JPH1119055A - Pulse diagnosing device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a pulse diagnosing device in order to obtain pulse pressure wave information by mechanically detecting a floating pulse, an intermediate pulse and a sinking pulse at sunko, sekijo, and shakuchu in Chinese medical treatment, which have conventionally been judged by his personal experience and instinct of a Chinese medical doctor. SOLUTION: This pulse diagnosing device is equipped with a hollow pressure pulse transmitting tube 12, at one end of which a probe part 11 to press the skin surface of a body to be inspected is provided, and which detects a pulse pressure wave from an artery, a loading mechanism 14 which imparts a pressing force to the probe part 11, and at the same time, can variably control the pressing force, a transducer 13 which converts the pulse pressure wave detected in the pressure pulse transmitting tube into an electric signal, moving mechanisms 17, 18 which move the probe part 11 in the horizontal direction and the vertical direction, and pressure pulse wave measuring means 25, 26, 27 which convert the electric signal from the transducer into a pulse pressure wave information.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a pulse diagnostic device in oriental medicine, and more particularly, to a pulse pressure on a patient's wrist artery, which is an important pulse diagnostic point in oriental medicine, in a form suitable for diagnosis of a medical condition. It relates to an apparatus for measuring properly.

[0002]

2. Description of the Related Art In general, in oriental medicine examinations, examinations are made by wishing, auscultation, inquiry, and palpation. In these examinations, "six-part stereotactic / pulse examination" is regarded as the most important. This “six-part stereotaxy / pulse examination” is a method of comparing and examining the pulse pressure waves of the toe bone artery (hereinafter referred to as “artery”). Shown on the artery (position on the artery inside the toe pedicle) on the inner side of the toe, on the artery on the thumb side about 1.2 cm from the above-mentioned Kanjo, and on the scale (about 1.2 cm on the heart side from the Kanto area). Position on a certain artery)
At three positions, the venous pulse (pulse pressure wave obtained when lightly touching the skin), the middle pulse (pulse pressure wave obtained when the skin is slightly pressurized), and the venous pulse (slightly pressurizing the skin before the artery stops) This is to diagnose the patient's health condition by comparing pulse pressure wave information obtained from the pulse pressure wave obtained in step (1). This "six-part stereotaxy / pulsimetry" is a diagnostic method in Oriental medicine that estimates the pathology of the viscera of the sick, determines the pathology, etiology, treatment method, etc. In the diagnosis, the detection of the pulse pressure wave information is indispensable. . As described above, the detection of pulse pressure wave information is extremely important in the “six-part stereotaxy / pulse examination”,
In addition, there is a relatively large surface that depends on the long-term experience and feelings of the Oriental physician. However, there has been no device that accurately detects pulse pressure wave information suitable for such a six-part stereotactic / pulse examination.

[0003]

SUMMARY OF THE INVENTION The present invention appropriately detects pulse pressure wave information necessary for diagnosis of "six-part stereotaxy / pulsimetry" which has been conventionally judged based on the personal experience and feeling of a Toyo physician. Provide equipment.

[0004]

Means for Solving the Problems In order to solve the above-mentioned problems, the present inventor has conducted research for many years. As a result, the present inventors have provided, at one end, a tactile part for pressing the skin surface of a subject to detect a pulse pressure wave from an artery. A hollow pressure pulsing tube to be detected, a load mechanism that applies a pressing force to the tentacle portion and variably controls the pressing force, and a transducer that converts a pulse pressure wave detected by the pressure pulsing tube into an electric signal A pulse mechanism, comprising: a moving mechanism for moving the haptic unit in a horizontal direction and a vertical direction; and a pressure pulse wave measuring means for converting an electric signal from the transducer into pulse pressure wave information. It has been found that the above-mentioned problem can be solved by doing so. With the pulse diagnosis device having such a configuration, objective and accurate pulse pressure wave information can be obtained.

[0005] The pulse diagnosis apparatus of the present invention includes a pressure pulse conduction tube. The pressure pulse conduction tube presses any one of the three positions of the mouth, the Sekigami, and the scale to capture the pulsation of the patient's artery as an air wave, It has a hollow tube for transmitting the obtained air wave to a piezoelectric transducer (hereinafter referred to as a "transducer"), and a connection for connecting the pressure pulse conduction tube to the transducer. The material of the pressure pulse conduction tube is not particularly limited as long as it can transmit the air wave caught by the haptic portion to the transducer, but it is preferably made of resin and the cross section of the tube portion is circular. preferable. Further, the portion where the haptic part contacts the patient's skin is circular, and its outer diameter is 6 to 10 mm, preferably 8 mm, and its inner diameter (hollow part) is 4 to 7 mm, preferably 6 mm. Has an inner diameter of 2 mm to 5 mm, preferably 3 mm.

In the present invention, any transducer may be used as long as it has a function of converting the pulse (air wave) of a patient's arterial wave (air wave) conducted by the pressure pulse conduction tube into an electric signal and outputting the electric signal. , An electroacoustic transducer, such as a crystal such as an electrostrictive element and a magnetostrictive element, a Rochelle salt, polyvinylidene fluoride, and barium titanate.

In the present invention, the load mechanism sequentially applies a pressing force suitable for measuring a floating pulse, a medium pulse, and a sedimentary pulse of a subject to a palpation part of a patient via a contact part of a pressure pulse conduction tube. is there. The load mechanism generates the pressing force by vertically displacing the output shaft by air pressure, the load mechanism generates the pressing force by vertically displacing by the electric screw mechanism,
Alternatively, various types can be used, such as a type that generates a pressing force by displacing in the vertical direction of the output shaft by an electromagnetic force, and a type that generates a pressing force by using a hydraulic system. What can be controlled precisely is required.
The load mechanism preferably includes a pressing force measuring device (a load detector or a pressure gauge) for measuring the pressing force applied to the touching portion. When the load mechanism is controlled while monitoring the pressing force measuring device, Good. The loading mechanism of the preferred pulse diagnosis apparatus according to the present invention is configured to automatically select and apply three pressing forces suitable for the constitution of the patient. The preferred pressing force applied to the haptic part varies from person to person, and is adjusted according to the area where the tentacle part of the pressure pulsation tube presses the skin. The load for detection is 50-100g,
The load in the case of the middle vein is 100 to 180 g, and the load in the case of the vein is 200 to 300 g.

In the present invention, the pulse pressure wave measuring means converts the electric signal from the transducer into pulse pressure wave information,
It has a function of displaying on a T or the like and storing / reproducing on a recording paper or a memory, and includes, for example, an ECG amplifier used for an electrocardiogram examination or the like. Further, the pulse pressure wave measuring means of the preferred pulse diagnosis apparatus of the present invention is provided with display means such as a monitor television (for example, an oscilloscope) or a recording recorder, and furthermore, a signal transmitting / receiving means for responding to remote diagnosis and the like. May be provided. By this pulse pressure wave measuring means, the pulse pressure wave information within a certain period of time can be displayed in a waveform, and the Toyo doctor compares and analyzes the pulse pressure wave information obtained according to the present invention to perform “six-part stereotactic / pulse examination”. It is possible to do.

[0009] The pulse diagnosis device of the present invention is provided with a moving mechanism so as to move the haptic unit in the horizontal and vertical directions. This moving mechanism is a mechanism that can at least manually move the haptic portion of the pressure pulse conduction tube. This moving mechanism is configured such that, for example, a moving member that holds the pressure pulse conduction tube can be moved via a gear or a screw with respect to a fixed member of the pulse diagnosis device. Further, the moving mechanism of the preferred pulse diagnostic apparatus of the present invention includes a positioning sensor for automatically sequentially moving the haptic portion of the pressure pulse conduction tube to a position corresponding to the size of the subject, the Kaneki, and the scale. The touch unit is configured to automatically move sequentially to at least two of the mouth, the sekigami, and the scale just by pressing the start button.

[0010]

BEST MODE FOR CARRYING OUT THE INVENTION Next, the pulse diagnostic apparatus of the present invention will be described in more detail with reference to embodiments. The present invention is not limited to the following embodiments.

[0011]

【Example】

Embodiment 1 FIG. 3 shows a pulse diagnosis device according to a first embodiment of the present invention. still,
In the present embodiment, a pulse diagnosis device including two sets of pressure pulse conduction tubes, a transducer, a load mechanism, and a movement mechanism was prepared so that the right hand and the left hand can be measured simultaneously, but only one set is schematically shown in FIG. In this embodiment, as shown in FIG. 4, the pressure pulse conduction tube 12 is composed of a contact portion 11, a tube portion 11a, and a connection portion 11b. In this embodiment, the transducer 13 (TY-306 manufactured by Fukuda Electronics Co., Ltd.) shown in FIGS. 5 and 6 was used. As a load mechanism, a pneumatic pressing force generating device 14 (PL22-10A sensor outer shape manufactured by Shinko Electronics Co., Ltd.) and a pressure gauge 20 (a pressure gauge NPA manufactured by Shinko Electronics Co., Ltd.) for measuring the pressing force applied to the contact portion -1) was used. Reference numeral 15 denotes an output shaft of a cylinder which is vertically displaced by air pressure. The displacement of the output shaft 15 is transmitted to the tentacle section via the machine frame 23, and the displacement of the output shaft 15 is transmitted in response to a pulse pressure wave (air wave) transmitted through the pressure pulsation tube 12 in the machine frame. A transducer for converting into a signal is housed. Further, a horizontal drive wheel 17 and a lifting drive wheel 18 are provided as a moving mechanism. When the horizontal driving wheel 17 is rotated around the axis S, the moving member 19a is moved in a direction perpendicular to the paper surface of FIG. It moves in a direction along the nearby artery. Similarly, when the lifting drive wheel 18 is rotated around the axis S ′, the moving member 19b moves up and down with respect to the moving member 19a.
Note that the mounting member 22 on which the patient's arm 21 is
Is provided. The pulse pressure wave measuring means includes an amplifier 25 for converting an electric signal from the transducer into pulse pressure wave information, an oscilloscope 26 for displaying the pulse pressure wave information in real time, and a recording recorder 27 for recording and displaying pulse pressure wave information within a predetermined time. It is composed of FIG. 7 shows pulse pressure wave information obtained by the pulse diagnosis apparatus of this embodiment. This is the actual measurement data of the vein in the right hand and left hand of the 26-year-old boy in a non-healthy state. Based on the pulse pressure wave information obtained in this way, a Toyo physician can diagnose a patient's condition or treatment method.

Embodiment 2 FIG. 8 shows a pulse diagnosis apparatus according to a second embodiment of the present invention. In the present embodiment, the moving mechanism includes a horizontal drive wheel 17, a horizontal drive wheel 17a, and a lifting drive wheel 18 so that the touch unit can move three-dimensionally in the vertical direction, the horizontal direction, and the vertical direction. The moving mechanism according to the present embodiment includes horizontal drive wheels 17, 17.
a and electric motors M1, M2 and M3 for rotating the lifting drive wheels 18. Further, the pulse diagnosis device of the present embodiment includes a pulse diagnosis controller 28, and the pulse diagnosis controller 28 has a load suitable for a floating pulse, a medium pulse, and a pulse which is determined by the patient's age, weight, height, and the like. Pressing force and dimension,
A program is provided for controlling the movement of the touching part to a position in the scale. Therefore, the doctor only selects and starts this program according to the condition of the patient, and the output of the pressing force generator 14 is automatically controlled by the pulse diagnosis controller to a value suitable for the floating pulse, the medium pulse, and the shunt pulse. Horizontal drive wheel 1
The drive of the motors M1, M2, and M3 for rotating the drive wheels 7, 17a and the lifting drive wheel 18 is automatically controlled, and the tentacles are sequentially set at the positions of the aperture, the Kangami, and the scale. Further, the pulse diagnosis controller also has transmission / reception means for transmitting / receiving pulse pressure wave information to enable remote diagnosis and the like.

[0013]

According to the pulse diagnosis apparatus of the present invention, pulse pressure wave information necessary for the diagnosis of "six-part stereotaxy / pulse diagnosis" conventionally determined based on the personal experience and feeling of a Toyo physician can be appropriately qualified. This makes it possible to more accurately perform the “square stereotactic / pulse examination” which is extremely important in oriental medicine.

[Brief description of the drawings]

FIG. 1 is a perspective view illustrating a positional relationship between a wrist, a sekigami, and a scale on a wrist of a subject.

FIG. 2 is an explanatory diagram of hexagonal stereotactic / pulse examination.

FIG. 3 is an explanatory diagram of the operation of the pulse diagnostic apparatus according to the first embodiment of the present invention.

FIG. 4 is a perspective view of a pressure pulse conduction tube of the pulse diagnostic apparatus according to one embodiment of the present invention.

FIG. 5 is a perspective view of a transducer according to one embodiment of the present invention.

FIG. 6 is a circuit diagram of a transducer according to one embodiment of the present invention.

FIG. 7 is a comparison diagram of pulse pressure wave information in sukuguchi, sekigami, and shaku obtained by the pulse diagnosis device of the present invention.

FIG. 8 is an explanatory diagram of an operation of the pulse diagnostic apparatus according to the second embodiment of the present invention.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Dimension opening 2 Kangami 3 Shaku 4 Toe stalk-like projection 11 Tentacle part 11a Tube part 11b Connection part 12 Pressure pulsation conduction tube 13 Transducer 13a Transducer connection part 14 Pressure generator 15 Output shaft 17, 17a Horizontal drive wheel Reference Signs List 18 lifting drive wheel 19 fixing member 19a, 19b moving member 20 pressure gauge 21 arm 22 mounting table 23 machine frame 25 amplifier 26 oscilloscope 27 recording recorder 28 pulse diagnosis controller M1, M2, M3 electric motor S axis

Claims (4)

[Claims] 1. A hollow pressure pulse conduction tube for detecting a pulse pressure wave from an artery, which is provided with a touch portion for pressing a skin surface of a subject at one end, and a pressing force applied to the touch portion while applying a pressing force to the touch portion A load mechanism that can variably control the pressure pulse wave, and a transducer that converts a pulse pressure wave detected by the pressure pulse conduction tube into an electric signal,
A pulse diagnosis apparatus comprising: a moving mechanism for moving the haptic unit in a horizontal direction and a vertical direction; and a pressure pulse wave measuring unit for converting an electric signal from the transducer into pulse pressure wave information. 2. The method according to claim 1, wherein the load mechanism is configured to detect a floating vein, a middle vein, and a vein in oriental medicine.
The pulse diagnosis device according to claim 1, wherein the pressure can be switched to at least two pressing forces. 3. The moving mechanism according to claim 3, wherein the moving mechanism is adapted to detect a pulse pressure wave at each point in Sakuguchi, Sekigami, and Shaku in Oriental medicine.
The pulse diagnostic apparatus according to claim 1, wherein the apparatus can be switched to at least two of the positions. 4. The pulse diagnostic apparatus according to claim 1, wherein the pressure pulse wave measuring means is a means for displaying a waveform of a change in the pressure pulse wave within a predetermined time. .