토노메트리 측정 관점에서의 부침맥 고찰 (Review on Floating Pulse and Sinking Pulse in the View Point of Tonometric Measurement)

서지정보

· 발행기관 : 한국한의학연구원
· 수록지 정보 : 한국한의학연구원논문집 / 14권 / 2호 / 113 ~ 119페이지
· 저자명 : 이전, 김종열, 이유정, 유현희, 이혜정

초록

In pulse diagnosis, floating pulse and sinking pulse are frequently used for diagnosis about where disease is
located and how much severe they are. However, in what mechanism floating pulse and sinking pulse arise is
not known well. There are two point of views on substantial of floating pulse and sinking pulse. The first one
is the floating and sinking degrees is the expression on the depth of pulsation. And, the second one is floating
and sinking pulse is based on the response of pulsation to the indent pressure on radial artery. In this paper,
we discussed these two opinions in the view point of tonometric measurement. The process for diagnosis on floating
pulse and sinking pulse is similar to the tonometric measurement for non invasive blood pressure or intraocular
pressure. We modelled the degrees of depth of pulsation with different indent pressures for initial pulsation feeling
and different slopes of indent pressure lines. From this modelling, we can confirm the effect of pulsation depth
on P-H curve, that is, in the model where lower pulsation is assumed, the shift of optimal indent pressure to
the right was observed. The response of pulse pressure to the indent pressure was tried to be modelled with
the degrees of mean blood pressure. Consequently, we tried to model the phenomenon of floating and sinking
pulse for the first. And, from this modelling, we can get abundant understanding on how floating and sinking pulse
can be caused. In the further study, we want to prove the suitability of this tonometric measurement based modelling
with various studies including ultrasound measurement for the depth of pulsation in different BMI subjects.

영어초록

In pulse diagnosis, floating pulse and sinking pulse are frequently used for diagnosis about where disease is
located and how much severe they are. However, in what mechanism floating pulse and sinking pulse arise is
not known well. There are two point of views on substantial of floating pulse and sinking pulse. The first one
is the floating and sinking degrees is the expression on the depth of pulsation. And, the second one is floating
and sinking pulse is based on the response of pulsation to the indent pressure on radial artery. In this paper,
we discussed these two opinions in the view point of tonometric measurement. The process for diagnosis on floating
pulse and sinking pulse is similar to the tonometric measurement for non invasive blood pressure or intraocular
pressure. We modelled the degrees of depth of pulsation with different indent pressures for initial pulsation feeling
and different slopes of indent pressure lines. From this modelling, we can confirm the effect of pulsation depth
on P-H curve, that is, in the model where lower pulsation is assumed, the shift of optimal indent pressure to
the right was observed. The response of pulse pressure to the indent pressure was tried to be modelled with
the degrees of mean blood pressure. Consequently, we tried to model the phenomenon of floating and sinking
pulse for the first. And, from this modelling, we can get abundant understanding on how floating and sinking pulse
can be caused. In the further study, we want to prove the suitability of this tonometric measurement based modelling
with various studies including ultrasound measurement for the depth of pulsation in different BMI subjects.

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