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The arterial pulse analyzer as a potential replacement for manual pulse palpation in Oriental medicine
1Goto College of Medical Arts and Science, Tokyo, Japan.
Insights
The arterial pulse analyzer offers objective diagnosis of geriatric disorders like arteriosclerosis, replacing subjective manual pulse palpation in Oriental medicine. This technology quantifies traditional pulse characteristics for improved diagnostic accuracy.
Area of Science:
- Cardiology
- Geriatrics
- Traditional Oriental Medicine
Background:
- Traditional Oriental medicine relies on subjective manual pulse palpation for diagnosis.
- Geriatric disorders such as arteriosclerosis require objective diagnostic methods.
- Integrating modern technology with traditional diagnostic techniques can enhance healthcare.
Purpose of the Study:
- To introduce and validate the arterial pulse analyzer for objective diagnosis of geriatric disorders.
- To correlate arterial pulse wave parameters with traditional Oriental medicine pulse qualities.
- To demonstrate the potential of the arterial pulse analyzer in Oriental medical clinics.
Main Methods:
- Utilizing electrocardiograms (ECGs) and pressure pulse wave charts from radial, carotid, and posterior tibial arteries.
- Applying the arterial pulse analyzer to analyze the 8 key pulses of Oriental medicine.
- Quantifying pulse characteristics such as S-S interval, S-P time, Dh/Ch%, and Ph/Ch%.
Main Results:
- 'Slow' or 'rapid' pulses correlate with the S-S interval (similar to ECG's R-R interval).
- 'Slippery' or 'hesitant' pulses are defined by S-P time and Dh/Ch% ratio.
- 'Floating' or 'submerged' pulses are determined by the Ph/Ch% ratio, and 'scattered' or 'moderate' pulses by S-C- time.
Conclusions:
- The arterial pulse analyzer objectively quantifies traditional Oriental medicine pulse qualities, overcoming subjectivity.
- This technology enables automatic diagnosis of geriatric disorders like arteriosclerosis.
- Adoption in Oriental medical clinics can modernize diagnostics and improve patient care.
Abstract:
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.