不整脈에 대한 東醫寶鑑의 판단기준 硏究

A Study of Judgment for Irregular Pulses Referred in Donguibogam(東醫寶鑑)

Objective : In Donguibogam(東醫寶鑑), like a slow pulse with irregular intervals(結脈), an abrupt pulse(促脈) and a slow and weak pulse with regular intervals(代脈), an uneven pulse(濇脈) is written as a kind of arrhythmia. Such a recognition differs from the present one. In this study, I try to seize the meaning and deliberate whether those expressions are appropriate. Method : 1. Collect and compare the materials of the above four pulses among documentary records of feeling the pulse for diagnosis. 2. Grasp the aspect and trend of changes. 3. Reason whether records in Donguibogam(東醫寶鑑) are proper or not. Result & Conclusions : Donguibogam(東醫寶鑑) written “like a slow pulse with irregular intervals(結脈), an abrupt pulse(促脈) and a slow and weak pulse with regular intervals(代脈), an uneven pulse(濇脈) is written as a kind of arrhythmia”. It is not ‘an uneven pulse(濇脈)’ is written about irregularity of pulse, but ‘an uneven pulse(濇脈)’ is written about irregularity of the sense able to be felt on the fingertip.