JP2015016268A - Measuring analytical method for pulse diagnosis in oriental medicine, measuring analytical system for the same, and simple and portable measuring analytical device for pulse diagnosis using artificial-intelligence - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide analytical method, system and device which can intelligently classify and assess the condition of the pulse of a patient by quantitative analysis to "depth", "shape", "rhythm", "strength", which are components of the condition of a pulse in traditional Oriental medicine and are bases of the pulse diagnosis thereof, by reproducing the process of the pulse diagnosis in the traditional Oriental medicine by an apparatus, to define analyses of "depth", "shape", "rhythm", "strength" in the point of view of Western medicine, and to provide a simple, easily understandable, and portable pulse diagnosis device to health workers and the public.SOLUTION: A system includes: a blood pressure signal collection device; a contact pressure signal collection measure; a computer; and computing analysis software. The blood pressure signal collection measure and the contact pressure signal collection measure are used to collect the blood pressure, the pulse rate, and the pulse condition signals and, through the analysis software on the computer, quantify them into fixed quantities which are diagnostic criteria of "depth, shape, rhythm, strength" and automatically process the result of the pulse diagnosis by software processing.

Description

The present invention is a simple and portable artificial intelligence pulse detector and an analysis method and system for pulse diagnosis in oriental medicine, which is the background technology thereof, in particular, quantitative analysis and digitization of pulse image components in oriental medicine, and processing of a computer program After that, it refers to the structure and technology of pulse diagnosis analysis method and system and pulse diagnosis measuring device, which are easy to understand even by Oriental medical staff and ordinary people.

Pulse diagnosis is to determine the bloody, yin and yang, physiology and pathological status of the human body fistula based on the change of the pulse in oriental medicine. The changes in rhythms are classified into 28 types of phenotypes in modern oriental medicine such as roughly chordal, smooth, flat and short. In conventional pulse examinations, a middle doctor puts the 2nd, 3rd, and 4th fingers of his hand on the radial artery pulsation site of the patient's arm and feels the pulsation by touching the radial artery with the finger while touching the radial artery. This is a method of estimating the patient's physical condition by judging the position, number, shape, and posture of the patient's pulse. Oriental medicine explains the position, number, shape, and force at the time of pulse examination. “There are four kinds of pulse, only the number, number, shape, and force. Numbers are slow, numbers, prompts, and ties Shapes are long, short, wide, narrow, thick, thin, coarse, and rigid, and forces are the states of convergence, elongation, contraction, advancement, retreat, and undulation. The above-mentioned position, number, shape, and status are the way to judge the phenotype, but in Oriental medicine, there are few standard and simple mathematical and quantitative expressions for pulse diagnosis. Diagnosis can only be made by relying on the subtle touch of the finger, so it is difficult to acquire, execute, record, and compare in clinical practice.

Nowadays, there are people who try to create a pulse waveform by using the pulse painting technique of Western medicine. After the 1980's, the measurement waveform is good and the long-term measurement stability is good. Devices have been developed more and more, and devices that connect a pulse wave device to a computer with a pulse wave device, a pulse sensor, a pressure conversion device, and a multi-channel recording device, and display the pulse wave diagram and the electrocardiogram synchronously. In addition, a technique has been developed in which a pulse wave is acquired from a pressure transducer using Fourier transform analysis and the intensity of a resonant wave having a different frequency is used as an index of the health condition of each internal organ. In addition, the elasticity and peripheral resistance of arterial walls that can be measured by the heartbeat of Western medicine (including stroke volume and pulse output), the three requirements of blood concentration and heart rate, the rhythm of heart activity, and the heart's irritation There are also movements that try to analyze the phenotype by calculating various factors such as function, arterial wall elasticity, small artery tension, vascular fullness and nerve and endocrine regulation functions, but these factors were included Analysis is beyond the scope of oriental medicine's 'pulse diagnosis', which is sensed and judged by the tactile sense of traditional humans in oriental medicine. In addition, the conventional technology is complicated and expensive, and the selection of the pulse position must be done by an artificial operation of a person with specialized knowledge, and the analysis of the report is not detailed and objective. However, there was a flaw that could not be overcome by popularization, such as having to rely on interpretation of technical skills.
In recent years, with the rapid development of computer technology, sensor materials that can measure and analyze tactile pressure continuously and dynamically have been developed. The development of these technologies and the development of materials made it possible to reduce the weight and simplify the present invention.

However, the method of quantifying the depth of the pulse based on the blood pressure used in the present invention, the method of calculating the pulse rate and rhythm based on the tactile pressure analysis data of the pulse, the flexibility and the kinetic energy of the pulse by calculating the pulse width The present invention is the first method for analyzing the shape and tendency of a pulse, which is a new theory different from the conventional methods, and is a new analysis method.

Patent Publication 2008-295517 Patent Publication 2013-43084

Pulse Diagnosis -Basic Knowledge and Practice Guide- Katsunori Yamada, What Kanamori (2008/1) First sensor technology [book (soft cover)] Ryosuke Masuda (Author)

1. The problem to be solved by the present invention is that the process of pulse diagnosis of traditional oriental medicine is reproduced by instrument and is a component of 28 kinds of oriental medicine phenotypes, which is the basis of pulse diagnosis. It is to provide an analysis method, system and apparatus capable of intelligently classifying and judging a patient's phenotype by quantitative analysis of “number”, “number”, and “force”.
2. Another problem to be solved by the present invention is to provide a method for analyzing pulse diagnosis in oriental medicine, and use a continuous blood pressure signal, pulse rate signal, pulse pressure image, etc. It is to determine the quantitative index of the element.
3. Another problem to be solved by the present invention is to provide a pulse analysis quantitative analysis system and method in oriental medicine. From the viewpoint of western medicine, "rank", "shape", "number", "force" Is to define the analysis.
4. Another problem to be solved by the present invention is to provide a health care worker and a general person with a pulse diagnosis device that is simple, easy to understand and portable.

In order to solve the above-mentioned problems, the present invention provides a new analysis method and pulse diagnosis analysis system in oriental medicine. This system includes a blood pressure signal collection device, a tactile pressure signal collection device, a computer, and computer analysis software. Blood pressure signal measures and tactile pressure signal measures are used to collect blood pressure, pulse rate, and pulse signals as described above, and are converted to quantitative values that are the criteria for determining "position, shape, number, and force" through computer analysis software. The diagnosis results are processed automatically.

2. New analysis method 1 of “rank, shape, number, force” in oriental medicine, and “rank” in oriental medicine is the depth of the pulse. There are buoyancy, stagnation, wetting, sagging, and prison that can be judged by the depth of the vein.
The buoyancy is defined as "I feel lightly when I push it lightly, but it feels weak when I push it a little, but I still feel it". With this, the buoyancy is said to be “shallow position” as “position”, but “the shallow pulse position” here means that the artery is really located in a shallow place from the skin. It means nothing but a doctor who feels shallow.
From the viewpoint of histology in modern medicine, human arteries are at a certain depth from the surface of the skin, which varies in depth depending on the person, but in the same person it does not change much in units of days. It should be. To say that the pulse in oriental medicine is “shallow” or “floating” does not mean that the physical depth of the pulse changes; It means to feel "shallow" or "floating". In other words, when the doctor presses the artery weakly with a finger, it means “shallow” or “floating” if you feel a pulse, and “deep” if you feel a pulse after pressing it strongly.
Then, if you search for an alternative device and quantify the force of the finger pushing the artery of the middle doctor, you can quantify the “rank” of Oriental medicine.
Here, looking at the measurement process of the sphygmomanometer, when the sphygmomanometer is activated, air is first filled in the cuff and compresses the blood vessels. When the air pressure in the cuff rises to some extent (above systolic systolic blood pressure), the blood vessel is compressed by the cuff, blood flow stops, and pulsation cannot be detected. At this point, the sphygmomanometer stops increasing the pressure in the cuff, conversely bleeds out and begins to gradually decrease the pressure in the cuff. As the cuff is deflated, the force with which the cuff compresses the skin gradually weakens, and when the pressure drops to the same pressure as the systolic systolic blood pressure, blood flow begins to flow into the blood vessels and the pulsation can be detected (Korotkoff sound). When the cuff is subsequently evacuated, the pulse cannot be detected when the pressure in the cuff gradually decreases to the same level as the diastolic minimum blood pressure. The direction is the same as when a doctor in the oriental medicine feels the pulse while squeezing the artery by gradually applying force on the finger while the pulse is being examined. That is, the pulse begins to be felt at the diastolic minimum blood pressure, and the pulse cannot be felt at the systolic maximum blood pressure.
In terms of the doctor's method of pulse examination and the measurement principle of the sphygmomanometer, the pulse in Oriental medicine is "shallow" when the diastolic pressure is low. When the diastolic minimum blood pressure is 60 to 90 mmhg in the normal range, the pulse is floating if the diastolic pressure is 60 mmhg or less, and the pulse is sinking if it exceeds 90 mmhg. Here, “shallow pulse” and “deep” in oriental medicine are related to blood pressure, and it is understood that “position” can be quantified with blood pressure. The phenotypes that can be judged by “position” in Oriental medicine include buoyancy, stagnation, wetting, sagging, jail, dilation, leather, and vein.

2. “Number” in oriental medicine refers to pulse rate and rhythm. The phenotypes determined by “number” include several pulses, slow pulse, dilated pulse, slow pulse, prompt pulse, nodule, substitute pulse, and pulse. In the present invention, the pulse rate is measured by a pulse signal device, and the pulse rate and pulse rhythm are calculated by computer analysis software to quantify the “number” in oriental medicine.

3. “Shape” in pulse examination of oriental medicine is the length and width of the pulse felt by a doctor. It is soft. There are long, short, narrow, jail, and leather veins that can be determined by “shape”. In the present invention, the length and width of a pulse are measured with a sheet-type tactile pressure signal measuring device, and the softness of the pulse is calculated with computer analysis software to quantify the “shape” in oriental medicine.

4. “Vibration” in the pulse diagnosis of Oriental medicine means the momentum of a pulse felt by a doctor, but from a physical point of view, the momentum of a pulse means the dynamics of blood vessels felt by the finger. It is the kinetic energy of. In the present invention, the length, width, expansion time, and the like of the pulse measured by the pulse signal device are processed by computer analysis software, and the kinetic energy of the blood vessel is calculated to quantify the “force” in Oriental medicine. The pulse image determined by the force includes a string pulse, a bradycardia, a weak pulse, a fine pulse, and a high pulse.

3. Structure and operation procedure of pulse diagnostic measurement / analysis apparatus The apparatus of the present invention comprises a sphygmomanometer, a tactile pressure measuring sensor attached to the back of the cuff of the sphygmomanometer, and a computer. The appearance is not much different from a sphygmomanometer. The sensor equipped with a sheet-type tactile pressure measuring sensor in the cuff of the sphygmomanometer is 20 mm * 50 mm in size, 0.2 mm thick, and is a sheet-type soft so it does not affect the cuff operation.
The operation procedure is as follows: 1. First, a cuff is wound so that the sensor is applied to the radial artery expansion site of the arm, and the blood pressure is operated to measure the blood pressure.
2. When the blood pressure measurement is completed and the cuff is deflated, the air is turned on again until the diastolic blood pressure is 1 / B pulse pressure (systolic blood pressure-diastolic blood pressure). (B is a setting value by setting)
3. Continue to measure the continuous tactile pressure signal that presses the sensor for 2 minutes when the blood vessel pulsates through the tactile pressure measurement sensor while keeping the air pressure in the cuff at a fixed amount without leaving the cuff air. At the same time, the tactile pressure signal is transferred to the computer. When the measurement is finished, bleed the cuff and finish. This tactile pressure signal is analyzed through computer software and visualized (FIGS. 3 and 4).
4. If you enter numbers such as age, gender, weight, height, wrist thickness, etc. in advance on the computer, the reference results and supporting data will be displayed directly. Watch the visualized pulse image at the same time. It is also possible to record and compare data every time.

4. Numerical value 1 to be measured, Z: systolic blood pressure, that is, maximum blood pressure value 2, G: diastolic blood pressure, that is, minimum blood pressure value 3, P: pulse pressure, that is, maximum blood pressure value−lowest blood pressure value, P = Z−G
4, C: Pulse rate 5, W1: At the maximum value of diastolic phase in FIG. 3 (maximum systolic value of the heart, that is, at the time of maximum blood pressure), an artery at a temporary point was formed by compressing a tactile pressure sensor. The maximum value of the pulse width of the horizontal cross-sectional view of blood vessel contact pressure obtained by processing the contact pressure data with a computer.
In FIG. 9, the expanded width W is plotted on the ordinate W and the length L is plotted on the abscissa L to produce the graph of FIG.
Set Loop Function, calculate Max1, Max2, Max3 ... and set the number to T.
W1 = Max (W)
6, W2: W value of the starting point in FIGS. 3 and 9
7, W3: W value at the end point in FIGS.
8, L1: Pulse length 9 in FIG. 3, M: Measured through a tactile pressure sensor at a temporary point at the time of the lowest vasoconstriction (the lowest value in the diastole of the heart, that is, at the lowest blood pressure) in FIG. In the computer-processed blood vessel pressure horizontal sectional view (FIG. 4), the minimum value of the pulse width is 10, Q: the maximum contraction width value of the pulse, that is, Q = W1-M (FIGS. 3 and 4).
11, U: U in FIG. 6, the time required for the pulse width to reach the maximum value from the minimum value in one pulsation. Time from FIG. 4 to FIG.
12, J: J in FIG. 6, the time taken for the pulse width to reach the minimum value from the maximum value in one pulsation. Time from FIG. 3 to FIG.
13, H: (Fig. 6) The tactile pressure was continuously measured through the tactile pressure measuring sensor for 2 minutes at a predetermined position on the sensor, the width value of the pulse processed by the computer was taken as the vertical axis, and the time was taken as the horizontal axis. The value on the vertical axis of the hour. (Example: Pulse width value measured at a position between A and B in FIG. 5)
14, h1, h2, h3... Hx: The maximum value of the section in which the loop function is set and Maxh1, Maxh2, Maxh3,... Calculated in the graph created by the relationship between H and T (time) in FIG.
15, t1, t2, t3... Tn: time of the section maximum value hn in FIG.
16, K: When the height coefficient is 170cm and the person is the standard value K = height / 170 * a16 a16 is a set reference value
17, E: Weight coefficient

5. Quantification of “position, number, shape, force” in oriental medicine.
1. “Position is shallow and the pulse is floating” at the “rank” in Oriental medicine: G <60 mmhg
2. “Peak is deep and sinking” at “rank” in Oriental medicine: G> 90 mmhg
3. “Pulse is fast” in “Number” in Oriental medicine: C> 90 times / min. 4 “Slow pulse” in “Number” in Oriental medicine: C <60 times / min. "Rhythm of pulse" in "number": t (n + 1) -t (n) / (60 / C) = (t (n + 1) -t (n)) * C / in FIG. 60> 1 + a (51)
Or (t (n + 1) -tn) * C / 60 <1－a (51)
(A (51) is a setting reference value)
6. “Rhythm to stop” in “Number” in Oriental Medicine: When there are two or more t (n + 1) -t (n)> a * 60 / C in FIG.
C / (R + 1) = S (S is a perfect number)
t (s), t (2s) -t (s), t (3s) -t (2s) ... t ((r) s) -t ((r-1) s) Compare.
When the error range is larger than a (60) * 60 / C value, a (60) is the set reference value 7, “pulse length” in “shape” in Oriental medicine: L1 in Fig. 3
8. “Width” in “Shape” in Oriental Medicine: W1 in Figure 3
9. “Softness of pulse” in “shape” in Oriental medicine: Y = a (90) * Q / P = a (90) * (W1-M) / (Z-G) a (90) is set Reference value ie Y = a (90) * (maximum expansion width Q = W1-M) / pulse pressure
The larger the Y value, the better the flexibility and "soft pulse"
The smaller the Y value, the less flexible and the “stiff pulse”
10. “Pulse momentum” in “shape” in oriental medicine: Calculate the dynamic kinetic energy of the pulse as F
F = 1 / 2L1 * a (10) * (1 / 2π (1 / 2W1) 2−1 / 2π (1 / 2M) 2) * (1/2 * (W1−M) / U)) 2
= 1/64 * L1 * a (10) * (W1-M) 3 * (W1 + M) π / U2 = 1/64 * L1 * a (10) * Q3 * (W1 + M) π / U2

ー ー ー ー (1 / 2W1) 2 means the square of (1 / 2W1), and (W1－M) 3 means the cube of (W1－M).
ー ー ー ー Q3 means Q cubed and U2 means U squared.


Since a (10) has little influence on blood density and blood density difference, it is fixed here.


Unit area pulse kinetic energy F1 is
F1 = F / (πW1 * L1) = 1/64 * a (10) * Q3 * (1 + M / W1) / U2

The momentum of the pulse has the greatest effect of the expansion width, and then the expansion time and the minimum systolic width also have an effect.
In other words, the maximum expansion width of the pulse and the minimum width of the systole are large, the longer the pulse is, the shorter the time required for expansion is, the stronger the pulse momentum is. The shorter the pulse and the longer it takes to expand, the less weak the pulse is.

6. Quantification of 28 types of pulse images in oriental medicine.
1, buoyancy: It is defined as "I feel immediately when I press lightly, I feel weak when I press it a little, but I still feel it". Here, the meanings of “light” and “strong” are relative to the pulse of a relative, healthy and normal person. Then edema: diastolic blood pressure. G <60 + a (101) mmhg Z> 13.0mmhg + a (102)
a (101) and a (102) are age-related coefficients
a (101) and a (102) are coefficients related to age, and are set to different set values depending on the age level, such as 60 years old or older, 59-30 years old, 29-12 years old, 12 years old or younger.

2, Because it is defined as “Do not respond lightly but respond heavyly” Cardiovascular: Diastolic blood pressure G> 90 + a (201) mmhg a (201) Age-related coefficient
a (201) is a coefficient related to age, and is set to a different set value depending on the age level, such as 60 years old or older, 59-30 years old, 29-12 years old, 12 years old or younger.

3. Prison: "The position is deep, light or moderate, does not feel, large and hard." Prison: Diastolic pressure G> 100 + a (301) mmhg a (301) Age Relationship coefficient
a (301) is a coefficient related to age, and is set to a different set value depending on the age level, such as 60 years old or older, 59-30 years old, 29-12 years old, 12 years old or younger.
And L1> a (302) * L1, W1> a (303), Y <a (304) (Y is a numerical value indicating flexibility)
a (302), a (303), a (304) setting reference value

4, Wet vein: “Floating and thin, weak momentum and weak pulsation, disappear when pressed hard”
Wet pulse: Diastolic blood pressure
G <60 + a (401) mmhg, Z <80 + a (402) mmhg W1 <a (404)
F <a (403) a (401), a (402), age-related coefficient
a (403), a (404) setting reference value

5, Proneness: “Strongly pushes muscles and feels to reach bone”
Prosthesis: Diastolic pressure G> 120 + a (501) mmhg a (501) Age-related coefficient

6, Spring: “Floating, scattered, even if you push a little, it disappears, the pulse rate does not match”
Prosthesis: Diastolic blood pressure
G <40mmhg + a (601), Z <60mmhg + a (602)
In FIG. 6, (t (n + 1) -t (n)) * C / 60> 1 + a (603)
Or there are R (t (n + 1) -t (n)) * C / 60 <1-a (604)
Let that number be R, C / (R + 1) = S (S is a complete number),
t (s), t (2s) -t (s), t (3s) -t (2s) ... t (rs) -t (r-1) s 605) * There are two or more than 60 / C values.
a (601), a (602), a (603), a (604) a (605) are reference values for setting)

7, Leather vein: “Floating and hard, empty inside like a drum skin”
Leather vein: floating, diastolic blood pressure G <60 + a (701) mmhg, meaning that the inside is empty means that it does not disappear even if it is strongly pressed P > A (702) mmhg,
It looks like taiko leather, it is not flexible, it is strong, and when pressed, it has strong resistance, so its kinetic energy is not weak.
That is, Y <a (703), F> a (704), Q <a (705) a (701), a (702) Age-related coefficients
a (703), a (704), a (705) are reference values for setting


8, venom: “It ’s floating, it ’s not inside, it ’s like pushing a heel.”
Foramen: Expansion pressure 60
G <60 + a (801) mmhg,
The fact that there is no content means that if you press hard, it will not collapse immediately, so the pulse pressure difference is small P <a (802) mmhg
It's as if you're pushing a heel with a certain width, it's not thin, it's not very flexible, but it's better than a leather vein.
The momentum will be weak.
a (804) <Y <a (803) P <a (805)
F <a (806) W1> a (807) a (801), a (802) are age-related coefficients
a (803), a (804), a (805), a (806) a (807) are reference values for setting

9, several pulses: “Fast pulse number, more than five breaths”
Several pulses: more than 90 beats / minute C> 90


10. Slow pulse: “Slow pulse rate, less than 4 breaths”
Slow pulse: 60 / min or less C <60


11, Bradycardia: “Four breaths, weak going away”
Slow pulse: Pulse rate less than 60 times / minute
C <60 F <a (110) a (110) setting reference value


12, Promotional pulse: “There are many pulses, and the rhythm that stops and stops is not even.”
Promotional pulse: More than 90 beats / min.
C> 90
In Fig. 6, there are R ones with t (n + 1) -t (n)> a (121) * 60 / C
(A (121), is a setting reference value),

Let that number be R, R> = 1
C / R = S (S is a complete number),
t (s), t (2s-ts), t (3s) -t (2s) ... t (rs) -t ((r-1) s) is calculated and compared for the same error range is a (122) * Some values are larger than 60 / C. a (122) is the setting reference value


13. Nodule: “The number of pulses is small, the rhythm that stops by chance and stops is not equal”
Nodule: Pulse rate of 60 times / minute or less Stopping rhythm is not uniform
C <60
In Fig. 6, there are R t (n + 1) -t (n)> a (121) * 60 / C
(A (121), is a setting reference value),
Let that number be R, R> = 1
C / (R + 1) = S (S is a complete number),
t (s), t (2s-ts), t (3s) -t (2s) ... t (rs) -t ((r-1) s) is calculated and compared for the same error range is a (122) * Some values are larger than 60 / C. a (122) is the setting reference value


14. Progeny: “There are few pulses, the rhythm that stops and even stops is even.”
Prosthetic pulse: Pulse rate is less than 60 times / min.
C <60
In Fig. 6, there are R ones with t (n + 1) -t (n)> a (121) * 60 / C
(A (121), is a setting reference value),
Let that number be R, R> = 1
C / (R + 1) = S (S is a complete number),
t (s), t (2s-ts), t (3s) -t (2s) ... t (rs) -t ((r-1) s) is calculated and compared for the same error range is a (122) * Nothing greater than 60 / C value. a (122) is the coefficient


15, Pulse: “The number of pulses is quite high, more than 78 breaths”
Pulse: More than 120 pulses / minute C> 120

16, long pulse: "Before and after the pulse is straight, the length of the pulse exceeds the standard"
Long pulse: (Fig. 3) L1> a (161) * K a (161) is a set reference value, K is a coefficient related to height

17, Short pulse: “Short and short is not long enough”
Short pulse: (Fig. 3) L1 <a (171) * K a (171) is a set reference value, K is a coefficient related to height.

18, narrow vein: “The vein is thin like a thread, but it feels clearly on the finger.”
Narrow vein: W1 <a (181) average kinetic energy F1> a (182) in Fig. 3 a (181), a (182) are set reference values


19. Weak pulse: “Soft, thin, sinking”
Weak pulse: Dilation pressure
G> 90 + a (194) W1 <a (191) Average kinetic energy F1 <a (192)
Softness Y> a (193) a (191), a (192), a (193), a (194) are reference values for setting

20, fine pulse: “The number is not clear so that it is very thin, very weak, and does not exist”
Slight pulse: W1 <a (201) average kinetic energy value in Fig. 3 F1 <a (202) a (201), a (202) are reference values set


In Fig. 6, there are R t (n + 1) -t (n)> a (121) * 60 / C or t (n + 1) -t (n) <a (122) * 60 / C
a (121,122) is the setting reference value),
Let that number be R, R> 2
C / (R + 1) = S (S is a complete number),
t (s), t (2s-ts), t (3s) -t (2s) ... t (rs) -t ((r-1) s) is calculated and compared for the same error range is a (123) * Some values are greater than 60 / C. a (123) is the setting reference value

21. Real pulse: Feeling even if pressed lightly or strongly, powerful real pulse: G <60 + a (211) mmhg, Z> 130 + a (212) mmhg,
Kinetic energy value F> a (213) a (211) and a (212) are age-related coefficients
a (213) Setting reference value


22, Sliding: Going and going fluently, like rolling a pearl, slipping with a finger Sliding: W1, W2> a (221) W1 / W3> a (222) Flexible as shown in Figure 7 Y> a (223)
a (221), a (222), a (223) are reference values for setting


23, Shibuya: Going away is awful and seems to scratch the bamboo with a knife. "
Shibuya: Going away and going is a bit smooth because there are several waves as shown in Fig. 8 instead of smooth from one expansion to contraction. The graph of FIG. 9 is made with the length L on the axis W and the horizontal axis L.
Set Loop Function, calculate Max1, Max2, Max3 ... Max (n) and set the number to T. When T> 2 or more, it becomes a form of shibu vein.

24, String Pulse: “Smooth and long, feeling like pushing a koto string”
String vein: Because it is straight, the difference between W1, W2, and W3 is small
W2> a (241)% W1 W3> a (242)% W1 L1> a (244)
The string of the koto is less flexible and has more resistance. Flexibility Y <a (243)
Kinetic energy value F> a (245)
W1 <a (246) not so thick because it looks like a string of koto
a (241), a (242), a (243), a (244), a (245), a (246) are reference setting values


25. Tightness: “It seems to be tense and strong, pulling the rope.”
Tightness: W2> a (251)% W1 W3> a (252)% W1 Thick because it looks like a rope W1> a (253)
Flexibility Y <a (254) Kinetic energy value F> a (255)
a (251), a (252), a (253), a (254), a (255) are reference values for setting


26, Hong-Bang: The pulse is maximal, like a tsunami, coming fast and leaving fast. Hong-Bang: W1> a (261) L1> a (264) F> a (262) J <a )% U a (261), a (262), a (263), a (264) are reference values for setting

27, Arteries: “Like beans, short, smooth, number, can swing up and down”
Artery: The arteries themselves are not swaying, but they feel like they are swaying with the fingers of a middle doctor, and there is a stimulus like a small vibration many times in one pulsation. The undulation width is smaller and the number of times is higher.
In FIG. 9, the Loop Function is set, Max1, Max2, Max3,... Are calculated and the number is set to T.
T> a (271) or more L1 <a (272) C> 90 Flexibility Y> a (273) a (271), a (272), a (273) are reference values for setting

28. Imagination: “When you press it lightly, it ’s powerless, and when you press it hard, it disappears.”
Imaginary veins: G <60 Pulse pressure P <a (281)
Average kinetic energy value F1 <a (282) a (181) and a (182) are reference values set

The present invention provides an analysis system and method for pulse diagnosis in oriental medicine. By determining the quantitative index by analyzing the computer analysis system for the pulse that is difficult to quantify, the criteria for determining the pulse are matched and artificial diagnostic errors are reduced. Avoid, improve the accuracy of pulse diagnosis, improve the function of pulse diagnosis device, can be combined with Western medicine. In addition, since it is easy to operate and results are expressed in simple terms, there is an advantage that anyone with common sense knowledge of Oriental medicine can operate it, and it can be expected to be portable and popular.

1 is a structural diagram of a pulse diagnosis measurement analysis system in oriental medicine of the present invention. 2 is an image diagram of the pulse measurement measurement analyzer. Fig. 3 Maximum value of vasodilatation; Fig. 4 Width value at the time of maximum blood vessel contraction; Fig. 5 Impression diagram of the portion of the pressure sensor attached to the cuff; Time T of pulse width H measured at the position AB of the pressure sensor in Fig. 6 Graph Fig. 7 Image of smooth vein image; Fig. 8 Shibu vein, arterial image diagram; Fig. 9 is a graph with the expanded width value of Fig. 3 on the vertical axis W and the length on the horizontal axis L.

1. Structure and embodiment of measurement analyzer The apparatus of the present invention is composed of a blood pressure monitor, a tactile pressure measurement sensor attached to the back of the cuff of the blood pressure monitor, and a computer. The appearance is not much different from a sphygmomanometer. A sheet-type tactile pressure sensor is installed in the cuff of the sphygmomanometer. The sensor is 20mm * 50mm in size, 0.2mm thick, and is a sheet type, so it does not affect the cuff operation. Moreover, it is advantageous to measure and calculate the contact pressure from the uniform pressure of the cuff.

1. First, wrap the cuff of the sphygmomanometer around the wrist and operate the sphygmomanometer to measure the blood pressure. When attaching the cuff, be sure to apply the tactile pressure measurement sensor attached to the cuff to the radial artery expansion site. When the operation button is pressed, the sphygmomanometer operates first to measure blood pressure.
2. When the blood pressure measurement is over and all the air in the cuff has escaped, the air begins to enter again until the diastolic blood pressure + 1 / K pulse pressure (systolic blood pressure-diastolic blood pressure) (K is the set value) .
3. Continue to measure the continuous tactile pressure signal that presses the sensor for 2 minutes when the blood vessel pulsates through the tactile pressure measurement sensor while keeping the air pressure in the cuff at a fixed amount without leaving the cuff air. When the measurement is finished, bleed the cuff and finish. This tactile pressure signal is analyzed through computer software and visualized (FIGS. 3 and 4).
4. The tactile pressure data sent from the tactile pressure measuring sensor is first analyzed by tactile pressure analysis software. C: pulse rate; W1: maximum value in FIG. 3; FIG. 9 graph values, W, t, W2: FIG. And W value at the start point in FIG. 9: W3: W value at the end point in FIG. 3 and FIG. 9; L1: Length of the pulse in FIG. 3; M: Minimum value of the pulse width in FIG. Maximum contraction width, that is, Q = W1-M; U: Time for the pulse width to reach the maximum value from the minimum value in one pulsation. Time from FIG. 4 to FIG. 3; J: Time from the maximum value to the minimum value of the pulse width in one pulsation. Time from FIG. 3 to FIG. 4: H: h1, h2, h3... Hx: Section in which Loop Function is set and Maxh1, Maxh2, Maxh3,. T1, t2, t3... Tn: The time of the section maximum value hn is calculated in FIG.
5. The data obtained from the tactile pressure analysis software and the blood pressure data are calculated by the pulse diagnosis analysis software such as P, Q, Y, F, F1 values. It is compared with the reference values for each person determined by numbers such as age, gender, weight, height, wrist thickness etc. entered in advance, it is judged which pulse image belongs, and the reference result and supporting data are displayed . Watch the pulse image visualized at that time. It is also possible to deposit and compare data each time. (See Figure 1)

1. Apply the pressure sensor of the cuff of the sphygmomanometer to the arterial pulsation part of the wrist, then roll the cuff and press the operation button.
2. Obtain blood pressure data G = 92 mmhg and Z = 120 mmhg by measuring blood pressure.
3. Using a tactile pressure measurement system, L = 25 mm W1 = 3 mm M = 1 T = 3 C = 95 Y = 1/14 U = 1 / 4.25 J = 0.32 F = 13.25 Data is obtained.
4. Results of analysis and classification using blood pressure data and tactile pressure data by pulse diagnosis analysis software. Applicable to veins and fascias. Therefore, the reference conclusion is a stagnation and a promotion.
The whole process is automatically processed until completion by simply rolling the cuff and pressing the start button, except for entering basic information such as the first height, weight, gender, etc.

Since the present invention is easy to operate and the reference results are easy to understand, it can be expected that it will be useful for ordinary people to manage their own health in the medical field. In addition, it can be expected to be used as a means of obtaining test data that can be compared easily and easily by using this device even in specialized fields where surgery is performed using Oriental medicine such as acupuncture and Chinese medicine. Since the present invention has a simple structure and a small amount of data to be processed, it is advantageous for simplification of the machine and cost reduction, and mass production is sufficiently possible.

1, Z: systolic blood pressure, that is, maximum blood pressure value 2, G: diastolic blood pressure, that is, minimum blood pressure value 3, P: pulse pressure, that is, maximum blood pressure value-minimum blood pressure value, P = Z−G
4, C: Pulse rate 5, W1: At the maximum value of diastolic phase in FIG. 3 (maximum systolic value of the heart, that is, at the time of maximum blood pressure), an artery at a temporary point was formed by compressing a tactile pressure sensor. The maximum value of the pulse width of the horizontal cross-sectional view of blood vessel contact pressure obtained by processing the contact pressure data with a computer.
In FIG. 9, the expanded width W is plotted on the ordinate W and the length L is plotted on the abscissa L to produce the graph of FIG.
Set Loop Function, calculate Max1, Max2, Max3 ... and set the number to T.
W1 = Max (W)
6, W2: W value of the starting point in FIGS. 3 and 9
7, W3: W value at the end point in FIGS.
8, L1: Pulse length 9 in FIG. 3, M: Measured through a tactile pressure sensor at a temporary point at the time of the lowest vasoconstriction (the lowest value in the diastole of the heart, that is, at the lowest blood pressure) in FIG. In the computer-processed blood vessel pressure horizontal sectional view (FIG. 4), the minimum value of the pulse width is 10, Q: the maximum contraction width of the pulse, that is, Q = W1-M (FIGS. 3 and 4).
11, U: U value in FIG. 6, the time for the pulse width to reach the maximum value from the minimum value in one pulsation. Time from FIG. 4 to FIG.
12, J: J value in Fig. 6, the time it takes for the pulse width from the maximum value to the minimum value in one pulsation. Time 13 from FIG. 3 to FIG. 4, H: FIG. 6 Pulse width value measured continuously for 2 minutes at a predetermined position on the sensor (example: pulse width value between A and B in FIG. 5).
14, h1, h2, h3... Hx: The maximum value of the section in which the loop function is set and Maxh1, Maxh2, Maxh3,... Calculated in the graph created by the relationship between H and T (time) in FIG.
15, t1, t2, t3... Tn: time of the section maximum value hn in FIG.
16, K: Height coefficient 170cm When a person with a height is used as a reference value K = Height / 170 * a16 a16 coefficient 17, E: Weight coefficient
18, Y is a coefficient indicating the softness of the pulse
Y = a (90) * Q / P = a (90) * (W1-M) / (Z-G) a (90) is a coefficient, that is, Y = a (90) * (maximum pulse expansion width Q = W1 -M) / pulse pressure
The higher the Y value, the softer the pulse,
The smaller the Y value, the harder the pulse
19. When the momentum of the pulse is calculated as the kinetic energy of the blood vessel, F is the kinetic energy of the blood vessel.
F = 1 / 2L1 * a (10) * (1 / 2π (1 / 2W1) 2-1 / 2π (1 / 2M) 2) * (1/2 * (W1-M) / U)) 2
= 1/64 * L1 * a (10) * (W1-M) 3 * (W1 + M) π / U2 = 1/64 * L1 * a (10) * Q3 * (W1 + M) π / U2

Where (W1-M) 3 is the cube of (W1-M) and U2 is the square of U.

Since a (10) has little influence on blood density and blood density difference, it is fixed here.

F1 of unit area is
F1 = F / (πW1 * L1) = 1/64 * a (10) * Q3 * (1 + M / L1) / U2
The momentum of the pulse has the greatest effect of the expansion width, and then the expansion time and the minimum systolic width also have an effect.
That is, the maximum expansion width of the pulse and the minimum width of the systole are large. The longer the pulse is, the shorter the expansion time is, the stronger the pulse is. The shorter the pulse and the longer it takes to expand, the lower the pulse momentum.
20, a (101), a (212), a (132) ... etc. are reference set values or coefficients for calculating the reference set values, and are set by the manufacturer that produces the product of the present invention. And a coefficient for setting the numerical value. In addition, when using analysis software manually, it is a numerical value that can be set by the individual.

The present invention is a simple and portable artificial intelligence pulse detector and an analysis method and system for pulse diagnosis in oriental medicine, which is the background technology thereof, in particular, quantitative analysis and digitization of pulse image components in oriental medicine, and processing of a computer program After that, it refers to the structure and technology of pulse diagnosis analysis method and system and pulse diagnosis measuring device, which are easy to understand even by Oriental medical staff and ordinary people.

Pulse diagnosis is to determine the bloody, yin and yang, physiology and pathological status of the human body fistula based on the change of the pulse in oriental medicine. The changes in rhythms are classified into 28 types of phenotypes in modern oriental medicine such as roughly chordal, smooth, flat and short. In conventional pulse examinations, a middle doctor puts the 2nd, 3rd, and 4th fingers of his hand on the radial artery pulsation site of the patient's arm and feels the pulsation by touching the radial artery with the finger while touching the radial artery. This is a method of estimating the patient's physical condition by judging the position, number, shape, and posture of the patient's pulse. Oriental medicine explains the position, number, shape, and force at the time of pulse examination. “There are four kinds of pulse, only the number, number, shape, and force. Numbers are slow, numbers, prompts, and ties Shapes are long, short, wide, narrow, thick, thin, coarse, and rigid, and forces are the states of convergence, elongation, contraction, advancement, retreat, and undulation. The above-mentioned position, number, shape, and status are the way to judge the phenotype, but in Oriental medicine, there are few standard and simple mathematical and quantitative expressions for pulse diagnosis. Diagnosis can only be made by relying on the subtle touch of the finger, so it is difficult to acquire, execute, record, and compare in clinical practice.

Nowadays, there are people who try to create a pulse waveform by using the pulse painting technique of Western medicine. After the 1980's, the measurement waveform is good and the long-term measurement stability is good. Devices have been developed more and more, and devices that connect a pulse wave device to a computer with a pulse wave device, a pulse sensor, a pressure conversion device, and a multi-channel recording device, and display the pulse wave diagram and the electrocardiogram synchronously. In addition, a technique has been developed in which a pulse wave is acquired from a pressure transducer using Fourier transform analysis and the intensity of a resonant wave having a different frequency is used as an index of the health condition of each internal organ. In addition, the elasticity and peripheral resistance of arterial walls that can be measured by the heartbeat of Western medicine (including stroke volume and pulse output), the three requirements of blood concentration and heart rate, the rhythm of heart activity, and the heart's irritation There are also movements that try to analyze the phenotype by calculating various factors such as function, arterial wall elasticity, small artery tension, vascular fullness and nerve and endocrine regulation functions, but these factors were included Analysis is beyond the scope of oriental medicine's 'pulse diagnosis', which is sensed and judged by the tactile sense of traditional humans in oriental medicine. In addition, the conventional technology is complicated and expensive, and the selection of the pulse position must be done by an artificial operation of a person with specialized knowledge, and the analysis of the report is not detailed and objective. However, there was a flaw that could not be overcome by popularization, such as having to rely on interpretation of technical skills.
In recent years, with the rapid development of computer technology, sensor materials that can measure and analyze tactile pressure continuously and dynamically have been developed. The development of these technologies and the development of materials made it possible to reduce the weight and simplify the present invention.

However, the method of quantifying the depth of the pulse based on the blood pressure used in the present invention, the method of calculating the pulse rate and rhythm based on the tactile pressure analysis data of the pulse, the flexibility and the kinetic energy of the pulse by calculating the pulse width The present invention is the first method for analyzing the shape and tendency of a pulse, which is a new theory different from the conventional methods, and is a new analysis method.

Patent Publication 2008-295517 Patent Publication 2013-43084

Pulse Diagnosis -Basic Knowledge and Practice Guide- Katsunori Yamada, What Kanamori (2008/1) First sensor technology [book (soft cover)] Ryosuke Masuda (Author)

1. The problem to be solved by the present invention is that the process of pulse diagnosis of traditional oriental medicine is reproduced by instrument and is a component of 28 kinds of oriental medicine phenotypes, which is the basis of pulse diagnosis. It is to provide an analysis method, system and apparatus capable of intelligently classifying and judging a patient's phenotype by quantitative analysis of “number”, “number”, and “force”.
2. Another problem to be solved by the present invention is to provide a method for analyzing pulse diagnosis in oriental medicine, and use a continuous blood pressure signal, pulse rate signal, pulse pressure image, etc. It is to determine the quantitative index of the element.
3. Another problem to be solved by the present invention is to provide a pulse analysis quantitative analysis system and method in oriental medicine. From the viewpoint of western medicine, "rank", "shape", "number", "force" Is to define the analysis.
4. Another problem to be solved by the present invention is to provide a health care worker and a general person with a pulse diagnosis device that is simple, easy to understand and portable.

In order to solve the above-mentioned problems, the present invention provides a new analysis method and pulse diagnosis analysis system in oriental medicine. This system includes a blood pressure signal collection device, a tactile pressure signal collection device, a computer, and computer analysis software. Blood pressure signal measures and tactile pressure signal measures are used to collect blood pressure, pulse rate, and pulse signals as described above, and are converted to quantitative values that are the criteria for determining "position, shape, number, and force" through computer analysis software. The diagnosis results are processed automatically.

2. New analysis method 1 of “rank, shape, number, force” in oriental medicine, and “rank” in oriental medicine is the depth of the pulse. There are buoyancy, stagnation, wetting, sagging, and prison that can be judged by the depth of the vein.
The buoyancy is defined as "I feel lightly when I push it lightly, but it feels weak when I push it a little, but I still feel it". With this, the buoyancy is said to be “shallow position” as “position”, but “the shallow pulse position” here means that the artery is really located in a shallow place from the skin. It means nothing but a doctor who feels shallow.
From the viewpoint of histology in modern medicine, human arteries are at a certain depth from the surface of the skin, which varies in depth depending on the person, but in the same person it does not change much in units of days. It should be. To say that the pulse in oriental medicine is “shallow” or “floating” does not mean that the physical depth of the pulse changes; It means to feel "shallow" or "floating". In other words, when the doctor presses the artery weakly with a finger, it means “shallow” or “floating” if you feel a pulse, and “deep” if you feel a pulse after pressing it strongly.
Then, if you search for an alternative device and quantify the force of the finger pushing the artery of the middle doctor, you can quantify the “rank” of Oriental medicine.
Here, looking at the measurement process of the sphygmomanometer, when the sphygmomanometer is activated, air is first filled in the cuff and compresses the blood vessels. When the air pressure in the cuff rises to some extent (above systolic systolic blood pressure), the blood vessel is compressed by the cuff, blood flow stops, and pulsation cannot be detected. At this point, the sphygmomanometer stops increasing the pressure in the cuff, conversely bleeds out and begins to gradually decrease the pressure in the cuff. As the cuff is deflated, the force with which the cuff compresses the skin gradually weakens, and when the pressure drops to the same pressure as the systolic systolic blood pressure, blood flow begins to flow into the blood vessels and the pulsation can be detected (Korotkoff sound). When the cuff is subsequently evacuated, the pulse cannot be detected when the pressure in the cuff gradually decreases to the same level as the diastolic minimum blood pressure. The direction is the same as when a doctor in the oriental medicine feels the pulse while squeezing the artery by gradually applying force on the finger while the pulse is being examined. That is, the pulse begins to be felt at the diastolic minimum blood pressure, and the pulse cannot be felt at the systolic maximum blood pressure.
In terms of the doctor's method of pulse examination and the measurement principle of the sphygmomanometer, the pulse in Oriental medicine is "shallow" when the diastolic pressure is low. When the diastolic minimum blood pressure is 60 to 90 mmhg in the normal range, the pulse is floating if the diastolic pressure is 60 mmhg or less, and the pulse is sinking if it exceeds 90 mmhg. Here, “shallow pulse” and “deep” in oriental medicine are related to blood pressure, and it is understood that “position” can be quantified with blood pressure. The phenotypes that can be judged by “position” in Oriental medicine include buoyancy, stagnation, wetting, sagging, jail, dilation, leather, and vein.

2. “Number” in oriental medicine refers to pulse rate and rhythm. The phenotypes determined by “number” include several pulses, slow pulse, dilated pulse, slow pulse, prompt pulse, nodule, substitute pulse, and pulse. In the present invention, the pulse rate is measured by a pulse signal device, and the pulse rate and pulse rhythm are calculated by computer analysis software to quantify the “number” in oriental medicine.

3. “Shape” in pulse examination of oriental medicine is the length and width of the pulse felt by a doctor. It is soft. There are long, short, narrow, jail, and leather veins that can be determined by “shape”. In the present invention, the length and width of a pulse are measured with a sheet-type tactile pressure signal measuring device, and the softness of the pulse is calculated with computer analysis software to quantify the “shape” in oriental medicine.

4. “Vibration” in the pulse diagnosis of Oriental medicine means the momentum of a pulse felt by a doctor, but from a physical point of view, the momentum of a pulse means the dynamics of blood vessels felt by the finger. It is the kinetic energy of. In the present invention, the length, width, expansion time, and the like of the pulse measured by the pulse signal device are processed by computer analysis software, and the kinetic energy of the blood vessel is calculated to quantify the “force” in Oriental medicine. The pulse image determined by the force includes a string pulse, a bradycardia, a weak pulse, a fine pulse, and a high pulse.

3. Structure and operation procedure of pulse diagnostic measurement / analysis apparatus The apparatus of the present invention comprises a sphygmomanometer, a tactile pressure measuring sensor attached to the back of the cuff of the sphygmomanometer, and a computer. The appearance is not much different from a sphygmomanometer. The sensor equipped with a sheet-type tactile pressure measuring sensor in the cuff of the sphygmomanometer is 20 mm * 50 mm in size, 0.2 mm thick, and is a sheet-type soft so it does not affect the cuff operation.
The operation procedure is as follows: 1. First, a cuff is wound so that the sensor is applied to the radial artery expansion site of the arm, and the blood pressure is operated to measure the blood pressure.
2. When the blood pressure measurement is completed and the cuff is deflated, the air is turned on again until the diastolic blood pressure is 1 / B pulse pressure (systolic blood pressure-diastolic blood pressure). (B is a setting value by setting)
3. Continue to measure the continuous tactile pressure signal that presses the sensor for 2 minutes when the blood vessel pulsates through the tactile pressure measurement sensor while keeping the air pressure in the cuff at a fixed amount without leaving the cuff air. At the same time, the tactile pressure signal is transferred to the computer. When the measurement is finished, bleed the cuff and finish.
4. If you enter numbers such as age, gender, weight, height, wrist thickness, etc. in the computer in advance, the reference results and supporting data will be displayed directly.

4. Numerical value 1 to be measured, Z: systolic blood pressure, that is, maximum blood pressure value 2, G: diastolic blood pressure, that is, minimum blood pressure value 3, P: pulse pressure, that is, maximum blood pressure value−lowest blood pressure value, P = Z−G
4, C: Pulse rate 5, W1: At the maximum value of diastolic phase in FIG. 3 (maximum systolic value of the heart, that is, at the time of maximum blood pressure), an artery at a temporary point was formed by compressing a tactile pressure sensor. The maximum value of the pulse width of the horizontal cross-sectional view of blood vessel contact pressure obtained by processing the contact pressure data with a computer.
In FIG. 9, the expanded width W is plotted on the ordinate W and the length L is plotted on the abscissa L to produce the graph of FIG.
Set Loop Function, calculate Max1, Max2, Max3 ... and set the number to T.
W1 = Max (W)
6, W2: W value of the starting point in FIGS. 3 and 9
7, W3: W value at the end point in FIGS.
8, L1: Pulse length 9 in FIG. 3, M: Measured through a tactile pressure sensor at a temporary point at the time of the lowest vasoconstriction (the lowest value in the diastole of the heart, that is, at the lowest blood pressure) in FIG. In the computer-processed blood vessel pressure horizontal sectional view (FIG. 4), the minimum value of the pulse width is 10, Q: the maximum contraction width value of the pulse, that is, Q = W1-M (FIGS. 3 and 4).
11, U: U in FIG. 6, the time required for the pulse width to reach the maximum value from the minimum value in one pulsation. Time from FIG. 4 to FIG.
12, J: J in FIG. 6, the time taken for the pulse width to reach the minimum value from the maximum value in one pulsation. Time from FIG. 3 to FIG.
13, H: (Fig. 6) The tactile pressure was continuously measured through the tactile pressure measuring sensor for 2 minutes at a predetermined position on the sensor, the width value of the pulse processed by the computer was taken as the vertical axis, and the time was taken as the horizontal axis. The value on the vertical axis of the hour. (Example: Pulse width value measured at a position between A and B in FIG. 5)
14, h1, h2, h3... Hx: The maximum value of the section in which the loop function is set and Maxh1, Maxh2, Maxh3,... Calculated in the graph created by the relationship between H and T (time) in FIG.
15, t1, t2, t3... Tn: time of the section maximum value hn in FIG.
16, K: When the height coefficient is 170cm and the person is the standard value K = height / 170 * a16 a16 is a set reference value
17, Y is a numerical value indicating the flexibility of the pulse
Y = Q / P = (W1-M) / (Z-G)
18, F is pulse kinetic energy
F1 is pulse kinetic energy in unit area
F = 1/64 * a (10) L1π (2W1 (W1 + W2 + W3) + (W2) 2+ (W3) 2-M) (Q2) / U2
= 1/64 * a (10) L1π (2W1 (W1 + W2 + W3) + (W2) 2+ (W3) 2 ー M) (W1 ー M) 2 / U2
ー ー ー ー (W2) 2 means the square of (W3), and (W1－M) 2 means the square of (W1－M).
ー ー ー ー Q2 means Q squared, U2 means U squared.
Since a (10) has little influence on blood density and blood density difference, it is fixed here.
Unit area pulse kinetic energy F1 is
F1 = 1/16 * a (10) (2W1 (W1 + W2 + W3) + (W2) 2+ (W3) 2-M) (Q2) / U2 / (2W1 + W2 + W3)
= 1/16 * a (10) (2W1 (W1 + W2 + W3) + (W2) 2+ (W3) 2 ー M) (W1 ー M) 2 / U2 / (2W1 + W2 + W3)
19, E: Weight coefficient

5. Quantification of “position, number, shape, force” in oriental medicine.
1. “Position is shallow and the pulse is floating” at the “rank” in Oriental medicine: G <60 mmhg
2. “Peak is deep and sinking” at “rank” in Oriental medicine: G> 90 mmhg
3. “Pulse is fast” in “Number” in Oriental medicine: C> 90 times / min. 4 “Slow pulse” in “Number” in Oriental medicine: C <60 times / min. "Rhythm of pulse" in "number": t (n + 1) -t (n) / (60 / C) = (t (n + 1) -t (n)) * C / in FIG. 60> 1 + a (51)
Or (t (n + 1) -tn) * C / 60 <1－a (51)
(A (51) is a setting reference value)
6. “Rhythm to stop” in “Number” in Oriental Medicine: When there are two or more t (n + 1) -t (n)> a * 60 / C in FIG.
C / (R + 1) = S (S is a perfect number)
t (s), t (2s) -t (s), t (3s) -t (2s) ... t ((r) s) -t ((r-1) s) Compare.
When the error range is larger than a (60) * 60 / C value, a (60) is the set reference value 7, “pulse length” in “shape” in Oriental medicine: L1 in Fig. 3
8. “Width” in “Shape” in Oriental Medicine: W1 in Figure 3
9. “Softness of pulse” in “shape” in Oriental medicine: Y = a (90) * Q / P = a (90) * (W1-M) / (Z-G) a (90) is set Reference value, that is, Y = a (90) * (maximum expansion width Q = W1-M) / pulse pressure
The larger the Y value, the better the flexibility and "soft pulse"
The smaller the Y value, the less flexible and the “stiff pulse”
10. “Pulse momentum” in “shape” in oriental medicine: Calculate the dynamic kinetic energy of the pulse as F
F = 1/64 * a (10) L1π (2W1 (W1 + W2 + W3) + (W2) 2+ (W3) 2-M) (Q2) / U2
= 1/64 * a (10) L1π (2W1 (W1 + W2 + W3) + (W2) 2+ (W3) 2 ー M) (W1 ー M) 2 / U2


ー ー ー ー (W2) 2 means the square of (W3), and (W1－M) 2 means the square of (W1－M).
ー ー ー ー Q2 means Q squared, U2 means U squared.


Since a (10) has little influence on blood density and blood density difference, it is fixed here.


Unit area pulse kinetic energy F1 is
F1 = 1/16 * a (10) (2W1 (W1 + W2 + W3) + (W2) 2+ (W3) 2-M) (Q2) / U2 / (2W1 + W2 + W3)
= 1/16 * a (10) (2W1 (W1 + W2 + W3) + (W2) 2+ (W3) 2 ー M) (W1 ー M) 2 / U2 / (2W1 + W2 + W3)

The momentum of the pulse has the greatest effect of the expansion width, and then the expansion time and the minimum systolic width also have an effect.
In other words, the longer the pulse is, the longer the pulse is, and the shorter the expansion time is, the stronger the pulse is. On the other hand, the longer the pulse is, the shorter the pulse is, and the longer the expansion is, the longer the pulse is, Is weak. "

6. Quantification of 28 types of pulse images in oriental medicine.
1, buoyancy: It is defined as "I feel immediately when I press lightly, I feel weak when I press it a little, but I still feel it". Here, the meanings of “light” and “strong” are relative to the pulse of a relative, healthy and normal person. Then edema: diastolic blood pressure. G <60 + a (101) mmhg Z> 13.0mmhg + a (102)
a (101) and a (102) are age-related coefficients
a (101) and a (102) are coefficients related to age, and are set to different set values depending on the age level, such as 60 years old or older, 59-30 years old, 29-12 years old, 12 years old or younger.

2. Cardiac vein: Because it is defined as “Do not respond lightly but respond heavy,” Cardiac vein: Diastolic blood pressure G> 90 + a (201) mmhg a (201) Age-related coefficient
a (201) is a coefficient related to age, and is set to a different set value depending on the age level, such as 60 years old or older, 59-30 years old, 29-12 years old, 12 years old or younger.

3. Prison: “Pulse position is deep, light or moderate, feels large, hard.” Prison: Diastolic pressure G> 100 + a (301) mmhg a (301) Age Relationship coefficient
a (301) is a coefficient related to age, and is set to a different set value depending on the age level, such as 60 years old or older, 59-30 years old, 29-12 years old, 12 years old or younger.
And L1> a (302) * L1, W1> a (303), Y <a (304) (Y is a numerical value indicating flexibility)
a (302), a (303), a (304) setting reference value

4, Wet vein: “Floating and thin, weak momentum and weak pulsation, disappear when pressed hard”
Wet pulse: Diastolic blood pressure
G <60 + a (401) mmhg, Z <80 + a (402) mmhg W1 <a (404)
F <a (403) a (401), a (402), age-related coefficient
a (403), a (404) setting reference value

5, Proneness: “Strongly pushes muscles and feels to reach bone”
Prosthesis: Diastolic pressure G> 120 + a (501) mmhg a (501) Age-related coefficient

6, Spring: “Floating, scattered, even if you push a little, it disappears, the pulse rate does not match”
Prosthesis: Diastolic blood pressure
G <40mmhg + a (601), Z <60mmhg + a (602)
In FIG. 6, (t (n + 1) -t (n)) * C / 60> 1 + a (603)
Or there are R (t (n + 1) -t (n)) * C / 60 <1-a (604)
Let that number be R, C / (R + 1) = S (S is a complete number),
t (s), t (2s) -t (s), t (3s) -t (2s) ... t (rs) -t (r-1) s 605) * There are two or more than 60 / C values.
a (601), a (602), a (603), a (604) a (605) are reference values for setting)

7, Leather vein: “Floating and hard, empty inside like a drum skin”
Leather vein: floating, diastolic blood pressure G <60 + a (701) mmhg, meaning that the inside is empty means that it does not disappear even if it is strongly pressed P > A (702) mmhg,
It looks like taiko leather, it is not flexible, it is strong, and when pressed, it has strong resistance, so its kinetic energy is not weak.
That is, Y <a (703), F> a (704), Q <a (705) a (701), a (702) Age-related coefficients
a (703), a (704), a (705) are reference values for setting


8, venom: “It ’s floating, it ’s not inside, it ’s like pushing a heel.”
Foramen: Expansion pressure 60
G <60 + a (801) mmhg,
The fact that there is no content means that if you press hard, it will not collapse immediately, so the pulse pressure difference is small P <a (802) mmhg
It's as if you're pushing a heel with a certain width, it's not thin, it's not very flexible, but it's better than a leather vein.
The momentum will be weak.
a (804) <Y <a (803) P <a (805)
F <a (806) W1> a (807)
a (801) and a (802) are age-related coefficients
a (803), a (804), a (805), a (806) a (807) are reference values for setting

9, several pulses: “Fast pulse number, more than five breaths”
Several pulses: more than 90 beats / minute C> 90


10. Slow pulse: “Slow pulse rate, less than 4 breaths”
Slow pulse: 60 / min or less C <60


11, Bradycardia: “Four breaths, weak going away”
Slow pulse: Pulse rate less than 60 times / minute
C <60 F <a (110) a (110) setting reference value


12, Promotional pulse: “There are many pulses, and the rhythm that stops and stops is not even.”
Promotional pulse: More than 90 beats / min.
C> 90
In Fig. 6, there are R ones with t (n + 1) -t (n)> a (121) * 60 / C
(A (121), is a setting reference value),

Let that number be R, R> = 1
C / R = S (S is a complete number),
t (s), t (2s-ts), t (3s) -t (2s) ... t (rs) -t ((r-1) s) (122) * Some values are larger than 60 / C. a (122) is the setting reference value


13. Nodule: “The number of pulses is small, the rhythm that stops by chance and stops is not equal”
Nodule: Pulse rate of 60 times / minute or less Stopping rhythm is not uniform
C <60
In Fig. 6, there are R t (n + 1) -t (n)> a (121) * 60 / C
(A (121), is a setting reference value),
Let that number be R, R> = 1
C / (R + 1) = S (S is a complete number),
t (s), t (2s-ts), t (3s) -t (2s) ... t (rs) -t ((r-1) s) (122) * Some values are larger than 60 / C. a (122) is the setting reference value


14. Progeny: “There are few pulses, the rhythm that stops and even stops is even.”
Prosthetic pulse: Pulse rate is less than 60 times / min.
C <60
In Fig. 6, there are R ones with t (n + 1) -t (n)> a (121) * 60 / C
(A (121), is a setting reference value),
Let that number be R, R> = 1
C / (R + 1) = S (S is a complete number),
t (s), t (2s-ts), t (3s) -t (2s) ... t (rs) -t ((r-1) s) (122) * Nothing greater than 60 / C value. a (122) is the coefficient


15, Pulse: “The number of pulses is quite high, more than 78 breaths”
Pulse: More than 120 pulses / minute C> 120

16, long pulse: "Before and after the pulse is straight, the length of the pulse exceeds the standard"
Long pulse: (Fig. 3) L1> a (161) * K a (161) is a set reference value, K is a coefficient related to height

17, Short pulse: “Short and short is not long enough”
Short pulse: (Fig. 3) L1 <a (171) * K a (171) is a set reference value, K is a coefficient related to height.

18, narrow vein: “The vein is thin like a thread, but it feels clearly on the finger.”
Narrow vein: W1 <a (181) average kinetic energy F1> a (182) in Fig. 3 a (181), a (182) are set reference values


19. Weak pulse: “Soft, thin, sinking”
Weak pulse: Dilation pressure
G> 90 + a (194) W1 <a (191) Average kinetic energy F1 <a (192)
Softness Y> a (193) a (191), a (192), a (193), a (194) are reference values for setting

20, fine pulse: “The number is not clear so that it is very thin, very weak, and does not exist”
Slight pulse: W1 <a (201) average kinetic energy value in Fig. 3 F1 <a (202) a (201), a (202) are reference values set


In Fig. 6, there are R t (n + 1) -t (n)> a (121) * 60 / C or t (n + 1) -t (n) <a (122) * 60 / C
a (121,122) is the setting reference value),
Let that number be R, R> 2
C / (R + 1) = S (S is a complete number),
t (s), t (2s-ts), t (3s) -t (2s) ... t (rs) -t ((r-1) s) (123) * Some values are greater than 60 / C. a (123) is the setting reference value

21. Real pulse: Feeling even if pressed lightly or strongly, powerful real pulse: G <60 + a (211) mmhg, Z> 130 + a (212) mmhg,
Kinetic energy value F> a (213) a (211) and a (212) are age-related coefficients
a (213) Setting reference value


22, Sliding: Going and going fluently, like rolling a pearl, slipping with a finger Sliding: W1, W2> a (221) W1 / W3> a (222) Flexible as shown in Figure 7 Y> a (223)
a (221), a (222), a (223) are reference values for setting


23, Shibuya: Going away is awful and seems to scratch the bamboo with a knife. "
Shibuya: Going away and going is a bit smooth because there are several waves as shown in Fig. 8 instead of smooth from one expansion to contraction. The graph of FIG. 9 is made with the length L on the axis W and the horizontal axis L.
Set Loop Function, calculate Max1, Max2, Max3 ... Max (n) and set the number to T. When T> 2 or more, it becomes a form of shibu vein.

24, String Pulse: “Smooth and long, feeling like pushing a koto string”
String vein: Because it is straight, the difference between W1, W2, and W3 is small
W2> a (241)% W1 W3> a (242)% W1 L1> a (244)
The string of the koto is less flexible and has more resistance. Flexibility Y <a (243)
Kinetic energy value F> a (245)
W1 <a (246) not so thick because it looks like a string of koto
a (241), a (242), a (243), a (244), a (245), a (246) are reference setting values


25. Tightness: “It seems to be tense and strong, pulling the rope.”
Tightness: W2> a (251)% W1 W3> a (252)% W1 Thick because it looks like a rope W1> a (253)
Flexibility Y <a (254) Kinetic energy value F> a (255)

a (251), a (252), a (253), a (254), a (255) are reference values for setting


26, Hong-Bang: The pulse is maximal, like a tsunami, coming fast and leaving fast. Hong-Bang: W1> a (261) L1> a (264) F> a (262) J <a )% U a (261), a (262), a (263), a (264) are reference values for setting

27, Arteries: “Like beans, short, smooth, number, can swing up and down”
Artery: The arteries themselves are not swaying, but they feel like they are swaying with the fingers of a middle doctor, and there is a stimulus like a small vibration many times in one pulsation. The undulation width is smaller and the number of times is higher.
In FIG. 9, the Loop Function is set, Max1, Max2, Max3,... Are calculated and the number is set to T.
T> a (271) or more L1 <a (272) C> 90 Flexibility Y> a (273) a (271), a (272), a (273) are reference values for setting

28. Imagination: “When you press it lightly, it ’s powerless, and when you press it hard, it disappears.”
Imaginary veins: G <60 Pulse pressure P <a (281)
Average kinetic energy value F1 <a (282)
a (181) and a (182) are reference values for setting.

The present invention provides an analysis system and method for pulse diagnosis in oriental medicine. By determining the quantitative index by analyzing the computer analysis system for the pulse that is difficult to quantify, the criteria for determining the pulse are matched and artificial diagnostic errors are reduced. Avoid, improve the accuracy of pulse diagnosis, improve the function of pulse diagnosis device, can be combined with Western medicine. In addition, since it is easy to operate and results are expressed in simple terms, there is an advantage that anyone with common sense knowledge of Oriental medicine can operate it, and it can be expected to be portable and popular.

1 is a structural diagram of a pulse diagnosis measurement analysis system in oriental medicine of the present invention. 2 is an image diagram of the pulse measurement measurement analyzer. Fig. 3 Maximum value of vasodilatation; Fig. 4 Width value at the time of maximum blood vessel contraction; Fig. 5 Impression diagram of the portion of the pressure sensor attached to the cuff; Time T of pulse width H measured at the position AB of the pressure sensor in Fig. 6 Graph Fig. 7 Image of smooth vein image; Fig. 8 Shibu vein, arterial image diagram; Fig. 9 is a graph with the expanded width value of Fig. 3 on the vertical axis W and the length on the horizontal axis L.

1. Structure and embodiment of measurement analyzer The apparatus of the present invention is composed of a blood pressure monitor, a tactile pressure measurement sensor attached to the back of the cuff of the blood pressure monitor, and a computer. The appearance is not much different from a sphygmomanometer. A sheet-type tactile pressure sensor is installed in the cuff of the sphygmomanometer. The sensor is 20mm * 50mm in size, 0.2mm thick, and is a sheet type, so it does not affect the cuff operation. Moreover, it is advantageous to measure and calculate the contact pressure from the uniform pressure of the cuff.

1. First, wrap the cuff of the sphygmomanometer around the wrist and operate the sphygmomanometer to measure the blood pressure. When attaching the cuff, be sure to apply the tactile pressure measurement sensor attached to the cuff to the radial artery expansion site. When the operation button is pressed, the sphygmomanometer operates first to measure blood pressure.
2. When the blood pressure measurement is over and all the air in the cuff has escaped, the air begins to enter again until the diastolic blood pressure + 1 / K pulse pressure (systolic blood pressure-diastolic blood pressure) (K is the set value) .
3. Continue to measure the continuous tactile pressure signal that presses the sensor for 2 minutes when the blood vessel pulsates through the tactile pressure measurement sensor while keeping the air pressure in the cuff at a fixed amount without leaving the cuff air. When the measurement is finished, bleed the cuff and finish. This tactile pressure signal is analyzed through computer software and visualized (FIGS. 3 and 4).
4. The tactile pressure data sent from the tactile pressure measuring sensor is first analyzed by tactile pressure analysis software. C: pulse rate; W1: maximum value in FIG. 3; FIG. 9 graph values, W, t, W2: FIG. And W value at the start point in FIG. 9: W3: W value at the end point in FIG. 3 and FIG. 9; L1: Length of the pulse in FIG. 3; M: Minimum value of the pulse width in FIG. Maximum contraction width, that is, Q = W1-M; U: Time for the pulse width to reach the maximum value from the minimum value in one pulsation. Time from FIG. 4 to FIG. 3; J: Time from the maximum value to the minimum value of the pulse width in one pulsation. Time from FIG. 3 to FIG. 4: H: h1, h2, h3... Hx: Section in which Loop Function is set and Maxh1, Maxh2, Maxh3,. T1, t2, t3... Tn: The time of the section maximum value hn is calculated in FIG.
5. The data obtained from the tactile pressure analysis software and the blood pressure data are calculated by the pulse diagnosis analysis software such as P, Q, Y, F, F1 values. It is compared with the reference values for each person determined by numbers such as age, gender, weight, height, wrist thickness etc. entered in advance, it is judged which pulse image belongs, and the reference result and supporting data are displayed . Watch the pulse image visualized at that time. It is also possible to deposit and compare data each time. (See Figure 1)

1. Apply the pressure sensor of the cuff of the sphygmomanometer to the arterial pulsation part of the wrist, then roll the cuff and press the operation button.
2. Obtain blood pressure data G = 92 mmhg and Z = 120 mmhg by measuring blood pressure.
3. Using a tactile pressure measurement system, L = 25 mm W1 = 3 mm M = 1 T = 3 C = 95 Y = 1/14 U = 1 / 4.25 J = 0.32 F = 13.25 Data is obtained.
4. Results of analysis and classification using blood pressure data and tactile pressure data by pulse diagnosis analysis software. Applicable to veins and fascias. Therefore, the reference conclusion is a stagnation and a promotion.
The whole process is automatically processed until completion by simply rolling the cuff and pressing the start button, except for entering basic information such as the first height, weight, gender, etc.

Since the present invention is easy to operate and the reference results are easy to understand, it can be expected that it will be useful for ordinary people to manage their own health in the medical field. In addition, it can be expected to be used as a means of obtaining test data that can be compared easily and easily by using this device even in specialized fields where surgery is performed using Oriental medicine such as acupuncture and Chinese medicine. Since the present invention has a simple structure and a small amount of data to be processed, it is advantageous for simplification of the machine and cost reduction, and mass production is sufficiently possible.

1, Z: systolic blood pressure, that is, maximum blood pressure value 2, G: diastolic blood pressure, that is, minimum blood pressure value 3, P: pulse pressure, that is, maximum blood pressure value-minimum blood pressure value, P = Z−G
4, C: Pulse rate 5, W1: At the maximum value of diastolic phase in FIG. 3 (maximum systolic value of the heart, that is, at the time of maximum blood pressure), an artery at a temporary point was formed by compressing a tactile pressure sensor. The maximum value of the pulse width of the horizontal cross-sectional view of blood vessel contact pressure obtained by processing the contact pressure data with a computer.
In FIG. 9, the expanded width W is plotted on the ordinate W and the length L is plotted on the abscissa L to produce the graph of FIG.
Set Loop Function, calculate Max1, Max2, Max3 ... and set the number to T.
W1 = Max (W)
6, W2: W value of the starting point in FIGS. 3 and 9
7, W3: W value at the end point in FIGS.
8, L1: Pulse length 9 in FIG. 3, M: Measured through a tactile pressure sensor at a temporary point at the time of the lowest vasoconstriction (the lowest value in the diastole of the heart, that is, at the lowest blood pressure) in FIG. In the computer-processed blood vessel pressure horizontal sectional view (FIG. 4), the minimum value of the pulse width is 10, Q: the maximum contraction width of the pulse, that is, Q = W1-M (FIGS. 3 and 4).
11, U: U value in FIG. 6, the time for the pulse width to reach the maximum value from the minimum value in one pulsation. Time from FIG. 4 to FIG.
12, J: J value in Fig. 6, the time it takes for the pulse width from the maximum value to the minimum value in one pulsation. Time 13 from FIG. 3 to FIG. 4, H: FIG. 6 Pulse width value measured continuously for 2 minutes at a predetermined position on the sensor (example: pulse width value between A and B in FIG. 5).
14, h1, h2, h3... Hx: The maximum value of the section in which the loop function is set and Maxh1, Maxh2, Maxh3,... Calculated in the graph created by the relationship between H and T (time) in FIG.
15, t1, t2, t3... Tn: time of the section maximum value hn in FIG.
16, K: Height coefficient 170cm When a person with a height is used as a reference value K = Height / 170 * a16 a16 coefficient 17, E: Weight coefficient
18, Y is a coefficient indicating the softness of the pulse
Y = a (90) * Q / P = a (90) * (W1-M) / (Z-G) a (90) is a coefficient, that is, Y = a (90) * (maximum pulse expansion width Q = W1 -M) / pulse pressure
The higher the Y value, the softer the pulse,
The smaller the Y value, the harder the pulse

19, F is pulse kinetic energy
F1 is pulse kinetic energy in unit area
F = 1/64 * a (10) L1π (2W1 (W1 + W2 + W3) + (W2) 2+ (W3) 2-M) (Q2) / U2
= 1/64 * a (10) L1π (2W1 (W1 + W2 + W3) + (W2) 2+ (W3) 2 ー M) (W1 ー M) 2 / U2
ー ー ー ー (W2) 2 means the square of (W3), and (W1－M) 2 means the square of (W1－M).
ー ー ー ー Q2 means Q squared, U2 means U squared.
Since a (10) has little influence on blood density and blood density difference, it is fixed here.

Unit area pulse kinetic energy F1 is
F1 = 1/16 * a (10) (2W1 (W1 + W2 + W3) + (W2) 2+ (W3) 2-M) (Q2) / U2 / (2W1 + W2 + W3)
= 1/16 * a (10) (2W1 (W1 + W2 + W3) + (W2) 2+ (W3) 2 ー M) (W1 ー M) 2 / U2 / (2W1 + W2 + W3)

Where (W1-M) 2 is the square of (W1-M) and U2 is the square of U.

The momentum of the pulse has the greatest effect of the expansion width, and then the expansion time and the minimum systolic width also have an effect.
That is, the maximum expansion width of the pulse, the longer the pulse, the shorter the time it takes to expand, the stronger the pulse, the opposite, that is, the maximum expansion width of the pulse, the minimum systolic width, The longer the time is, the weaker the pulse is.
20, a (101), a (212), a (132) ... etc. are reference set values or coefficients for calculating the reference set values, and are set by the manufacturer that produces the product of the present invention. And a coefficient for setting the numerical value. In addition, when using analysis software manually, it is a numerical value that can be set by the individual.

The present invention is a simple and portable artificial intelligence pulse detector and an analysis method and system for pulse diagnosis in oriental medicine, which is the background technology thereof, in particular, quantitative analysis and digitization of pulse image components in oriental medicine, and processing of a computer program After that, it refers to the structure and technology of pulse diagnosis analysis method and system and pulse diagnosis measuring device, which are easy to understand even by Oriental medical staff and ordinary people.

Pulse diagnosis is to determine the bloody, yin and yang, physiology and pathological status of the human body fistula based on the change of the pulse in oriental medicine. The changes in rhythms are classified into 28 types of phenotypes in modern oriental medicine such as roughly chordal, smooth, flat and short. In conventional pulse examinations, a middle doctor puts the 2nd, 3rd, and 4th fingers of his hand on the radial artery pulsation site of the patient's arm and feels the pulsation by touching the radial artery with the finger while touching the radial artery. This is a method of estimating the patient's physical condition by judging the position, number, shape, and posture of the patient's pulse. Oriental medicine explains the position, number, shape, and force at the time of pulse examination. “There are four kinds of pulse, only the number, number, shape, and force. Numbers are slow, numbers, prompts, and ties Shapes are long, short, wide, narrow, thick, thin, coarse, and rigid, and forces are the states of convergence, elongation, contraction, advancement, retreat, and undulation. The above-mentioned position, number, shape, and status are the way to judge the phenotype, but in Oriental medicine, there are few standard and simple mathematical and quantitative expressions for pulse diagnosis. Diagnosis can only be made by relying on the subtle touch of the finger, so it is difficult to acquire, execute, record, and compare in clinical practice.

Nowadays, there are people who try to create a pulse waveform by using the pulse painting technique of Western medicine. After the 1980's, the measurement waveform is good and the long-term measurement stability is good. Devices have been developed more and more, and devices that connect a pulse wave device to a computer with a pulse wave device, a pulse sensor, a pressure conversion device, and a multi-channel recording device, and display the pulse wave diagram and the electrocardiogram synchronously. In addition, a technique has been developed in which a pulse wave is acquired from a pressure transducer using Fourier transform analysis and the intensity of a resonant wave having a different frequency is used as an index of the health condition of each internal organ. In addition, the elasticity and peripheral resistance of arterial walls that can be measured by the heartbeat of Western medicine (including stroke volume and pulse output), the three requirements of blood concentration and heart rate, the rhythm of heart activity, and the heart's irritation There are also movements that try to analyze the phenotype by calculating various factors such as function, arterial wall elasticity, small artery tension, vascular fullness and nerve and endocrine regulation functions, but these factors were included Analysis is beyond the scope of oriental medicine's 'pulse diagnosis', which is sensed and judged by the tactile sense of traditional humans in oriental medicine. In addition, the conventional technology is complicated and expensive, and the selection of the pulse position must be done by an artificial operation of a person with specialized knowledge, and the analysis of the report is not detailed and objective. However, there was a flaw that could not be overcome by popularization, such as having to rely on interpretation of technical skills.
In recent years, with the rapid development of computer technology, sensor materials that can measure and analyze tactile pressure continuously and dynamically have been developed. The development of these technologies and the development of materials made it possible to reduce the weight and simplify the present invention.

However, the method of quantifying the depth of the pulse based on the blood pressure used in the present invention, the method of calculating the pulse rate and rhythm based on the tactile pressure analysis data of the pulse, the flexibility and the kinetic energy of the pulse by calculating the pulse width The present invention is the first method for analyzing the shape and tendency of a pulse, which is a new theory different from the conventional methods, and is a new analysis method.

Patent Publication 2008-295517 Patent Publication 2013-43084

Pulse Diagnosis -Basic Knowledge and Practice Guide- Katsunori Yamada, What Kanamori (2008/1) First sensor technology [book (soft cover)] Ryosuke Masuda (Author)

1. The problem to be solved by the present invention is that the process of pulse diagnosis of traditional oriental medicine is reproduced by instrument and is a component of 28 kinds of oriental medicine phenotypes, which is the basis of pulse diagnosis. It is to provide an analysis method, system and apparatus capable of intelligently classifying and judging a patient's phenotype by quantitative analysis of “number”, “number”, and “force”.
2. Another problem to be solved by the present invention is to provide a method for analyzing pulse diagnosis in oriental medicine, and use a continuous blood pressure signal, pulse rate signal, pulse pressure image, etc. It is to determine the quantitative index of the element.
3. Another problem to be solved by the present invention is to provide a pulse analysis quantitative analysis system and method in oriental medicine. From the viewpoint of western medicine, "rank", "shape", "number", "force" Is to define the analysis.
4. Another problem to be solved by the present invention is to provide a health care worker and a general person with a pulse diagnosis device that is simple, easy to understand and portable.

In order to solve the above-mentioned problems, the present invention provides a new analysis method and pulse diagnosis analysis system in oriental medicine. This system includes a blood pressure signal collection device, a tactile pressure signal collection device, a computer, and computer analysis software. Blood pressure signal measures and tactile pressure signal measures are used to collect blood pressure, pulse rate, and pulse signals as described above, and are converted to quantitative values that are the criteria for determining "position, shape, number, and force" through computer analysis software. The diagnosis results are processed automatically.

2. New analysis method 1 of “rank, shape, number, force” in oriental medicine, and “rank” in oriental medicine is the depth of the pulse. There are buoyancy, stagnation, wetting, sagging, and prison that can be judged by the depth of the vein.
The buoyancy is defined as "I feel lightly when I push it lightly, but it feels weak when I push it a little, but I still feel it". With this, the buoyancy is said to be “shallow position” as “position”, but “the shallow pulse position” here means that the artery is really located in a shallow place from the skin. It means nothing but a doctor who feels shallow.
From the viewpoint of histology in modern medicine, human arteries are at a certain depth from the surface of the skin, which varies in depth depending on the person, but in the same person it does not change much in units of days. It should be. To say that the pulse in oriental medicine is “shallow” or “floating” does not mean that the physical depth of the pulse changes; It means to feel "shallow" or "floating". In other words, when the doctor presses the artery weakly with a finger, it means “shallow” or “floating” if you feel a pulse, and “deep” if you feel a pulse after pressing it strongly.
Then, if you search for an alternative device and quantify the force of the finger pushing the artery of the middle doctor, you can quantify the “rank” of Oriental medicine.
Here, looking at the measurement process of the sphygmomanometer, when the sphygmomanometer is activated, air is first filled in the cuff and compresses the blood vessels. When the air pressure in the cuff rises to some extent (above systolic systolic blood pressure), the blood vessel is compressed by the cuff, blood flow stops, and pulsation cannot be detected. At this point, the sphygmomanometer stops increasing the pressure in the cuff, conversely bleeds out and begins to gradually decrease the pressure in the cuff. As the cuff is deflated, the force with which the cuff compresses the skin gradually weakens, and when the pressure drops to the same pressure as the systolic systolic blood pressure, blood flow begins to flow into the blood vessels and the pulsation can be detected (Korotkoff sound). When the cuff is subsequently evacuated, the pulse cannot be detected when the pressure in the cuff gradually decreases to the same level as the diastolic minimum blood pressure. The direction is the same as when a doctor in the oriental medicine feels the pulse while squeezing the artery by gradually applying force on the finger while the pulse is being examined. That is, the pulse begins to be felt at the diastolic minimum blood pressure, and the pulse cannot be felt at the systolic maximum blood pressure.
In terms of the doctor's method of pulse examination and the measurement principle of the sphygmomanometer, the pulse in Oriental medicine is "shallow" when the diastolic pressure is low. When the diastolic minimum blood pressure is 60 to 90 mmhg in the normal range, the pulse is floating if the diastolic pressure is 60 mmhg or less, and the pulse is sinking if it exceeds 90 mmhg. Here, “shallow pulse” and “deep” in oriental medicine are related to blood pressure, and it is understood that “position” can be quantified with blood pressure. The phenotypes that can be judged by “position” in Oriental medicine include buoyancy, stagnation, wetting, sagging, jail, dilation, leather, and vein.

2. “Number” in oriental medicine refers to pulse rate and rhythm. The phenotypes determined by “number” include several pulses, slow pulse, dilated pulse, slow pulse, prompt pulse, nodule, substitute pulse, and pulse. In the present invention, the pulse rate is measured by a pulse signal device, and the pulse rate and pulse rhythm are calculated by computer analysis software to quantify the “number” in oriental medicine.

3. “Shape” in pulse examination of oriental medicine is the length and width of the pulse felt by a doctor. It is soft. There are long, short, narrow, jail, and leather veins that can be determined by “shape”. In the present invention, the length and width of a pulse are measured with a sheet-type tactile pressure signal measuring device, and the softness of the pulse is calculated with computer analysis software to quantify the “shape” in oriental medicine.

4. “Vibration” in pulse diagnosis of oriental medicine means that the surgeon feels with the finger of a doctor, but from a physical point of view, the momentum of the pulse is when the artery expands It is the mechanical kinetic energy of blood vessels that you feel. In the present invention, the length, width, expansion time, etc. of the pulse measured by the pulse signal device are processed by computer analysis software, and the kinetic energy of the blood vessels is calculated to quantify the “force” in Oriental medicine. The pulse image determined by the force includes a string pulse, a bradycardia, a weak pulse, a fine pulse, and a high pulse.

3. Structure and operation procedure of pulse diagnostic measurement / analysis apparatus The apparatus of the present invention comprises a sphygmomanometer, a tactile pressure measuring sensor attached to the back of the cuff of the sphygmomanometer, and a computer. The appearance is not much different from a sphygmomanometer. The sensor equipped with a sheet-type tactile pressure measuring sensor in the cuff of the sphygmomanometer is 20 mm * 50 mm in size, 0.2 mm thick, and is a sheet-type soft so it does not affect the cuff operation.
The operation procedure is as follows: 1. First, a cuff is wound so that the sensor is applied to the radial artery expansion site of the arm, and the blood pressure is operated to measure the blood pressure.
2. When the blood pressure measurement is completed and the cuff is deflated, the air is turned on again until the diastolic blood pressure + 1 / B pulse pressure (systolic blood pressure-diastolic blood pressure). (B is a setting value by setting)
3. Continue to measure the continuous tactile pressure signal that presses the sensor for 2 minutes when the blood vessel pulsates through the tactile pressure measurement sensor while keeping the air pressure in the cuff at a fixed amount without leaving the cuff air. At the same time, the tactile pressure signal is transferred to the computer. When the measurement is finished, bleed the cuff and finish.
4. If you enter numbers such as age, gender, weight, height, wrist thickness, etc. in the computer in advance, the reference results and supporting data will be displayed directly.

4. Numerical value 1 to be measured, Z: systolic blood pressure, that is, maximum blood pressure value 2, G: diastolic blood pressure, that is, minimum blood pressure value 3, P: pulse pressure, that is, maximum blood pressure value−lowest blood pressure value, P = Z−G
4, C: Pulse rate 5, W1: At the maximum value of diastolic phase in FIG. 3 (maximum systolic value of the heart, that is, at the time of maximum blood pressure), an artery at a temporary point was formed by compressing a tactile pressure sensor. The maximum value of the pulse width of the horizontal cross-sectional view of blood vessel contact pressure obtained by processing the contact pressure data with a computer.
In FIG. 9, the expanded width W is plotted on the ordinate W and the length L is plotted on the abscissa L to produce the graph of FIG.
Set Loop Function, calculate Max1, Max2, Max3 ... and set the number to T.
W1 = Max (W)
6, W2: W value of the starting point in FIGS. 3 and 9
7, W3: W value at the end point in FIGS.
8, L1: length of the pulse. FIG. 10 is made with the width value W of the pulse in FIG. 3 as the vertical axis and L as the horizontal axis. M is the minimum pulse width.
When W2-M> 0, W3-M> 0, L1 = a (08) * K a (08), K is the reference value for setting
When W2-M = 0 and W3-M = 0 (in FIG. 11), L1 is set to L1 = L3-L2.
9, M: A horizontal cross-sectional view of blood vessel pressure measured through a tactile pressure sensor at a temporary point and processed by a computer at the time point of the lowest vasoconstriction in FIG. 4) Minimum value 10 of pulse width, Q: Maximum value of contraction width of pulse, that is, Q = W1-M (FIGS. 3 and 4)
11, U: U in FIG. 6, the time required for the pulse width to reach the maximum value from the minimum value in one pulsation. Time from FIG. 4 to FIG.
12, J: J in FIG. 6, the time taken for the pulse width to reach the minimum value from the maximum value in one pulsation. Time from FIG. 3 to FIG.
13, H: (Fig. 6) The tactile pressure was continuously measured through the tactile pressure measuring sensor for 2 minutes at a predetermined position on the sensor, the width value of the pulse processed by the computer was taken as the vertical axis, and the time was taken as the horizontal axis. The value on the vertical axis of the hour. (Example: Pulse width value measured at a position between A and B in FIG. 5)
14, h1, h2, h3... Hx: The maximum value of the section in which the loop function is set and Maxh1, Maxh2, Maxh3,... Calculated in the graph created by the relationship between H and T (time) in FIG.
15, t1, t2, t3... Tn: time of the section maximum value hn in FIG.
16, K: When the height coefficient is 170cm and the person is the standard value K = height / 170 * a16 a16 is a set reference value
17, Y is a numerical value indicating the flexibility of the pulse
Y = Q / P = (W1-M) / (Z-G)
18 and F are pulse expansion kinetic energy that the doctor feels with fingers during vasodilation
F1 is the kinetic energy of pulse expansion per unit area
F = 1/64 * a ( 10) L1π (2W1 (W1 + W2 + W3) + (W2) 2 + (W3) 2 over ^{8M 2) (Q 2) /} U 2
= 1/64 * a (10 ) L1π (2W1 (W1 + W2 + W3) + (W2) 2 + (W3) 2 over 8M ²⁾ (W1 over M) ² / U ²
ー ー ー ー (W2) ² means the square of (W2), and (W1－M) ² means the square of (W1－M).
ー ー ー ー Q ² means Q squared, U ² means U squared.
Since a (10) has little influence on blood density and blood density difference, it is fixed here.
The pulse expansion kinetic energy F1 felt in the unit area is
F1 = 1/16 * a ( 10) (2W1 (W1 + W2 + W3) + (W2) 2 + (W3) 2 over ^{8M 2) (Q 2) /} (U 2 (2W1 + W2 + W3))
= 1/16 * a (10 ) (2W1 (W1 + W2 + W3) + (W2) 2 + (W3) 2 over 8M ²⁾ (W1 over ^{M) 2 / (U 2 (} 2W1 + W2 + W3))
19, E: Weight coefficient

5. Quantification of “position, number, shape, force” in oriental medicine.
1. “Position is shallow and the pulse is floating” at the “rank” in Oriental medicine: G <60 mmhg
2. “Peak is deep and sinking” at “rank” in Oriental medicine: G> 90 mmhg
3. “Pulse is fast” in “Number” in Oriental medicine: C> 90 times / min. 4 “Slow pulse” in “Number” in Oriental medicine: C <60 times / min. "Rhythm of pulse" in "number": t (n + 1) -t (n) / (60 / C) = (t (n + 1) -t (n)) * C / in FIG. 60> 1 + a (51)
Or (t (n + 1) -tn) * C / 60 <1－a (51)
(A (51) is a setting reference value)
6. “Rhythm to stop” in “Number” in Oriental Medicine: When there are two or more t (n + 1) -t (n)> a * 60 / C in FIG.
C / (R + 1) = S (S is a perfect number)
t (s), t (2s) -t (s), t (3s) -t (2s) ... t ((r) s) -t ((r-1) s) Compare.
When the error range is greater than a (60) * 60 / C value, a (60) is the reference value for setting 7, “pulse length” in “shape” in Oriental medicine: the pulse width value W in FIG. Figure 10 is created with L on the vertical axis and the horizontal axis. M is the minimum pulse width
When W2-M> 0 and W3-M> 0 (in the case of Fig. 11), L1 = a (08) * K a (08), K is the set reference value
When W2-M = 0 and W3-M = 0 (in FIG. 11), L1 is set to L1 = L3-L2.
8. “Width” in “Shape” in Oriental Medicine: W1 in Figure 3
9. “Softness of pulse” in “shape” in Oriental medicine: Y = a (90) * Q / P = a (90) * (W1-M) / (Z-G) a (90) is set Reference value, that is, Y = a (90) * (maximum expansion width Q = W1-M) / pulse pressure
The larger the Y value, the better the flexibility and "soft pulse"
The smaller the Y value, the less flexible and the “stiff pulse”
10. “Pulse momentum” in “shape” in oriental medicine: F is the kinetic energy of expansion of the pulse felt by the doctor during finger vein expansion
F1 is the kinetic energy of pulse expansion per unit area
F = 1/64 * a ( 10) L1π (2W1 (W1 + W2 + W3) + (W2) 2 + (W3) 2 over ^{8M 2) (Q 2) /} U 2
= 1/64 * a (10 ) L1π (2W1 (W1 + W2 + W3) + (W2) 2 + (W3) 2 over 8M ²⁾ (W1 over M) ² / U ²
ー ー ー ー (W2) ² means the square of (W2), and (W1－M) ² means the square of (W1－M).
ー ー ー ー Q ² means Q squared, U ² means U squared.
Since a (10) has little influence on blood density and blood density difference, it is fixed here.
The pulse expansion kinetic energy F1 felt in the unit area is
F1 = 1/16 * a ( 10) (2W1 (W1 + W2 + W3) + (W2) 2 + (W3) 2 over ^{8M 2) (Q 2) /} (U 2 (2W1 + W2 + W3))
= 1/16 * a (10 ) (2W1 (W1 + W2 + W3) + (W2) 2 + (W3) 2 over 8M ²⁾ (W1 over ^{M) 2 / (U 2 (} 2W1 + W2 + W3))
The momentum of the pulse has the greatest effect of the expansion width, and then the expansion time and the minimum systolic width also have an effect.
In other words, the longer the pulse is, the longer the pulse is, and the shorter the expansion time is, the stronger the pulse is. On the other hand, the longer the pulse is, the shorter the pulse is, and the longer the expansion is, the longer the pulse is, Is weak. "

6. Quantification of 28 types of pulse images in oriental medicine.
1, buoyancy: It is defined as "I feel immediately when I press lightly, I feel weak when I press it a little, but I still feel it". Here, the meanings of “light” and “strong” are relative to the relative healthy and normal human pulse. Then edema: diastolic blood pressure. G <60 + a (101) mmhg Z> 13 + a (102) mmhg
a (101) and a (102) are age-related coefficients
a (101) and a (102) are coefficients related to age, and are set to different set values depending on the age level, such as 60 years old or older, 59-30 years old, 29-12 years old, 12 years old or younger.

2. Cardiac vein: Because it is defined as “Do not respond lightly but respond heavy,” Cardiac vein: Diastolic blood pressure G> 90 + a (201) mmhg a (201) Age-related coefficient
a (201) is a coefficient related to age, and is set to a different set value depending on the age level, such as 60 years old or older, 59-30 years old, 29-12 years old, 12 years old or younger.

3. Prison: “Pulse position is deep, light or moderate, feels large, hard.” Prison: Diastolic pressure G> 100 + a (301) mmhg a (301) Age Relationship coefficient
a (301) is a coefficient related to age, and is set to a different set value depending on the age level, such as 60 years old or older, 59-30 years old, 29-12 years old, 12 years old or younger.
And L1> a (302) * L1, W1> a (303), Y <a (304) (Y is a numerical value indicating flexibility)
a (302), a (303), a (304) setting reference value

4, Wet vein: “Floating and thin, weak momentum and weak pulsation, disappear when pressed hard”
Wet pulse: Diastolic blood pressure
G <60 + a (401) mmhg, Z <80 + a (402) mmhg W1 <a (404)
F <a (403) a (401), a (402), age-related coefficient
a (403), a (404) setting reference value

5, Proneness: “Strongly pushes muscles and feels to reach bone”
Prosthesis: Diastolic pressure G> 120 + a (501) mmhg a (501) Age-related coefficient

6, Spring: “Floating, scattered, even if you push a little, it disappears, the pulse rate does not match”
Prosthesis: Diastolic blood pressure
G <40mmhg + a (601), Z <60mmhg + a (602)
In FIG. 6, (t (n + 1) -t (n)) * C / 60> 1 + a (603)
Or there are R (t (n + 1) -t (n)) * C / 60 <1-a (604)
Let that number be R, C / (R + 1) = S (S is a complete number),
t (s), t (2s) -t (s), t (3s) -t (2s) ... t (rs) -t (r-1) s 605) * There are two or more than 60 / C values.
a (601), a (602), a (603), a (604) a (605) are reference values for setting)

7, Leather vein: “Floating and hard, empty inside like a drum skin”
Leather vein: floating, diastolic blood pressure G <60 + a (701) mmhg, meaning that the inside is empty means that it does not disappear even if it is strongly pressed P > A (702) mmhg,
It looks like taiko leather, it is not flexible, it is strong, and when pressed, it has strong resistance, so its kinetic energy is not weak.
That is, Y <a (703), F> a (704), Q <a (705) a (701), a (702) Age-related coefficients
a (703), a (704), a (705) are reference values for setting


8, venom: “It ’s floating, it ’s not inside, it ’s like pushing a heel.”
Foramen: Expansion pressure 60
G <60 + a (801) mmhg,
The fact that there is no content means that if you press hard, it will not collapse immediately, so the pulse pressure difference is small P <a (802) mmhg
It's as if you're pushing a heel with a certain width, it's not thin, it's not very flexible, but it's better than a leather vein.
The momentum will be weak.
a (804) <Y <a (803) Q <a (805) F <a (806) W1> a (807)
a (801) and a (802) are age-related coefficients
a (803), a (804), a (805), a (806) a (807) are reference values for setting

9, several pulses: “Fast pulse number, more than five breaths”
Several pulses: more than 90 beats / minute C> 90


10. Slow pulse: “Slow pulse rate, less than 4 breaths”
Slow pulse: 60 / min or less C <60


11, Bradycardia: “Four breaths, weak going away”
Slow pulse: Pulse rate less than 60 times / minute
C <60 F <a (110) a (110) setting reference value


12, Promotional pulse: “There are many pulses, and the rhythm that stops and stops is not even.”
Promotional pulse: More than 90 beats / min.
C> 90
In Fig. 6, there are R ones with t (n + 1) -t (n)> a (121) * 60 / C
(A (121), is a setting reference value),

Let that number be R, R> = 1
C / R = S (S is a complete number),
t (s), t (2s-ts), t (3s) -t (2s) ... t (rs) -t ((r-1) s) (122) * Some values are larger than 60 / C. a (122) is the setting reference value

13. Nodule: “The number of pulses is small, the rhythm that stops by chance and stops is not equal”
Nodule: Pulse rate of 60 times / minute or less Stopping rhythm is not uniform
C <60
In Fig. 6, there are R t (n + 1) -t (n)> a (121) * 60 / C
(A (121), is a setting reference value),
Let that number be R, R> = 1
C / (R + 1) = S (S is a complete number),
t (s), t (2s-ts), t (3s) -t (2s) ... t (rs) -t ((r-1) s) (122) * Some values are larger than 60 / C. a (122) is the setting reference value

14. Progeny: “There are few pulses, the rhythm that stops and even stops is even.”
Prosthetic pulse: Pulse rate is less than 60 times / min.
C <60
In Fig. 6, there are R ones with t (n + 1) -t (n)> a (121) * 60 / C
(A (121), is a setting reference value),
Let that number be R, R> = 1
C / (R + 1) = S (S is a complete number),
t (s), t (2s-ts), t (3s) -t (2s) ... t (rs) -t ((r-1) s) (122) * Nothing greater than 60 / C value. a (122) is the coefficient


15, Pulse: “The number of pulses is quite high, more than 78 breaths”
Pulse: More than 120 pulses / minute C> 120

16, long pulse: "Before and after the pulse is straight, the length of the pulse exceeds the standard"
Long pulse: FIG. 10 is created with the width value W of the pulse in FIG. 3 as the vertical axis and L as the horizontal axis. M is the minimum pulse width
When W2-M> 0, W3-M> 0, W2 / W1> a (161)
If W3 / W1> a (162), it is judged as a long pulse.
a (161) and a (162) are reference values for setting.

17, Short pulse: “Short and short is not long enough”
Short pulse: FIG. 10 is made with the width value W of the pulse in FIG. 3 as the vertical axis and L as the horizontal axis. M is the minimum pulse width
When W2-M = 0 and W3-M = 0 (in FIG. 11), L1 is set to L1 = L3-L2.
When L1 <a (171), it is judged as a short pulse.
a (171) is the setting reference value

18, narrow vein: “The vein is thin like a thread, but it feels clearly on the finger.”
Narrow vein: W1 <a (181) average kinetic energy F1> a (182) in Fig. 3 a (181), a (182) are set reference values


19. Weak pulse: “Soft, thin, sinking”
Weak pulse: Dilation pressure
G> 90 + a (194) W1 <a (191) Average kinetic energy F1 <a (192)
Softness Y> a (193) a (191), a (192), a (193), a (194) are reference values for setting

20, fine pulse: “The number is not clear so that it is very thin, very weak, and does not exist”
Micropulse: W1 <a (201) average kinetic energy value in Fig. 3 F1 <a (202) a (201), a (202) are reference values for reference t (n + 1) -t (n)> in Fig. 6 There are R a (121) * 60 / C or t (n + 1) -t (n) <a (122) * 60 / C
a (121,122) is the setting reference value),
Let that number be R, R> 2
C / (R + 1) = S (S is a complete number),
t (s), t (2s-ts), t (3s) -t (2s) ... t (rs) -t ((r-1) s) (123) * Some values are greater than 60 / C. a (123) is the setting reference value

21. Real pulse: Feeling even if pressed lightly or strongly, powerful real pulse: G <60 + a (211) mmhg, Z> 130 + a (212) mmhg,
Kinetic energy value F> a (213) a (211) and a (212) are age-related coefficients
a (213) Setting reference value

22, Sliding: Going and going fluently, like rolling a pearl, slipping with a finger Sliding: W1, W2> a (221) W1 / W3> a (222) Flexible as shown in Figure 7 Y> a (223)
a (221), a (222), a (223) are reference values for setting

23, Shibuya: Going away is awful and seems to scratch the bamboo with a knife. "
Shibuya: Going away and going is a bit smooth because there are several waves as shown in Fig. 8 instead of smooth from one expansion to contraction. The graph of FIG. 9 is made with the length L on the axis W and the horizontal axis L.
Set Loop Function, calculate Max1, Max2, Max3 ... Max (n) and set the number to T. When T> = 2 or more, it becomes a form of traffic jam.

24, String Pulse: “Smooth and long, feeling like pushing a koto string”
String vein: Because it is straight, the difference between W1, W2, and W3 is small
W2> a (241)% W1 W3> a (242)% W1
The string of the koto is less flexible and has more resistance. Flexibility Y <a (243)
Kinetic energy value F> a (245)
W1 <a (246) not so thick because it looks like a string of koto
a (241), a (242), a (243), a (244), a (245), a (246) are reference setting values

25. Tightness: “It seems to be tense and strong, pulling the rope.”
Tightness: W2> a (251)% W1 W3> a (252)% W1 Thick because it looks like a rope W1> a (253)
Flexibility Y <a (254) Kinetic energy value F> a (255)

a (251), a (252), a (253), a (254), a (255) are reference values for setting

26, Hong-Bang: The pulse is maximal, like a tsunami, coming fast and leaving fast. Hong-Bang: W1> a (261) L1> a (264) F> a (262) J <a )% U a (261), a (262), a (263), a (264) are reference values for setting

27. Arteries: “Unsuccessful like beans, with pulse rate, smooth, vigorous”
Arterial: The shape is as shown in FIG. 11, and FIG. 10 is created with the pulse width value W in FIG. 3 as the vertical axis and L as the horizontal axis. M is the minimum pulse width
W2-M = 0, W3-M = 0 (in the case of FIG. 11). L1 is set to L1 = L3-L2. C> 90 Pulse length L1 <a (171) Momentum F1> a (172) Flexibility Y> a (273)
a (271), a (272), a (273) are reference values for setting

28. Imagination: “When you press it lightly, it ’s powerless, and when you press it hard, it disappears.”
Imaginary veins: G <60 Pulse pressure P <a (281)
Average kinetic energy value F1 <a (282)
a (181) and a (182) are reference values for setting.

The present invention provides an analysis system and method for pulse diagnosis in oriental medicine. By determining the quantitative index by analyzing the computer analysis system for the pulse that is difficult to quantify, the criteria for determining the pulse are matched and artificial diagnostic errors are reduced. Avoid, improve the accuracy of pulse diagnosis, improve the function of pulse diagnosis device, can be combined with Western medicine. In addition, since it is easy to operate and results are expressed in simple terms, there is an advantage that anyone with common sense knowledge of Oriental medicine can operate it, and it can be expected to be portable and popular.

1 is a structural diagram of a pulse diagnosis measurement analysis system in oriental medicine of the present invention. 2 is an image diagram of the pulse measurement measurement analyzer. Fig. 3 Maximum value of vasodilatation; Fig. 4 Width value at the time of maximum blood vessel contraction; Fig. 5 Impression diagram of the portion of the pressure sensor attached to the cuff; Time T of pulse width H measured at the position AB of the pressure sensor in Fig. 6 Graph Fig. 7 Image of smooth vein image; Fig. 8 Shibu vein image diagram; Fig. 9 is a graph with the expanded width value of Fig. 3 on the vertical axis W and the length on the horizontal axis L. FIG. 10 is made with the width value W of the pulse in FIG. 3 as the vertical axis and L as the horizontal axis. M is the minimum pulse width. Figure 11: When W2-M = 0 and W3-M = 0 in Figure 10

1. Structure and embodiment of measurement analyzer The apparatus of the present invention is composed of a blood pressure monitor, a tactile pressure measurement sensor attached to the back of the cuff of the blood pressure monitor, and a computer. The appearance is not much different from a sphygmomanometer. A sheet-type tactile pressure sensor is installed in the cuff of the sphygmomanometer. The sensor is 20mm * 50mm in size, 0.2mm thick, and is a sheet type, so it does not affect the cuff operation. Moreover, it is advantageous to measure and calculate the contact pressure from the uniform pressure of the cuff.

1. First, wrap the cuff of the sphygmomanometer around the wrist and operate the sphygmomanometer to measure the blood pressure. When attaching the cuff, be sure to apply the tactile pressure measurement sensor attached to the cuff to the radial artery expansion site. When the operation button is pressed, the sphygmomanometer operates first to measure blood pressure.
2. When the blood pressure measurement is over and all the air in the cuff has escaped, the air begins to enter again until the diastolic blood pressure + 1 / K pulse pressure (systolic blood pressure-diastolic blood pressure) (K is the set value) .
3. Continue to measure the continuous tactile pressure signal that presses the sensor for 2 minutes when the blood vessel pulsates through the tactile pressure measurement sensor while keeping the air pressure in the cuff at a fixed amount without leaving the cuff air. When the measurement is finished, bleed the cuff and finish. This tactile pressure signal is analyzed through computer software and visualized (FIGS. 3 and 4).
4. The tactile pressure data sent from the tactile pressure measuring sensor is first analyzed by tactile pressure analysis software. C: pulse rate; W1: maximum value in FIG. 3; FIG. 9 graph values, W, t, W2: FIG. And W value at the start point in FIG. 9: W3: W value at the end point in FIG. 3 and FIG. 9; L1: Length of the pulse in FIG. 3; M: Minimum value of the pulse width in FIG. Maximum contraction width, that is, Q = W1-M; U: Time for the pulse width to reach the maximum value from the minimum value in one pulsation. Time from FIG. 4 to FIG. 3; J: Time from the maximum value to the minimum value of the pulse width in one pulsation. Time from FIG. 3 to FIG. 4: H: h1, h2, h3... Hx: Section in which Loop Function is set and Maxh1, Maxh2, Maxh3,. T1, t2, t3... Tn: The time of the section maximum value hn is calculated in FIG.
5. The data obtained from the tactile pressure analysis software and the blood pressure data are calculated by the pulse diagnosis analysis software such as P, Q, Y, F, F1 values. It is compared with the reference values for each person determined by numbers such as age, gender, weight, height, wrist thickness etc. entered in advance, it is judged which pulse image belongs, and the reference result and supporting data are displayed . Watch the pulse image visualized at that time. It is also possible to deposit and compare data each time. (See Figure 1)

1. Apply the pressure sensor of the cuff of the sphygmomanometer to the arterial pulsation part of the wrist, then roll the cuff and press the operation button.
2. Obtain blood pressure data G = 92 mmhg and Z = 120 mmhg by measuring blood pressure.
3. Using a tactile pressure measurement system, L = 25 mm W1 = 3 mm M = 1 T = 3 C = 95 Y = 1/14 U = 1 / 4.25 J = 0.32 F = 13.25 Data is obtained.
4. Results of analysis and classification using blood pressure data and tactile pressure data by pulse diagnosis analysis software. Applicable to veins and fascias. Therefore, the reference conclusion is a stagnation and a promotion.
The whole process is automatically processed until completion by simply rolling the cuff and pressing the start button, except for entering basic information such as the first height, weight, gender, etc.

Since the present invention is easy to operate and the reference results are easy to understand, it can be expected that it will be useful for ordinary people to manage their own health in the medical field. In addition, it can be expected to be used as a means of obtaining test data that can be compared easily and easily by using this device even in specialized fields where surgery is performed using Oriental medicine such as acupuncture and Chinese medicine. Since the present invention has a simple structure and a small amount of data to be processed, it is advantageous for simplification of the machine and cost reduction, and mass production is sufficiently possible.

1, Z: systolic blood pressure, that is, maximum blood pressure value 2, G: diastolic blood pressure, that is, minimum blood pressure value 3, P: pulse pressure, that is, maximum blood pressure value-minimum blood pressure value, P = Z−G
4, C: Pulse rate 5, W1: At the maximum value of diastolic phase in FIG. 3 (maximum systolic value of the heart, that is, at the time of maximum blood pressure), an artery at a temporary point was formed by compressing a tactile pressure sensor. The maximum value of the pulse width of the horizontal cross-sectional view of blood vessel contact pressure obtained by processing the contact pressure data with a computer.
In FIG. 9, the expanded width W is plotted on the ordinate W and the length L is plotted on the abscissa L to produce the graph of FIG.
Set Loop Function, calculate Max1, Max2, Max3 ... and set the number to T.
W1 = Max (W)
6, W2: W value of the starting point in FIGS. 3 and 9
7, W3: W value at the end point in FIGS.
8, L1: length of the pulse. FIG. 10 is made with the width value W of the pulse in FIG. 3 as the vertical axis and L as the horizontal axis. M is the minimum pulse width.
When W2-M> 0, W3-M> 0, L1 = a (08) * K a (08), K is the reference value for setting
When W2-M = 0 and W3-M = 0 (in FIG. 11), L1 is set to L1 = L3-L2.

9, M: A horizontal cross-sectional view of blood vessel pressure measured through a tactile pressure sensor at a temporary point and processed by a computer at the time point of the lowest vasoconstriction in FIG. 4) Minimum value 10 of pulse width, Q: Maximum pulse contraction width, that is, Q = W1-M (FIGS. 3 and 4)
11, U: U value in FIG. 6, the time for the pulse width to reach the maximum value from the minimum value in one pulsation. Time from FIG. 4 to FIG.
12, J: J value in Fig. 6, the time it takes for the pulse width from the maximum value to the minimum value in one pulsation. Time 13 from FIG. 3 to FIG. 4, H: FIG. 6 Pulse width value measured continuously for 2 minutes at a predetermined position on the sensor (example: pulse width value between A and B in FIG. 5).
14, h1, h2, h3... Hx: The maximum value of the section in which the loop function is set and Maxh1, Maxh2, Maxh3,... Calculated in the graph created by the relationship between H and T (time) in FIG.
15, t1, t2, t3... Tn: time of the section maximum value hn in FIG.
16, K: Height coefficient 170cm When a person with a height is used as a reference value K = Height / 170 * a16 a16 coefficient 17, E: Weight coefficient
18, Y is a coefficient indicating the softness of the pulse
Y = a (90) * Q / P = a (90) * (W1-M) / (Z-G) a (90) is a coefficient, that is, Y = a (90) * (maximum pulse expansion width Q = W1 -M) / pulse pressure
The higher the Y value, the softer the pulse,
The smaller the Y value, the harder the pulse
19 and F are pulse kinetic energies that the doctor feels with fingers during vasodilation
F1 is the kinetic energy of pulse expansion per unit area
F = 1/64 * a ( 10) L1π (2W1 (W1 + W2 + W3) + (W2) 2 + (W3) 2 over ^{8M 2) (Q 2) /} U 2
= 1/64 * a (10 ) L1π (2W1 (W1 + W2 + W3) + (W2) 2 + (W3) 2 over 8M ²⁾ (W1 over M) ² / U ²
ー ー ー ー (W2) ² means the square of (W2), and (W1－M) ² means the square of (W1－M).
ー ー ー ー Q ² means Q squared, U ² means U squared.
Since a (10) has little influence on blood density and blood density difference, it is fixed here.
The pulse expansion kinetic energy F1 felt in the unit area is
F1 = 1/16 * a ( 10) (2W1 (W1 + W2 + W3) + (W2) 2 + (W3) 2 over ^{8M 2) (Q 2) /} (U 2 (2W1 + W2 + W3))
= 1/16 * a (10 ) (2W1 (W1 + W2 + W3) + (W2) 2 + (W3) 2 over 8M ²⁾ (W1 over ^{M) 2 / U 2 ((} 2W1 + W2 + W3))
The unit area of F1 has the greatest influence on the expansion of the pulse momentum, and then the expansion time and the minimum systolic width.
That is, the maximum expansion width of the pulse and the minimum width of the systole are large. The longer the pulse is, the shorter the expansion time is, the stronger the pulse is. The shorter the pulse and the longer it takes to expand, the lower the pulse momentum.
20, a (101), a (212), a (132) ... etc. are reference set values or coefficients for calculating the reference set values, and are set by the manufacturer that produces the product of the present invention. And a coefficient for setting the numerical value. In addition, when using analysis software manually, it is a numerical value that can be set by the individual.

Pulse diagnosis is a traditional diagnosis method in oriental medicine, where the middle doctor places the 2nd, 3rd and 4th fingers of his hand against the radial artery pulsation site of the patient's arm and pushes the radial artery with his finger It is possible to judge the position, number, shape, and moment of the patient's pulse by feeling the pulsation of the human body, and to change the plethora and other tongue examinations and abdominal examinations, This is a diagnostic method for judging the situation. The changes in rhythms are classified into 28 types of phenotypes in modern oriental medicine such as roughly chordal, smooth, flat and short. The position, number, shape, and force are the way to judge the image, but in Oriental medicine, “the position is the size of the rise and fall. The number is the slow, the number, the encouragement, the conclusion. It is wide, narrow, thin, coarse, and rigid, and the force is the state of convergence, expansion, contraction, advancement, retreat, and undulation. " However, in conventional pulse examinations, a middle doctor can only make a diagnosis by relying on the delicate touch of a finger, and it is difficult to acquire skills, perform clinically, record, and compare.
In recent years, people who try to create pulse wave patterns using pulse painting technology of Western medicine have come out. There are also devices that connect a pulse wave device such as a multi-channel recording device to a computer and display a pulse wave diagram and an electrocardiogram synchronously. There are also movements to analyze the phenotype by calculating various factors such as the elasticity and peripheral resistance of the arterial wall, the degree of fullness of the blood vessels and the adjustment function of nerves and endocrine, using ultrasonic technology and infrared technology. However, the analysis including these factors is beyond the scope of the oriental medicine's 'pulse diagnosis' which is sensed and judged by the tactile sense of traditional humans in Oriental medicine. In addition, these technologies have drawbacks that cannot be overcome by popularization, such as complicated facilities, high costs, and high operational expertise.
In recent years, with the rapid development of computer technology, sensor materials that can measure and analyze tactile pressure continuously and dynamically have been developed. The development of these technologies and the development of materials made it possible to reduce the weight and simplify the present invention.
However, the method of quantifying the depth of the pulse based on the blood pressure used in the present invention, the method of calculating the pulse rate and rhythm based on the tactile pressure analysis data of the pulse, the flexibility and the kinetic energy of the pulse by calculating the pulse width The present invention is the first method for analyzing the shape and tendency of a pulse, which is a new theory different from the conventional methods, and is a new analysis method.

Claims (3)

An analysis method characterized by analyzing and analyzing the position, number, shape, and position of oriental medicine pulse diagnosis based on blood pressure, pulse rate, and tactile pressure measurement sensor data, and a system and apparatus using the analysis method.
1. In claim 1, "characterized by analyzing the" position "of oriental medicine pulse diagnosis using blood pressure, pulse rate, and tactile pressure sensor data" quantifies the depth of the pulse based on blood pressure data. , Analysis methods for analysis and classification, systems and equipment using the analysis methods.

2. In claim 1, “characteristically analyzing“ number ”of pulse diagnosis of oriental medicine by data of blood pressure, pulse rate and tactile pressure sensor” is based on pulse pressure data of pulse Includes analysis methods that quantify and categorize numbers and pulsation rhythms, and systems and devices that use the analysis methods.

3. In claim 1, “characterizing analyzing“ shape ”of pulse diagnosis of oriental medicine based on blood pressure, pulse rate, and pressure sensor data” means that the pulse width is determined by the pulse pressure data, Includes analysis methods for quantifying and classifying length, expansion width, flexibility, etc., and systems and devices using the analysis methods.
4, 3 and claim 1 "is characterized by analyzing" force "of pulse diagnosis of oriental medicine by data of blood pressure, pulse rate and tactile pressure measurement sensor". An analysis method for quantifying and analyzing and classifying a pulse force by calculating kinetic energy, and a system and apparatus using the analysis method are included. Blood pressure, pulse rate, tactile pressure sensor data, oriental medicine pulse diagnosis buoyancy, stagnation, blunt, jail, wet, dilatation, foramen, several, slow, slow, promotion , Nodule, substitution, leather, weak pulse, real pulse, arteries, long pulse, short pulse, narrow pulse, bradycardia, string pulse, smooth pulse, shivering vein, vagina, arrhythmia, pulse, fine pulse, An analysis method characterized by analyzing arrhythmia, and a system and apparatus using the analysis method.
1. In claim 2, “analyzing buoyancy, stagnation, blunt, jail, wet, dilatation and foramen of oriental medicine based on blood pressure, pulse rate and tactile pressure sensor data. `` Characteristic '' means quantifying the depth of the pulse based on blood pressure data and analyzing and classifying buoyancy, stagnation, bran, jail, wetting, dilation, and pores, and uses that analysis method System and equipment.

2. In claim 2, “Data on blood pressure, pulse rate, and tactile pressure measurement sensors are used to determine the number of pulses in oriental medicine pulse diagnosis, slow pulse, slow pulse, prompt pulse, nodule, substitute pulse, pulse, fine pulse, arrhythmia. `` Characterized by analysis '' means quantifying the number of pulsations and rhythm of pulsation by tactile pressure data of the pulse, several pulse, slow pulse, slow pulse, prompt pulse, nodule, substitute pulse, pulse, An analysis method for analyzing and classifying microarrhythmia and arrhythmia, and a system and apparatus using the analysis method are included.

3. According to claim 2, the blood pressure, pulse rate, and tactile pressure sensor data are used to determine the long pulse, short pulse, narrow pulse, bradycardia, string pulse, smooth pulse, shibu, imaginary pulse It is characterized by analyzing the pulse, wetting pulse, dilation, and foramen "by quantifying the pulse width, length, dilation width, flexibility, etc. from the pulse pressure data. Analysis methods for analyzing and classifying narrow veins, bradycardia, chords, smooth pulses, shibu, venous, sulcus, wetting, dilatation and foramen, and systems and devices using the analysis.
4. In claim 2, “analyze leather pulse, weak pulse, real pulse, artery, wetting pulse, dilatation, foramen, fine pulse of oriental medicine based on blood pressure, pulse rate and tactile pressure sensor data. It is characterized by calculating the kinetic energy of the pulse from the pulse contact pressure data, quantifying the pulse momentum, etc., leather vein, weak pulse, real pulse, artery, wet pulse, dilated pulse, pore An analysis method for analyzing and classifying a pulse and a fine pulse, and a system and apparatus using the analysis method. A system characterized by a structure in which a tactile pressure measurement sensor is attached to a cuff of a sphygmomanometer to measure blood pressure, blood flow, and tactile pressure at the time, and a device using the system

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