the heart rate r3 (S1112). If it is greater than the heart rate r3, it is determined that there are several pulses (S1113). . Also,
If it is determined in step S1112 that the heart rate is smaller than t3 (S1114: No), it is determined that an error has occurred in the measurement of the heart rate because the determination results are inconsistent (S1114). After completion of the above processing, the heart rate r determination subroutine returns to the main routine.

FIG. 13 is a flowchart for explaining the waveform determination subroutine of step S805. The waveform determination unit 405 determines whether or not the difference between the amplitude values a3 and a4 is within a preset allowable range and can be regarded as substantially equivalent (S1201). As a result of the determination, if a3 and a4 are substantially equal (S121: Yes), the waveform determination unit 405 determines that the pulse wave is a smooth pulse (S1202).
When it is not recognized that a3 and a4 are substantially equal (S1201: No), the waveform determination unit 405 determines whether the value of a5 is 0 or more and 1 or less (S1203). If it is determined that the value of a5 is not greater than or equal to 0 and less than 1 (S1203: No), it is determined that the pulse wave type is largely different from the waveform assumed in the first embodiment, and the pulse wave type cannot be specified (S1204).

  If it is determined in step S1205 that the value of a5 is 0 or more and 1 or less (S1203: Yes), the waveform determination unit 405 determines whether the value of the amplitude ratio a1 / a3 is 0.8 or less. (S1205). If it is 0.8 or less (S1205: Yes), it is determined that the pulse wave is a chordal pulse (S1206). If not 0.8 or less (S1206: No), the waveform determination unit 405 determines whether the value of the amplitude ratio a1 / a3 is 0.9 or more (S1207). If not 0.9 or more (S1207: No), the value of the amplitude ratio a1 / a3 is 0.8 or more and 0.9 or less, so the pulse wave is determined to be the chord I (S1208).

  When it is determined that the value of the amplitude ratio a1 / a3 is 0.9 or more (S1207: Yes), the waveform determination unit 405 further determines whether the amplitude ratio is 1.0 or more (S1209). If it is not 1.0 or more (S1209: No), the value of the amplitude ratio a1 / a3 is 0.9 or more and 1.0 or less, so the pulse wave is determined as the chord II (S1210). When it is determined in step S1209 that the amplitude ratio is 1.0 or more (S1209: Yes), the pulse wave is determined to be the chord III (S1211).

  The pulse wave determination result in each subroutine described above is input to the pulse wave determination unit 406. In the pulse wave determination unit 406, for example, the pressing force P is Pl or more and Ph or less in the pressing force P determination subroutine, and the number of pressure sensors 301a is Sl or more and Sh or less in the pressure detection sensor number S determination subroutine. Further, when it is determined in the heart rate r determination subroutine that the heart rate is not less than t1 and not more than t3, it is determined that the pulse wave is a normal wave.

In addition, for example, the pulse wave is comprehensively determined from the determination results of pulse waves that are not contradictory to each other, for example, a pulsating vein, a narrow pulse, and a large pulse, and several pulses. The result of the determination is presented to the doctor by being displayed on the display 202 or the like.
In this way, the doctor can immediately understand the type of pulse wave even if he / she is not familiar with pulse diagnosis based on Kampo medicine. And a patient is diagnosed based on the classification of a pulse wave, and prescriptions, such as Chinese medicine suitable for a patient, can be performed. At this time, the doctor may use a pulse diagnosis and other diagnoses such as an inquiry and a tongue examination to judge the results of a plurality of diagnoses comprehensively.

  As described above, the pulse diagnosis system according to the first embodiment is not limited to the configuration in which the pulse wave type is specified on the pulse diagnosis apparatus side, and the pulse wave type is specified on the server 1 side. It may be a thing. When configuring the pulse diagnosis system in this way, the control unit 401 illustrated in FIG. 4 is provided in the server 1. The pulse diagnosis device transmits the measured pulse wave data to the server 1, and the control unit 401 of the server 1 identifies the type of pulse wave.

  Moreover, although the above Embodiment 1 showed only about the single pulse diagnosis result, such as a cardiac vein and a narrow vein, Embodiment 1 and Embodiment 2 are not limited to such a structure. That is, the pulse wave includes a pulse wave such as a sag vein in which a stenosis and a stenosis are combined, and a string strain in which a string and a sway are combined. With regard to a pulse wave (hereinafter referred to as a composite pulse wave) in which a plurality of pulse wave features are combined, Embodiment 1 and Embodiment 2 are pulses that combine a heart rate, an amplitude value of the pulse wave, and the like. A pulse diagnosis result can be obtained by determining an appropriate parameter value for specifying the type of pulse wave.

Furthermore, in the pulse diagnosis system of the first embodiment, the type of pulse wave, the results of the inquiry and tongue examination, the constitution and state (verification) of the patient from whom such a pulse wave was obtained, and a suitable Chinese medicine name are obtained. Corresponding data can be stored in a database. If comprised in this way, not only a pulse diagnosis but the comprehensive diagnosis and prescription of a medicine which a doctor performs based on a pulse diagnosis result can be supported.
As described above, many pulse waves are phase and pulse. In Kampo medicine, compensation and Kampo medicine are associated with each phase and pulse. In the first embodiment, the type of pulse wave, the dialect of the phase and pulse including the characteristics of the pulse wave of this type, and the Chinese medicine are associated with each other to create a database. The following is an example of data associated with pulse wave types, dialects, and herbal medicines included in the database.
Type of pulse wave Dialect Chinese herbal medicine Buddhism Evidence / False 荊芥 / Windproof
Front fever certificate Mulberry leaf, chrysanthemum flower, veins
Urasho / Kansho Tsujiko, Katsue, String vein, Fiction / Hepatobiliosis Shibahu, Carrot
Fever / Hepatobiliosis Shibahu / Yellow

(Embodiment 2)
Next, the pulse diagnosis system, pulse diagnosis apparatus, pulse diagnosis method, and pulse diagnosis program of the first embodiment will be described. The pulse diagnosis system of the second embodiment is different from that of the first embodiment only in the classification of the pulse wave type by the pulse diagnosis apparatus, and data exchange in the pulse diagnosis system is performed in the same manner as in the first embodiment. Therefore, in the second embodiment, only the classification of pulse waves based on the pulse parameters will be described, and the illustration and part of the system and apparatus configuration described in the first embodiment will be omitted.
In the pulse diagnosis apparatus of the second embodiment, the above-described heart rate determination unit 404 determines a heart rate using pulse wave data obtained by measuring a plurality of consecutive pulsations, and the pulse wave determination unit 406 determines the pulse wave. Specify the type of. Such a pulse diagnosis apparatus according to the second embodiment makes it possible to specify the type of pulse wave when the pulse wave measurement unit 410 does not have a function of separately measuring the heart rate (pulse rate).

FIG. 14 is a diagram for illustrating the pulse wave type data of the second embodiment, and the pulse wave type data of the second embodiment also associates the pulse parameter and the pulse wave type. The pulse parameters of the second embodiment are the values and ratios of the waveforms a1, a3, a4, and a5 shown in FIG. 5, the peak width w, the pulse frequency (heart rate) and period, and the pressure sensor group 301 is applied to the wrist during pulse examination. It is determined by using the pressure pressed on. In the second embodiment, the number of pressure sensors 301a used in the first embodiment is not used for determining the pulse parameter.
In the second embodiment, as in the first embodiment, the phase / pulse is classified into one of the types of pulse waves. The inventors of the present invention comprehensively considered numerous clinical data and diagnoses by Chinese medicine doctors, and determined which pulse parameters were defined and how to classify pulse waves.

Note that there are pulse waves with different periods t even if the heart rate is the same, such as the normal wave and the string II in FIG. Such a difference is caused by the difference in the distribution of the pulse rate in the normal wave or the chord pulse II, the relationship between the accuracy of counting the pulse rate, and the measurement accuracy of the period t. That is, both the normal wave and the string II have a heart rate in the range of 60 to 90, but when many heart rates of users diagnosed with normal waves are closer to 90 than 60, the period t is 1. It is defined as follows. Further, when many heart rates of users diagnosed with the chord II are approximately 60, the period t is defined as 1.
Furthermore, in the pulse diagnosis apparatus of the second embodiment, all heart rate values of 1 or less are rounded down. However, since the value of the period t is measured to the decimal point, even if the heart rate is in the same range of 60 to 90, the specified value of the period is slightly different.

15 and 16 are flowcharts for explaining processing of the pulse diagnosis method of the second embodiment. FIG. 15 is a main routine of the flowchart, and FIG. 16 is a determination subroutine in FIG.
It is considered that many users are determined to have normal waves in the pulse examination. Therefore, in the second embodiment, the pulse parameter of the measured pulse wave is first compared with the normal wave condition shown in FIG. If all the conditions match the measured pulse wave (step S1401: Yes), the pulse wave determination unit 406 determines that the pulse wave is a normal wave (step S1415). If all the conditions of the normal wave are not met (step S1401: No), the pulse wave determination unit 406 determines whether the heart rate is 60 or less based on the determination result of the heart rate determination unit 404 (step S1402). ). When the heart rate is 60 or less (step S1402: Yes), it is determined that the pulse wave is a slow pulse (step S1403).

  If it is determined in step S1402 that the heart rate is not 60 or less (step S1402: No), the pulse wave determination unit 406 determines whether a1 is 28 or more from the determination result of the waveform determination unit 405 (step S1402). S1404). If a1 is equal to or greater than 28 (step S1404: Yes), the pulse wave determination unit 406 determines that the pulse wave is a pulsation (step S1405).

  When a1 is not 28 or more (step S1404: No), the pulse wave determination unit 406 determines whether the value of a3 / a1 is 0.4 or less from the determination result of the waveform determination unit 405 (step S1406). As a result, if the value of a3 / a1 is 0.4 or less, it is determined that the pulse wave is a narrow vein (step S1407). Further, the pulse wave determination unit 406 determines whether the value of a5 is 2 or more from the determination result of the waveform determination unit 405 (step S1408). As a result, if the value of a5 is 2 or more (step S1408: Yes), the pulse wave determination unit 406 determines that the pulse wave is a smooth pulse (step S1409). When the value of a5 is not 2 or more (step S1408: No), the pulse wave determination unit 406 determines from the determination result of the concave pressure determination unit 402 whether the concave pressure P when the pulse wave is measured is 200 or more. (Step S1410). If the concave pressure P is 200 or more (step S1410: Yes), the pulse wave determination unit 406 determines that the pulse wave is a stagnation (step S1411).

When the concave pressure P is not 200 or more (step S1410: No), the pulse wave determination unit 406 determines from the determination result of the concave pressure determination unit 402 whether the concave pressure P when the pulse wave is measured is 100 or less. (Step S1412). If the concave pressure P is 100 or less (step S1412: Yes), the pulse wave determination unit 406 determines that the pulse wave is a float (step S1413).
And when the concave pressure P is not 100 or less (step S1412: No), the control part 401 performs a determination subroutine (step S14141).

In the determination subroutine of FIG. 16, the pulse wave determination unit 406 determines whether the heart rate is 90 or more based on the determination result of the heart rate determination unit 404 (step S1501). When the heart rate is 90 or more (step S1501: Yes), the pulse wave is determined to be several (step S1502).
If it is determined in step S1501 that the heart rate is not 90 or more (step S1501: No), the pulse wave determination unit 406 determines again whether the heart rate of the pulse wave is 60 or less (step S1503). If the heart rate is 60 or less (step S1503: Yes), pulse wave determination unit 406 further determines whether pulse wave arrhythmia regularly occurs based on the determination result by waveform determination unit 405. (Step S1504). If arrhythmia occurs regularly (step S1504: Yes), it is determined that the pulse wave is a conjunctiva (step S1502). When the arrhythmia does not occur regularly (step S1504: No), the pulse wave determination unit 406 determines that the arrhythmia occurs irregularly and determines the pulse wave as a substitute pulse (step S1506).

  Further, when it is determined in step S1503 that the heart rate is not 60 or less (step S1503: No), the pulse wave determination unit 406 has a3 / a1 value of 1 based on the determination result by the waveform determination unit 405. It is determined whether or not there is (step S1507). If the value of a3 / a1 is 1 (step S1507: Yes), it is further determined whether a1 is 20 or more (step S1508). If it is 20 or more, it is determined that the pulse wave is the string II (step 1). S1505). When a1 is not 20 or more (step S1508: No), it is determined that the pulse wave is a traffic vein (step S1510).

If it is determined in step S1507 that the value of a3 / a1 is not 1 (step S1507: No), the pulse wave determination unit 406 determines that the value of a3 / a1 is based on the determination result by the waveform determination unit 405. It is determined whether it is 0.4 or less (step S1511). If it is 0.4 or less (step S1511: Yes), the pulse wave determination unit 406 determines that the pulse wave is a weak pulse (step S1512).
In step S1511, when it is determined that the value of a3 / a1 is not 0.4 or less (step S1511: No), the pulse wave determination unit 406 determines that the value of a1 is 15 or less from the determination result of the waveform determination unit 405. It is determined whether or not there is (step S1513). As a result, if the value of a1 is 15 or less (step S1513: Yes), it is determined that the pulse wave is a wet pulse (step S1514).

  When it is determined that the value of a1 is not 15 or less (step S1513: No), the pulse wave determination unit 406 determines whether the value of a1 is 20 or more from the determination result of the waveform determination unit 405. (Step S1515). As a result, if the value of a1 is 20 or more (step S1515: Yes), it is determined that the pulse wave is the string I (step S1516).

When the value of a1 is not 20 or more (step S1515: No), the pulse wave determination unit 406 determines whether the period t is 1 or more from the determination result of the waveform determination unit 405 (step S1517). As a result, if the value of t is 1 or more (step S1517: Yes), the pulse wave determination unit 406 determines that the pulse wave is a string pulse (step S1518). When the value of t is not 1 or more (step S1517: No), the pulse wave determination unit 406 determines that the pulse wave is an actual pulse (step S1519).
As described above, the second embodiment uses a device that does not have the function of measuring the heart rate separately, or a pulse diagnosis device that does not have a configuration that directly measures the thickness of the pulse using a sensor or the like, and uses Chinese medicine as in the first embodiment. Medical pulse examination can be performed.

It is a figure for demonstrating the concept of the pulse diagnosis system common to Embodiment 1 and Embodiment 2 of this invention. It is an external view of the pulse diagnosis apparatus shown in FIG. It is a figure for demonstrating the mounting method of the sensor unit shown in FIG. It is a figure for demonstrating the structure containing the control part of the pulse diagnosis apparatus shown in FIG. It is a figure which illustrates pulse wave data used for classification of a pulse wave of Embodiment 1 of the present invention. It is the figure which showed the example of a display of the data measured in the pulse diagnosis apparatus shown in FIG. It is a figure which shows the pulse wave actually measured by the pulse diagnosis apparatus of Embodiment 1 of this invention. It is a figure for demonstrating the pulse wave classification data which matched the pulse parameter of Embodiment 1 of this invention, and the classification of a pulse wave. It is a flowchart for demonstrating the whole process of the pulse diagnosis method of Embodiment 1 of this invention. It is a flowchart for demonstrating the pressing force P determination subroutine of Embodiment 1 of this invention. It is a flowchart for demonstrating the pressure detection sensor number S determination subroutine of Embodiment 1 of this invention. It is a flowchart for demonstrating the heart rate r determination subroutine of Embodiment 1 of this invention. It is a flowchart for demonstrating the waveform determination subroutine of Embodiment 1 of this invention. It is a figure for illustrating pulse wave classification data of Embodiment 2 of the present invention. It is a flowchart for demonstrating the process of the pulse diagnosis method of Embodiment 2 of this invention. It is a flowchart of the determination subroutine in FIG.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Server, 2, 4 Pharmacy, 3 Medical institution, 4 Pharmacy, 5 Doctors group 10 Pulse wave measurement part, 101 Pulse diagnosis apparatus, 201 Fixed stand, 202 Display 204 Sensor unit, 301 Pressure sensor group, 301a Pressure sensor 302 Automatic pressure Controller, 305 range, 401 Control unit 402 Pressure determination unit, 403 Pressure measurement range determination unit, 404 Heart rate determination unit 405 Waveform determination unit, 406 Pulse wave determination unit, 407 Pulse wave DB
410 Pulse wave measurement unit, 411 communication control unit, 501, 502, 503 peak

Claims (7)

A pulse diagnosis system including a pulse diagnosis server device and a pulse diagnosis device connected to the pulse diagnosis server device via a network,
The pulse diagnosis device is
A pulse wave data acquisition means for acquiring pulse wave data related to a pulse wave, which is a waveform obtained by measuring a patient's pulse;
The pulse wave data acquired by the pulse wave data acquisition means is classified into the type of pulse wave, the pressure that pressed the patient's pulse at the time of measurement, the frequency of the measured pulse wave, the waveform, the amplitude and amplitude ratio of the waveform, A pulse wave specifying means for comparing the pulse parameter including at least one of the measurement ranges with the associated pulse wave type data, and specifying the type of pulse wave indicated by the pulse wave data;
Have a pulse wave data transmission means for transmitting information based on the type of pulse wave identified by said pulse wave identification unit to the pulse diagnosis server, the pulse wave data acquisition means,
A plurality of sensors are arranged in the circumferential direction of the patient's wrist, and include a pressure sensor that detects pulsation as pressure in contact with the body,
A plurality of the pressure sensors are mounted in a direction orthogonal to the length direction of the radial artery of the patient's wrist, and a predetermined threshold value or more among the plurality of arranged pressure sensors Detecting the thickness of the radial artery of the patient's wrist according to the number of pressure sensors that have detected the pressure, and determining whether the type of pulse wave is a normal wave, a narrow pulse, or a large pulse A pulse diagnosis system characterized by A pulse diagnosis system including a pulse diagnosis server device and a pulse diagnosis device connected to the pulse diagnosis server device via a network,
A pulse wave data acquisition means for acquiring pulse wave data related to a pulse wave, which is a waveform obtained by measuring a patient's pulse;
A pulse diagnosis device comprising: pulse wave data transmission means for transmitting the pulse wave data acquired by the pulse wave data acquisition means;
Receiving means for receiving the pulse wave data transmitted by the pulse wave data transmitting means;
The pulse wave data received by the receiving means includes the type of pulse wave, the pressure that pressed the patient's pulse during measurement, the frequency of the measured pulse wave, the waveform, the amplitude and amplitude ratio of the waveform, and the pulse measurement range. Comparing with pulse wave type data associated with a pulse parameter including at least one, and specifying a pulse wave type indicated by the pulse wave data;
A diagnostic data transmitting means for transmitting information based on the type of pulse wave specified by the pulse wave specifying means to the outside, a pulse diagnosis server device comprising:
Only including, the pulse wave data acquisition means,
A plurality of sensors are arranged in the circumferential direction of the patient's wrist, and include a pressure sensor that detects pulsation as pressure in contact with the body,
A plurality of the pressure sensors are mounted in a direction orthogonal to the length direction of the radial artery of the patient's wrist, and a predetermined threshold value or more among the plurality of arranged pressure sensors Detecting the thickness of the radial artery of the patient's wrist according to the number of pressure sensors that have detected the pressure, and determining whether the type of pulse wave is a normal wave, a narrow pulse, or a large pulse A pulse diagnosis system characterized by A pulse wave data acquisition means for acquiring pulse wave data related to a pulse wave, which is a waveform obtained by measuring a patient's pulse;
The pulse wave data acquired by the pulse wave data acquisition means is classified into the type of pulse wave, the pressure that pressed the patient's pulse at the time of measurement, the frequency of the measured pulse wave, the waveform, the amplitude and amplitude ratio of the waveform, A pulse wave specifying means for comparing the pulse parameter including at least one of the measurement ranges with the associated pulse wave type data, and specifying the type of pulse wave indicated by the pulse wave data;
Information output means for outputting information based on the type of pulse wave specified by the pulse wave specifying means;
The pulse wave data acquisition means comprises
A plurality of sensors are arranged in the circumferential direction of the patient's wrist, and include a pressure sensor that detects pulsation as pressure in contact with the body,
A plurality of the pressure sensors are mounted in a direction orthogonal to the length direction of the radial artery of the patient's wrist, and a predetermined threshold value or more among the plurality of arranged pressure sensors by detecting the thickness of the radial artery of the wrist of the patient by the number of pressure sensor detects the pressure, the type of pulse wave, that determine the normal wave, veinlets, Hiroshidaimyaku, which of A pulse diagnosis device characterized by that. The pulse wave specifying means includes
4. The type of the pulse wave is specified using pulse wave data obtained by measuring one pulsation or pulse wave data obtained by measuring a plurality of successive pulsations. The pulse diagnosis apparatus described. When the pulse wave data has a waveform including a plurality of peaks, the pulse wave type data includes data in which a pulse wave type is associated with a height ratio between the plurality of peaks. The pulse diagnosis apparatus according to claim 3 or 4 . A pulse wave data acquisition step of acquiring pulse wave data relating to a pulse wave, which is a waveform obtained by measuring a patient's pulse;
The pulse wave data acquired in the pulse wave data acquisition step includes the type of pulse wave, the pressure that pressed the patient's pulse during measurement, the frequency of the measured pulse wave, the waveform, the amplitude and the amplitude ratio of the waveform, A pulse wave identification step of comparing the pulse parameter including at least one of the measurement ranges with the associated pulse wave type data to identify the type of pulse wave indicated by the pulse wave data;
An information output step of outputting information based on the type of pulse wave identified in the pulse wave identification step;
In the pulse wave data acquisition step,
A plurality of pressure sensors arranged in the circumferential direction of the patient's wrist and detecting pulsation as pressure in contact with the body, wherein the plurality of pressure sensors are in a direction perpendicular to the length direction of the radial artery of the patient's wrist The thickness of the radial artery of the wrist of the patient is detected based on the number of pressure sensors that are mounted in an arrayed state and detect a pressure equal to or higher than a predetermined threshold among the plurality of the pressure sensors arranged. , Characterized by determining whether the type of pulse wave is a normal wave, a narrow vein, or a Hong Kong pulse ,
An operation method in which each of the above steps is controlled by the control means of the apparatus . On the computer,
A pulse wave data acquisition function for acquiring pulse wave data related to a pulse wave, which is a waveform obtained by measuring a patient's pulse;
The pulse wave data acquired by the pulse wave data acquisition function includes the type of pulse wave, the pressure that pressed the patient's pulse at the time of measurement, the frequency of the measured pulse wave, the waveform, the amplitude and the amplitude ratio of the waveform, A pulse wave specifying function for comparing the pulse parameter including at least one of the measurement ranges with the associated pulse wave type data, and specifying the type of pulse wave indicated by the pulse wave data;
An information output function for outputting information based on the type of pulse wave specified by the pulse wave specifying function;
In the pulse wave data acquisition function,
A plurality of pressure sensors arranged in the circumferential direction of the patient's wrist and detecting pulsation as pressure in contact with the body, wherein the plurality of pressure sensors are in a direction perpendicular to the length direction of the radial artery of the patient's wrist The thickness of the radial artery of the wrist of the patient is detected based on the number of pressure sensors that are mounted in an arrayed state and detect a pressure equal to or higher than a predetermined threshold among the plurality of the pressure sensors arranged. , the type of pulse wave, normal waves, veinlets, pulse diagnostic program characterized that you determine which one Hiroshidaimyaku, the.

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