1.The potential of the artery analyzer as a replacement for manual pulse-taking in oriental medicine.
Journal of the Japan Society of Acupuncture and Moxibustion 1987;37(2):135-144
Through the employ of the artery analyzer it is now possible to automatically diagnose such geriatric disorders as arteriosclerosis by using simple electro-cardiograms and radial, carotid and posterior tibial artery pressure pulse wave charts. If the artery analyzer is adopted for use in Oriental medical clinics, there will no longer be a need for the manual 24 pulse-shape diagnosis.
In brief, applying the artery analyzer to the eight key blood pulse-shapes of Oriental medicine produces the following results;
1) ‘Slow’ and ‘rapid’ pulses can be determined by the S-S interval
2) ‘Slippery’ and ‘hesitant’ pulses can be determined by the S-P time and the Dh/Ch%
3) ‘Floating’ and ‘submerged’ pulses can be determined by the Ph/Ch%
4) ‘Large’ and ‘relaxed’ pulses can be determined by the S-C time
Thus, by employing the artery analyzer, the problem of subjectivity inherent in the pulse diagnosis in use in Oriental medicine for over 1500 years can be solved.
2.Clinical comparison of acupuncture treatments for hemiplegia.
Journal of the Japan Society of Acupuncture and Moxibustion 1989;39(4):413-425
All three acupuncture treatment methods studied (scalp acupuncture method, orbit acupuncture method, and acupuncture method of activating brain and regaining consciousness) had the high rate of overall effectiveness of approximately 90%. However, a gap is seen among these complete cure rates from the acute stage to the after-effect stage, which is 5%-58%. It has been almost conclusively verified that recent acupuncture method of activating brain and regaining consciousness has a 65% rate of complete cure in cases of acute cerebral infarction and a 55% rate of complete cure in cases of acute cerebral hemorrhage. Moreover, the number of data is one figure higher, and thus considered to be reliable. Conditions affecting clinical effectiveness include the length of affliction, hemorrhage site, and the area affected. The disease stages are the acute phase, stable phase, recovery phase and after-effect phase. Since the effectiveness of treatment decreases with each phase, early treatment is imperative. In the early stage, i. e., within the first twenty days, symptoms such as hemiplegia, difficulty swallowing and speech impediment show remarkable improvement. However, when the condition progresses into the later phases and these symptoms have become fixed or worsened, the potential for effective treatment decreases. Nonetheless, the rate or complete cure using the acupuncture method of activating brain and regaining consciousness is 46% for cerebral infarction and 27% for cerebral hemorrhage in the after-effect stage. As for differences according to the site affected, clinical effectiveness is high in cases where hemorrhage occurs in a branch of the cerebral cortex, with some patients being able to stand up and walk unassisted after a single or several treatments; the complete cure rate in the acute phase is high. The clinical effectiveness in cases of hemorrhage in the internal capsule is not as high. In a fairly high proportion of the patients, no clinical effects are observed for a short period. Although remarkable improvement is noticed in a few patients, in general, the complete cure rate for the acute phase is low.
3.A New Diagnostic Criteria of Autonomic Nerve Activity measured by Plethysmograph.
Journal of the Japan Society of Acupuncture and Moxibustion 1991;41(3):303-315
The evaluation of heart autonomic nerve activity during quiet supine position, deep breathing position and standing position with MCV Graph Method is reported.
I report age included formulae for finding M and CV of a healthy subject in quiet supine position, CV of a healthy subject in deep breathing position, and CV of a healthy subject in standing position.
1) Age included formula for finding M of a healthy subject in quiet supine position.
Y=126.153-16.187*LogeX (X: age)
2) Age included formula for finding CV of a heblthy subject in quiet supine position.
Y=10.818-1.993*LogeX (X: age)
3) Age included formula for finding CV of a healthy subject in deep breathing position.
Y=24.293-4.738*LogeX (X: age)
4) Age included formula for finding CV of a healthy subject in standing position.
Y=7.389-1.277*LogeX (X: age)
When MP-P and CVP-P data measured by plethysmograph are plotted in MCV Graph, which is a quite new and obvious method, synthetic evaluation of both sympathetic and parasympathetic nerve functions is possible.
Though MCV Graph Method is available for measurement under various loads, measuring requirements for plethysmograph must be filled strictly in order to get accurate data.
6.Objectification of Tongue Diagnosis with a Compact Digital Camera-Photographing Standard and Repeatability-
Kampo Medicine 2006;57(6):793-797
In order to maintain objective tongue diagnosis, we have researched a photographic standard and the repeatability of tongue photography, using a Compact Digital Camera (i. e. digital camera).
We photographed the tongues of subjects who held a small color chart on the end of a chopstick.
We were able to reduce the level of reflected camera flash when the camera was held vertically by its upper grip, in such a way that camera flash came from the subjects' upper left. We examined various focal distances, and white balance (W. B.) settings in the camera's Close-up Mode, and obtained well-adjusted photographs with minimal reflection when the focal distance was about 10cm, and the camera's W. B. was set to Flash Mode. Photographs taken under these conditions were highly consistent regardless of place, time, and who the subject or photographer were. We report this photographic standard as recommended for objective tongue photography.
7.The presentation of autonomic nerve diagnostic criteria measured by mean of heart (pulse) rate and coefficient of variation of heartbeat (pulse) interval. Age-compensated formulae and method of MCV graph.
Kanae SHINOHARA ; Shohhachi TANZAWA
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine 1991;54(2):124-136
In this paper, I present age-compensated formulae for finding MR-R and CVR-R of healthy subjects resting in a supine position, CVR-R of healthy subjects breathing deeply, and CVR-R of healthy subjects standing upright.
1) Age-compensated formula for finding MR-R of healthy subjects resting in supine position:
Y=126.153-16.187*LogeX (X: age)
2) Age-compensated formula for finding CVR-R of healthy subjects resting in supine position:
Y=10.818-1.993*LogeX (X: age)
3) Age-compensated formula for finding CVR-R of healthy subjects breathing deeply:
Y=24.293-4.738*LogeX (X: age)
4) Age-compensated formula for finding CVR-R of healthy subjects standing upright:
Y=7.389-1.277*LogeX (X: age)
How the autonomic nerve activities in the heart of subjects resting in supine position, breathing deeply, and standing upright are evaluated using the MCV Graph Method is described here. (MCV Graph Method stands for Mean and Coefficient Variation Graph Method.) Plotting of M and CV data measured by an ECG R-R Checker or a Plethysmograph P-P Checker on an MCV Graph, which is a quite new and easy-to-observe method, enables synthetic evaluation of both sympathetic and parasympathetic nerve functions. The MCV Graph Method can be used for measurement under various loads.
8.Discriminant analysis based on the digital pulse wave graphs of hemiplegic and healthy subjects.
Kanae SHINOHARA ; Kouzou NEMOTO ; Shohhachi TANZAWA
Journal of the Japan Society of Acupuncture and Moxibustion 1989;39(3):290-299
As a result of multiple regression analysis of the left and right hands of healthy subjects, almost no correlation was found between risk rates of 1% or 5% and either the simple or partial correlative lines. It was determined that the four variables of both the right and left hands were virtually independent variables.
In order to make a comparison with the normal side of hemiplegics, it was necessary to select either the right or left hand of healthy subjects. After examining the coefficients of correlation both hands, the left hand was chosen. From the results of discriminant analysis of the left hand of healthy subjects and the normal side of hemiplegics, it was determined that the discriminant function equation can be expressed as follows as a function of the S-S interval, S-P period, S-C period and the Dh/Ch%.
Z=(2.330 E-05)*S-St+(-5.329 E-02)*S-Pt+(-5.151 E-03)*S-Ct+(1.339 E-02)*Dh/Ch%+6.947
The discriminant boundary value between healthy and hemiplegic patients was 0.391.