CN115137320A - Method for positioning dimension and dimension position and method for outputting acquired information - Google Patents
Method for positioning dimension and dimension position and method for outputting acquired information Download PDFInfo
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- 238000000034 method Methods 0.000 title claims abstract description 44
- 210000000707 wrist Anatomy 0.000 claims abstract description 30
- 210000002321 radial artery Anatomy 0.000 claims abstract description 16
- 210000003205 muscle Anatomy 0.000 claims abstract description 6
- 230000001678 irradiating effect Effects 0.000 claims abstract description 4
- 230000007812 deficiency Effects 0.000 claims description 9
- 239000011159 matrix material Substances 0.000 claims description 9
- 230000003044 adaptive effect Effects 0.000 claims description 4
- 210000004204 blood vessel Anatomy 0.000 claims description 4
- 210000001367 artery Anatomy 0.000 claims description 2
- 210000004247 hand Anatomy 0.000 claims description 2
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- 238000003745 diagnosis Methods 0.000 description 9
- 206010037660 Pyrexia Diseases 0.000 description 7
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- 230000000007 visual effect Effects 0.000 description 5
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- 238000010009 beating Methods 0.000 description 2
- 210000000988 bone and bone Anatomy 0.000 description 2
- 230000019771 cognition Effects 0.000 description 2
- 230000002950 deficient Effects 0.000 description 2
- 210000000245 forearm Anatomy 0.000 description 2
- 238000005259 measurement Methods 0.000 description 2
- 239000000523 sample Substances 0.000 description 2
- 244000139609 Euphoria longan Species 0.000 description 1
- 235000000235 Euphoria longan Nutrition 0.000 description 1
- 206010049816 Muscle tightness Diseases 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/02—Detecting, measuring or recording pulse, heart rate, blood pressure or blood flow; Combined pulse/heart-rate/blood pressure determination; Evaluating a cardiovascular condition not otherwise provided for, e.g. using combinations of techniques provided for in this group with electrocardiography or electroauscultation; Heart catheters for measuring blood pressure
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4854—Diagnosis based on concepts of traditional oriental medicine
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/48—Other medical applications
- A61B5/4887—Locating particular structures in or on the body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/6813—Specially adapted to be attached to a specific body part
- A61B5/6824—Arm or wrist
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/684—Indicating the position of the sensor on the body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
- A61B5/6801—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be attached to or worn on the body surface
- A61B5/6843—Monitoring or controlling sensor contact pressure
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/7465—Arrangements for interactive communication between patient and care services, e.g. by using a telephone network
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Abstract
A method for positioning cun-mai, guan-mai and chi-mai includes the following steps: step 1, irradiating red light from the back of the wrist to the inner side of the wrist so as to form a boundary between muscle tissue and radius on the inner side of the wrist; step 2, determining the corresponding intersection points of the boundary line and the cun line, the guan line and the chi line; step 3, applying a plurality of set pressure values to the radial artery from the intersection points respectively; step 4, moving the sensor for a plurality of preset distances at the intersection points along the corresponding cun lines, the close lines and the scale lines, and recording the moving distances and pulse amplitude information; and 5, taking the maximum value from the amplitude information obtained in the steps 3 and 4, moving the pressure sensor up and down at the position of the maximum amplitude value of the amplitude, taking the position of the maximum amplitude of the pulse wave and recording the moving distance of the maximum amplitude to determine the positions of cun pulse, guan pulse and chi pulse.
Description
Technical Field
The invention relates to the field of pulse diagnosis in traditional Chinese medicine, in particular to a method for positioning the cunguanchi position and a method for outputting acquired information.
Background
The pulse condition is the cognition, summarization and naming of the pulse pulsation, which is a natural phenomenon of a human body in traditional Chinese medicine, and is the judgment result of the health state of the human body through pulse diagnosis in traditional Chinese medicine, wherein the judgment result comprises 'exterior, interior, deficiency, excess, cold and heat'. Similar to the weather, the cold, heat, summer heat, wet, wind and rain are the same as the cognition, summarization and naming of people for the natural climate phenomenon.
The 'individual standardization' is an intelligent method for processing the contradiction between individual difference and standardization in traditional Chinese medicine, and individual difference of people occurs in multiple aspects, such as high, short and thin. In the traditional Chinese medicine, a method of 'same body size' is invented in the standard of determining the length of a human body, for example, the length from the transverse crease of the wrist to the transverse crease of the elbow of each forearm is defined as 12 cun, and the '12 cun' is individualized and standardized. Thus, the contradiction between individual difference and standardization is solved, and the thinking method is an individual standardization method. The following "cun" in terms of length refers to the same cun, such as 0.4 cun, 1 cun, etc.
In traditional Chinese medicine, the cunkou pulse of the wrist part is usually selected, and a section of radial artery near the radial styloid process of the wrist is anatomically located.
The existing pulse condition (pulse diagnosis) instrument mainly guides a sensor to position cun, guan and chi by touching the pulse of the radial artery with a finger of an operator when searching the radial artery at the position, and because no guide technology of a visual anatomical basis exists, the time for searching the radial artery to position cun, guan and chi is too long, the total acquisition time is long, the reliability is low, and the measurement efficiency and accuracy are influenced.
In addition, the current desk type pulse condition (pulse diagnosis) instrument requires that the inner side of the arm of the tested person keeps a parallel plane relation with the sensor during signal acquisition, and the sensor surface is mostly in a horizontal plane state, so that the arm of the tested person needs to keep the state for a long time in the pulse diagnosis signal acquisition process. However, this state is uncomfortable, and the elderly and people with damaged bones and muscles may not be able to take such a posture, and this non-physiological posture may also increase the muscle tension, affect the circulation of radial artery blood, and finally affect the pulse pattern waveform and the diagnosis result.
The exterior, interior, deficiency, excess, cold and heat are important contents for judging the health state of human body in traditional Chinese medicine, but the measurement and analysis of the existing pulse condition instrument, particularly the cold and heat, are not clear.
When the existing pulse condition instrument displays an analysis result, a visual state space projection technical method and a visual state space projection technical device are lacked, so that the test result cannot be visually displayed in a three-dimensional space, and people are inconvenient to analyze, recognize and communicate the pulse condition.
Disclosure of Invention
The invention therefore proposes the following solutions:
as shown in fig. 14, a method for locating cun, guan and chi vessels includes the following steps:
in the step 3, the step of, applying a plurality of set pressure values to the radial artery from the intersection points respectively, recording the pressure values and acquiring pulse wave amplitude information;
step 4, moving the pressure sensor for a plurality of preset distances along the corresponding cun line, the close line and the scale line at the intersection point and recording the moving distance and the pulse wave amplitude information;
and 5, taking the maximum value from the amplitude information obtained in the steps 3 and 4, moving the sensor up and down at the position of the maximum amplitude value, taking the up and down position of the maximum amplitude of the pulse beat, and recording the moving distance of the maximum amplitude to determine the sensor signal acquisition sites of cun pulse (cun point), guan pulse (guan point) and chi pulse (chi point).
According to a preferable aspect of the present invention, the number of the set plurality of pressure values is 1 to 9, the number of the predetermined plurality of distances is 1 to 9, and the pressure value variation is set to a pressure range in which the sensor contacts the skin and keeps the blood vessel from being deformed to being occluded.
According to a preferred aspect of the invention, step 1 is preceded by step 01 of placing the wrist of the subject on an adaptive device that is automatically pivotable to maintain the probe in contact with the wrist.
The invention also comprises a method for acquiring the pulse picture, which comprises the method for positioning cun pulse (cun point), guan pulse (guan point) and chi pulse (chi point), and pulse beating signals of the cun pulse, guan pulse and chi pulse are respectively measured and stored for the left hand and the right hand.
The invention also provides an output method for acquiring the pulse condition map and outputting the acquired pulse condition information, which is respectively arranged along the X axis, the Y axis and the Z axis: deficiency, mild and excess; exterior, middle and interior; and a unit matrix of the cold, moderate and hot pulse condition result values.
According to a preferred aspect of the present invention, the unit matrices of the cunguan pulse condition are respectively established according to the left hand and the right hand.
According to a preferred aspect of the invention, the matrix of cells is presented for analysis and suggestion in the form of a cube, or in the form of a two-dimensional projection of a three-dimensional space.
According to a preferred aspect of the present invention, the element matrix is associated with human health data.
According to a preferred aspect of the present invention, the health guidance is given based on the corresponding data.
Drawings
FIG. 1 is a simplified diagram of a human arm showing the length, position and line marking method of a customs size;
FIG. 2 is a graph showing the amplitude signature of a pulse wave when measuring a pulse profile;
FIG. 3 is a graph showing six pulses having different wave heights and different waveforms;
FIG. 4 shows six venous pressure curves with different wave origins;
FIG. 5, showing the maximum wave height, static pressure between cold (winter) and hot (summer);
FIG. 6 is a red light irradiation chart for obtaining a dimension-dimension boundary line;
FIG. 7 is an anatomical view of the wrist with the position of the cun-guan ruler marked;
FIGS. 8 and 9 illustrate an apparatus for maintaining the relative position of the wrist and sensor;
FIG. 10 illustrates a basic pulse condition matrix of the present invention;
FIG. 11 is an exploded view of the three layers of the pulse condition matrix of FIG. 10;
FIG. 12 shows all six pulse condition matrices of the two-hand cun-guan-chi region;
FIG. 13 shows a two-dimensional projection of the three-dimensional state space of six pulses and health guidance;
fig. 14, a flow chart illustrating the method of the present invention for locating cun, guan, and chi arteries.
Detailed Description
The invention insists on taking objective indexes as the basis in the process of signal acquisition and analysis. Such as determining the length, position and marking method of cun, guan and chi; positioning the three-dimensional position of the pressure sensor; the pulse diagram for analysis is also the voltage data of the pressure sensor; the index of 'exterior-interior-deficiency-excess-cold-heat' in the analysis process is also based on objective data. The positions of the inch line, the close line and the dimension line and the marking method are as follows: let A be the distance from the transverse crease to the transverse crease when the arm is stretched straight, then A/12 is called one inch of the subject, and the three lines parallel to the transverse crease are called "cun, guan and chi", respectively, with the cun line "0.4 inch from the transverse crease, the guan line" 1 inch from the transverse crease, and the chi line "1.65 inch from the transverse crease (fig. 1). The center points of cun-guan (cun-dot, guan-dot, chi-dot) are on three lines respectively, but which point on the lines is determined by the following method.
Three-dimensional positioning and signal acquisition of cun point, close point and size point at the wrist part are as follows: 1. the position of the radial artery of the wrist on the body surface is determined, when red light is irradiated from the back side of the wrist, a boundary line of muscle tissues and the radius is visible on the inner side of the wrist, and the radial artery of the wrist is located at the bone depression edge of the styloid process of the radius according to anatomical knowledge, so that the boundary line is used as a reference line for judging the radial artery. 2. Determining the positions of cun point, guan point and chi point on the body surface, and taking the edge of the radius as the reference position of the radial artery, wherein the intersection points of the edge line of the radius and the cun line, guan line and chi line are the reference points of the cun point, guan point and chi point on the body surface. Three-dimensional positioning of cun point, guan point and chi point on the wrist, taking the cun point as an example, the pressure sensor moves along the cun line after contacting the skin to find the horizontal position where the maximum amplitude of the radial artery pulsation is located, the sensor moves up and down at the position to find the upper and lower positions (figure 2) where the maximum amplitude of the radial artery pulsation is located, and the position can be determined as the three-dimensional position of the cun point of the human subject. And signal acquisition can begin.
Signal acquisition: the voltage signal of the pulse beat output by the sensor is converted into a digital signal by using an analog-to-digital converter and stored.
Signal analysis:
1. the six pulse diagrams are all different: although the pulse signals are obtained by the pulse of the radial artery in the blood vessel with the length of a few centimeters at the wrist, the 6 parts of the pulse are different (the waveform, the wave height and the static pressure are different), which is the premise and the basis for extracting the overall state information from the cun, guan and chi parts of the hands.
2. The maximum wave height and static pressure difference between cold (winter) and hot (summer) are the greatest;
acquisition of objective index of interior-deficiency-excess-cold-heat-adaptation in exterior
The indexes of 'table, middle and interior': judging by static pressure values, wherein the values higher than the 95% confidence limit of the normal population value are 'lining', the values lower than the normal population value are 'table', and the values within the 95% confidence limit of the normal population value are 'middle';
the indexes of deficiency, average and excess are as follows: judging by the maximum wave height value, wherein the value which is higher than the 95% credibility limit of the normal population value is real, the value which is lower than the normal population value is virtual, and the value which is within the 95% credibility limit of the normal population value is flat;
index "cold, moderate and hot": and constructing a cold-heat discrimination mathematical model by using pulse picture parameters such as maximum wave height, static pressure and the like, and performing judgment according to model values, wherein the parameters which are higher than the 95 percent confidence limit of the normal population value are 'hot', the parameters which are lower than the normal population value are 'cold', and the parameters which are positioned within the 95 percent confidence limit of the normal population value are 'fit'.
The invention therefore provides a method for positioning cun pulse, guan pulse and chi pulse, which comprises the following steps:
step 3, applying a plurality of set pressure values to the radial artery from the intersection points respectively; as shown in fig. 2.
Step 4, moving the pressure sensor at the intersection points along the corresponding cun lines, the close lines and the scale lines for a plurality of preset distances and recording corresponding distances and pulse wave information; as shown in fig. 2.
According to a preferable aspect of the present invention, the number of the set plurality of pressure values is 1 to 9, the number of the predetermined plurality of distances is 1 to 9, and the pressure value variation is set to a pressure range in which the sensor contacts the skin and keeps the blood vessel from being deformed to being blocked.
With the adaptive apparatus as shown in fig. 8 and 9, there is a step 01 before step 1 of placing the subject's wrist on the adaptive apparatus which is automatically pivotable so as to maintain the probe in contact with the wrist.
The invention also comprises a method for acquiring the pulse condition map, which comprises the method for positioning the pulse condition signal acquisition positions of cun pulse (cun point), guan pulse (guan point) and chi pulse (chi point), and pulse beating signals of the cun pulse, guan pulse and chi pulse are respectively measured and stored for the left hand and the right hand. Fig. 3 and 4 show curves for measuring pulse condition signals.
The invention also provides a method for outputting the pulse condition information by applying the acquired pulse condition map, which is respectively arranged along the X axis, the Y axis and the Z axis: deficiency, mild and excess; watch, middle and inner; and a matrix of units of cold, moderate and hot pulse values. As shown in fig. 10.
According to a preferred aspect of the invention, the unit matrixes of cun-guan-chi pulse conditions are respectively established according to the left hand and the right hand.
As shown in fig. 10, the following dimensions are shown:
1. exterior-interior dimensions: comprises a watch state, a middle state (not shown but not shown) and a back state,
2. virtual and real dimensions: comprises three states of virtual, flat (not virtual and not practical) and real;
3. cold and heat dimensions: comprises three states of cold, moderate (no cold and no heat) and heat.
Three dimensions of each pulse form a state space of one pulse, and six pulses have 6 state spaces.
Still include the piece:
1. surface sheet: the tablet formed by the intersection of the surface and the cold-heat-deficiency-excess plane is called a surface tablet;
2. middle sheet: the tablet formed by the intersection of the middle (exterior-interior tablet) and the cold-heat-deficiency-excess plane is called exterior-interior tablet;
3. lining: the tablet formed by the intersection of the interior and the cold-heat-deficiency-excess planes is called an interior tablet;
in the same way, the tablets are virtual tablets, flat tablets and solid tablets; cold, moderate and hot (fig. 11).
Coding method of 27 state spaces per pulse: take the cold and hot dimensions as an example.
The dimension of cold and heat can be seen as hot plates, proper plates and cold plates, each plate has 9 different state points, and taking the hot plates as an example, the exterior deficiency heat, the exterior heat and the exterior excess heat exist; the deficient fever, certain pulse fever, excessive fever, interior deficient fever, interior fever and interior excessive fever are 9 points, and can be coded by Arabic numerals 1-9 in sequence; similarly, encoding 10-18 on fit slice (cold and hot level) and 19-27 on hot slice (hot level) sequentially, thus completing the encoding of 27 state spaces (FIG. 11).
When six pulses are distinguished, only 27 codes are needed to be connected with the names of the six pulses, for example, the virtual fever in the left cun can be expressed as-1 in the left cun, or 1 in the left cun, etc., and the numbers can also be placed in front of the left cun. Six pulses can also be coded, such as coding the left cun, guan and chi as 1, 2 and 3; the right-hand cun, guan and chi codes are 4, 5 and 6; the superficial deficiency fever of the left cun can be expressed as 1-1, or 1(1); or encoding the left cun, guan and chi into A, B, C; the right-hand cun, guan and chi codes are D, E, F; the deficient-heat in the left cun surface can be expressed as A1, or 11, 1-1, A (1), etc. (FIG. 12).
6 state spaces of six pulses can be projected to a two-dimensional plane to form a projection diagram (figure 13);
compared with the prior art, the design scheme of the invention can achieve the following effects.
1. The pulse condition (diagnosis) instrument has an anatomical basis, and solves the technical defect that the existing pulse condition (diagnosis) instrument is lack of visual anatomical basis for guiding and positioning the cunguanchi;
2. the adjustable inclined positioning solves the technical defect that the forearm position of the tested person can not be comfortably placed when the pulse-taking signal is acquired;
3. provides a technical method for measuring the 'exterior, interior, deficiency, excess, cold and heat' states of the human body in the traditional Chinese medicine;
4. the state space projection solves the technical defect that the existing pulse diagnosis signal analysis result lacks a visual state space projection method and device, the projection, naming and coding of the state space provide a technical basis for establishing a traditional Chinese medicine human body state perception system, and an expression method for visually observing the pulse condition information output of a traditional Chinese medicine human body health state mode is formed.
According to a preferred aspect of the invention, the health guideline is given based on the corresponding data, as in the case according to fig. 13: eating fructus Jujubae, fructus Lycii, arillus longan, rhizoma Dioscoreae, and Bulbus Lilii properly.
The above embodiments are only preferred embodiments of the present invention, and any changes and modifications based on the technical solutions of the present invention in the technical field should not be excluded from the protection scope of the present invention.
Claims (10)
1. A method for positioning cun-pulse, guan-pulse and chi-pulse condition signal acquisition sites is characterized by comprising the following steps:
step 1, irradiating red light from the back of the wrist to the inner side of the wrist so as to form a boundary between muscle tissue and radius on the inner side of the wrist;
step 2, determining the corresponding intersection points of the dividing line and the cun line, the close line and the scale line;
step 3, applying a plurality of set pressure values to the radial artery from the intersection points respectively;
step 4, moving the pressure sensor at the intersection points for a plurality of preset distances along corresponding cun lines, close lines and size lines, and recording the moving distances and pulse wave amplitude information;
and 5, taking the maximum value from the amplitude information obtained in the steps 3 and 4, moving the sensor up and down at the position of the maximum amplitude value of the amplitude, taking the position of the maximum amplitude of the pulse wave and recording the moving distance of the maximum amplitude to determine the positions of cun pulse, guan pulse and chi pulse.
2. The method for locating cun-, guan-and chi pulse condition signal acquisition sites according to claim 1 wherein the set plurality of pressure values is 1-9 in number, the predetermined plurality of distances is 1-9 in number, and the pressure value is varied to set a pressure range that allows the pressure sensor to contact the skin and keep the blood vessel from being deformed to being occluded.
3. The method for determining cun, guan and chi arteries of claim 2, further comprising a step 01 before step 1 of placing the wrist of the subject on an adaptive device that automatically pivots to maintain the pressure sensor in contact with the wrist.
4. A method of acquiring pulse manifestation images, comprising the method of locating cun-pulse, guan-pulse and chi-pulse manifestation signal acquisition sites according to any one of claims 1-3, wherein pulse beat signals are measured and stored at the cun-pulse, guan-pulse and chi-pulse, respectively, for the left and right hand.
5. A pulse condition information output method obtained by applying the pulse condition map acquired according to any one of claims 4, characterized in that: deficiency, mild and excess; exterior, middle and interior; and a matrix of cells resulting from cold, moderate, and hot pulse conditions.
6. The method of claim 5, wherein the unit matrices of 6 cun, guan and chi pulse conditions are respectively established according to the left and right hands.
7. The pulse manifestation application method of claim 6, wherein the cell matrix is presented for analysis and suggestion in the form of a cube or a two-dimensional projection of a three-dimensional space.
8. The pulse manifestation application method of claim 7, wherein the element matrix is associated with human health data.
9. The pulse manifestation application method of claim 8, wherein health guidelines are given based on the corresponding data.
10. The method for locating the pulse, guan pulse and chi pulse condition signal acquisition sites according to claim 1, wherein the obtained pulse chart venous pressure value is used as a basis for judging 'exterior, middle and interior'.
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