CN1803085B - Human subhealth state checking device - Google Patents
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Abstract
The invention discloses a detecting, diagnosing and defining method of second-health body, which is characterized by the following: applying the Chinese and western medical combination method to study the forming mechanism of second health state; developing a detecting device of physiological index; establishing a synthetic analysis and objective assessment for second-health state; providing criterion for the clinical consultation; adjusting the body function; maintaining the health physiology.
Description
Technical field
The present invention relates to the health detection instrument, be specifically related to a kind of checkout gear of human body sub-health status.
Background technology
In the society of high-tech, informationization, market economy fast development, because mental pressure is overweight, work rhythm is accelerated and irregular life style, bring increasing sub-health state, it has influenced people's work efficient and quality of life, also weakened immunity of human body itself, ability of regulation and control and, become the latency of various chronic diseases and difficult disease the adaptive faculty of natural environment and social environment.For disease preventing and treating effectively, health invigorating at first, constantly strengthen people's self health consciousness.Wish research and develop a kind of fast, in real time, health and fitness information monitor reliably, resemble clock and watch and can survey the physiologic information that shows body at any time giving the correct time, in time correct the biased of physiological function, make disease early discovery, diagnosis and treatment in early days, prevent and treat in trouble; Simultaneously, can make a concrete analysis of the formation reason of sub-health state by information, and the feature of different disease types, seek effective medical treatment method, make Drug therapy, health nutrient and keep fit method more rationally, effectively.
Sub-health state is in the borderline state between health and the disease, often the prelude of disease.Show that mainly psychology and physiological function go down or lack of proper care.Normal tired limb acid, vexed anxiety or the attention of occurring can not be concentrated, insomnia and dreamful sleep, and cardiopalmus is uncomfortable in chest, and hypomnesis is easy to catch cold, and hyperhidrosis is warmed, inappetence, symptoms such as sexual hypofunction.And existing Medical Instruments and experimental index, still fail to detect and make a definite diagnosis, mainly analyzed so far by the questionnaire mode, or utilization extended pattern health check-up (the standard health check-up adds psychology, physical examinations), luxury health check-up method eliminating diseases such as (go up item and add super color, the bone density of thyroxine, gonadal hormone, hemorheology, heart, exercise stress, cardio-pulmonary function), bring very big traumatic pain to patient like this, more increased their psychological burden and financial burden.
Though diagnostic method of Traditional Chinese Medicine can be distinguished diseases such as void, reality, yin, yang, the still difficult and theoretical communication of doctor trained in Western medicine pathophysiology obtains common recognition.
Even diagnostic method of Traditional Chinese Medicine still lacks objective indicator.Though the intelligence electropulsograph can be surveyed and drawn radial pulse figure, and typing in addition, quantize, be used for tcm teaching, scientific research and clinical more, do not set foot in diagnosis as yet to modern disease and sub-health state.
" SA3000p " heart rate variability analysis system that has at present Korea S MEDICO company to produce abroad.System utilizes photoelectric probe, by measuring finger tip volume ripple measuring and calculating HRV (heart rate variability), assessment autonomic nervous system equilibrium function.Because of price up to about 200,000 RMB, the obvious possibility of tool self extensive use not.
Summary of the invention
In the objective of the invention is to use, the western medicine associated methods, the formation mechanism of research sub-health state is developed the detecting instrument of multiple physical signs, sets up the index of a kind of analysis-by-synthesis, objective evaluation sub-health state, for clinic diagnosis provides foundation.
1. use traditional Chinese medical science negative and positive, the five elements, the four diagnostic methods, the eight guiding principles for diagnosis, state of internal organs scheduling theory and the traditional Chinese medical science " the whole sight ", " weighing apparatus in-motion viewing ", in conjunction with the nerve among the doctor trained in Western medicine physiology, cardiovascular physiology, the knowledge of aspect such as vegetative nerve and viscera function is illustrated the formation mechanism of sub-health state.
2. develop the detecting instrument of multiple physical signs, sensor fusion such as pulse condition, electrocardio, centre of the palm Pi Wen is in one, easy to operate and use.And and do not have traumatic pain.
3. study the normal range and the range of variation of every physical signs.Design has the traditional Chinese medical science and holds the subhealth state questionnaire table of color (is guiding principle with the viscera theory).In conjunction with inquiring and detection index, analyze the dependency of every physical signs.
4. study a kind of simple and clear, understandable visual expression method, make the bright Liao of the clear wash rice of test result.
The assessment method of human body sub-health status provided by the invention and device thereof, the instrument that detects multinomial physiological function is provided, gather sphygmogram, electrocardio, information such as centre of the palm Pi Wen, calculate the distinguishable arteries and veins type of blood pressure, physiological age, autonomic nerve functional level and poised state ， And thereof, read the multinomial characteristic parameter of arteries and veins Figure 20.
The present invention is by " electrocardio---pulse---centre of the palm temperature " compound sensor, synchronous acquisition human body electrocardio, radial pulse and centre of the palm temperature.Utilize PWTT method (pulse conduction time measurement method) calculating blood pressure value; Utilize Chinese medicine pulse theory, pulse wave linearized theory to observe pulse waveform feature and parameter ratio, infer the heartbeat rhythmicity, left ventricle contractile function, blood vessel elasticity and peripheral vascular resistance.Aberration rate (CVh1), pulse wave perimeter value aberration rate (CVT) and the ratio of the two (CVh1/CVT) thereof of measuring and calculating pulse wave amplitude are inferred sympathetic nerve, parasympathetic functional level and poised state.Utilization arteries and veins graph parameter and pressure value, measuring and calculating physiological age, the relation of analysis physiological age and calendar age, the degree of fatigue and the deterioration speed of prompting human body.
Human body sub-health status monitoring instrument provided by the invention is by " electrocardio---pulse " pick off, three utmost point electrocardio detecting electrode plates, centre of the palm temperature sensor, integrated box, signal picker (comprise ecg amplifier, R wavelength-division from circuit, pulse wave amplifier, temperature signal amplifier, multiple signals A/D change-over circuit, and power circuit), the PC computer system forms.Pulse transducer is pressed the design of simulation of human body characteristics, and it is provided with the flexible force conduction interfaces that matches with human body wrist curvature, and the front end of the clip shape support that is fixed.Front end at clip shape support is compounded with one piece of annular electrocardioelectrode plate 2E, and after pick off was clamped in wrist, this battery lead plate contacted with wrist, and battery lead plate 2E and other two pieces of battery lead plate 2F, 2G form the limb lead electrode, as the detection of electrocardiosignal.Point-like shell temperature pick off T is installed in another clip shape support, by clip elasticity the point-like temperature sensor is clipped in position, the centre of the palm.Ecg amplifier and the R wavelength-division forgiven in signal picker are used for separating from the electrocardiosignal level to the electrocardiosignal amplification and with the R ripple from circuit, and its measurement " R-P " interval is afterwards used as reference signal.The temperature signal amplifier is used for the dc signal of centre of the palm temperature is amplified.The multiple signals A/D converter converts the analog quantity of ecg-r wave, pulse wave combined-voltage signal, temperature dc signal to digital quantity and sends into the PC computer, and follow procedure is handled.Power circuit provides DC voltage, electric current for above various circuit.
" electrocardio---pulse wave " provided by the invention sensor clip shape supporting structure is made up of pulse wave sensor, electrocardioelectrode ring, bracket I, bracket I I, active pallet, extension spring, pressure adjustment knob, spherical universal fulcrum etc.Connect into by pin by bracket I and bracket I I and to be similar to the clip body.It can change by scale and the adjusting knob of selecting extension spring human body wrist clamping elasticity.Pulse wave sensor and the concentric termination of discharging and being fixed on bracket I of electrocardioelectrode ring.Active pallet is fixed on the termination of bracket I I by the spherical universal fulcrum, promptly constitutes the pallet of dynamic formula.It is the wrist of various sizes, shape among the adaptation population automatically, realizes that automatic adjusting angle and reliable holder hold up the stability of working when guaranteeing sensor.Because this sensor stand is designed to clip shape structure, thus have the operation quick-clamping convenient, be easy to localized characteristics.Especially more be applicable to the occasion of individual self-service detection.
The assessment method of a kind of human body sub-health status provided by the invention, this assessment method be with the sympathetic nerve of human body, parasympathetic nervous, physiological age, arteries and veins type, pulse pressure difference, centre of the palm temperature, time difference value, and traditional Chinese medical science internal organs notions such as the heart, liver, spleen, lung, kidney in the function status of each internal organs, be marked at respectively etc. on the N polygon diagram, every radius is represented a content; Every radius is done the segmentation of M lattice, and getting mid point O is normal condition, is hypofunction to central part, is hyperfunctioning away from central part; According to the special card of every content, every lattice assignment difference; With O is the center, charges to magnitude to two ends successively; It is normal physiological function figure that the normal Zhuan Tai of the Zheng Even that the O of above-mentioned every content is ordered becomes equilateral N polygon, as normal control figure; Person under inspection's every content demarcated to become irregular polygon at each bar radius Shang ， Even be measured drawing;
The area of measured drawing is shown the sub-health state deficiency syndrome with the difference of the contrast area of pictural surface less than contrast area of pictural surface 10-30% person; 10-30% person is shown the sub-health state excess syndrome greater than the contrast area of pictural surface;
The measured drawing area may be morbid state with the difference of the contrast area of pictural surface greater than 30% above person, needs further to check to determine; The difference of area is that sub-health state does not have the performance of obvious deficiency and excess 10% with interior person, and shows as malfunction;
Measured's measured drawing great majority are irregular polygon, and wherein inwardly recessed item is expressed as hypofunction, and outwards the item of protrusion is expressed as hyperfunctioning; Can be used as the foundation of tonify deficiency correction with this.
It is of the present invention that to wait the N scope in the N polygon be 3＜=N＜=∞, promptly described wait the N polygon can be from the triangle of minimum until maximum circle, the general N numerical value of selecting can be 360 divide exactly be advisable; Described M lattice can five equilibrium, also can not carry out five equilibrium, and its five equilibrium can be from the second-class infinity of assigning to of minimum, and promptly isodisperse is big more, analyzes carefully more; Its not five equilibrium can carry out lattice by index law.
As a kind of preferred expression of the present invention, the assessment method of a kind of human body sub-health status provided by the invention can be with the described N polygon that waits with a circular expression, behind branches such as its N, do the segmentation of M lattice with every radius again, getting mid point O is normal condition, to garden heart portion is hypofunction, is hyperfunctioning away from garden heart portion; According to the special card of every content, every lattice assignment difference; With O is the center, charges to magnitude to two ends successively; It is normal physiological function figure that the normal Zhuan Tai of the Zheng Even that the O of above-mentioned every content is ordered becomes equilateral N polygon, normal control figure; Every content demarcation of person under inspection is become irregular polygon at each bar radius Shang ， Even, be measured drawing.
In a preferred embodiment of the invention, the assessment method of a kind of human body sub-health status provided by the invention, this assessment method be with the sympathetic nerve of human body, parasympathetic nervous, physiological age, arteries and veins type, pulse pressure difference, and traditional Chinese medical science internal organs notions such as the heart, liver, spleen, lung, kidney in the function status of each internal organs, be marked at respectively on the equilateral decagon figure, every radius is represented a content; Every radius is made 12 five equilibriums, and getting mid point O is normal condition, is hypofunction to central part, is hyperfunctioning away from central part; According to the special card of every content, every lattice assignment difference; With O is the center, charges to magnitude to two ends successively; Enumerate as follows respectively:
(1) sympathetic nerve, parasympathetic functions state, the O point is 6, entad end is followed successively by 5,4,3,2,1; Distal end is followed successively by 12,18,24,30,36 etc. 6 multiple and demarcates.
(2) physiological age and calendar age differ 5 years old for normal condition O point, and that the every successively lattice of Xiang Yuanxin end show is bigger 5 years old than calendar age, 10 years old, 15 years old, 20 years old, 25 years old expression degree of aging is fast; Otherwise, to the every lattice of distal end be followed successively by littler 5 years old than physiological age, 10 years old, 15 years old, 20 years old, 25 years old the expression physiological status younger, differ the influence that should consider medicine or other diseases more than 20 years old;
Wherein, physiological age is expressed as:
Male bage=a+b*PS+C*HH1+D*HH2+E*HH3-F*HH5
Women bage=a+b*pS-C*Pa+D*HH1-E*HH2+F*HH3
Physiological age and calendar age differ＜=and 5 normal,＞=10 is undesired, and＞5＜10 is mile abnormality.
In the above-mentioned physiological age formula, a, b, C, D, E, F are coefficient, are drawn by the large sample statistics.PS is a systolic pressure, and HH1 is a pulse wave primary peak height, and HH2 is the ripple gorge height between primary peak and the 3rd crest, and HH3 is the secondary peak height, and HH5 is the 3rd crest height.
Above-mentioned arteries and veins figure retouches out with the sub-health state detecting instrument of sensitivity 5mV/10g.
(3) pulse pressure is the poor of systolic pressure and diastolic pressure, and differing at 40mmHg is normal condition O point, and entad end successively 30,20mmHg shows that pulse pressure reduces, and weakens with myocardial contraction, and circulatory function is bad relevant; Otherwise, fortune heart end successively 50,60mmHg, be that pulse pressure increases, with hypertensive arteriosclerosis, or valvular heart disease is relevant;
(4) the arteries and veins type is based on normal pulse (X), its tool main peak a, dicrotic pulse prewave b, dicrotic wave c, and three spikes are normal person's pulse condition; Its tool of smooth pulse (Y) a, c type double-humped wave are between twenty and fifty people or athlete's pulse condition; Its tool of stringy pulse (Z) a, the big ripple of b molded breadth are old people or arteriosclerosis person pulse condition and divide; The O point be normal person's pulse condition scope to each 3 lattice of both sides, and because of age of normal population varies in size, concurrent pulse such as flat string or smoothly can appear in pulse condition, all belong to the normal physiological state; The b ripple of normal pulse raises and is flat stringy pulse, falls into successively with b/a＞=5,6,7 and entad holds the 1st, 2,3 lattice; When a, b ripple are fused into roomy ripple, be stringy pulse ab type during the smooth no peak value of c popin, a, b are contour to be string 2 types, drops on and entad holds the 4th lattice; B＞a is string 3 types, falls to entad holding the 5th lattice; Ab is that camber is the top, garden for string 4 types, drops on and entad holds the 6th lattice.The degree of showing arteriosclerosis, Peripheral resistance and hyposphyxia increases the weight of; Otherwise the b ripple of normal pulse is level and smooth arteries and veins when descending, and distal end the 1st, 2,3 lattice, are dropped at 3 o'clock successively in b/a＜=5,4.When the b ripple descends disappearance at dicrotic notch, be smooth pulse when presenting a, c ripple, demarcate at distal end 4, with height＜=4,3 of h4/h1,2 o'clock, h4 was the dicrotic notch height, h1 is main wave height, drops on distal end 4,5,6 lattice successively.Show that arterial elasticity is good, Peripheral resistance is little, circulatory function is good;
(5) heart, liver, spleen, lung, five radiuses of kidney are represented the function of traditional Chinese medical science the five internal organs respectively, and 0 of center of radius is the normal function state, and is asymptomatic, and the Xiang Yuanxin end is the void symptom, i.e. the following content of two-wire in the form of below; Away from garden heart end is the reality symptom, i.e. the above content of two-wire in the form of below, and each lattice represents one
Symptom is regardless of weight, is symptom is demarcated at the center successively to two ends item number with O.Collect by the human computer conversation or by the questionnaire table;
| Dysphoria with feverish sensation in the chest palms and soles | Muscle acid is unable | Appetite stimulator | Dry pharynx dry cough | The acid of luxated tooth waist lower limb |
| ? | Twitch | The loose stool | Expectorant is few | Nocturia increases |
| ? | The dryness and uneasy feeling of the eye | Visceroptosis | Easy catching a cold | Hectic fever night sweat |
| ? | The infrequent menstruation amenorrhea | Chronic hemorrhage | The mouth and nose drying | Libido descends or menopause ahead of time |
| ? | ? | Menorrhagia | ? | Aversion to cold and cold limbs |
It is normal physiological function figure (normal control figure) that the normal Zhuan Tai of the Zheng Even of (6) O of above-mentioned every content being ordered becomes equilateral decagon; Person under inspection's every content demarcated to become irregular polygon at each bar radius Shang ， Even be measured drawing, the measured drawing area is shown the sub-health state deficiency syndrome with the little what contrast of the difference area of pictural surface 10-30% person of the contrast area of pictural surface; 10-30% person is shown the sub-health state excess syndrome greater than the contrast area of pictural surface;
The difference of the measured's measured drawing area and the normal control area of pictural surface may be morbid state greater than 30% above person, needs further to check to determine; The difference of area is that sub-health state does not have the performance of obvious deficiency and excess 10% with interior person, and shows as malfunction;
Measured's measured drawing great majority are irregular polygon, and wherein inwardly recessed item is expressed as hypofunction, and outwards the item of protrusion is expressed as hyperfunctioning; Can be used as the foundation of tonify deficiency correction with this.
(7) certain, the function status of each internal organs is not limited in above ten contents in the assessment method of a kind of human body sub-health status provided by the invention, can also provide other detection data to use for the tester.For example can also provide centre of the palm temperature value, it can utilize " electrocardiograph pulse centre of the palm temperature " provided by the invention compound sensor to record, wherein O point normal value is 25 ℃, it is subjected to the influence of ambient temperature and is slightly variant, entad end is respectively 24,23,22,21,20,19 ℃, and distal end is respectively 26,27,28,29,30,31 ℃.
(8) function status of each internal organs can also provide time difference value to detect content as one in the assessment method of a kind of human body sub-health status provided by the invention, its expression ecg-r wave is to the time of radial artery pulse wave starting point, above-mentioned time difference value prompting pulse wave is at the conduction velocity of ductus arteriosus wall, its elasticity with arterial wall is relevant, with tremulous pulse elasticity variation, conduction velocity is accelerated.Wherein O point normal value is 0.12 second, entad holds 2,4,6 lattice to be respectively 0.11,0.10,0.09 second, and heart lattice 2,4,6 lattice far away were respectively 0.13,0.14,0.15 second.
This shows that measuring ability provided by the invention can constantly increase, certainly, it also can delete, mainly is to guarantee that its sub-health state that can record human body more exactly get final product, does not just enumerate one by one here.
The assessment method of a kind of human body sub-health status provided by the invention, the gap of its described physiological age, calendar age and the relation of physiological status can be expressed by chart, can point out physiological age significantly greater than actual age person, the physiological change of aging occurs, promptly show as fatigue state in various degree; Among the figure vertical coordinate show degree of fatigue light, in, heavy, abscissa shows the age; On abscissa, point out calendar age and physiological age, draw by the arteries and veins map analysis, with the calendar age is initial point, gap with calendar age and physiological age is a radius, the garden orphan of work meets on the vertical line of calendar age point, put the parallel lines of making the age axle with this again, meet at the degree of fatigue axle of vertical coordinate, can infer fatigue, degree of aging.Physiological age increases does not have clinical meaning in 0-5 year; 6-10 year is slight fatigue state; 11-20 year is the moderate fatigue state; More than 20 years old is the severe fatigue state; The little what calendar age 10-20 of physiological age year, the prompting physiological function is good; Little what should be considered medicine or sickness influence more than 20 years old.
The assessment method of a kind of human body sub-health status provided by the invention, its described status level figure of function of nervous system can express by chart, shows sympathetic nerve and parasympathetic functional level and the two poised state; Vertical coordinate shows the sympathetic nerve function level among the figure; Abscissa shows the parasympathetic functions level; Red I district is sympathetic activation district CVh1/CVt＞=2.8/1; Green II district is vegetative nerve function equilibrium area CVh1/Cvt＜=2.8/1; Yellow III district is parasympathetic nervous excitable area Cvh1/Cvt＞=1/1.5, and the coordinate points part that falls shows neuro vegetative functional level of measured and poised state thereof.
Wherein, CVh1=(∑ (h
Max i-H)
2/ N)
1/2/ H
Cvt＝(∑(Ti-T)
2/N)
1/2/T
h
Max i: each pulse wave peak-peak (h
1)
N: pulse number
T: mean wavelength
H: average peak (h
1)
The sympathetic nerve function level of healthy people's normal pulse is 5 ± 3; The parasympathetic functions level is 4.8 ± 1.4; Smooth pulse is respectively 7.6 ± 4.8, and 6.8 ± 4.6; Stringy pulse is respectively 2.7 ± 1.6, and 2.7 ± 1.04; The stringy and rolling pulse arteries and veins is 10.2 ± 6.5,4.7 ± 3.4; Sympathetic and the ratio parasympathetic function is 2.8 ± 0.17.
The assessment method of a kind of human body sub-health status provided by the invention, its described pulse wave can be expressed by chart, shows left systolic heart, the heart rate and the rhythm of the heart, arterial compliance, Peripheral resistance and some valvular heart disease; Be benchmark with normal pulse figure X among the figure, with the arteries and veins figure of the mapping analogy that superposes therewith, Y is smooth pulse figure; Z is stringy pulse figure; The arteries and veins figure integration correspondence cardiac output of whenever fighting; The ascending branch form reflects left systolic heart; The ascending branch amplitude is corresponding to systolic pressure; The dicrotic notch height is pressed corresponding to easypro Zhang; Base line length is corresponding to whenever fighting the time, can convert to be heart rate; Dicrotic pulse prewave form and height, main wave width, dicrotic wave form and amplitude and Peripheral resistance, arterial compliance are relevant.
The assessment method of a kind of human body sub-health status provided by the invention, its described heart, liver, spleen, lung, kidney shape condition can be by obtaining by human computer conversation's frame or questionnaire mode, wherein, the information of the heart be that the cardiopalmus rhythm of the heart, heart rate are unusual, vexed, insomnia and dreamful sleep, pained, mental excitation, tongue boil glossodynia, yellowish urine, nervous timid, early awakening, dysphoria with feverish sensation in the chest palms and soles; The information of liver is agitation, irritability, red eyes and bitter taste in the mouth, distending pain in the head, warm, hypochondriac pain lower abdominal pain, aedoedynia or wetly examine, depression is worried too much, limbs chatter, muscle acid are unable, tic, dryness and uneasy feeling of the eye, infrequent menstruation amenorrhea; The information of spleen is abdominal distention, constipation stomachache, belch, vomiting, anorexia, soft weak, the appetite stimulator of stomach wall plumpness, jaundice, drowsiness sleepiness, limb, loose stool, visceroptosis, chronic hemorrhage, menorrhagia; The information of lung is that cough, abundant expectoration, chest pain are relevant with breathing, pharyngeal swelling pain, nasal obstruction watery nasal discharge, rough breath, easily perspire, lose heart, dry cough, expectorant are few, easy catching a cold, mouth and nose drying; The information of kidney is that yellowish urine, edema oliguria, the pain of urinating, hematuria pain, tinnitus dizziness, forgetful, luxated tooth waist lower limb acid, nocturia increase, hectic fever night sweat, libido descends or menopause ahead of time.
The assessment method of a kind of human body sub-health status provided by the invention, this method can comprise the following steps to test and assess:
(1) experimenter gets positive seat or horizontal position, and the semi-girder toggle is faced upward the palm, placement sensor in the processus styloideus radii inboard, the radial artery pulse place, upper and lower extremities, centre of the palm portion give to fix, return to zero;
(2) Even connect tester and computer, and instrument is arranged in duty;
(3) under rest state, survey 60 seconds pulsation informations of record, electrocardio, and one minute skin temperature;
(4) obtain blood pressure after the computing, arteries and veins figure, autonomic nerve, physiological age, centre of the palm temperature;
(5) then, by human computer conversation or questionnaire input, relevant function of five internal organs deficiency and excess symptom;
(6) last, show 1. physiological ages and degree of fatigue graph of a relation; 2. autonomic nerve functional diagram; 3. sphygmogram; 4. the sub-health state test and appraisal are schemed; Reach a conclusion and print.
The invention effect:
The assessment method of a kind of human body sub-health status provided by the invention and device thereof, it realizes that pulse condition, electrocardio, three kinds of information fusion of centre of the palm skin temperature are in one, amplify, change through signal, and can import computer, carry out information analysis, the result shows lucid and lively, is convenient to data storage, contrasts and dynamic observes.
The pulse information that the present invention uses pulse transducer to gather, by traditional Chinese medical science pulse study theory, in conjunction with the pulse wave linearized theory, analytical engine body-centered vascular function, blood pressure, physiological age, vegetative nerve function level and sympathetic nerve and parasympathetic poised state.
The present invention uses easy PWTT method, and is promptly linear between the time of pulse wave conduction and the arteriotony in the human body artery, measures between pulse wave and the electrocardio behind the R-P, utilizes the calculating of regression equation, tries to achieve the arteriotony value.And infer arterial vascular compliance from the conduction velocity of pulse wave.
Analyze arteries and veins figure form and character numerical value thereof, infer left systolic heart, vascular compliance, Peripheral resistance.The utilization transmission line theory, the measuring and calculating physiological age, relatively the difference of physiological age and calendar age is inferred the degree of fatigue of body and the decline situation of physiological function.
Analyze continuous 60 seconds arteries and veins figure wave amplitude (corresponding to arterial pressure) aberration rate and the aberration rate of wavelength (corresponding to the pulse wavelength), the relation of assessment vegetative nerve function level and psychological factor thereof.Change in conjunction with centre of the palm skin temperature, for tcm syndrome differentiation and typing provides important information.
The assessment method of a kind of human body sub-health status provided by the invention and device thereof, it is prevented and cured diseases to clinical, adjusts body function, maintaining healthy physiology, it is significant to bring into play aspect such as best physical ability.
1. utilization objective detection index and clinical symptoms combine, and the comprehensive assessment sub-health state has more science and reasonability than existing method.
2. utilization Image Representation method is concisely explained the overall physiological status of body intuitively.
3. observe the sub-health state evaluation graph, can infer the formation reason of sub-health state, utilization traditional Chinese medical science negative and positive, state of internal organs scheduling theory, with reference to traditional Chinese medical science rule of treatment method of treatment principle, the reason diarrhea of deficiency type is real, and correction is timely and effectively set upright, to safeguarding the organismic internal environment balance, improve health conditions, it is significant to give full play to aspects such as brain body potential.
Below, describe the detail and the working condition that propose according to the present invention in conjunction with the accompanying drawings and embodiments in detail.
Description of drawings
Fig. 1 is a health information monitoring apparatus structure sketch map provided by the invention.
A kind of " electrocardiograph pulse ripple " transducer arrangement configuration sketch map that Fig. 2 provides for the embodiment of the invention.
Fig. 3 a provides pulse transducer a kind of structural profile sketch map for the embodiment of the invention.
Fig. 3 b is the electrocardioelectrode plate structure sketch map of pulse transducer among Fig. 3 a.
Fig. 3 c is the another kind of structural representation of the electrocardioelectrode plate of pulse transducer among Fig. 3 a.
The circuit diagram of the pulse transducer that provides among Fig. 3 a is provided Fig. 4.
The another kind of structural profile sketch map of pulse transducer that Fig. 5 a provides for the embodiment of the invention.
The circuit diagram of the pulse transducer that provides among Fig. 5 a is provided Fig. 5 b.
The another kind that Fig. 6 a provides for the embodiment of the invention " electrocardiograph pulse ripple " sensor device bracket I I structural representation.
Fig. 6 b is the user mode reference diagram of Fig. 6 a.
Fig. 7 is the graph of a relation of the gap and the physiological status of physiological age, calendar age, and wherein degree of fatigue prompting physiological function is aging in advance; Otherwise be younger.
Fig. 8 is autonomic nerve functional level figure, the position prompting vegetative nerve function state of coordinate points, and red I district is the sympathetic activation district; Green II district is the vegetative nerve function equilibrium area; Yellow III district is the parasympathetic nervous excitable area; Wherein, red sector is that sympathetic nerve is hyperfunction, and yellow district is hyperfunction for parasympathetic nervous, and the Green Zone is a poised state.
Fig. 9 is pulse wave figure, and wherein arteries and veins figure form can be inferred the systema cariovasculare functional situation roughly, penetrates blood function, arterial compliance, Peripheral resistance etc. as the left heart.Also reflect that physiological is aging in advance.
Figure 10 is sub-health state test and appraisal figure provided by the invention, it is by observing contents (fanning out from point to area) such as area of a polygon, form, position skew, one or several parameters of Without wishing (point, line), more comprehensively, directly perceived, clear wash rice, understand the degree and the type (empty, real, cold, heat) of sub-health state concisely.
Figure 11 inquires registration form for clinical symptoms provided by the invention.
Figure 12 is the flow chart of human body sub-health status expression provided by the invention.The experimenter gets positive seat or horizontal position, and the semi-girder toggle is faced upward the palm, placement sensor in the processus styloideus radii inboard, the radial artery pulse place, upper and lower extremities, centre of the palm portion give to fix, return to zero.Even connects tester and computer, and instrument is arranged in duty.Under rest state, survey 60 seconds pulsation informations of record, electrocardio, and one minute skin temperature.After handling as calculated, obtain blood pressure, arteries and veins figure, autonomic nerve, physiological age, centre of the palm temperature.Then, by human computer conversation or questionnaire input, relevant function of five internal organs deficiency and excess symptom.At last, show 1. physiological ages and degree of fatigue graph of a relation; 2. autonomic nerve functional diagram; 3. sphygmogram; 4. the sub-health state test and appraisal are schemed.Reach a conclusion and print.
Figure 13 decomposes comparison diagram for Fig. 9 pulse wave figure, is benchmark with normal pulse figure X among the figure, and with the arteries and veins figure of the mapping analogy that superposes therewith, Y is smooth pulse figure; Z is stringy pulse figure; The arteries and veins figure integration correspondence cardiac output of whenever fighting; The ascending branch form reflects left systolic heart; The ascending branch amplitude is corresponding to systolic pressure; The dicrotic notch height is pressed corresponding to easypro Zhang; Base line length is corresponding to whenever fighting the time, can convert to be heart rate; Dicrotic pulse prewave b form and height, main wave width a, dicrotic wave c form and amplitude and Peripheral resistance, arterial compliance are relevant.
The test and appraisal figure of the case that Figure 14 provides for the embodiment of the invention, it is an equilateral decagon figure, the decagon scattergram that the center is rule state is the contrast figure of normal condition.
Wherein 14a is the irregular decagon measured drawing that dotted portion is formed among Figure 14.The case representation woman, asthenia does not have other symptoms for a long time except that constipation.The sympathetic nerve function level is 14, and the parasympathetic functions level is 8; Physiology year, order was above 8 years old; The arteries and veins type is sliding; Pulse pressure difference is 50mmHg, and spleen+1 is constipation, lung 0, kidney 0, the heart 0, liver 0.The comparison of measured drawing area is 10% of the contrast area of pictural surface according to the difference of the area of pictural surface, and pointing out this sub-health state is to be escaped less by many labor, and vegetative nerve function is hyperfunction, and viscera function is not good enough, due to.
The irregular decagon measured drawing that 14b partly forms for solid line among Figure 14 in the accompanying drawing.The case representation man has the asthma medical history when young, do not send out for many years.Weak, breathe hard, appetite is poor, is afraid of cold tinnitus waist epidemic disease.Sympathetic nerve function level 18; Parasympathetic functions level 6.Physiological age was above 5 years old.Pulse pressure difference is 45mmHg, spleen-1, lung-1, kidney-2, the heart 0, liver 0.Arteries and veins type string.15% of the little what contrast of area difference figure.Prompting: lung spleen renal function weakens, and sympathetic nerve function is high partially and cause the sub-health state deficiency syndrome.
The test and appraisal figure of another case that Figure 15 provides for the embodiment of the invention, it is an equilateral decagon figure, the decagon scattergram that the center is rule state is normal control figure.
Wherein 15a is the irregular decagon measured drawing that dotted portion is formed among Figure 15.Case shows certain man, 60 years old.Pulmonary carcinoma postoperative 3 years, through Chinese herbal medicine medical treatment stable disease, mental status excitement, it is poor, emotional to sleep, and breathes hard, weak, a little less than the waist lower limb.Sympathetic nerve function level 30, parasympathetic functions level 24.Pulse pressure difference 35mmHg.The little what calendar age of physiological age 20 years old.Spleen-2, lung-1, kidney-1, the heart+3, liver+3.Arteries and veins figure string 3 types.16% of the big what contrast of the difference of area figure.Move on the image.After being ill sub-health state of prompting is that vegetative nerve is hyperfunction, due to the viscera function biased (deficiency of both QI and YIN, hyperactivity of hesrt-fire and liver-fire).
The irregular decagon measured drawing that 15b partly forms for Figure 15 solid line in the accompanying drawing.The case representation man, postoperative gastric cancer 3 years is had rosy cheeks, and spirit is still good, and is passionnate, and it is relatively poor to sleep, cough with copious phlegm, abdominal distention after meal, frequent urination at night, the lumbago weakness of the lower extremities, edema sometimes, big loose stool is thin.Pulse pressure difference 35mmHg, physiological age is less than calendar age 5 years old, sympathetic nerve 30, parasympathetic nervous 12.Arteries and veins type string III, liver+3, the heart+2, spleen-2, lung+1, kidney-2.12% of the big what contrast of the area difference area of pictural surface.Prompting, sub-health state is that sympathetic nerve is hyperfunction after being ill, spleen, deficiency of kidney-QI, hyperactivity of hesrt-fire and liver-fire, the sign of tool upper excess and lower deficiency.
The test and appraisal figure that also has a case that Figure 16 provides for the embodiment of the invention, it is a circular test and appraisal figure, divides eight equal parts, the octagon scattergram that the center is rule state is normal condition contrast figure.
Wherein 16a is the irregular octagon measured drawing that solid line is partly formed among Figure 16.Case shows certain woman, and menoxenia is many through the row amount, and clot is arranged, and irregular bleeding is still arranged, pale white complexion, and dizziness, weak, lumbago, creeping chill, drowsiness early awakening, few abdomen dull pain, the mood irritability, sympathetic nerve 12, parasympathetic nervous 3, physiological age is bigger 5 years old than calendar age.The heart-1, liver+1, spleen-3, lung-1, kidney-3,36% of the little what contrast of area difference figure.Prompting: the morbid state that spleen kidney two void cause general debility, relevant with gynaecopathia (long-term volume is hemorrhage), the diagnosis and treatment of suggestion training.
16b is the irregular octagon measured drawing that dotted portion is formed among Figure 16 in the accompanying drawing.Case shows certain man, is busy with one's work, and habits of smoking and alcohol drinking, insomnia and dreamful sleep, bitter taste and being bored with, abdominal distention, belch, it is not smooth to defecate, and obesity is moving then breathe hard turbid urine.Sympathetic 12, parasympathetic 6, physiological age is bigger 10 years old than calendar age, the heart+2, liver+1, spleen+3, lung-1, kidney+1.The comparison of area difference is big by 21% according to the area of pictural surface.Point out this sub-health state true card, it is bigger to be mainly mental pressure, sympathetic activation, digestion and metabolism dysfunction.
The test and appraisal figure of the other case that Figure 17 provides for the embodiment of the invention, it is a circular test and appraisal figure, divides ten to halve, the dodecagon scattergram that the center is rule state is normal condition contrast figure
Wherein 17a is the irregular dodecagon measured drawing that dotted portion is formed in the accompanying drawing 17.Case shows certain woman, dizziness, and tinnitus, vexed, the menstrual blood volume polychrome is red, sympathetic nerve 18, parasympathetic nervous 4, the ratio of sympathetic and parasympathetic is greater than 4/1, and physiological age is littler 5 years old than calendar age.Pulse pressure difference 50mmHg, 26 ℃ of centre of the palm temperature, the arteries and veins type is level and smooth, time difference value 0.12 second, the heart+2, liver+1, spleen-2, lung-1, kidney-1,11% of the big what contrast of the area difference area of pictural surface.The prompting sub-health state is a case of a physically strong patient running a high fever type, and mainly by the vegetative nerve dysequilibrium, sympathetic hyperfunctioning causes, the excited and viscera function of the mental status go down (hyperactivity of YANG due to deficiency of YIN).
17b is the irregular dodecagon measured drawing that solid line is partly formed in the accompanying drawing 17 in the accompanying drawing.Case shows certain man, dizziness, and cardiopalmus, idol has precordial pain, is afraid of cold, and is few moving, drowsiness, moving then breathe hard, and nocturia increases.Sympathetic nerve 4, parasympathetic nervous 3, physiological age is bigger 10 years old than calendar age, 25 ℃ of centre of the palm temperature, pulse pressure 30mmHg, arteries and veins type string III, time difference value 0.10 second, the heart+3, liver+1, spleen-1, lung-1, kidney-1,35% of the little what contrast of area difference figure.Point out this testee to occur that cardiovascular function goes down, arteriosclerotic sign, the general body state weakness, the suggestion patient focuses on the cardiovascular function aspect and does further diagnosis and treatment.
The specific embodiment
As shown in Figure 1, the checkout gear of a kind of human body sub-health status that the embodiment of the invention provides mainly comprises " electrocardiograph pulse ripple " sensor device 1, electrocardio detecting electrode plate 2, centre of the palm temp sensor device 3, connection box 4, signal picker 5 and computer computer system 6.Wherein, described " electrocardiograph pulse ripple " sensor device 1, three pieces of electrocardio detecting electrode plate 2E, 2F, 2G, the compound sensor that centre of the palm temp sensor device 3 is formed links to each other with signal picker 5 by above-mentioned connection box 4, described signal picker 5 comprises ecg amplifier, R wavelength-division from circuit, pulse wave amplifier, temperature signal amplifier, multiple signals A/D change-over circuit, and power circuit, and described signal picker 5 links to each other with computer computer system 6.
Like this, the checkout gear of a kind of human body sub-health status that the embodiment of the invention provides, this device mainly comprises:
Electrocardiograph pulse wave sensor device 1 is used for the information of human body electrocardiograph pulse ripple;
Electrocardio detecting electrode plate 2 is used for the human body ECG information;
Centre of the palm temp sensor device 3 is used for the information of human body centre of the palm temperature;
Signal picker 5, be used for to the information that collects by above-mentioned electrocardiograph pulse wave sensor device 1, electrocardio detecting electrode plate 2, centre of the palm temp sensor device 3 amplify, separating treatment;
And computer computer system 6, be used for the information that is obtained by signal picker 5 is handled, exported after the computing.
Shown in accompanying drawing 2-5, " electrocardiograph pulse ripple " sensor device 1 that provides in the checkout gear of a kind of human body sub-health status that the embodiment of the invention provides is pressed the design of simulation of human body characteristics, it is provided with the flexible force conduction interfaces that matches with human body wrist curvature, and is fixed on the front end of folder shape support.Front end at folder shape support is compounded with one piece of annular electrocardioelectrode plate A, and after pick off was clamped in wrist, this battery lead plate contacted with wrist, and battery lead plate A and other two pieces of battery lead plate B, B form the limb lead electrode, as the detection of electrocardiosignal.Point-like shell temperature pick off 3 provided by the invention is installed on another folder shape support, and the elasticity by clip is clipped in position, the centre of the palm with the point-like temperature sensor.Ecg amplifier and the R wavelength-division forgiven in signal picker are used for separating from the electrocardiosignal level to the electrocardiosignal amplification and with the R ripple from circuit, and its measurement " R-P " interval is afterwards used as reference signal.The temperature signal amplifier is used for the dc signal of centre of the palm temperature is amplified.The multiple signals A/D converter converts the analog quantity of ecg-r wave, pulse wave combined-voltage signal, temperature dc signal to digital quantity and sends into the PC computer, and follow procedure is handled.Power circuit provides DC voltage, electric current for above various circuit.
As shown in Figure 2, the electrocardiograph pulse wave sensor device 1 described in the checkout gear of a kind of human body sub-health status that the embodiment of the invention provides, it is a kind of folder shape supporting structure; It is mainly to be made up of pulse wave sensor 7, electrocardioelectrode ring 8, upper bracket I9, lower carriage II10, active pallet 11, extension spring 12, pressure adjustment knob 13, spherical universal fulcrum 14 etc.Wherein, described bracket I 9 and bracket I I 10 connect into by pin and are similar to clip shape, described pulse wave sensor 7 and electrocardioelectrode ring 8 concentric terminations of discharging and being fixed on described bracket I 9, described active pallet 11 is fixed on the termination of bracket I I 10 by spherical universal fulcrum 14, described extension spring 12 is placed in bracket I 9, bracket I I 10 inboards, and described adjusting knob 13 links to each other with extension spring 12.
Like this, bracket I 9 of the present invention and bracket I I 10 connect into by pin and are similar to clip shape, and it can change by the hardness of selection extension spring 12 and by adjusting knob 13 human body wrist clamping elasticity.Described pulse wave sensor 7 and electrocardioelectrode ring 8 concentric terminations of discharging and being fixed on described bracket I 9.Described active pallet 11 is fixed on the termination of bracket I I 10 by spherical universal fulcrum 14, promptly constitute a kind of pallet of trailing type, it is the wrist of various sizes, shape among the adaptation population automatically, realizes that automatic adjusting angle and reliable holder hold up the stability of working when guaranteeing sensor.Because this sensor stand is designed to press from both sides the shape structure, thus have the operation quick-clamping convenient, be easy to localized characteristics.Especially more be applicable to the occasion of individual self-service detection.
Shown in accompanying drawing 2-5, pick off is described pulse transducer 7 in the checkout gear of a kind of human body sub-health status that the embodiment of the invention provides, described pulse wave sensor 7 has by the flexible force conduction interfaces that matches with the human body wrist of simulation of human body characteristics designs and uses pressure-sensitive rubber membrane 15, and it has with corresponding to its structure of radian R of wrist and is shown among Fig. 3 a.Wherein, described pressure-sensitive rubber membrane 15 can be made circle or rectangle as required, referring to Fig. 3 b and Fig. 3 c.It comprises concentric thick hard area A, mantle district B from the inside to surface successively and supports positioning area C.Be connected with pressure conductive bar 16 in described pressure-sensitive rubber membrane 15 inboards, it is "T"-shaped structure, and its round plate approximately
With the thick hard area A gluing of pressure-sensitive rubber membrane 15 together.
As shown in Figure 3, pulse wave sensor 7 mainly comprises the exterior cylindrical bodily form or the outer skeleton 18 of cuboid in the checkout gear of a kind of human body sub-health status that the embodiment of the invention provides, skeleton 18 bottoms are provided with the flexible force conduction interfaces 15 that matches with human body wrist curvature outside described, and described pressure-sensitive rubber membrane 15 has and the corresponding to radian R of wrist; Described pressure-sensitive rubber membrane 15 comprises concentric thick hard area A, mantle district B from the inside to surface successively and supports positioning area C; Be connected with pressure conductive bar 16 in described pressure-sensitive rubber membrane 15 inboards, it is a T shape structure, described pressure conductive bar 16 same shape spring beams 17 centers link to each other, the two ends of described shape spring beam 17 are fixed on the cylinder bodily form or the outer skeleton 18 of cuboid by screw, the centre bit of beam length direction is a stress point, four micro semiconductor foil gauges 19 stick in the strain location of spring beam 17 upper and lower surfaces, and are connected into full-bridge circuit.
Like this, the flexible pressure-sensitive membrane structure of the pulse wave sensor 7 of the checkout gear of a kind of human body sub-health status of providing of the embodiment of the invention has following characteristics: 1) flexible pressure-sensitive interface has and contact close, no impression, Non-tender characteristics with the wrist surface.Real pressured state is similar with the characteristics of finger feeling the pulse during its work.2) this pressure-sensitive interface is according to the design of pressure-sensitive diaphragm mechanics principle, and it is forgiven has, and " thick hard area " reaches functional areas such as " mantle districts ".Because the pressure-sensitive diaphragm lateral stiffness is greater than its vertical (be pulse beat power conduction orientation) hardness, so it mainly responds the pulse power of beating, and do not respond, thereby have anti-preferably cross force, be i.e. the anti-bias load ability from horizontal perturbed force.Thereby improved the sensor measurement pulse repeatability of power and stable of beating.3) because the buffer action at pressure-sensitive interface, pick off is whole sealing status, thereby makes dustproof, disinfectant measure be easy to realize.
Two kinds of schemes are provided among the embodiment of the pressure-sensing device that provides in the pulse transducer 7 in the checkout gear of a kind of human body sub-health status that the embodiment of the invention provides.Pressure-sensing device shown in Figure 3 is " clamped beam formula strain resistor " scheme, in the force sensing element scheme for utilizing PVDF macromolecule piezoelectric membrane to constitute shown in Fig. 5 a.In " clamped beam formula strain resistor " embodiment, the two ends of spring beam 17 are fixed on circle or the rectangle skeleton 18 by screw, and the centre bit of beam length direction is a stress point.Four micro semiconductor foil gauges 19 stick in the locations of maximum strain of spring beam 17 upper and lower surfaces, and are connected into full-bridge circuit.Be its measuring circuit among Fig. 4, its operation principle can no longer repeat referring to resistance bridge operation principle in the relevant electric detecting technology book series herein.
In the force sensing element embodiment of another PVDF piezoelectric membrane, see Fig. 5 a for details.Circle or rectangle piezoelectric membrane 20 press solidly thin film on plastic skeleton 23 by copper electrode pressing plate 22, rely on flexible implant 21 tensionings of low-density at its back side.After the central point of PVDF thin film is subjected to alternating pressure, initiation is had piezoelectric effect, thin film along its length or radial dilatation, its two interelectrode quantity of electric charge changes.After external current amplifier through matching is handled, can carry out next step voltage amplification and handle.Be the current amplifier circuit that connects with PVDF piezoelectric membrane coupling shown in Fig. 5 b.Its operation principle no longer repeats here referring to relevant design of electronic circuits book series.
As shown in Figure 5, the pulse wave sensor 7 that another embodiment provides in the checkout gear of a kind of human body sub-health status that the embodiment of the invention provides mainly comprises the exterior cylindrical bodily form or the outer skeleton 23 of cuboid, skeleton 23 bottoms are provided with the flexible force conduction interfaces 15 that matches with human body wrist curvature outside described, and described pressure-sensitive rubber membrane 15 has and the corresponding to radian R of wrist; Described pressure-sensitive rubber membrane 15 comprises concentric thick hard area A, mantle district B from the inside to surface successively and supports positioning area C; Be connected with pressure conductive bar 16 in described pressure-sensitive rubber membrane 15 inboards, it is a T shape structure, described pressure conductive bar 16 same circles or rectangle piezoelectric membrane 20 centers link to each other, described piezoelectric membrane 20 presses solidly described piezoelectric membrane 20 on plastic skeleton 23 by copper electrode pressing plate 22, relies on flexible implant 21 tensionings of low-density at its back side.
As shown in Figure 6, the another kind of project organization for bracket I I 10 is shown among Fig. 6 a in " electrocardiograph pulse ripple " sensor device 1 of providing of the checkout gear embodiment of a kind of human body sub-health status of providing of the embodiment of the invention.It is made up of spacing crosspiece 24, unlatching mouth 25, velcro 26, base plate 27; Wherein, at the horizontal described unlatching mouth 25 of spacing crosspiece 24 compositions that is connected with of described base plate 27 front ends, at the horizontal velcro 26 that is connected with in described base plate 27 rear ends.During measurement, palm is the natural torsion state from opening mouthful 25 insertions, slightly forearm is tightened by velcro 26.Experimenter's forearm is with stable naturally entrusting on bracket I I 10, to guarantee to detect for a long time the stability of pulse wave.Its working state schematic representation is seen shown in Fig. 6 b.
The assessment method of a kind of human body sub-health status provided by the invention, this method comprises the following steps:
The experimenter gets positive seat or horizontal position, and the semi-girder toggle is faced upward the palm, placement sensor in the processus styloideus radii inboard, the radial artery pulse place, upper and lower extremities, centre of the palm portion give to fix, return to zero.Even connects tester and computer, and instrument is arranged in duty.Under rest state, survey 60 seconds pulsation informations of record, electrocardio, and one minute skin temperature.After handling as calculated, obtain blood pressure, arteries and veins figure, autonomic nerve, physiological age, centre of the palm temperature.Then, by human computer conversation or questionnaire input, relevant function of five internal organs deficiency and excess symptom.At last, show 1. physiological ages and degree of fatigue graph of a relation; 2. autonomic nerve functional diagram; 3. sphygmogram; 4. the sub-health state test and appraisal are schemed.Reach a conclusion and print.
Shown in accompanying drawing 7-13, the assessment method of the human body sub-health status that the preferred embodiment of the present invention provides draws the normal range and the range of variation of every physical signs by the statistical analysis of a large amount of Clinical detection data.It has formulated the comprehensive estimation method of fan out from point to area (integration/area).In conjunction with clinical research, the multifactor method that combines that adopts physical signs to combine with clinical symptoms.The aspects such as deficiency and excess symptom that comprise sympathetic nerve level, parasympathetic nervous level, pulse pressure (or centre of the palm temperature), arteries and veins type, physiological age, the heart that reaches traditional Chinese medical science science of visceral state, liver, spleen, lung, kidney.
The assessment method of the human body sub-health status that the embodiment of the invention provides designs has by the following method drawn a sub-health state test and appraisal figure, and it mainly is expressed as follows:
(1) graph of a relation of the gap of physiological age, calendar age and physiological status, as shown in Figure 7
Prompting: physiological age the physiological change of aging occurs significantly greater than actual age person, promptly shows as fatigue state (showing the physiological function decline) in various degree.
Vertical coordinate shows degree of fatigue (light, in, heavy) among the figure, and abscissa shows the age.On abscissa, point out calendar age and physiological age (drawing) by the arteries and veins map analysis, with the calendar age is initial point, gap with calendar age and physiological age is a radius, the garden orphan of work meets on the vertical line of calendar age point, put the parallel lines of making the age axle with this again, meet at vertical coordinate (degree of fatigue axle), can infer fatigue (wearing out) degree.Physiological age increases does not have clinical meaning (D) in 0-5 year; 6-10 year is that slight fatigue state (a), 11-20 year are moderate fatigue state (b); More than 20 years old is severe fatigue state (c).The little what calendar age 10-20 of physiological age year, the prompting physiological function is good; Little what should be considered medicine or sickness influence more than 20 years old.
(2) autonomic nerve functional level figure, as shown in Figure 8
Show: sympathetic nerve and parasympathetic functional level and the two poised state.
Vertical coordinate shows sympathetic nerve function level (CVh1 is the pressure aberration rate) among the figure; Abscissa shows parasympathetic functions level (CVt cardiac cycle aberration rate).Red I district is the sympathetic activation district; Green II district is the vegetative nerve function equilibrium area; Yellow III district is the parasympathetic nervous excitable area, and coordinate points land part shows neuro vegetative functional level of measured and poised state thereof.
Experiment money section shows: the sympathetic nerve function level of healthy people's normal pulse (blood pressure aberration rate) is 5 ± 3, and parasympathetic functions level (pulse frequency aberration rate) is 4.8 ± 1.4; Smooth pulse is respectively 7.6 ± 4.8, and 6.8 ± 4.6; Stringy pulse is respectively 2.7 ± 1.6, and 2.7 ± 1.04; The stringy and rolling pulse arteries and veins is 10.2 ± 6.5,4.7 ± 3.4; Sympathetic and the ratio parasympathetic function is 2.8 ± 0.17.
(3) pulse wave figure is shown in Fig. 9,13
Prompting: left systolic heart, the heart rate and the rhythm of the heart, arterial compliance, Peripheral resistance and its a little valvular heart diseases.
Be benchmark with normal pulse figure a among the figure, with the arteries and veins figure of the mapping analogy that superposes therewith, b is smooth pulse figure; C. be stringy pulse figure.The arteries and veins figure integration correspondence cardiac output of whenever fighting; The ascending branch form reflects left systolic heart; The ascending branch amplitude is corresponding to systolic pressure; The dicrotic notch height is pressed corresponding to easypro Zhang; Base line length is corresponding to whenever fighting the time, can convert to be heart rate; Dicrotic pulse prewave form and height, main wave width, dicrotic wave form and amplitude and Peripheral resistance, arterial compliance are relevant.
(4) the sub-health state test and appraisal figure that draws, as shown in figure 10
Prompting: the degree of sub-health state, characteristic of division, as: deficiency syndrome, excess syndrome, dysfunction (hyperfunction or low) etc.
Among the figure with sympathetic nerve, parasympathetic nervous, physiological age, arteries and veins type, pulse pressure, and totally ten of the deficiency and excess syndromes of the heart, liver, spleen, lung, kidney, return poly-being distributed on the circumference, with the vegetative nerve is transverse axis (horizontal diameter), and left radius is a parasympathetic nervous, and right radius is a sympathetic nerve.Upper semi-circle is listed pulse pressure, four of physiological ages, the heart, liver; Lower half circle is listed four on arteries and veins type, lung, spleen, kidney, to every content scalar quantity level on its radius axle respectively; unit's point of the normal range that the Even knot is every is polygon image, this is the normal control image, then, making comparisons with every numerical value composition of measurand, is to contrast the 10-30% of the area of pictural surface for significantly reducing as measured drawing area and the difference that contrasts the area of pictural surface, the prompting body function weakens (deficiency syndrome), and weak degree and image area are corresponding; Otherwise be excess syndrome, prompt facility is hyperfunction.Do not have significant difference (the little what 10% of difference) as image area, and the position is offset to upper right side or lower left, or the recessed protrusion of its a little indexs, prompting: vegetative nerve function and viscera function imbalance.Degrees of offset and physiological function are corresponding unusually.So the view image variation can be made assessment ， And to sub-health state the origin cause of formation of sub-health state is illustrated.
As shown in drawings, the assessment method of the human body sub-health status that the embodiment of the invention provides is with sympathetic nerve, parasympathetic nervous, physiological age, arteries and veins type, pulse pressure difference, and the function status of the heart, liver, spleen, lung, each internal organs of kidney (traditional Chinese medical science internal organs notion), be marked at respectively on the equilateral decagon figure, every radius is represented a content.Every radius is made 12 five equilibriums, and getting mid point (O) is normal condition, is hypofunction to garden heart portion, and garden heart portion far away is a hyperfunctioning.According to the special card of every content, every lattice assignment difference.Enumerate as follows respectively:
1. sympathetic nerve, parasympathetic functions state, the O point is 6, entad end be 5,4,3,
2,1, be five equilibrium and arrange; Distal end is that 12,18,24,30,36 etc. 6 one-tenth multiple increases progressively, and is multiple and arranges.
2. the order of physiological age and calendar year differs 3 years old for normal condition (O point), and Xiang Yuanxin holds every lattice to show that, lO bigger 5 years old than calendar age year, 15 years old, 20 years old expression degree of aging are fast; Otherwise, to the every lattice of distal end be littler 5 years old than physiological age, 10 years old, 15 years old, 20 years old, the expression physiological status younger, should consider the influence of medicine or other diseases more than 20 years old.
3. pulse pressure is the poor of systolic pressure and diastolic pressure, and differing at 40mmHg is normal condition (O point), entad holds 30,20mmHg shows that pulse pressure reduces, and weakens with myocardial contraction, and circulatory function is bad relevant; Otherwise, fortune heart end 50,60mmHg, for pulse pressure increases, with hypertensive arteriosclerosis, or valvular heart disease is relevant.
4. the arteries and veins type is divided with basic arteries and veins type normal pulse (normal person's pulse condition), smooth pulse (between twenty and fifty people or athlete's pulse condition), stringy pulse (old people or arteriosclerosis person see more), O point ± 3 lattice are normal person's pulse condition (normal pulse) scope, because of age of normal population varies in size, flat string or level and smooth can appear in pulse condition, all belongs to the normal physiological state.Entad hold string 1,2,3 lattice, show that the degree of arteriosclerosis, Peripheral resistance and hyposphyxia increases the weight of; Otherwise distal end sliding 1,2,3 shows that arterial elasticity is good, Peripheral resistance is little, circulatory function is good.
5. the heart, liver, spleen, lung, five radiuses of kidney are represented the function of traditional Chinese medical science the five internal organs respectively, and center of radius (O point) is the normal function state, and is asymptomatic, and the Xiang Yuanxin end is the void symptom; Garden far away heart end is the reality symptom, and each lattice represents one
Symptom (being regardless of weight).By the input of human computer conversation's frame, collect by the questionnaire table.Content as shown in Figure 11.
6. the O point (normal condition) of every content being linked to be equilateral decagon is normal physiological function figure (contrast figure).As every content of person under inspection is demarcated on each bar radius, be linked to be irregular polygon measured drawing, the little what contrast of the difference of its area and normal control figure area of pictural surface 10-30% person is shown deficiency syndrome; Big what 10-30% person is shown excess syndrome; Area similar (the little what 10% of area difference) and the abnormal spy of form, protuberance is hyperfunction, recess is low, shows that merit is surely disorderly.Can be used as the foundation of tonify deficiency correction with this.
Below, the present invention also will be by some concrete cases and test and appraisal figure thereof, shown in accompanying drawing 14-17, the assessment method of a kind of human body sub-health status provided by the invention are further introduced:
(1) the test and appraisal figure of the case that provides for the embodiment of the invention of Figure 14, it is an equilateral decagon figure, the decagon scattergram that the center is rule state is the contrast figure of normal condition.Wherein 14a is the irregular decagon measured drawing that dotted portion is formed among Figure 14.The case representation woman, asthenia does not have other symptoms for a long time except that constipation.The sympathetic nerve function level is 14, and the parasympathetic functions level is 8; Physiology year, order was above 8 years old; The arteries and veins type is sliding; Pulse pressure difference is 50mmHg, and spleen+1 is constipation, lung O, kidney O, heart O, liver O.The comparison of measured drawing area is 10% of the contrast area of pictural surface according to the difference of the area of pictural surface, and pointing out this sub-health state is to be escaped less by many labor, and vegetative nerve function is hyperfunction, and viscera function is not good enough, due to.
(2) the irregular decagon measured drawing that 14b partly forms for solid line among Figure 14 in the accompanying drawing.The case representation man has the asthma medical history when young, oneself does not send out for many years.Weak, breathe hard, appetite is poor, is afraid of cold tinnitus waist epidemic disease.Sympathetic nerve function level 18; Parasympathetic functions level 6.Physiological age was above 5 years old.Pulse pressure difference is 45mmHg, spleen-1, lung-1, kidney-2, the heart 0, liver 0.Arteries and veins type string.15% of the little what contrast of area difference figure.Prompting: lung spleen renal function weakens, and sympathetic nerve function is high partially and cause the sub-health state deficiency syndrome.
(3) the test and appraisal figure of another case of providing for the embodiment of the invention of Figure 15, it is an equilateral decagon figure, the decagon scattergram that the center is rule state is normal control figure.Wherein 15a is the irregular decagon measured drawing that dotted portion is formed among Figure 15.Case shows certain man, 60 years old.Pulmonary carcinoma postoperative 3 years, through Chinese herbal medicine medical treatment stable disease, mental status excitement, it is poor, emotional to sleep, and breathes hard, weak, a little less than the waist lower limb.Sympathetic nerve function level 30, parasympathetic functions level 24.Pulse pressure difference 35mmHg.The little what calendar age of physiological age 20 years old.Spleen-2, lung-1, kidney-1, the heart+3, liver+3.Arteries and veins figure string 3 types.16% of the big what contrast of the difference of area figure.Move on the image.After being ill sub-health state of prompting is that vegetative nerve is hyperfunction, due to the viscera function biased (deficiency of both QI and YIN, hyperactivity of hesrt-fire and liver-fire).
(4) the irregular decagon measured drawing that 15b partly forms for Figure 15 solid line in the accompanying drawing.The case representation man, postoperative gastric cancer 3 years is had rosy cheeks, and spirit is still good, and is passionnate, and it is relatively poor to sleep, cough with copious phlegm, abdominal distention after meal, frequent urination at night, the lumbago weakness of the lower extremities, edema sometimes, big loose stool is thin.Pulse pressure difference 35mmHg, physiological age is less than calendar age 5 years old, sympathetic nerve 30, parasympathetic nervous 12.Arteries and veins type string III, liver+3, the heart+2, spleen-2, lung+1, kidney-2.12% of the big what contrast of the area difference area of pictural surface.Prompting, sub-health state is that sympathetic nerve is hyperfunction after being ill, spleen, deficiency of kidney-QI, hyperactivity of hesrt-fire and liver-fire, the sign of tool upper excess and lower deficiency.
(5) the test and appraisal figure that also has a case that provides for the embodiment of the invention of Figure 16, it is a circular test and appraisal figure, divides eight equal parts, the octagon scattergram that the center is rule state is normal condition contrast figure.Wherein 16a is the irregular octagon measured drawing that solid line is partly formed among Figure 16.Case shows certain woman, and menoxenia is many through the row amount, and clot is arranged, and irregular bleeding is still arranged, pale white complexion, and dizziness, weak, lumbago, creeping chill, drowsiness early awakening, few abdomen dull pain, the mood irritability, sympathetic nerve 12, parasympathetic nervous 3, physiological age is bigger 5 years old than calendar age.The heart-1, liver+1, spleen-3, lung-1, kidney-3,36% of the little what contrast of area difference figure.Prompting: the morbid state that spleen kidney two void cause general debility, relevant with gynaecopathia (long-term volume is hemorrhage), the diagnosis and treatment of suggestion training.
(6) 16b is the irregular octagon measured drawing that dotted portion is formed among Figure 16 in the accompanying drawing.Case shows certain man, is busy with one's work, and habits of smoking and alcohol drinking, insomnia and dreamful sleep, bitter taste and being bored with, abdominal distention, belch, it is not smooth to defecate, and obesity is moving then breathe hard turbid urine.Sympathetic 12, parasympathetic 6, physiological age is bigger 10 years old than calendar age, the heart+2, liver+1, spleen+3, lung-1, kidney+1.The comparison of area difference is big by 21% according to the area of pictural surface.Point out this sub-health state true card, it is bigger to be mainly mental pressure, sympathetic activation, digestion and metabolism dysfunction.
(7) the test and appraisal figure of the other case that provides for the embodiment of the invention of Figure 17, it is a circular test and appraisal figure, divides ten to halve, the dodecagon scattergram that the center is rule state is normal condition contrast figure.Wherein 17a is the irregular dodecagon measured drawing that dotted portion is formed in the accompanying drawing 17.Case shows certain woman, dizziness, and tinnitus, vexed, the menstrual blood volume polychrome is red, sympathetic nerve 18, parasympathetic nervous 4, the ratio of sympathetic and parasympathetic is greater than 4/1, and physiological age is littler 5 years old than calendar age.Pulse pressure difference 50mmHg, 26 ℃ of centre of the palm temperature, the arteries and veins type is level and smooth, time difference value 0.12 second, the heart+2, liver+1, spleen-2, lung-1, kidney-1,11% of the big what contrast of the area difference area of pictural surface.The prompting sub-health state is a case of a physically strong patient running a high fever type, and mainly by the vegetative nerve dysequilibrium, sympathetic hyperfunctioning causes, the excited and viscera function of the mental status go down (hyperactivity of YANG due to deficiency of YIN).
(8) 17b is the irregular dodecagon measured drawing that solid line is partly formed in the accompanying drawing 17 in the accompanying drawing.Case shows certain man, dizziness, and cardiopalmus, idol has precordial pain, is afraid of cold, and is few moving, drowsiness, moving then breathe hard, and nocturia increases.Sympathetic nerve 4, parasympathetic nervous 3, physiological age is bigger 10 years old than calendar age, 25 ℃ of centre of the palm temperature, pulse pressure 30mmHg, arteries and veins type string III, time difference value 0.10 second, the heart+3, liver+1, spleen-1, lung-1, kidney-1,35% of the little what contrast of area difference figure.Point out this testee to occur that cardiovascular function goes down, arteriosclerotic sign, the general body state weakness, the suggestion patient focuses on the cardiovascular function aspect and does further diagnosis and treatment.
Claims (1)
1. the checkout gear of a human body sub-health status is characterized in that:
Described checkout gear comprises electrocardiograph pulse wave sensor device (1), is used for the information of human body electrocardiograph pulse ripple;
Electrocardio detecting electrode plate (2) is made up of three pieces of electrocardio detecting electrode plates (2E, 2F, 2G), is used for the human body ECG information;
Centre of the palm temp sensor device (3) is used for the information of human body centre of the palm temperature;
Signal picker (5), be used for to the information that collects by above-mentioned electrocardiograph pulse wave sensor device (1), electrocardio detecting electrode plate (2), centre of the palm temp sensor device (3) amplify, separating treatment;
And computer computer system (6), be used for the information that is obtained by signal picker (5) is handled, exported after the computing;
Described electrocardiograph pulse wave sensor (1) has the flexible force conductive cross-section that matches with human body wrist curvature, and is fixed on the front end of a folder shape support; Described folder shape support front end is compounded with one piece of annular electrocardioelectrode plate (A), and after pick off was clamped in wrist, this battery lead plate contacted with wrist; Wherein, the electrocardiograph pulse wave sensor device (1) described in this device, three pieces of electrocardio detecting electrode plates (2E, 2F, 2G), centre of the palm temp sensor device (3) is formed compound sensor;
Described signal picker (5) comprises that ecg amplifier, R wavelength-division are from circuit, pulse wave amplifier, temperature signal amplifier, multiple signals A/D change-over circuit, and power circuit;
Described electrocardiograph pulse wave sensor device (1), electrocardio detecting electrode plate (2), centre of the palm temp sensor device (3) are with also being connected with a connection box (4) between the described signal picker (5);
Described electrocardiograph pulse wave sensor device (1) comprises pulse wave sensor (7), electrocardioelectrode ring (8), upper bracket I (9), lower carriage II (10), active pallet (11), extension spring (12), pressure adjustment knob (13), spherical universal fulcrum (14) for folder shape supporting structure; Wherein, described bracket I (9) and bracket I I (10) connect into clip shape by pin, described pulse wave sensor (7) and the concentric termination of discharging and being fixed on described bracket I (9) of electrocardioelectrode ring (8), described active pallet (11) is fixed on the termination of bracket I I (10) by spherical universal fulcrum (14), described extension spring (12) is installed in bracket I (9), bracket I I (10) inboard, and described adjusting knob (13) links to each other with extension spring (12) simultaneously;
Described pulse wave sensor (7) comprises the exterior cylindrical bodily form or rectangular outer skeleton (18), skeleton outside described (18) bottom is provided with the flexible force conduction interfaces that matches with human body wrist curvature, use pressure-sensitive rubber membrane (15), described pressure-sensitive rubber membrane (15) has and the corresponding to radian of wrist.
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| CN102822832A (en) * | 2010-03-31 | 2012-12-12 | 皇家飞利浦电子股份有限公司 | Method and system for optimizing questionnaires |
| CN104822315B (en) * | 2012-12-26 | 2017-05-03 | 泰尔茂株式会社 | Peripheral vascular resistance measurement device and method for controlling same |
| CN103222859A (en) * | 2013-04-02 | 2013-07-31 | 上海道生医疗科技有限公司 | Pulse beat blood pressure waveform strength sensor |
| CN104794321B (en) * | 2014-01-21 | 2018-11-09 | 中国科学院上海生命科学研究院 | Detection device for being detected to preceding morbid state |
| CN103892812B (en) * | 2014-02-24 | 2016-02-10 | 南京丰生永康软件科技有限责任公司 | Matching degree analytical technology |
| CN105631787A (en) * | 2014-09-15 | 2016-06-01 | 郑州爱博尔医疗设备有限公司 | Sub-dividable body constitution identification management system |
| CN104367306A (en) * | 2014-11-21 | 2015-02-25 | 北京联合大学 | Physiological and psychological career evaluation system and implementation method |
| CN104809354A (en) * | 2015-05-12 | 2015-07-29 | 上海中医药大学 | Health state monitoring and management method and intelligent mirror |
| CN107126203A (en) * | 2016-02-28 | 2017-09-05 | 南京全时陪伴健康科技有限公司 | Human health information measures display system in real time |
| CN106667444B (en) * | 2017-03-06 | 2024-01-26 | 中国医学科学院北京协和医院 | Device for evaluating chronic autoimmune disease disability index |
| US10869606B2 (en) * | 2017-05-05 | 2020-12-22 | Jiangsu Huaben Health Life Science and Technology Co., Ltd. | Method and apparatus for human health evaluation |
| CN109091106A (en) * | 2018-04-24 | 2018-12-28 | 湖北叶威（集团）粮油机械有限公司 | A kind of human life-span's evaluating system |
| CN110363744B (en) * | 2019-06-10 | 2021-08-06 | 深圳市智影医疗科技有限公司 | Lung age detection method and equipment |
| CN110853755A (en) * | 2019-11-07 | 2020-02-28 | 山西中医药大学 | Method for researching pulse condition characteristics of climacteric women |
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