ABSTRACT
The aim of this report is to propose standard pulse taking procedure of Traditional Chinese Medicine Pulse Diagnosis. In order to acquire full information from taking a wrist pulse, this proposal adopts a tactile sensor with 12 sensing points at one sensing position, such as Cun, Guan, or Chi. Simultaneously Palpation (SP) and Pressing with One Finger (PWOF) are adopted to explore their differences of the detected pulse signals. According to vertical dynamic characteristics, the results of a Pearson product moment reveal that the correlation coefficients of PWOF and SP are highly correlated from Fu to Chen. In addition, according to unique characteristics of body state, the results of a paired samples t test reveal that the SP and PWOF are indifferent at a specific pulse taking depth. Hence, if using the pulse-taking instrument with tactile sensors, it is concluded that pulse signals taken by familiar SP and PWOF methods are shown in statistical indifferences among seven parameters (Vppmean,Vppmax, HR, LENGTH, WIDTH, AS, and DS).
Subject(s)
Medicine, Chinese Traditional/methods , Medicine, Chinese Traditional/standards , Pulse , Signal Processing, Computer-Assisted , Adult , Algorithms , Automation , Biosensing Techniques , Equipment Design , Fingers , Humans , Male , Touch , Wrist , Young AdultABSTRACT
BACKGROUND: A stringlike pulse is highly related to hypertension, and many classification approaches have been proposed in which the differentiation pulse wave (dPW) can effectively classify the stringlike pulse indicating hypertension. Unfortunately, the dPW method cannot distinguish the spring stringlike pulse from the stringlike pulse so labeled by physicians in clinics. DESIGN: By using a Bi-Sensing Pulse Diagnosis Instrument (BSPDI), this study proposed a novel Plain Pulse Wave (PPW) to classify a stringlike pulse based on an array of pulse signals, mimicking a Traditional Chinese Medicine physician's finger-reading skill. RESULTS: In comparison to PPWs at different pulse taking positions, phase delay Δθand correlation coefficient r can be elucidated as the quantification parameters of stringlike pulse. As a result, the recognition rates of a hypertensive stringlike pulse, spring stringlike pulse, and non-stringlike pulse are 100%, 100%, 77% for PPW and 70%, 0%, 59% for dPW, respectively. CONCLUSIONS: Integrating dPW and PPW can unify the classification of stringlike pulse including hypertensive stringlike pulse and spring stringlike pulse. Hence, the proposed novel method, PPW, enhances quantification of stringlike pulse.
Subject(s)
Diagnosis, Differential , Hypertension/diagnosis , Pulsatile Flow , Pulse , Adolescent , Adult , Humans , Hypertension/physiopathology , Medicine, Chinese Traditional , Middle Aged , Young AdultABSTRACT
Conventionally, a pulse taking platform is based on a single sensor, which initiates a feasible method of quantitative pulse diagnosis. The aim of this paper is to implement a pulse taking platform with a tactile array sensor. Three-dimensional wrist pulse signals are constructed, and the length, width, ascending slope, and descending slope are defined following the surface of the wrist pulse. And the pressure waveform of the wrist pulse obtained through proposed pulse-taking platform has the same performance as the single sensor. Finally, the results of a paired samples t-test reveal that the repeatability of the proposal platform is consistent with clinical experience. On the other hand, the results of ANOVA indicate that differences exist among different pulse taking depths, and this result is consistent with clinical experience in traditional Chinese medicine pulse diagnosis (TCMPD). Hence, the proposed pulse taking platform with an array sensor is feasible for quantification in TCMPD.
