FOLLOWUS
Pulse waveform analysis as a bridge between pulse examination in Chinese medicine and cardiology
- Chinese Journal of Integrative Medicine Vol. 19, Issue 4, Pages: 307-314(2013)
- Affiliations：
1. Postgraduation Program of Rehabilitation Science, Augusto Motta University Center, Rio de Janeiro,RJ,Brazil
2. Department of Physical Therapy, Salgado de Oliveira University, Niterói,RJ,Brazil
3. Laboratory of Respiratory Physiology, University of the State of Rio de Janeiro, Rio de Janeiro,RJ,Brazil
- Author bio：
- Funds：
DOI：10.1007/s11655-013-1412-z
CLC：Published：2013，
Published Online：2 April 2013，
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de Sá Ferreira, A., Lopes, A.J. Pulse waveform analysis as a bridge between pulse examination in Chinese medicine and cardiology., Chin. J. Integr. Med. 19, 307–314 (2013). https://doi.org/10.1007/s11655-013-1412-z
Arthur de Sá Ferreira, Agnaldo José Lopes. Pulse waveform analysis as a bridge between pulse examination in Chinese medicine and cardiology. [J]. Chinese Journal of Integrative Medicine 19(4):307-314(2013)
de Sá Ferreira, A., Lopes, A.J. Pulse waveform analysis as a bridge between pulse examination in Chinese medicine and cardiology., Chin. J. Integr. Med. 19, 307–314 (2013). https://doi.org/10.1007/s11655-013-1412-z DOI：
Arthur de Sá Ferreira, Agnaldo José Lopes. Pulse waveform analysis as a bridge between pulse examination in Chinese medicine and cardiology. [J]. Chinese Journal of Integrative Medicine 19(4):307-314(2013) DOI： 10.1007/s11655-013-1412-z.
摘要
Pulse examination was probably the earliest attempt to distinguish between health and illnesses. Starting at the pre-Hippocratic era
Chinese medicine practitioners developed techniques for pulse examination and defined pulse images based on their perceptions of pulse waveforms at the radial artery. Pulse images were described using basic variables (frequency
rhythm
wideness
length
deepness
and qualities) developed under philosophical trends such as Taoism and Confucianism. Recent advances in biomedical instrumentation applied to cardiology opened possibilities to research on pulse examination based on ancient Chinese medical theories: the pulse wave analysis. Although strongly influenced by philosophy
some characteristics used to describe a pulse image are interpretable as parameters obtained by pulse waveform analysis such as pulse wave velocity and augmentation index. Those clinical parameters reflect concepts unique to Chinese medicine — such as yinyang — while are based on wave reflection and resonance theories of fluids mechanics. Major limitations for integration of Chinese and Western pulse examination are related to quantitative description of pulse images and pattern differentiation based on pulse examination. Recent evidence suggests that wave reflection and resonance phenomena may bridge Chinese medicine and cardiology to provide a more evidence-based medical practice.
Abstract
Pulse examination was probably the earliest attempt to distinguish between health and illnesses. Starting at the pre-Hippocratic era
Chinese medicine practitioners developed techniques for pulse examination and defined pulse images based on their perceptions of pulse waveforms at the radial artery. Pulse images were described using basic variables (frequency
rhythm
wideness
length
deepness
and qualities) developed under philosophical trends such as Taoism and Confucianism. Recent advances in biomedical instrumentation applied to cardiology opened possibilities to research on pulse examination based on ancient Chinese medical theories: the pulse wave analysis. Although strongly influenced by philosophy
some characteristics used to describe a pulse image are interpretable as parameters obtained by pulse waveform analysis such as pulse wave velocity and augmentation index. Those clinical parameters reflect concepts unique to Chinese medicine — such as yinyang — while are based on wave reflection and resonance theories of fluids mechanics. Major limitations for integration of Chinese and Western pulse examination are related to quantitative description of pulse images and pattern differentiation based on pulse examination. Recent evidence suggests that wave reflection and resonance phenomena may bridge Chinese medicine and cardiology to provide a more evidence-based medical practice.
关键词
Blood CirculationpalpationdiagnosisChinese Medicinepulse waveform
Keywords
Blood CirculationpalpationdiagnosisChinese Medicinepulse waveform
references
O’Rourke N, Pauca A, Jiang XJ. Pulse Wave Analysis. Br J Clin Pharmacol 2001;51:507–522.
Cheng TO. Hippocrates, cardiology, Confucius and the Yellow Emperor. Int J Cardiol 2001;81:219–233.
Tao L. Achievements of Chinese medicine in the Ch’in (221–207 B.C.) and Han (206 B.C.-219 A.D.) dynasties. Chin Med J 1953;71:380–396.
Wang SH. In: Yang SZ. The pulse classic: a translation of the Mai Jing. Blue Poppy Enterprise, Inc., USA;1997.
Li SZ. In: Flaws B. The Lakeside Master’s study of the pulse: a translation of the Bin Hu Mai Xue Bai Shuo Jie. Blue Poppy Enterprises, Inc.; 1999.
Hsü TC. In: Unschuldt P. Forgotten traditions of ancient Chinese medicine: the I-hsüeh Yüan Liu Lun of 1757 by Hsü Ta-ch’un. Paradigm; 1998.
Wang Q. In: Yuhsin Chung, Herman Oving, Simon Becker, editors. Yi Lin Gai Cuo (correcting the errors in the forest of medicine). Blue Poppy Enterprises, Inc; 2007.
Ghasemzadeh N, Zafari AM. A brief journey into the history of the arterial pulse. Cardiol Res Pract 2011;2011:164832.
Ferreira AS. Advances in Chinese medicine diagnosis: from traditional methods to computational models. In: Kuang HX (Ed.). Recent advances in theories and practice of Chinese medicine, ISBN: 978-953-307-903-5, InTech, 2012.
Hsu E. Tactility and the body in early Chinese medicine. Sci Context 2005;18:7–34.
Zhou Y. The unity of heaven and man versus absolute unlikeness — Kierkegaard, European thinker, contra Chinese philosophy. Hist Eur Ideas 1995;20:195–200.
Lehmann H. A western’s question about traditional Chinese medicine: are the Yinyang concept and the Wuxing concept of equal philosophical and medical rank? J Chin Integr Med 2012;10:237:248.
Kelly R, Hayward C, Avolio A, O’Rourke M. Noninvasive determination of age-related changes in the human arterial pulse. Circulation 1989;80:1652–1659.
Macedo ML, Luminoso D, Savvidou MD, McEniery CM, Nicolaides KH. Maternal wave reflections and arterial stiffness in normal pregnancy as assessed by applanation tonometry. Hypertension 2008;51:1047–1051.
Laurent S, Cockcroft J, Van Bortel L, Boutouyrie P, Gainnattasio C, Hayoz D, et al. Expert consensus document on arterial stiffness: methodological issues and clinical applications. Eur Heart J 2006;27:2588–2605.
Flaws B. The Classic of Difficulties: A Translation of the Nan Jing. 4th ed. Blue Poppy Enterprise, Inc., USA; 2004.
Xue H, Fung YC. What Nei Jing and Mai Jing say about arterial pulse waves and our attempt to illustrate some of their statements. J Biomed Eng 1989;111:88–91.
King E, Cobbin D, Walsh S, Ryan D. The reliable measurement of radial pulse characteristics. Acupunct Med 2002;20:150–159.
Braunwald E. Heart Disease: A Textbook of Cardiovascular Medicine, Saunders Company, 2001.
Shu JJ, Sun Y. Developing classification indices for Chinese pulse diagnosis. Complement Ther Med 2007;15:190–198.
Zhang DY, Zuo WM, Zhang D, Zhang HZ, Li NM. Classification of Pulse Waveforms Using Edit Distance with Real Penalty. EURASIP J Adv Signal Process 2010 2010:303140.
Patterson R, Kaiser D. Heart rate change as a function of age, tidal volume and body position when breathing using voluntary cardiorespiratory synchronization. Physiol Meas 1997;18:183–189.
Hozawa A, Ohkubo T, Kikuya M, Ugajin T, Yamaguchi J, Asayama K, et al. Prognostic Value of Home Heart Rate for Cardiovascular Mortality in the General Population. Am J Hypertent 2004;17:1005–1010.
Yoon YZ, Lee MH, Soh KS. Pulse type classification by varying contact pressure. IEEE Eng Med Biol Mag 2000;19:106–110.
King E, Cobbin D, Ryan D. The reliable measurement of radial pulse: gender differences in pulse profiles. Acupunct Med 2002;20:160–167.
King E, Walsh S, Cobbin D. The testing of classical pulse concepts in Chinese medicine: left- and right-hand pulse strength discrepancy between males and females and its clinical implications. J Altern Compl Med 2006;12:445–450.
Brennan PJ, Greenberg G, Miall WE, Thompson SG. Seasonal variation in arterial blood pressure. Br Med J 1982;285:919–923.
Youn JC, Rim SJ, Park S, Ko YG, Kang SM, Choi D, et al. Arterial stiffness is related to augmented seasonal variation of blood pressure in hypertensive patients. Blood Press 2007;16:375–380.
Chen DN, Clarke J. Analysis of a clinical sign in traditional Chinese medicine using Doppler ultrasound. Australas Radiol 2001;45:452–456.
Lundin M, Wiksten JP, Peräkylä T, Lindfors O, Savolainen H, Skyttä J, et al. Distal pulse palpation: Is it reliable? World J Surg 1999;23:252–255.
World Health Organization. WHO International Standard Terminologies on Traditional Medicine in the Western Pacific Region, 2007.
McCormack LJ, Cauldwell EW, Anson BJ. Brachial and antebrachial arterial patterns: a study of 750 extremities. Surg Gynecol Obstet 1953;96:43–54.
Rodríguez-Baeza A, Nebot J, Ferreira B, Reina F, Pérez J, Sañudo JR, et al. An anatomical study and ontogenetic explanation of 23 cases with variations in the main pattern of the human brachio-antebrachial arteries. J Anat 1995;187:473–479.
Wood SJ, Abrahams PH, Sañudo JR, Ferreira BJ. Bilateral superficial radial artery at the wrist associated with a radial origin of a unilateral median artery. J Anat 1996;189:691–693.
Yokoyama N, Takeshita S, Ochiai M, Koyama Y, Hoshino S, Isshiki T, et al. Anatomic variations of the radial artery in patients undergoing transradial coronary intervention. Catheter Cardiovasc Interv 2000;49:357–362.
Ferreira Ade S. Statistical validation of strategies for Zang-Fu single pattern differentiation. J Chin Integr Med 2008;6:1109–1116.
Ferreira AS. Diagnostic accuracy of pattern differentiation algorithm based on Chinese medicine theory: a stochastic simulation study. Chin Med 2009;4:24.
Sá Ferreira A. Misdiagnosis and undiagnosis due to pattern similarity in Chinese medicine: a stochastic simulation study using pattern differentiation algorithm. Chin Med 2011;6:1.
Quick CM, Young WL, Noordergraaf A. Infinite number of solutions to the hemodynamic inverse problem. Am J Physiol (Heart Circ Physiol) 2001 280:H1472–H1479.
Ferreira AS, Santos MAR, Filho JB, Cordovil I, Souza MN. Determination of radial artery compliance can increase the diagnostic power of pulse wave velocity measurement. Physiol Meas 2004;25:37–50.
Guo R, Wang YQ, Yan HX, Li FF, Yan JJ, Xu ZX, et al. Feature extraction and recognition of traditional Chinese medicine pulse based on hemodynamic principles. J Chin Integr Med 2010;8:742–746.
Luiz AB, Cordovil I, Filho JB, Ferreira AS. Zangfu zheng (patterns) are associated with clinical manifestations of zang shang (target-organ damage) in arterial hypertension. Chin Med 2011;6:23.
Jeon YJ, Kim JU, Lee HJ, Lee J, Ryu HH, Lee YJ, et al. A clinical study of the pulse wave characteristics at the three pulse diagnosis positions of Chon, Gwan and Cheok. Evid Based Compl Altern Med 2011;2011:904056.
Karamanoglu M, Gallagher DE, Avolio AP, O’Rourke MF. Functional origin of reflected pressure waves in a multibranched model of the human arterial system. Am J Physiol 1994;267:H1681–H1688.
Wang YYL, Chang SL, Wu YE, Hsu TL, Wang WK. Resonance: the missing phenomenon in hemodynamics. Circ Res 1991;69:246–249.
Wang WK, Wang YYL. Biomedical engineering basis of traditional Chinese medicine. Med Prog Technol 1992;18:191–197.
Lin Wang YY, Jan MY, Shyu CS, Chiang CA, Wang WK. The natural frequencies of the arterial system and their relation to the heart rate. IEEE Trans Biomed Eng 2004;51:193–195.
Yu GL, Wang YL, Wang WK. Resonance in the kidney system of rats. Am J Physiol 1994;267:H1544–H1548.
Jan MY, Hsiu H, Hsu TL, Wang WK, Wang YYL. The physical conditions of different organs are reflected specifically in the pressure pulse spectrum of the peripheral artery. Cardiovasc Eng 2003;3:21–29.
Wang WK, Hsu TL, Bau JG, Wang-Lin YY. Evaluation of herbal formulas by pulse analysis method. Acta Pharmacol Sin 2003;24:145–151.
Michels NA. Blood supply and anatomy of the upper abdominal organs. Philadelphia: JB Lippincott Co, 1955:1–581.
Kim JU, Jeon YJ, Kim YM, Lee HJ, Kim JY. Novel diagnostic model for the deficient and excess pulse qualities. Evid Based Compl Altern Med 2012;2012:563958.
Hu CS, Chung YF, Yeh CC, Luo CH. Temporal and spatial properties of arterial pulsation measurement using pressure sensor array. Evid Based Compl Altern Med 2012;2012:745127.
Kim JU, Jeon YJ, Lee YJ, Kim KH, Kim JY. Novel diagnostic algorithm for the floating and sunken pulse qualities and its clinical test. Evid Based Compl Altern Med 2012;2012:813427.
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