A Research of characteristics of left/right pulse wave and blood vessel using Korean medicine pulse diagnosis

Article information

J Korean Med. 2014;35(3):155-165

Publication date (electronic) : 2014 September 30

doi : https://doi.org/10.13048/jkm.14038

JinHo Kang ¹, Han-Byul Lee ¹, Ki-Wang Kim ², Jung-Nam Kwon ³, Byung-Ryul Lee ⁴^,

¹School of Korean Medicine, Pusan National University

²Division of Applied Medicine, School of Korean Medicine, Pusan National University

³Department of Internal Medicine, Korean Medicine Hospital, Pusan National University

⁴Department of Acupuncture & Moxibustion Medicine, Korean Medicine Hospital, Pusan National University

Correspondence to : 이병렬(Byung-Ryul Lee) 경남 양산시 물금읍 범어리 부산대학교 한방병원 Tel : +82-55-360-5964, Fax : +82-51-510-8420, E-mail : kolbr@naver.com

Received 2014 August 13; Revised 2014 September 23; Accepted 2014 September 23.

Abstract

Objectives:

The pulse diagnosis to identify the symptoms has been considered important in Korean medicine. The position and character of disease would be confirmed by pulse diagnosis of left and right radial artery. This paper is to analyze the characteristics and differences of left and right blood vessels.

Methods:

In this study, left and right radial artery and dorsalis pedis artery was measured and analyzed by using condenser typed pulse analyzer. Commercially available pulse analyzer was used to measure the radial artery. The pulse wave was measured in 20 laboratory healthy men and women. The blood vessel aging degree and index of augmentation of blood vessel was obtained from the measured pulse wave graph and the characteristics and differences of the left and right blood vessel was analyzed.

Results:

The significant difference of pulse transit time between the right handed and non-right handed was not found. The correlation of radial artery and dorsalis pedis artery had no significant difference. By obtaining the blood vessel aging index (AGI) and augmentation index (AI) of blood vessel at the left and right radial artery, the significant difference between right handed and non-right handed was not found.

Conclusions:

The result of this study would help to explain the characteristic of blood vessel with respect to the left and right handed. We suggest that research of pulse wave of the left and right blood vessel using pulse analyzer should be needed in further study.

Keywords: pulse analyzer; pulse wave; pulse diagnosis

Fig. 1.

Measurement procedure of the experiment

Fig. 2.

Simultaneous measurement of two arterial pulse signals at gwan region of both right and left hand by using pulse diagnosis of condenser microphone.

Fig. 3.

(a) The parameter of the pressure pulse wave graph (b) The velocity pulse wave (primary derivative) (c) The acceleration pulse wave (second derivative)

Fig. 4.

The various acceleration pluse wave types. Younger people are toward (a) type and older people are toward (g) type.

Fig. 5.

Pulse transit time at left/right radial artery and dorsalis pedis artery

Table 1.

Age and Gender Distribution of the Experiment

Table 2.

Comparision of Right Handed and Non-Right Handed of the PTT and Radial Artery and Dorsalis Pedis Artery

Table 3.

Comparision of PTT between Radial Artery and Dorsalis Pedis Artery

Table 4.

Comparision of Right Handed and Non-Right Handed of the AGI and AI

Table 5.

Comparision of Right Handed and Non-Right Handed of Systole and Diastole Time

References

1. Kim KW, Byeon JH. 3rd edth ed. Pusan National University School of Korean Medicine Division of Applied Medicine 2012. p. 32–33.

2. Korea Association of College of Korean Medicine Division of Biofunctional Medicine. Biofunctional Medicine Seoul: Koonja; 2008. p. 49–80.

3. Kim GC, Kang HJ. Research Method of Pulse Diagnosis Medicine: Modern Scientific approach of Traditional Korean Medicine’s Pulse Diagnosis. Daeyomedi 2008;:66–86.

4. Yoo GD, Hwang SG, Lee SS. Comparison of Simultaneously Measured Pulse Waveforms from Both Hands using Permanent Magnet-Hall Pulsimeter Sensor. J of the Korean Magnetics Society 2012;22(1):27–31.

5. Lee YJ, Woo YJ, Lee HJ, Jeon YJ, Kim JY. A Study for Oriental Medicine Pulse Diagnosis of Pulse Wave Analysis on Left/Right Blood Vessel. Proc of the KIEE Spring Conference 2009;:1968–1969.

6. Kim HH, Lee J, Kim KW, Kim JY. Proposal for Pulse Diagnosis Positions (Chon-Kwan-Chuk) for Pulse Analyzer Based on Literature Review and Anthropometry. J of Korean Oriental Med 2007;28(3):13–22.

7. Sano Y, Kataoka Y, Ikuyama T, Wada M, Imano H. Evaluation of Peripheral Circulation with Accelerated Plethysmography and Its Practical Applications Report 2 Quantification of Inflection Points of a Waveform. Bulletin of the Physical Fitness Research Institute 1988;68:17–25.

8. Lee YJ, Lee J, Kim JY. Suggestion on an Innovative Pulse Diagnosis System based on Technical Trend Analysis. Korean J of Oriental Physiology & Pathology 2009;23(1):174–179.

9. O’Rourke MF, Pauca AL, Jiang XJ. Pulse Wave Analysis. J Clin Pharmacol 2001;51(6):507–522.

10. Mahmood SS, Levy D, Vasan RS, Wang TJ. The Framingham Heart Study and the epidemiology of cardiovascular disease: a historical perspective. The Lancet 2013;383(9921):999–1008.

11. Burke JH, Goldberger JJ, Ehlert FA, Kruse JT, Parker MA, Kadish AH. Gender Differences in Heart Rate before and after Autonomic Blockade: Evidence against an Intrinsic Gender Effect. The American J of Medicine 1996;100(5):537–543.

12. Liu K, Ballew C, Jacobs DR Jr, Sidney S, Savage PJ, Dyer A, et al. Ethnic Differences in Blood Pressure, Pulse Rate, and Related Characteristics in Young Adults. The CARDIA study. Hypertension 1989;14(2):218–226.

13. Lee NB, Im JJ, Park YB, Jeon YJ. Development of a Pulse Wave Velocity Measurement System and Assessment of the System Reproducibility for the Diagnosis of Arteriosclerosis. The J of the Korea Institute of Oriental Medical Diagnostics 2005;9(1):112–124.

14. Im EY, Lee JW, Chang WS, Baek KM, Cheon WH, Chung IK. A Study on the Correlation of Atherosclerosis Risk Factor and Pulse Wave Velocity(PWV) of Carotid-Femoral Artery With Sasang Constitution. J of Korean Oriental Internal Med 2010;31(3):467–476.

15. Lee SW, Kim KT, Shin SM, Byun SH, Ko H. Analysis of Atherosclerosis in Patients with Acute Ischemic Stroke. Semyung Univ Institute of Oriental Medicine 2007;10:85–97.

16. Kim GC, Lee JW, Ryu KH, Kang HJ. Study on the Character of the Old Aged Pulsation. The J of the Korea Institute of Oriental Medical Diagnostics 2008;12(2):1–7.

17. Nam TH, Park YJ, Park YB. Gender-Related Differences in the Second Derivative of Photoplethysmogram Waveforms in the Fourth Decade. J of Korean Oriental Med 2002;23(3):1–10.

18. Kohara K, Tabara Y, Oshiumi A, Miyawaki Y, Kobayashi T, Miki T. Radial Augmentation Index: A useful and Easily Obtainable Parameter for Vascular Aging. American J of Hypertension 2005;18(1):11S–14S.

19. Song MS, Park HS, Kim OY, Kim BS, Yang DH, Choi CH. Relationship of Inyoung-Chongu Pulse, BMI and Sasang Constitution Using Pulse Diagnosis Device. Korean J of Oriental Physiology & Pathology 2011;25(2):339–344.

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