Shinohara K, Gilula M F
Goto College of Medical Arts and Science, Tokyo, Japan.
Acupunct Electrother Res. 1989;14(3-4):235-52. doi: 10.3727/036012989816358380.
Application of the arterial pulse analyzer now makes it possible to automatically diagnose such geriatric disorders as arteriosclerosis by using simple electrocardiograms and radial, carotid and posterior tibial artery pressure pulse wave charts. If the arterial pulse analyzer is adopted for use in Oriental medical clinics, there will no longer be a need for manual pulse palpation. In brief, applying the arterial pulse analyzer to the 8 key pulses of Oriental medicine yields the following results: 1) 'Slow' or 'rapid' pulses can be defined by the S-S interval (almost identical to the R-R interval of the ECG). 2) 'Slippery' or 'hesitant' pulses can be defined by the S-P time and the Dh/Ch% (P time & Incisura) ratio. 3) 'Floating' or 'submerged' pulses can be defined by the Ph/Ch% (pressure pulse wave to height) ratio. 4) 'Scattered' or 'moderate' pulses can be defined by the S-C- time (E time). Thus, by employing the arterial pulse analyzer, subjectivity problems inherent in the manual pulse palpation used by Oriental medicine for over 1500 years can be analyzed objectively.
现在,通过使用简单的心电图以及桡动脉、颈动脉和胫后动脉压力脉搏波图表,动脉脉搏分析仪的应用使得自动诊断诸如动脉硬化等老年疾病成为可能。如果在东方医学诊所采用动脉脉搏分析仪,将不再需要人工切脉。简而言之,将动脉脉搏分析仪应用于中医的8个关键脉象会产生以下结果:1)“迟”脉或“数”脉可由S-S间期(几乎与心电图的R-R间期相同)定义。2)“滑”脉或“涩”脉可由S-P时间和Dh/Ch%(P时间与切迹)比值定义。3)“浮”脉或“沉”脉可由Ph/Ch%(压力脉搏波与高度)比值定义。4)“散”脉或“缓”脉可由S-C时间(E时间)定义。因此,通过使用动脉脉搏分析仪,可以客观地分析中医1500多年来一直使用的人工切脉所固有的主观性问题。