Bae, Oh, and Kim: A Feasibility Study about Change of Ryodoraku Characteristics Caused by Treadmill Exercise Test

Abstract

Objectives

To interpret the meanings of Ryodoraku data and to use it as diagnosis tool, study on relationship between Ryodoraku and autonomic nervous reaction (ANR) has to be preceded prior to disease studies. This study aims to observe the change of Ryodoraku characteristics with ANR caused by treadmill exercise via a feasibility study.

Methods

The electric current at 24 Ryodoraku points(H1~H6 at left/right wrists and F1~F6 at left/right feet) and vital signs were measured at rest, immediately after the treadmill exercise test, and at later recovery times(10min, 20min, 30min, 60min, 120min after the exercise test). The calculated Ryodoraku scores (RSs) were analyzed using repeated ANOVA test.

Results

The RSs in the wrist Ryodoraku points were significantly increased immediately after the exercise (p<.05) and at 10min recovery time (p<.01), and no significant differences were found during the rest of the experimental sets. To the contrary, the RSs in the feet Ryodoraku points showed less difference throughout all the measurement time.

Conclusions

The Ryodoraku characteristics change more sensitively in the wrists than in the feet in accordance with the previously reported sweat gland responses of the treadmill exercise. This is the first feasibility study to observe the change of Ryodoraku characteristics caused by treadmill exercise, and it shows the Ryodoraku characteristics are in accordance with known ANS responses.

Fig. 1
Experimental procedure
jkm-38-3-1f1.gif
Fig. 2
Change of Rydoraku values(RV) with the experimental procedure; (a) RV in the left wrist, (b) RV in the right wrist, (c) RV in the left foot and (d) RV in the right foot.
jkm-38-3-1f2.gif
Fig. 3
Change of Ryodoraku scores(RS) with the experimental procedure; (a) RS, (b) RS in the wrists Ryodoraku points, and (c) RS in the feet Ryodoraku points.
jkm-38-3-1f3.gif
Fig. 4
Mean differences and 95% confidence interval of the difference; (a) RS, (b) RS in the wrists Ryodoraku points, and (c) RS in the feet Ryodoraku points with a Bonferroni correction; Differences from base line (D1: 2set-1set, D2: 3set-1set, D3: 4set-1set, D4: 5set-1set, D5: 6set-1set, D6: 7set-1set) were calculated; The mean difference is significant at the .05(*) and .01(**) level
jkm-38-3-1f4.gif
Table 1
Measurement Points of Ryodoraku
Ryodoraku points 12 meridians vessels Abbreviation
Taeyeon Lung meridian H1
Daereung Pericardium meridian H2
Shinmun Heart meridian H3

Yanggok Small meridian H4
Yangji Triple Energizer meridian H5
Yanggye Large Intestine meridian H6

Taebaek Spleen meridian F1
Taechung Liver meridian F2
Taegye Kidney meridian F3

Sokgol Bladder meridian F4
Guheo Gall bladder meridian F5
Chungyang Stomach meridian F6
Table 2
Coefficient of Variation (CV) with the Seven Sequential Experimental Sets according to Subjects
Parameter Subject 1st set CV(%) 2nd set CV(%) 3rd set CV(%) 4th set CV(%) 5th set CV(%) 6th set CV(%) 7th set CV(%) Average CV(%) Total CV(%)
RS in the wrists Sub.1 17.8 1.8 18.9 6.8 2.9 4.4 7.9 8.6 8.3
Sub.2 12.3 7.4 12.8 9.5 5.6 15.4 13.1 10.9
Sub.3 4.7 14.3 8.7 20.9 18.7 1.7 6.4 10.8
Sub.4 4.5 1.9 4.0 1.4 2.4 13.2 7.6 5.0
Sub.5 12.2 5.1 2.8 5.9 5.9 13.3 6.4 7.4
Sub.6 3.3 13.6 4.3 8.7 4.7 8.9 13.1 8.1
Sub.7 14.6 15.2 4.5 8.6 12.4 10.1 5.7 10.2
Sub.8 10.8 1.2 5.7 3.2 3.1 3.5 13.2 5.8
RS in the feet Sub.1 17.8 2.4 11.9 5.4 5.1 14.8 10.6 9.7 7.5
Sub.2 13.7 9.3 9.3 7.3 18.3 14.4 7.3 11.4
Sub.3 6.8 5.5 3.0 13.5 9.2 8.9 8.7 7.9
Sub.4 6.4 7.9 1.7 3.9 1.4 12.0 11.8 6.4
Sub.5 12.2 4.3 2.0 2.5 2.9 12.4 7.7 6.3
Sub.6 5.5 1.8 1.8 2.8 5.0 8.1 17.7 6.1
Sub.7 10.1 13.2 2.9 9.1 5.4 14.0 4.4 8.5
Sub.8 1.7 2.2 4.0 2.1 7.8 5.5 4.0 3.9
Table 3
Ryodoraku Value and Vital Sign with the Seven Sequential Experimental Sets (Mean±SD)
Sequence Parameters 1st set 2nd set 3rd set 4th set 5th set 6th set 7th set
H1(μA) 55.2±8.5 82.7±7.6 72.7±10.2 67.1±10.7 72.1±8.5 49.2±6.3 47.5±6.7
H2(μA) 44.4±10.0 66.8±9.0 53.3±11.0 48.7±10.1 51.8±11.3 36.2±7.3 36.0±7.9
H3(μA) 38.0±8.6 64.7±10.6 54.2±11.3 52.8±10.0 50.9±11.1 37.8±9.4 35.1±11.4
H4(μA) 42.4±9.9 85.5±7.7 74.8±10.9 65.2±8.9 60.4±8.4 48.4±13.5 43.8±17.1
H5(μA) 57.5±11.1 96.4±9.3 90.0±7.7 81.6±9.7 79.5±11.3 61.1±11.2 62.3±12.5
H6(μA) 55.7±11.8 94.0±10.1 85.1±9.7 75.1±12.3 72.9±10.0 52.9±13.7 53.4±15.4
F1(μA) 52.6±9.2 56.2±9.9 56.2±10.3 57.5±8.6 58.9±9.6 48.6±9.5 48.5±7.2
F2(μA) 63.0±14.2 77.9±12.8 74.5±7.6 70.3±10.7 72.1±13.4 54.0±13.2 49.0±10.2
F3(μA) 64.6±13.6 81.1±13.3 82.8±10.7 82.0±12.5 85.8±12.6 68.3±14.0 66.2±17.6
F4(μA) 43.4±8.8 44.5±8.9 43.4±7.5 46.3±6.0 49.6±7.5 41.2±7.7 40.2±8.6
F5(μA) 48.5±12.2 65.1±12.6 66.1±12.0 62.1±11.0 61.3±8.5 47.4±13.0 45.5±11.8
F6(μA) 59.0±14.3 71.3±11.3 68.8±11.2 69.5±11.0 63.0±9.9 50.3±11.6 52.2±13.9
Systolic pressure (mmHg) 122.2±17.7 125.6±16.8 125.5±15.1 122.5±14.5 118.6±12.8 122.8±13.3 125.5±14.1
Diastolic pressure (mmHg) 79.0±16.5 78.5±18.2 79.3±12.7 78.2±15.7 77.8±18.1 81.8±15.7 82.5±13.4
Pulse rate (beats/min) 78.8±12.2 107.0±11.9 101.7±12.0 97.0±8.8 92.3±15.4 92.8±14.5 80.6±13.2

참고문헌

1 Nakatani Y. Skin electric resistance and ryodoraku. J Autonomic Nerve. 1956; 6:52


2 The colleges of Korean medicine in Korea. Biofunctional medicine. Seoul: Goonja Publisher;2008. p. 132–44.


3 Park YB. The principle of Ryodoraku and clinical utilization. The third medicine. 1996; 1:2. 83–94.


4 Noh SH, Kim KH, Yoon YJ, Yang GY, Kim JK, LEE BR, et al. Ryodoraku application for diagnosis : a review of Korean literature. Korean J Acupunct. 2011; 28:4. 125–35.


5 Schmidt J, Sparenberg C, Fraunhofer S, Zim-gibl H. Symphathetic nervous system activity during laparoscopic and needlescopic cholecystectomy. Surg Endosc. 2002; 16:476–80.
crossref

6 Joo BJ, Lim SM, Kim HJ, Lee DN. The clinical study on yangdorak change of menstrual phase, follicular phase and luteal phase with 14 nurses in 20’s. J Orient Obstet Gynecol. 2003; 16:2. 242–53.


7 Sancier KM. Electrodermal measurements for monitoring the effects of a Qigong Workshop. J Altern Complement Med. 2003; 9:2. 235–41.
crossref

8 Kotokimiya. Eastern and Western medicine of Ryodoraku. Seoul: Goonja Publisher;2009. p. 355


9 Kim JH, Jung SK, Jung HJ. A study on sympathetic activity by average Ryodoraku score in patients with hyperhidrosis. J Oriental Internal Medicine. 2010; 31:1. 118–127.


10 Oh SJ, Park YJ, Park YB. Studies on the characteristics of the Yin-Yang, Heat-Cold by the Yangdorak patterns. J Korea Instit Orient Med Diagn. 2003; 8:1. 86–108.


11 Bang JK, Park YC, Lee SH, Chang DI, Lee YH. The study on the characteristics of Yangdorak in the patients with idiopathic parkinson’s disease. The Acupuncture. 2006; 23:6. 153–64.


12 Hwang JH, Jung SY, Jung SK. The diagnostic values of Ryodoraku and pulse analysis for respiratory disease patients. Korean J Orient Int Med. 2007; 28:3. 560–9.


13 Kim ES, Lee JM, Lee CH, Cho JH, Jang JB, Lee KS. A study on characters of Yangdorak in climacteric women. J Orient Obstet Gynecol. 2008; 21:4. 159–68.
crossref

14 Kim KS, Chung SH, Kim SS, Lee JS. The study on the characteristics of Ryodoraku score in the chronic low back pain patients. J Korean Med Rehab. 2009; 19:1. 145–54.


15 Kim WH, Kim JW. A study on Bian Zheng analysis of Bi Wi disease patient by Yangdorak diagnosis system. J Dong-Eui Orient Med. 2000; 33:127–46.


16 Moon YH, Bae HS, Moon SK, Ko CN, Kim YS, Cho KH, et al. Clinical investigation about the interrelationship between differentiation of syndroms and numerical value of measurement (Yang-do-rack diagnosis) in acute stroke patients. Korean J Orient Int Med. 1998; 19:2. 28–36.


17 Oh MJ, Shim YS, Song HS. Sasang constitutional diagnosis by portable Ryodoraku device: comparative study with QSCC II questionnaire. The Acupuncture. 2013; 30:4. 161–7.
crossref

18 Kim KT, Kim DH, Park YJ, Kim JK, Park YB. A review study on Rydoraku study trend. J Korea Instit Orient Med Diagn. 2005; 9:1. 69–83.


19 Lee CW, Song MH, Yang SJ, Kwon JN. Review study on ryodoraku diagnosis study methods. J Korean Orient Med. 2014; 35:3. 1–14.
crossref

20 Lee SK, Kim EK, Kim SH. The effect of treadmill exercise in water on autonomic nervous system. KSSLS. 2005; 25:393–406.


21 Yun SJ, Pack SH. The effect of treadmill exercise and treadmill exercise with sports massage on the change of serum lipids and autonomic nerve system of the overweight female college student. J Korean Soc Living Environ Sys. 2013; 20:5. 587–96.


22 Lee JS, Kim CG. Blood levels of oxidatie stress, antioxidant, and metabolic variables at two exercise intensiies on an acute treadmill graded exercise. KJSS. 2014; 23:4. 1045–56.


23 Oh SD, Cho PS. Effect of treadmill exercise on depressive and neurotransmitters in college women with depressive symptoms. KSSLS. 2012; 50:923–34.


24 Bae JJ, Kang KH, Kim SA. The difference of respiratory variable on GXT between aqua and land treadmill exercise. JCD. 2006; 8:3. 297–306.


25 Textbook Compilation Committee of the Korea Acupuncture & Moxibustion Medicine Society. The Acupuncture and Moxibustion. Gyeonggido: Jipmoondang;2008. p. 596


26 Lee JI, Ko SC, Song HS. A clinical study on the repeatability and reproducibility of portable Ryodoraku device. The Acupuncture. 2013; 30:3. 135–40.
crossref

27 Lee JI, Hur KY, Song HS. Influence of dyspepsia dependent Ryodoraku score upon ‘Soeum person’ diagnosed by portable Ryodoraku device. The Acupuncture. 2013; 30:5. 77–86.
crossref

28 Bruce RA, Kusumi F, Hosmer D. Maximal oxygen intake and mono graphic assessment of functional aerobic impaiment in cardiovascular disease. Am Heart J. 1973; 85:4. 546–62.
crossref

29 Robert JS, Myrvin HE. National survey of exercise stress testing facilities. Chest. 1980; 77:1. 94–7.
crossref

30 American College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. Philadelphia: Lippincott Williams & Wilkins;2013. p. 123–6.


31 Moliterno DJ, Willard JE, Lange RA, Negus BH, Boehrer JD, Glamann DB, et al. Coronary -artery vasoconstriction induced by cocaine, cigarette smoking, or both. N Engl J Med. 1994; 330:454–59.
crossref

32 Cha JH, Kim YB, Shin YJ, Kim JM. A clinical study on the repeatability and reproducibility of Ryodoraku score. J Korean Oriental Med. 2009; 30:1. 76–82.


33 Centore P. The coefficient of variation as a measure of spectrophotometric repeatability. Color research and application. 2016; 41:6. 571–79.
crossref

34 Kim KJ. Study on clinical establish direction for oriental medicine diagnosis methods. J Physiol & Pathol Korean Med. 2006; 20:1. 245–56.


35 Kyung Hee Univ. Academic Division. A practical approach to traditional Korean medicine diagnosis. Seoul: Iljoongsa;1997. p. 201


36 Payne A, Dawson M, Schell A, Singh K, Courtney C. Can you give me a hand? A comparison of hands and feet as optimal anatomical sites for skin conductance recording. Psychophysiology. 2013; 50:1065–9.
crossref

37 Taylor N, Machado-Moreira C, Heuvel A, Caldwell J. Hands and feet: physiological insulators, radiators and evaporators. Eur J Appl Physiol. 2014; 114:2037–60.
crossref

38 Yoon SH. An association of Kyung-Rak principle and autonomic nerve theory related with Ryodoraku of patients with gastric dysmotility and gastric ulcer. Korean J Orient Int Med. 2010; 31:4. 837–45.


39 Yoon SH. Sympathetic nerve function to electrical response of ryodoraku point and disarrangement of its meridian location on the anatomical viscera exclude the association bet ween ryodoraku theory and meridian principle. Korean J Orient Int Med. 2011; 32:2. 259–77.


TOOLS
PDF Links  PDF Links
Full text via DOI  Full text via DOI
PubReader  PubReader
Download Citation  Download Citation
Supplement  Supplement
  E-Mail
Share:      
METRICS
0
Crossref
50
View
9
Download
Editorial office contact information
3F, #26-27 Gayang-dong, Gangseo-gu Seoul, 157-200 Seoul, Korea
The Society of Korean Medicine
Tel : +82-2-2658-3614   Fax : +82-2-2658-3631   E-mail : skom1953@daum.net
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
powerd by m2community