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Pulse waveform analysis as a bridge between pulse examination in Chinese medicine and cardiology
Pulse waveform analysis as a bridge between pulse examination in Chinese medicine and cardiology
- 中国结合医学杂志（英文版） 2013年19卷第4期 页码：307-314
- 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
中图分类号：纸质出版日期：2013，
网络出版日期：2013-4-2，
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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, 2013,19(4):307-314.
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, 2013,19(4):307-314. 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
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