Electro punctual computerized instant diagnostics of functional state of an organism 'DIACOMS'

A Little Bit History
Nakatani's Method
How To Perform The Investigation
Preparation Of A Patient For An Investigation
Organization Of The Investigation Process
Linear Diagram
Summary Table
Table Of Levels
Table Of Temper Qualities
Table Of Functional Values
Index 1. General Functional State
Index 2. Functional Disbalance
Index 3. General Asymmetry
Index 4. Segmental Asymmetry
Index 5. Foot/Hand Channel Activity
Index 6. Processes Of Energy Enhancement (Breath/Digestion)
Index 7. Ratio Of Ergo/Trophotropic Systems
Index 8. Ratio Of Ing/Yang Activities
Recommendations Concerning Further Specialized Investigations


A Little Bit History

Last years in the world clinical practice start to prevail the electropunctual methods of diagnostics, that are the product of integration of Eastern Medical experience and achievements of the Western science in the area of physics and electrotechnics. The official beginning of this cooperation refers to 1825, when the work of French doctor Sarlandieu "The Report Of Electro puncture, Mocks And Acupuncture" was published, although there is an opinion that this priority must pertain to an Englishman Parkins, who offered to use static electricity for enhancement of classic acupuncture effect even in 1796.

During the last years a great work was done to objectivize the "sacraments" of Eastern acupuncture. There was experimentally proved that the skin in the area of acupunctural dots has a bunch of functional peculiarities: low sensitivity threshold, high local temperature, increased "skin breath" (good assimilation of carbonic acid upon the dots), low electric resistance within DC or AC exploration (20-250 kOhm), high electric capacity (0.1-1.0 mkF) and high potential (up to 350 mV). These dots are located on symmetrical parts of the body with a precision of 1 mm and are grouped to certain chains, corresponding to pace of well known "Chinese meridians". The electric resistance between two dots of one meridian is always less than between one of that dots and any other dot of skin surface. The direction of energy movement in a meridian is strictly defined and also corresponds to such direction in the acupunctural theory (F.G.Portnov, 1988).

In the electropunctual diagnostics there are now several almost independent methods, which differ in the groups of dots of investigation, working values of measuring devices and the system of analyzing of received data. Each of them has its dignities and deficiencies and they are used depending on concrete task. These methods are Voll, Nakatani and auricular diagnostics.


Nakatani's Method

Among the named methods the most popular is the method, proposed by the Japanese scientist Nakatani. In the basis of his method is his theory Ryo Do Raku, which he worked out in the middle of 1950-s. According to this theory, there is a close connection between the functional state of inner organs and electrical resistance in skin dots located along the lines of corresponding meridians. These lines can change their electro conductivity according to changing of functions of corresponding organs. Nakatani called these lines Ryo Do Raku (lines of good conduction, Jap.) and divided them into two groups, containing 6 dots in each: hand group (H) and foot group (F).

The way of analyzing of state of the organism according to Nakatani's method is like following. An operator performs the measurement of electro conductivity of each ryodoraku in definite skin dots which value is average for the whole meridian. The results of the measurement of each representative dot of both left and right sides of the body he puts to the corresponding columns of R-table of ryodoraku chart, composed with the average values of electro conductivity in healthy people. Then he calculates the average value of all 24 received values, puts this average value in two extreme columns of the table and connects them by the horizontal line. Then he draws two parallel lines 7 mm up an 7 mm down of the average line, this gives the stripe of 1.4 cm wide, which is the stripe of physiological values for all ryodoraku.

The analysis of received graphic results of investigation according this method is performed like following. If a ryodoraku is located over the edge of normal values, it is in the state of hyperfunction; if it is below the edge of normal values, it is in the state of hypo function and it reflects the existence of pathological process in a corresponding organ or system. If all the 24 ryodoraku are within upper and lower edges, it means that the organism is well balanced, and the patient is practically fine. Those who are psychologically and somatically sick, they have considerable disorder of the measured values, and this corresponds with the seriousness of their disease and shows the tendency for normalization if the undertaken treatment is correct.

According to a great number of investigated patients and static processing of received results of measuring of electro conductivity of ryodoraku there was declared the definite dependence between the values of electro conductivity and existence of this or that symptom in a measured patient. Although, in some cases in spite of the existent deviations, the ryodoraku symptoms are absent. In such cases Nakatani and co-authors recommend to suppose the existence of latent pathological syndrome or a disease, that a patient carried in the past. According to the deviations of ryodoraku values one can tell about the location of the pathological process.

It must be noted that the questions of interpretation of the results of such investigations are not elaborated fully by the present times. Although this method has a lot of features, the main of which is the ability to receive the information of the current state of all functional systems of an organism on a definite level of its organization in the shortest time period. This circumstance allows to successfully use this method as express-diagnostic on the first stage of the patient's investigation.
At the same time this method has a row of deficiencies that limit the width of its practical usage. These deficiencies are: inconvenience and large work requirement with further graphical processing of the results of investigation, narrow interpretation abilities and analogous style of information.

In order to increase the informational and practical worth of this method, the initiative group of medics, engineers and programmers of Moscow institutes and ventures worked out the computerized system of registration, processing, analyzing and displaying the results of measurements of the functional state of the organism named DIACOMS, that stands for Diagnostic Computerized System.

In general, this system consists of a sensitive device, connected to computer, special software and a printer.

This system allows usage of all kinds of computers with INTEL-compatible processor inside. It can be used in polyclinics, ambulances, special clinics for functional, nosological and differential diagnostics, also it may be useful in home conditions for periodical control of functional state of family members.

The main features, that differs this system from another are:


How To Perform The Investigation

The system DIACOMS allows to perform the investigation both in a specially equipped cabinet, using a sensitive device connected to computer, and separately from the computer using a portable sensitive device with autonomic power supply with further manual input the received data to the computer. The processing of the received data in both cases is performed using the same program.


Preparation Of A Patient For An Investigation

Before the performance of investigation the patient must take off his shoes and socks (stockings, leggings), and also all metal adornment from fingers and wrists and a hand watch with metal bracelet. It is not recommended to perform the investigation after hard physical loading and after taking food. In some cases, when the skin is wet, it must be treated with a spirit. It is necessary to make sure that the patient is calm and doesn't afraid of the procedure. The investigation is performed by touching the skin dots with the searching electrode.

Organization Of The Investigation Process

Using the DIACOMS system one can perform the individual investigation as well as the investigation of large groups (several thousands of people). In the first case it is made in a cabinet of express-diagnostics on a stationary device. The special software will exactly register the received results, and it will take only 3 - 5 minutes per one patient. Besides, it is possible to solve the problem of treatment or further specialized investigations if necessary.

Performing the wide investigation of a large group of patients it is more convenient to make it by portable autonomic device with further manual inputting the received data to the computer for its further processing. In this case there is a possibility to abridge the time of investigation by using co-operators, when one group of operators perform the measurement of the patients, registering them into special blanks, and another group of operators input the received information into computers. This form of co-operation is convenient for performing the investigation out of the diagnostic cabinet.

The output documents after performed investigation and processing are:

  1. Individual investigation card; click here to look at the sample.
  2. Profile of functional state of group;
  3. Summary table for specialized investigations.

The individual investigation card is formed immediately after measuring and processing of each patient. This card consists of a diagram and a row of tables and recommendations concerning further specialized investigations.

The profile of functional state of group is the same investigation card, but it contains the average values of measurements of arbitrary selected patients. It allows to compare the functional state of different groups on the one hand, and to estimate the pathological influence of the working environment on the other hand.

In the summary table for specialized investigations all the patients are arranged in order of their deviations into two-turned (first and second turn) group for further specialized examination by the concrete medical specialists. The turn is determined by the degree of deviations: in the first turn there will be the patients with the deviations of more than 45%, and in the second turn there will be the patients with deviations from 30 to 45% from the average level.

In the result of mathematical calculation of the data in determined sequence we receive a row of figures, that have qualitative information, i.e. these figures express the degree of manifestation of this or that state or process. The received information is put into different tables and is used for determination of degree of pathological processes and kind of recommendations for further specialized investigations.

As far as the theoretical base of this method is the concept of proper (inner) harmony, and, as it was said before, the values of electro conductivity are rated to their own average values, the normal for all tables will be the value equal to 1.0. The deviation from 1.0 to this or that side maybe physiological or pathological (determined by the degree of deviation).

According to methodological approach of Nakatani the physiologically admissible are the values that lay in the graphic corridor 1.4 cm wide, 0.7 cm up and down from the line denoted the average value. As far as this methodological way is true only for middle ranged values of electro conductivity of meridians (from 40 to 120 mkA) and is false for the other values because of no linearity of coefficients of electro conductivity of ryodoraku, the more expedient way is using of defined percentage of the deviations from the average value for each investigation. In this case the admissible deviation is 15% from the average value. The calculation of this percentage was made on a great number of patients. So, all the values, that lay in the corridor from -15% to +15% in the diagram and in the interval from 0.85 to 1.15 in the tables are physiologically normal. And the areas that are upper or lower from this corridor are pathological and determine hyper- and hypo function of the corresponding organ or system.


Linear Diagram

In the linear diagram the percentage of the deviations are represented graphically. The average value is marked as "0" in the left column of the diagram. Each ryodoraku is divided into two halves: left and right, which corresponds to left and right branches of meridian. The names of ryodoraku are shown with letters, and the full names are shown below the diagram. The diagram allows to estimate visually the state of all ryodoraku, their character and degree of deviations from the average level.


Summary Table

This table assigns all meridian systems in order of their character and degree of the deviations of electro conductivity from normal values.

There are three types of deviations of electro conductivity of ryodoraku: high electro conductivity, which corresponds to superfluity of a meridian or hyperfunction of the corresponding organ; low electro conductivity, which indicates deficiency of a meridian or hypo function of corresponding organ; and difference between left and right sides of a meridian, which indicates inner asymmetry (intrameridian misbalance) and may be interpreted as a dysfunction of corresponding organ or system. The differences of electro conductivity of left and right sides of one ryodoraku indicate predominantly unilateral type of deviation in the corresponding organ or system, and it may be caused by the local vertebral deviations, traumas, innate defects or surgical interference.

There are three degrees of deviations: lightly expressed, expressed, and badly expressed. Keeping in mind that the interval from -15% to +15% is normal, the first degree interval is from 15% to 30%, second degree interval is from 30% to 45% and the third degree interval is greater than 45% deviations.

This degree division is mainly conditional, although observations show the definite connection between functional state of the patient and the deviation level. Besides, some well known clinical classifications based on other methods operate the similar percentage values for description the stages and degree of the disease.


Table Of Levels

In general the life of a human being as a subject of will flows in three main levels: physical, emotional and intellectual, and each level has its special structural and functional expression. That's why it is possible to describe a human being as if it is summary of four components, including will as an independent level. There are two quantitative values of each level in the table: the value of expression or activity and index of deformation. The first indicates energy maintenance of the level relatively to all another levels, and the second indicates alteration of living structure in this level relating to its inner normal value. The presented values have exclusively quantitative character. Their qualitative content must be the subject of individual consideration in every single case, or they must be worked out on a large group of patients suffering from these or that nervous, psychiatric or somatic diseases.


Table Of Temper Qualities

All areas of science have aggregates of two polar opposite forces so called "biners". The most abstracted (general) is a biner "spirit-stuff". In practice we often meet the biners like "life-death", "good-evil", "light-dark", "warmth-cold", etc. In these samples there is a possibility to neutralize a biner, i.e. to find the third, middle term, that will make a conversion from one polarity to another and establish this way a threefold scale. By this mean the manifesting polarities merge in one. A shadow is placed between light and dark, and it gives a combined scale. Middle temperatures are placed between warmth and cold. Antagonism of male and female is neutralized by birth of a child, and all three elements are merged in a unity of a family and so on. The skill of finding this middle, connecting link is a key to solving of practically all scientific problems. The general method of finding the third element may be shown on a sample of "Spirit-Stuff". What can give a passage from one polarity to another? There is an answer: the plain, in which Energy determines the Form. Then we'll have Spirit - Energy - Stuff. It is evident that the middle link is an energetic concept, and being the edge between the two elements, it divides them, putting them in mutual dependent state.

Speaking of a man, it may be noticed that on the one hand he spiritually lives in the plane of ideas, and on the another hand he displays himself as a physical plane stuff. Having in view all this we have the following threefold concerning a man: Idea - Energy - Form.

The degree of manifestation of each of these three components composes the joint temper of a man, which is shown in peculiarities of the organism function as well as in the external behavior. The displaying in the plane of Ideas expresses in a man as an inclination to make reforms, to change his bearings, wise changing of actions, or as a flexibility. In the plane of Form it expresses as methodical behavior, pertinacious ness, ability to fix the received results or as a firmness. In the plane of Energy it expresses as initiative, enterprise, activity or as a mobility. The interpretation of these values is the same as in the previous table.


The Table Of Functional Values

In this table there are quantitative characteristics of some indexes of the whole organism and of its separate mutually connected systems. The shown in this table figures allow to make quantitative estimation of efficacy of the held treatment. As it was said before, the physiologically admissible values are from 0.85 to 1.15.

Index 1. General Functional State

This index is defined by correlation of individual average value with statistically defined average value which was received on a large mass of clients. It shows the individual level of functional activity. Decreasing of this index shows fatigue, chronic and bad diseases. Increasing of it shows catarrhal and pre catarrhal occurrence, radiation of an organism by different physical fields, increasing of thyroid glands function and some others.

Index 2. Functional Disbalance

This index is defined by summing of deviations of all 24 values of electro conductivity of ryodoraku from individual average value. It shows the general inner misbalance of the organism in 12 systems. It may be only greater than 1.0. It is useful to use this index for instant estimation of general dynamic state of the organism. The greater this index, the greater is the misbalance of the functional state.

Index 3. General Asymmetry

This index is defined by division of sums of all values of electro conductivity of the left side of the body by the same of the right side. Such deviations are caused mostly by the Central Nervous System (CNS) dysfunction, outstanding backbone curves, acute or chronic diseases, taking of psychotropic drugs, etc. Using this index one may tell about the location of the deviations and the kind of taking drugs. So, if this index is greater than 1.15, it means that the right side of the body is weaker than the left, or there is the right side scoliosis, or there are any deviations in the left (the opposite side) hemisphere of the brain, caused by the innate defect, left side deviations of brain blood circulation, taking of some kinds of sedative drugs or alcohol, etc.

Index 4. Segmental Asymmetry

This index is defined by summing of 12 values, that are the absolute values of the difference between the electro conductivity of the right and left branches of every ryodoraku. As a rule this index is connected to the backbone state (vertebral osteochondrosis, traumatic injuries of the backbone), as even the outstanding one side deviation in one organ can not dramatically vary the value of this index. It may be no less than 1.0.

Index 5. Ratio Of Feet/Hand Meridians Activity

This is a hard interpreted index, although it reveals stability in some persons in several measurements, and similar alterations in patients with similar pathology (alcoholism, psychopathology, etc.) This fact shows the possibility to register this index while examining the state of the organism. This index is defined by division of sum of values of electro conductivity of 6 feet meridians by the sum of 6 hand meridians.

Index 6. Ratio Of Energy Supply (Breathing/Digestion)

This index is also hard to interpret. In Classical Eastern Works about acupuncture this index is interpreted as "ratio of Space feed and Earth feed". It is defined by division of average value of electro conductivity of Lung meridian by the same of Spleen/Pancreatic meridian. In general, this and the previous indexes characterize the ratio of different sources of energetic supply of an organism, keeping in mind that the human organism is an opened biological system, that exchanges energy and stuff with external sphere. Although, special investigations are needed for detailed definition of these indexes.

Index 7. Ratio Of Ergo/Trophotropic Systems Activity

Energy of every object in its dynamic manifestation can spread in two directions: inside and outside. In the first case there is an interaction of this object with other objects of external sphere, in the second case we have the inner transformation of the object. The first process is connected with delivery of energy, the second is connected with its accumulation.

On the level of an alive organism these two processes are known as ergotropic and trophotropic activities that are directly connected with concentration of adrenaline and insulin on the humoral level and activity of adenilat-huanilatcyclasic systems on the level of cell membranes. In clinical practice adrenaline and insulin tests are used to define the functional activity of these physiological systems. In the described method this index is defined by simple division of value of elecrto conductivity of Kidney meridian by the same of Spleen/Pancreatic meridian.

Using this index we can determine peculiarities of patient's activities. The value of this index can show if general vital activities of the patient are balanced or disbalanced, and we can estimate the type of observed misbalance. The increased social activity with poor personal control is accompanied by increasing of this index; the increased worry about proper personal state, superfluous self contemplativeness is accompanied with its decrease. It may be supposed with definite admission that this index determines extravertivity and intravertivity of the patients type of personality. Often stable and considerable increasing of this index is connected with existence of long or intense stress situation on the workplace, service or family of the tested patient.

Index 8. Ratio Of Ing/Yang Activities

This index is defined as a ratio of sum of values of electro conductivity of 6 Ing-meridians (Lg, SP, Ht, Kn, Lv and VS) to 6 Yang-meridians (GB, St, SI, LI, UB and LS). According to Eastern theories, all manifested is defined by two powers: Ing and Yang. Keeping in mind that the differences between them are manifested besides all in the morphological and functional peculiarities of nervous system, this index may be called the ratio of activities of sympathetic and parasympathetic nervous systems, as this terminology is more convenient for contemporary medicine, and caused by them functional processes are well learnt and classified. Although, while interpreting this index it is important to remember its wider definition, and it is recommended to use reference material.


Recommendations Concerning Further Specialized Investigations

Forming of recommendations for further specialized investigations is based on ryodoraku theory which states that deviations of elecrto conductivity of this or that ryodoraku are caused by pathological deviations of corresponding organ or system. On this stage of investigation the patients are referred to the following specialists:

  1. Gastroenterologist - deviations in meridians of SI, LI, St;
  2. Hepatologist - deviations in meridians of Lv, GB;
  3. Pulmonologist - deviations in meridians of Lg;
  4. Neuropathologist - deviations in meridians of LS and index 2 of table of functional values;
  5. Urologist (+ Gynecologist for women) - deviations in meridians of Kd, UB;
  6. Cardiologist - deviations in meridians of Ht;
  7. Therapeutist - deviations in meridians of SP, VS and index 1 of table of functional values;
  8. Manual therapeutist - deviation of index 4 of table of functional values or deviations in one meridian of II or III degree of seriousness.

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