寸口脈診操作之預壓與位移研究;A study of preload pressure and displacement of the pulse area in tsun-kou with standardized operation protocol

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Title:	寸口脈診操作之預壓與位移研究;A study of preload pressure and displacement of the pulse area in tsun-kou with standardized operation protocol
Authors:	蔡運寧;Yun-Ning Tsai
Contributors:	中國醫藥大學：中國醫學研究所碩士班
Keywords:	脈診操作;預壓;位移;脈位;浮取上界;沈取下界;standardized operating protocol;preload;displacement;pulse area
Date:	2006-06-30
Issue Date:	2009-08-10 16:01:27 (UTC+8)
Abstract:	脈診在教學、臨床與研究上，均面臨缺乏標準的難題，因此本研究嘗試從脈位著手，建立客觀的診脈操作手法；並配合儀器量測，尋找適當取脈預壓與位移，以助脈診儀器研發並供後續教研應用。實驗記錄六十八位健康受試者，依照體位分為四組，由一醫師施行客觀的操作手法，配合脈診預壓位移測量儀，量取受試者雙手寸關尺三部脈位之浮取上界與沈取下界的預壓與位移值。以描述性統計說明脈位上下界之預壓範圍與間距，並以無母數檢定分析性別體位等變數與預壓及位移的關係。本研究結果顯示，脈位上界預壓範圍為0~11.82 mmHg，脈位下界預壓範圍為0.37~199.77 mmHg，脈位上下界預壓總範圍為0～199.77 mmHg；脈位上下界總間距為10.27 mm；性別差異與預壓有關，但與位移較無關；獨立性別後，女性體位不同與預壓有關但與位移較無關，而男性體位不同與位移有關但與預壓較無關。本研究並建構了明確的基值量測模式，可供定義其它脈象參考；亦可提供後續儀器研發上預壓與位移設定的依據。 Pulse diagnosis had faced a serious problem which was no objective standard in education, clinical and research fields. We tried to establish standardized operating protocol of pulse diagnosis to set up a preload-displacement database with help of a measuring device to provide the basis of development in sphygmograph and the application in clinic and education. We divided 68 healthy individuals into four groups according to their body mass index (BMI). With the preload-displacement measuring device, a doctor took the pulse by a standardized operating protocol and recorded the preload and displacement of the upper and lower border in tsun, guan and chi of the pulse area. Also, we analyzed the effect of gender and BMI in preload and displacement. The result showed that the preload pressure of the upper border ranged from 0 to 11.82 mmHg, and 0.37 to 199.77 mmHg in lower border. The maximum displacement between the upper and lower border was 10.27 mm. Both gender and body mass index were statistically related to preload rather than displacement. We also established a definite model for measuring the most important two parameters in pulse diagnosis, and the model could be used to define the pulse conditions. Moreover, the database would provide a fundamental basis for further research and device development in pulse diagnosis in the future.
Appears in Collections:	[Graduate Institute of Chinese Medical Science] Theses & dissertations

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