Two sensing pulse-taking instrument
Technical field
The present invention relates to a kind of pair of sensing pulse-taking instrument, particularly relate to and have the function of feeling the pulse of duplicating the doctor immediately, can duplicate doctor's the experience of feeling the pulse and obtain the empirical pulse condition data of feeling the pulse when pulse-taking instrument automatization feel the pulse, be can be with the pulse-taking platform of pulse-taking empirical dataization.
Background technology
Pulse wave spectrum quantizes to have surpassed 40 years in China, Japan, Korea S and the Western countries, begins to accumulate many considerable effects by single portion single-point, announces No. 125470 as the TaiWan, China patent of invention and discloses a kind of device of feeling the pulse automatically.This patent has pointed out pulse-taking quantized feasibility, yet it gets pulse-taking principle for single portion single-point, and it is very limited to obtain pulse condition information.On this basis, and then the mechanism of discussion pulse condition, announce No. 176587 as the TaiWan, China patent of invention and propose the corresponding relation that the pulse wave resonance theory is verified out each harmonic wave and each internal organs.In addition the TaiWan, China patent of invention disclose and proposes time domain sphygmogram and cardiovascular dependency for No. 200814966 and by the slight change of frequency domain diagnosis of cardiovascular, has integrated the while is obtained pulse wave information by time-domain and frequency-domain idea.Yet said method is single portion single-point and gets arteries and veins and obtaining pulse condition, on comprehensive information, dislike not enough slightly and accumulate huge clinical data with traditional pulse-taking and take off and collude, and very be unfortunate.
Again, get arteries and veins and refer to sense and design finger-worn type pulse-taking device in order to inquire into the doctor, announce No. 325402 as the TaiWan, China patent of invention and propose many information measurements mode, comprise pulse pressure, temperature, displacement and voltage, also can allow the doctor that finger is packed into sensing apparatus with the auxiliary accuracy of feeling the pulse simultaneously.But this design because thickness, flexibility problem, and is failed actual experience and is gone out the doctor and get arteries and veins and refer to sense on sensing apparatus.The TaiWan, China patent of invention discloses No. 200819109 and has also designed finger-worn type pulse-taking instrument for solving the pulse pressure standardization again, however this method because of the thickness of sensing apparatus with refer to that wearing mode makes the repeatability of pulse condition and automatization be difficult for reaching.
Therefore, in order to obtain pulse condition information comprehensively, Chinese invention patent discloses CN1595335 number and has designed the pulse-tracing collection glove, Chinese invention patent is announced CN2649019 number and has been designed pulse diagnosis sensing indicator, and Chinese invention patent discloses CN101049247 number and designed Chinese medicine pulse pick off three body parts and nine pulse-taking sites pulse condition detector and pulse condition detection method.All promptings of this type of design, if desire obtains the pulse condition comprehensive information, sensing apparatus is required to be array, also can can't embody completely because of sensing apparatus thickness and flexibility under this device yet the doctor refers to sense.
For making pulse-taking automatization, certainly will find out the rule that the doctor gets arteries and veins, the TaiWan, China patent of invention discloses No. 200704392 design " vein rib point measurement system and method for measurement ", TaiWan, China patent of invention and discloses No. 200727865 designs " three pulse-taking instrument and the method for feeling the pulse " thereof, all discloses the principle of best vein rib point and feeling the pulse point.
In addition, in academic documents, we can find the research of present relevant pulse-taking instrument not at pulse-taking instrument itself, and aspect following three: the research of pulse-taking program, pulse wave The Characteristics and pulse-taking comprehensive information are studied.Be analyzed as follows in regular turn: the pulse-taking program is mainly being inquired into optimum position how to obtain pulse wave, as people such as field Ju Chang in A Novel NoninvasiveMeasurement Technique for Analyzing the Pressure Pulse Waveform of theRadial Artery, proposition is by the standard setting program, and is that the best is got arteries and veins position [1] with the pulse wave amplitude when maximum.This has opened a practical way for getting the arteries and veins program standardization.In addition, in the pulse wave The Characteristics, can be divided into two broad aspect: one does frequency-domain analysis with pulse wave, attempts to find out pulse condition feature [2] by the frequency analysis of pulse wave; Another analyzes pulse wave on time domain, by the peak value size of pulse wave, the sequence at peak value place and the relation of peak value rise and fall, probe into each pulse condition feature [3].Yet above research is not single portion single-point, and to get arteries and veins be exactly that three single-points are got arteries and veins, and can't one peep the pulse condition comprehensive information.Therefore, Jin Guanchang has developed the sensor of two patterns with PVDF: one is three ones 4 totally ten two sensing points, is used for observing the space situation of pulse wave; Another is string 9 points, is used for observing the situation [4] of pulse wave in vessel cross-sections.In addition, Chinese medicine institute in Beijing also proposes three 5x5 points, every little sensor array comprehensive information [5] to obtain pulse condition of totally 25.
Comprehensive above-mentioned patent documentation and scholastic pursuit as can be known, the existing common shortcoming of pulse-taking instrument has three: one, the fingering in the process of the Chinese physician can't being felt the pulse and refer to down to present immediately with duplicating, to observe and to note by the sensation of pulse.Its two, sense arteries and veins device can't reflect comprehensively and refers to sensation down.Its three, the criterion that the Institute of Automation of feeling the pulse is followed is not established as yet, thereby presses down not standardization of the degree of depth.More because the variation of pulse condition is various, the traditional Chinese medical science is awarded many to be a disciple of and to feel mutually in addition, often need experience for many years and try to figure out, and the pulse condition that feels actually whether with the conforming to of classical description, also be difficult to obtain correct answer, say as Pulse Classic author Wang Shuhe, " easy at the heart; as to refer to difficult bright down " reflected that traditional pulse-taking do not have the difficulty of objective deed.The maneuver of feeling the pulse can vary with each individual, and the mode difference that refers to down also can make and feels totally different under referring to, causes can occurring clinically same patient, draws the conclusion of different pulse conditions through different physicians pulse-taking meeting.This phenomenon makes being applied in a way of pulse-taking be restricted, make that also begining to learn middle doctor feels very difficult to the grasp of pulse-taking, even lose the understanding of pulse-taking for the tcm diagnosis importance, thus lose the interest of study pulse-taking, also become a big obstacle of pulse wave spectrum development.
List of references:
[1].Chu-Chang?Tyan?etc.,“A?Novel?Noninvasive?MeasurementTechnique?for?Analyzing?the?Pressure?Pulse?Waveform?of?the?RadialArtery”,IEEE?Transaction?on?Biomedical?Engineering,Vol.55,No.1,January?2008.
[2].Ching-Chuan?Wei?etc.,”Spectral?Analysis?of?Blood?CirculationBased?on?the?Viewpoint?of?Resonance”,Japanese?Journal?of?AppliedPhysics?Vol.45,No.4A,2006,pp.2854-2862.
[3].Pei-Yong?Zhang?and?Hui-Yan?Wang,“A?Framework?forAutomatic?Time-Domain?Characteristic?Parameters?Extraction?of?HumanPulse?Signals”,EURASIP?Journal?on?Advances?in?Signal?Processing?Vol.2008.
[4].Zhicong?Zhao?etc.,“A?Design?of?Mobile?Monitoring?SystemBased?on?Tradition?Chinese?Medicine”,APCMBE?2008,IFMBEProceedings?19,pp.571-573.
[5].Jia-xu?Chen?and?Feng?Liu,“Research?on?Characteristic?of?PulseDelineation?in?TCM?and?Omindirectional?Pulse?Detecting?byElectro-Pulsograph”,Proceedings?of?2008?IEEE?International?Symposiumon?IT?in?Medicine?and?Education.
Summary of the invention
From the above, for improving the shortcoming that previous pulse-taking instrument can only sensing pulse condition waveform, the purpose of this invention is to provide a pair of sensing pulse-taking instrument, the two sensing functions that have location sensing and pulse condition sensing, location sensing function wherein can be duplicated the feel the pulse maneuver and the maneuver quantification of will feeling the pulse, manifesting clinical experience enriches doctor's three and refers to finger maneuver down, get rid of the maneuver not clear problem of becoming different, this quantitative maneuver of feeling the pulse of reuse, obtain the quantitative data of pulse condition with the pulse condition sensing function, wish to see through two quantification of feel the pulse maneuver quantification and pulse condition quantification, solved the difficult bright down most problem of finger.Therefore, the of the present invention pair of sensing pulse-taking instrument be the doctor in patient's feeling the pulse, can duplicate pulse-taking expert's the maneuver and obtain and refer to clinical experiences such as arteries and veins sense and pulse condition interpretation down of feeling the pulse immediately, complete documentation gets off, and has pulse-taking to declare the disease function.Can untie the traditional Chinese medical science refreshing Constipation veil over the past 3000 years effectively with the pulse-taking empirical scienceization, finish standardized Chinese medicine pulse-taking teaching and clinical diagnosis supplementary instrument at last, but and then the Revival of China medical science.
For achieving the above object, of the present invention pair of sensing pulse-taking instrument includes a displacement sensing unit, a pulse pressure sensing cell, a mechanical finger unit and a data processing unit.This pair sensing pulse-taking instrument can duplicate doctor's the experience of feeling the pulse when automatization feels the pulse, and is adjusted at the three-dimensional position of three ones of cun,guan,chis of patient's wrist radial artery automatically, makes the pulse-taking empirical dataization.Wherein:
The displacement sensing unit has three displacement sensing devices, and each displacement sensor comprises a film and a displacement sensing device, and this film is ultra-thin, pliability, and displacement sensing device connects this film, and can be set up in the top of the position skin of feeling the pulse.Wherein, a fixed frame can be fixed in the two ends of each displacement sensing device, this displacement sensing device can comprise two and is connected in the sheet metal of arbitrary elastic webbing one end of this two elastic webbing in order to the surface of this film of stay bolt and the elastic webbing, that is connected in these film two ends again, and a strain gauge that is connected in the surface of this sheet metal.In addition, the interval of these three displacement sensing devices then duplicate the food of doctor when feeling the pulse, in, nameless three fingers, the distance that arranging fingers to feel pulse patient Yu cun,guan,chi is three ones.When film is stressed when going deep into skin downwards, satisfy this displacement sensing device of interlock, in order to record the change in displacement of this film.
The pulse pressure sensing cell has three pulse pressure sensors, measures the pulse dynamic pressure and the usefulness of finger static pressure down when feeling the pulse; And respectively this pulse pressure sensor can comprise a dynamic pressure sensing device and a static pressure sensor, and this dynamic pressure sensing device can be a pressure sensor array apparatus, in order to obtain the waveform of pulse wave three-dimensional (position X, position Y, amplitude); Wherein, this pressure sensor array apparatus mainly is installed on a pressure sensing element on one soft circuit board or the rigid circuit board, and it is arranged in an array formula pressure sensor on this soft circuit board or rigid circuit board, and this soft circuit board or rigid circuit board are in the layout of for the lead of this pressure sensing element output, and the terminal of this lead is compiled in a socket terminal again.Perhaps, the film of the unitary displacement sensing device of this displacement sensing can be a piezoelectricity film, and this piezoelectricity film also can replace and constitute this dynamic pressure sensing device at this moment, makes the waveform that can obtain pulse wave two dimension (position X, amplitude).Can be a load measuring gauge as for this static pressure sensor.In addition, each pulse pressure sensor of pulse pressure sensing cell also can be static pressure sensor and dynamic pressure sensing device and merges the single element make, and a capacitive pressure induction apparatus for example is to measure the pulse dynamic pressure and the usefulness of finger static pressure down when feeling the pulse.
The mechanical finger unit, it has three mechanical fingers, in order to the food that duplicates the Chinese physician, in, unknown three actions of feeling the pulse that refer to, each mechanical finger comprises a force application rod and a motion control device that is used to feel the pulse, and the lower end correspondence of each force application rod is positioned at above unitary each film of this displacement sensing; This motion control device comprises a motor, a motor driver and a motor controller; When three dynamic pressure sensing devices of pulse pressure sensing cell are the pressure sensor array apparatus, each force application rod lower end of unitary three mechanical fingers of this mechanical finger connects this pressure sensor array apparatus, otherwise each force application rod lower end of unitary three mechanical fingers of this mechanical finger can be a hollow and pushes cover.
Data processing unit, has the pulse-taking statistical analysis system that the disease data base is declared in a pulse-taking, and data processing unit and this displacement sensing device, this pulse pressure sensor and this motion control device line, and each motion control device of may command, in order to adjust feel the pulse patient's Yu the position and the degree of depth of wrist of each force application rod, this data processing unit comprises an arithmetic element, one amplifier of electrical bridge, one charge amplifier and an analogy are to digital converter, and this arithmetic element can be computer, microprocessor, the mutual matched combined of digital signal processor or three forms, The built-in has this pulse-taking statistical analysis system, and this pulse-taking statistical analysis system has this pulse-taking and declares the disease data base.Wherein, the input of this amplifier of electrical bridge is connected with this displacement sensing device, and its output is connected with this analogy to digital converter; And this dynamic pressure sensing device is when being a piezoelectricity film, and the input of this charge amplifier is connected with the dynamic pressure sensing device, and its output is connected with this analogy to digital converter.After the signal of output is converted to digital information by this analogy to digital converter, be communicated to this arithmetic element built-in instrument control software and motor control card, in order to carry out operations such as the turning to of Signal Processing, demonstration, analysis, record and motor, rotating speed control.
Be with, the present invention moves via unitary three mechanical fingers of this mechanical finger, to duplicate the maneuver that the doctor feels the pulse, substitute its finger skin neural sensation device, involved by the dynamic pressure of respectively this film at the person's of feeling the pulse the wrist place of feeling the pulse with acquisition and measure this static pressure that the degree of depth imposed of feeling the pulse; In the data that obtain this displacement sensing device, this pulse pressure sensor after data processing unit statistical analysis in addition, and with this motion control device of interlock as a result and control mechanical finger unit, with the position of feeling the pulse of automatic searching the best, duplicate vivid arteries and veins and declare disease data base's utilization as setting up complete pulse-taking in order to carry out automatization.This measure to teaching, succession, standardization and the Chinese medicine of traditional Chinese medical science pulse study return through research, far-reaching contribution is arranged.
Description of drawings
Fig. 1 is the three-dimensional illustration of implementing of the present invention.
Fig. 2 is the three-dimensional embodiment sketch map of feeling the pulse of the present invention.
Fig. 3 is a system of the present invention block schematic diagram.
Fig. 4 is the unitary embodiment floor map of displacement sensing of the present invention.
Fig. 5 is an example structure sketch map of mechanical finger of the present invention.
Fig. 6 is another example structure sketch map of mechanical finger of the present invention.
Fig. 7 arranges sketch map for the embodiment of pressure sensor array apparatus of the present invention.
The component symbol explanation:
1.... displacement sensing unit a.... displacement sensing device
11.... film 12.... displacement sensing device
121.... fixed frame 122.... elastic webbing
123.... sheet metal 124.... strain gauge
2.... pulse pressure sensing cell b.... pulse pressure sensor
21.... pressure sensor array apparatus 211.... pressure sensing element
212.... soft circuit board 213.... socket terminal
22.... load measuring gauge
3.... mechanical finger unit c.... mechanical finger
31.... force application rod 311.... hollow is pushed cover
32.... motion control device 321.... motor
322.... motor driver 323.... motor controller
4.... data processing unit 40.... arithmetic element
41.... amplifier of electrical bridge 42.... charge amplifier
43.... analogy is to digital converter (Analog to Digital Converter)
The specific embodiment
The solid that sees also Fig. 1 is implemented the three-dimensional embodiment sketch map of feeling the pulse of illustration, Fig. 2, and system's block schematic diagram of Fig. 3, the present invention's " two sensing pulse-taking instrument " includes a displacement sensing unit 1, a pulse pressure sensing cell 2, has the mechanical finger unit 3 of three mechanical finger c, and a data processing unit 4 (see figure 3)s; Wherein:
Displacement sensing unit 1, in order to record down the change in displacement that refers to, it has three displacement sensing device a and (can consult shown in Figure 4 in addition, and the only visible displacement sensing device of the block schematic diagram of Fig. 3 a), each displacement sensor a comprises ultra-thin, a flexual film 11 and a displacement sensing device 12 that is connected this film 11, and it is set up in to feel the pulse the top of position skin and can influence the finger of feeling the pulse hardly feels down.As shown in Figure 4, a fixed frame 121 is fixed at the two ends of displacement sensing device 12, and film 11 two ends respectively connect an elastic webbing 122, and this elastic webbing 122 is the surface of this film 11 of stay bolt, an end of one elastic webbing 122 connects a sheet metal 123 again, and the surface of this sheet metal 123 connects a strain gauge 124 again.
Pulse pressure sensing cell 2, measure the pulse dynamic pressure and the usefulness of finger static pressure down when feeling the pulse, see also Fig. 5, Fig. 6, be installed in the lower end of each mechanical finger c of mechanical finger unit 3, and have three the pulse pressure sensor b (being example all among the figure of Fig. 5, Fig. 6) that measure following finger pressure power when conduct is felt the pulse with a pulse pressure sensor; Each pulse pressure sensor b can comprise a dynamic pressure sensing device and a static pressure sensor, and this dynamic pressure sensing device can be a pressure sensor array apparatus 21 (as shown in Figure 6), in order to obtain the waveform of pulse wave three-dimensional (position X, position Y, amplitude); Perhaps, this dynamic pressure sensing device can be a piezoelectricity film (not drawing among the figure), makes the waveform that can obtain pulse wave two dimension (position X, amplitude), and this moment, and this piezoelectricity film also can replace the film 11 that double as is the displacement sensing device a of displacement sensing unit 1.And this static pressure sensor is a load measuring gauge 22.In addition, each pulse pressure sensor b also can be static pressure sensor and dynamic pressure sensing device and merges the single element of making, for example a capacitive pressure induction apparatus.
Mechanical finger unit 3, have three mechanical finger c, in order to the food that duplicates the Chinese physician, in, unknown three actions of feeling the pulse that refer to, each mechanical finger c comprises a force application rod 31 and a motion control device 32 that is used to feel the pulse, ask for an interview Fig. 3, this motion control device 32 comprises a motor 321, a motor driver 322 and a motor controller 323.In addition when desiring to obtain the three-dimensional waveform of pulse wave, 31 times terminations of each force application rod of three mechanical finger c of this mechanical finger unit 3 are established this pressure sensor array apparatus 21 (as Fig. 6), otherwise each force application rod 31 lower end of three mechanical finger c of this mechanical finger unit 3 are that a hollow is pushed cover 311 (as Fig. 5).
Data processing unit 4, has the pulse-taking statistical analysis system that the disease data base is declared in a pulse-taking, and data processing unit 4 and this displacement sensing device 12, this pulse pressure sensor b and this motion control device 32 lines, and control each motion control device 32, in order to adjust feel the pulse patient's Yu the position and the degree of depth of wrist of each force application rod 31.Ask for an interview Fig. 3, data processing unit 4 comprises an arithmetic element 40, an amplifier of electrical bridge 41, a charge amplifier 42 and an analogy to digital converter 43.Amplifier of electrical bridge 41 inputs are connected with displacement sensing device 12.And when this dynamic pressure sensing device was a piezoelectricity film, charge amplifier 42 inputs were connected with the dynamic pressure sensing device, and the two output is connected to analogy to digital converter 43.And amplifier of electrical bridge 41, after the signal of charge amplifier 42 outputs is converted to digital information by this analogy to digital converter 43, then be connected in this arithmetic element 40, and have this pulse-taking statistical analysis system in this arithmetic element 40, and this pulse-taking statistical analysis system has this pulse-taking and declares the disease data base, this arithmetic element 40 can be computer, microprocessor, the mutual matched combined of digital signal processor or three forms, other is equipped with instrument control software, such as LabView, Visual Basic, Visual C etc., and the motor control card, in order to carry out Signal Processing, show, analyze, turning to of record and motor, operations such as rotating speed control.
Hold, other sees Fig. 6, and this pressure sensor array apparatus 21 comprises a pressure sensing element 211, one a soft circuit board 212 and a socket terminal 213; This soft circuit board 212 is installed on for this pressure sensing element 211, and be arranged in an array formula pressure sensor, array pressure sensor as shown in Figure 7 is 3 * 4 arrays, again and the lead of this pressure sensing element 211 outputs is in the layout of on this soft circuit board 212, and the terminal of lead is compiled in this socket terminal 213.
Utilize pressure sensor array apparatus 21 to obtain the pulse wave three-dimensional after after data processing unit 4 link process, the following three-dimensional position of its tool of may command is adjusted function again:
1. the X-direction position of mechanical finger c is adjusted: adjust the spacing of mechanical finger c, with the person's of feeling the pulse food, in, nameless three fingers, the distance of three ones of the cun,guan,chis of side skin on arranging fingers to feel pulse patient's Yu the wrist radial artery.
2. the Z-direction position of mechanical finger c is adjusted: the upper and lower motion of mechanical finger c, when feeling the pulse with adjustment, three places of cun,guan,chi are floating, in, heavy position.
3. the Y direction position of mechanical finger c is adjusted: the vertical direction of its three ones of side skin cun,guan,chi on patient's the wrist radial artery, can be according to the feel the pulse size of gained pulse wave amplitude of dynamic pressure sensing device, with stored program control system, mechanical finger c is seesawed, with the position of feeling the pulse of automatic searching the best along this direction.
When implementing according to the above, the present invention is that the force application rod 31 via mechanical finger unit 3 moves up and down, and reaches the stroke as finger presses, and with suspension beam structure, be installed on pulse-taking platform of the present invention top, make the lower end correspondence of each force application rod 31 be positioned at each film 11 top of this displacement sensing unit 1.This mechanical finger unit 3 of the present invention be the food that duplicates the Chinese physician, in, the unknown action that places three fingers on the patient's wrist and observe his pulse, when it is then felt the pulse with reference to the doctor at interval, food, in, nameless three refer to the distance that arranging fingers to feel pulse patient Yu cun,guan,chi is three ones.And the action of the displacement sensing device 12 of this displacement sensing unit 1, it is change in displacement with the film that the depth is caused 11 of feeling the pulse, through 123 bendings of elastic webbing 122 interlock sheet metals, and the dependent variable that is adhered to strain gauge 124 on the sheet metal 123 is changed, through the degree of depth and the characteristic calculating of dependent variable, the displacement of feeling the pulse in the hope of finger.When film 11 is stressed when going deep into skin downwards, satisfy this displacement sensing device 12 of interlock, in order to record the change in displacement of this film 11.In addition, hollow is pushed cover 311 or pressure sensor array apparatus 21, be located at force application rod 31 lower ends (being the finger part) of mechanical finger c, can adjust the position downwards by force application rod 31, and press the film 11 of displacement sensing unit 1, to duplicate the maneuver that the doctor feels the pulse, substitute its finger skin neural sensation device, be positioned at the another side of film 11 with acquisition, contact is felt the pulse by the person's of feeling the pulse wrist under place's skin, the dynamic pressure wave of pulse is measured the static pressure that this time refers to that the degree of depth imposed simultaneously.The pulse wave of the degree of depth, application of force size (static pressure) and institute's correspondence position of each position for the treatment of to feel the pulse changes data such as (dynamic pressures), all deliver to data processing unit 4, further added up, analyzed, and the result applied to control mechanical finger unit 3, with the position of feeling the pulse of automatic searching the best, duplicate vivid arteries and veins and declare disease data base's utilization as setting up complete pulse-taking in order to carry out automatization.
In sum, the present invention's " two sensing pulse-taking instrument " truly has greatly on structure, effect and promotes, and be better than prior art part mentioned in the background technology, be that with the scientific research of pulse wave spectrum be aim, pulse condition, symptom that actual feeling the pulse fingering with the pulse-taking expert, the pressure waveform that refers to following sense arteries and veins gained and oral account thereof are declared, store fully and file, and can be to should the data base and use.This measure to teaching, succession, standardization and the Chinese medicine of traditional Chinese medical science pulse study return through research, far-reaching contribution is arranged.But the above person is preferred embodiment of the present invention only, is not to be used for limiting scope of the invention process.Be that all equalizations of doing according to the scope of claims of the present invention change and modification, be all protection scope of the present invention and contain.