JP5257726B2 - Abdominal examination simulator for medical education - Google Patents

Description

The present invention relates to an abdominal examination model for Chinese medicine medical treatment, an abdominal medicine medical treatment abdomen provided with a pressure sensor that outputs according to an applied pressure or a pressure sensor that outputs according to a pressure within a specific range to be added. examination model, but about the Chinese medicine clinic for abdominal examination model and Chinese medicine clinical abdomen examination simulator comprising a pressure measuring device to be added.

  Physician training and retraining are being actively carried out in order to improve clinical education contents in the medical education process and tackle advanced medical care. This training does not allow the physician to be trained or retrained to have a physical patient visit. Therefore, it is necessary to learn how to consult with a model such as a human body model, and a human body model has been developed.

The following human body models have already been developed to realize a state such as blood flow.
US Pat. No. 3,662,076 provides a human body model having an acoustic device that generates heartbeat sounds associated with a disease synchronously. Although it is considered that it was completed with sufficient consideration, the human body model does not accurately represent the state of the human body, the device is large, complicated, and impractical.
JP-A-63-38978 is a training device used in clinical practice of various normal and abnormal cardiovascular conditions and associated physiological conditions. Similarly, although it is considered that it was completed with sufficient consideration, it is said that the human body model does not accurately represent the complicated state of the human body.
Japanese Patent No. 2990602 is a biopsy model comprising a foam with a skin layer provided on the surface thereof and a pulsation motion device for supplying air into the tube. Similarly, although it is considered that it was completed with sufficient consideration, it is said that the human body model does not accurately represent the complicated state of the human body.
In the above human body model, focusing on blood flow, etc., investigating factors affecting blood flow, examining the mutual relationship, and reconstructing the state of the human blood flow based on them The diagnosis training will be performed from the state. It is difficult to examine various factors that affect blood flow in complex human bodies, examine their mutual relationships, and reconstruct the blood flow state of the human body based on them. It is unavoidable.

In diagnosis, diagnosis such as auscultation, palpation, and visual inspection is adopted, and development of a human body model is being promoted. Even in this case, it is impossible to examine the patient for diagnosis training, as described above. The following patents are known.
A palpation training apparatus has also been developed that measures the pressure of the palpation technique applied to the human body model during palpation (Japanese Patent No. 3725887).
In this invention, there is no distinction between whether the human body model is in a healthy state or a diseased state, and in this invention, it is exclusively how much force the doctor pushes the patient at the time of examination Is trying to figure out. The doctor who trains using this device can only know how much force is applied to the patient by the human body model for a healthy person.

In Kampo medicine, it is important to obtain physical findings from patients. In clinical practice, obtaining this finding is fundamental. In Kampo medicine, "abdominal examination", which is palpation of the abdomen that has been developed in Japan, is performed. Abdominal examination is a method in which a doctor palpates the patient's abdomen and obtains an abdominal finding called abdomen. The doctor determines Kampo medicines to be treated and analyzed from Kampo medicine based on the findings of the abdomen. Unlike modern medicine, Kampo medicine is a guideline for determining herbal medicines and prescriptions by examining the imaginary and actual state of the whole body and grasping specific identifications (Non-Patent Documents 1 to 3).
On the other hand, in modern medicine, palpation of the internal organs and tumors of the abdominal organs, palpation of muscular defenses, tender points, etc. are confirmed. And the coping policy is determined.
Thus, the contents of palpation and the purpose of palpation are different between Kampo medicine and modern medicine.

When performing abdominal examination in Kampo medicine, place the patient in the supine position, extend the lower limbs and extend both hands on both sides of the body, and relax enough to avoid applying force to the abdomen. The extension of the lower limbs creates tension in the patient's abdomen.
A unique abdominal finding called abdomen can be obtained by lightly or strongly compressing the abdomen with a doctor's finger and sensing the hand sensed to the doctor at this time and the response to the patient's compression. In the abdominal examination, the state of the abdomen is shown by the patient's medical condition. If a human body model is to be created, how to reproduce it is important.

It seems that the importance of creating a human body model for abdominal examination training to obtain the findings of Kampo medicine abdominal examination seems to be understood, but Kampo medicine for detecting the condition according to complicated medical conditions It was not even known how to create a medical abdominal examination model and how to make this human body model, and in this field, these points were left untouched.
In addition, if the human body model can show that the operation of the abdominal examination is appropriately performed by some means, appropriate force applied at the time of palpation of the abdomen and the hand sensation transmitted from the patient, the patient It is considered that the pressure measurement device and the abdominal examination simulator for Chinese medicine medical treatment can be completed by outputting the result by some means.
For this reason, the development of an abdominal examination model for Chinese medicine medical treatment that shows that a human body model for abdominal examination in Kampo medicine is prepared and the operation of the abdominal examination is performed appropriately is eagerly desired.

Problem of the invention is, Chinese Medicine, abdomen examination model, the Kampo Medicine, for abdominal examination model, Chinese Medicine, abdomen examination model with pressure sensor output in accordance with the applied pressure is provided, it is added By providing an abdominal examination model for Chinese medicine medical treatment provided with a pressure sensor that outputs in accordance with the pressure to be applied, an abdominal examination model for Chinese medicine medical treatment provided with an additional pressure measuring device, and an abdominal examination simulator for Chinese medicine medical treatment is there.

The present inventors have earnestly studied the above-mentioned problems.
(A) The site where the medical condition is manifested during abdominal examination in Kampo medicine is “average human body with different abdominal conditions from the vicinity of the upper part of the xiphoid process to about 30 cm below the navel”, and the abdomen diagnosed in the abdomen The following six types of typical abdominal identifications, specifically: (1) Chest arm distress, (2) Abdominal skin spasm, (3) Heart Shimoda whip, (4) small abdominal stiffness, (5) small belly insufficiency, (6) lower heart vibration water skin.
(B) When obtaining basic abdominal findings that are important for Kampo medicine for each of these abdominal identifications, attention is paid to the hardness or the state of the abdomen. Then, the abdominal model is formed using a specific material for the basic part, and the inventors who are experienced doctors determine the hardness of the abdominal model by trial and error with the actual abdomen. An abdominal model is prepared by adjusting the hardness to be the same as the indicated hardness, processing the above-mentioned materials in some cases, and further adding an appropriate material to produce an abdominal diagnostic model for Kampo medicine.
(C) As a result, it has been found that an abdominal model showing the same state can be obtained with respect to the hardness or the state of the abdomen. Then, using this abdominal model, in abdominal examination of Kampo medicine, this abdomen is placed on the site where the abdominal tension of the patient should be applied to the site where force should be applied by fingers etc. As a result, an experienced doctor tried using the Kampo medicine abdominal examination model for the sense of the hand transmitted to the doctor and the patient's response to the pressure. It was possible to grasp that the results were close to the results obtained. As a result, an abdominal examination model for Kampo medicine by the present inventors could be completed.
(D) Furthermore, a doctor installs a pressure sensor, including a newly-made prototype of the obtained Kampo medicine abdominal examination model, on the site of the Kampo medicine abdominal examination model to be used for measuring pressure. When lightly or strongly compressing the abdominal examination model with a doctor's finger , the pressure sensor outputs according to the applied pressure , and from the pressure sensor according to the pressure applied by the abdominal examination model for Chinese medicine medical treatment Medical treatment with an attached pressure measuring device that sends an output indicating that the output is within a specific range from the pressure sensor to the measuring device connected via the amplifier. use abdominal examination model, also, have found that it is possible to output the results in comparison with the results, which had been previously measured by the rich doctor of experience, abdominal examination sheet for the Chinese medicine clinic The Regulator was completed.

The following is a description of the abdominal examination model for Kampo medicine.
In the abdominal examination model for Kampo medicine, the site of the abdomen where the medical condition was manifested was “average human body with different abdominal conditions from the vicinity of the upper part of the xiphoid process to about 30 cm below the navel”.
Select (i) epidermis, (b) subcutaneous tissue, (c) membrane, (d) muscle, (e) rib, and (f) intra-abdominal organ as specific human organs contained in this part. Replaced by the material, the above-mentioned six types of typical abdomen, specifically, (1) Chest armpit complaint, (2) Abdominal skin spasm, 3) Shikahuku, 4) Small stomach, 5) Small stomach, 6) Abdomen, shown by the hypothalamic vibration skin The hardness or the state of the beam indicated by the state is reproduced.
Artificial leather for the epidermis (b), pile fabric for the subcutaneous tissue (b), cotton fabric for the membrane (c), polyurethane or natural rubber for the muscle (d), The ribs of () use a plastic polyester resin, and the internal organs of the abdominal cavity of (f) use batting materials. In addition, the material may be further subjected to specific processing or other materials may be added depending on the part where the symptoms of the identification appear.

By using the Kampo medicine abdominal examination model obtained by the present invention, it is possible to understand the hardness shown by the state of abdomen or the condition of the abdomen. In the abdominal examination of Kampo medicine, tension occurs in the abdomen of the patient. When this abdomen was pressed lightly or strongly with the fingers of a doctor and the hands sensed to the doctor captured at this time and the reaction to the patient's pressure were actually tried, the results obtained during abdominal examination It can be grasped that the state is close.
A pressure sensor, including a new prototype of the obtained Kampo medicine abdominal examination model, is installed in the area of the Kampo medicine abdominal examination model to measure the force, and the doctor places the part of the Kampo medicine abdominal examination model. In addition, when pressure is applied lightly or strongly with a doctor's finger, the pressure sensor acts to output sound or light, process and output measurement data, or measure in advance by an experienced doctor. The result can be output in contrast to the stored result.

The new abdominal examination model for medical treatment of Kampo medicine used for Kampo medicine has the following six typical abdominal signs for the average human body with different abdominal conditions from the upper part of the xiphoid process to about 30 cm below the umbilicus. It is composed of models that express
(1) Chest armpit distress, (2) Abdominal skin spasm, (3) Shikahiku, (4) Small stomach Koman), (5) Shofukujin, (6) Hypoxia skin tone.
The above model is a model that expresses a typical abdomen appearing on the human body at the time of abdominal examination. When performing an abdominal examination, place the patient in a supine position, extend the lower limbs and extend both hands on both sides of the body, and relax enough to avoid applying force to the abdomen. By stretching the lower limbs, tension is generated in the patient's abdomen, and this abdomen is lightly or strongly pressed by the doctor's wrist, and it corresponds to the hand sense transmitted to the doctor captured at this time and the patient's compression The above model expresses a unique abdominal finding called belly based on the reaction.
The six types of typical identification states are as shown in FIGS.

According to the study by the present inventors, the hardness or the degree of tension exhibited by each tissue of the abdomen of a healthy person can be reproduced by the following materials.
The epidermis (1) is reproduced with artificial leather.
The subcutaneous tissue (2) is reproduced with a pile fabric.
The peritoneum and fascia (3) are reproduced with cotton fabric or jersey.
The muscle tissue (4) is reproduced with polyurethane or natural rubber.
The rib (5) is reproduced with a plastic polyester resin.
For the abdominal organ (6), reproduction is performed using batting.
On the other hand, for the six symptoms described below, the material is further processed according to the symptom form, and in some cases, the material is further added.

(1) About the model of symptom of chest-side distress The upper figure of FIG. 1 shows the symptom of chest-side distress.
The lower diagram of FIG. 1 shows a model of symptom of armpit distress.
Chest armpit distress is that the patient realizes that there is a feeling of pressure on the right or left side of the heel (dotted line in Fig. 1), the doctor perceives resistance in this area, and the doctor places his finger under the rib arch This corresponds to the finding that patients feel pain and pressure (upper figure in Figure 1). This site is accompanied by dull pain and a feeling of pressure, causing resistance tenderness.
The appearance of chest dissatisfaction is composed of various tissues in the person's abdomen. It is necessary to press with a force that makes you feel.
The skin (1) is reproduced by artificial leather (the skin is on the outermost surface, and this figure shows a state where the skin is peeled off). For artificial leather, vinyl chloride or polyester sheets are used. This covers the structure of the following tissue.
The subcutaneous tissue (2) is reproduced with a pile fabric.
The peritoneum and fascia (3) are reproduced with cotton fabric or jersey.
The muscle tissue (4) is reproduced with polyurethane or natural rubber (latex).
The rib (5) is reproduced with a plastic polyester resin.
For the abdominal organ (6), recreate by filling the pad.
As the resistance when the right and left seasons are pressed, this corresponds to the part of the resistance and has a multi-layered structure of pile fabric, natural rubber, polyurethane cotton and polyurethane from the surface layer.

(2) About model of symptom of abdominal skin spasm (upper fin) The upper diagram of FIG. 2 shows the symptom of abdominal skin cramp (swell).
The lower diagram of FIG. 2 shows a model of symptoms of abdominal skin spasm.
The skin (1) is reproduced by artificial leather (the skin is on the outermost surface, and this figure shows a state where the skin is peeled off). Use vinyl chloride or polyester sheets. This covers the structure of the following tissue.
The subcutaneous tissue (2) is reproduced with a pile fabric.
The peritoneum and fascia (3) are reproduced with cotton fabric and jersey.
The fascia is covered with natural rubber (latex) (7).
The muscle tissue (4) is reproduced with polyurethane or natural rubber. In order to express the muscle tension found in the rectus abdominis muscle region, polyurethane or natural rubber is hardened and an angled muscle is provided.
The rib (5) is reproduced with a plastic polyester resin.
The abdominal organ (6) is reproduced by batting (not on the figure on the back).
Abdominal skin spasms allow the physician to perceive subcutaneously the muscle tone found in the rectus abdominal muscles of the patient. This indicates that the rectus abdominis muscle is in an excessively tensioned state, and is considered to be a sign of accumulated sympathetic nerves, weakness of the body, and fatigue.
The doctor feels the muscle tone found in the patient's rectus abdominal region subcutaneously. This is because the rectus abdominis muscle is in an overstressed state, and is considered to be a sign of accumulation of sympathetic nerve overtension, weakness of the body, and fatigue. In this model, in order to reproduce the strain of the rectus abdominis muscle, the part corresponding to the rectus abdominis muscle is covered with natural rubber, and the surface layer is a pile fabric or a polyester layer.

(3) About the model of the symptom of the lower heart whip (upper figure) The upper figure of FIG.
The lower diagram in FIG. 3 shows a model of symptoms of subcardiac whip.
The skin (1) is reproduced by artificial leather (the skin is on the outermost surface, and this figure shows a state where the skin is peeled off). Use vinyl chloride or polyester sheets. ). This covers the structure of the following tissue.
The subcutaneous tissue (2) is reproduced with a pile fabric. In particular, polyester is used in accordance with the subcutaneous resistance site. In addition, hard polyester is used together with the pile fabric.
The peritoneum and fascia (3) are reproduced with cotton fabric and jersey.
The muscle tissue (4) is reproduced with polyurethane and natural rubber.
The rib (5) is reproduced with a plastic polyester resin.
For the abdominal organ (6), reproduction is performed using batting.
In the case of sub-whiskering, the patient is aware of the presence of a sense of grip in the epigastric region, the doctor feels resistance to this area, and if the area is compressed, the patient complains of tenderness. It is.
In order to express the symptoms of subclinical whip symptom as resistance of hypothalamic whip, use polyester sheet (8) to match the subcutaneous resistance site Yes. The pile fabric, which is the subcutaneous tissue, is used together with stiff polyester.

(4) About the model of the symptom of small stomach abdomen (upper part of the stomach) The upper figure of FIG. 4 has shown the symptom of small stomach abdomen.
The lower diagram of FIG. 4 shows a model of small abdominal stiffness symptoms.
The skin (1) is reproduced by artificial leather (the skin is on the outermost surface, and this figure shows a state where the skin is peeled off). Use vinyl chloride or polyester sheets. This covers the structure of the following tissue.
For the subcutaneous tissue (2), the pile fabric, which is the subcutaneous tissue, is used together with a hard polyester. Present on the back of the figure.
The peritoneum and fascia (3) are reproduced with cotton fabric and jersey. In FIG. 4, it exists behind (2).
The muscle tissue (4) is reproduced with polyurethane and natural rubber. In FIG. 4, it exists behind (2) and (3) ((3) is not displayed).
The rib (5) is reproduced with a special polyester resin. In FIG. 4, (2) and (3) exist on the back side ((3) is not displayed).
For the abdominal organ (6), reproduction is performed using batting. In FIG. 4, it exists on the back side of the figure ((3) is not displayed).
Small abdominal stiffness is a horseshoe-shaped bulge seen in the patient's lower abdomen, and the examiner bites resistance against this part, and the patient complains of tenderness when the ileocecum and sigmoid colon are compressed by the doctor's fingertips. It is.
(2) and (3) in the figure using a stiff polyester sheet (9) that matches the site of subcutaneous resistance to express as horseshoe-shaped resistance found in the lower abdomen ((3 ) Is not displayed). The pile fabric, which is the subcutaneous tissue, is used together with a hard polyester sheet.

(5) About the model of the symptoms of small stomach infertility The upper diagram of FIG. 5 shows the symptoms of small stomach infertility.
The lower diagram of FIG. 5 shows a model of symptoms of small stomach infertility.
The skin (1) is reproduced by artificial leather (the skin is on the outermost surface, and this figure shows a state where the skin is peeled off). Use vinyl chloride or polyester sheets. This covers the structure of the following tissue.
The subcutaneous tissue (2) is reproduced with a pile fabric.
In the midline of the lower abdomen (10) of the small abdomen, soft padding is used to express the sensation of the lower abdomen (the back side of (2)).
The peritoneum and fascia (3) are reproduced with cotton fabric and jersey. (It exists on the back side of (2).)
The muscle tissue (4) is reproduced with polyurethane and natural rubber. It exists on the back side of (2) and (3) ((3) is not displayed).
The rib (5) is reproduced with a plastic polyester resin. It exists on the back side of (2) and (3) ((3) is not displayed).
For the abdominal organ (6), reproduction is performed using batting. It exists on the back side of (2) and (3) ((3) is not displayed).
Small abdominal incontinence is a finding that the patient perceives a decrease in resistance when the patient feels a decrease in lower abdominal perception or when the examiner compresses this part in the midline of the patient's lower abdomen. It is said to be a finding of renal imagination due to age-related changes from the pathophysiological analysis based on the five organs.

(6) About the model of the symptom of the hypocardiac vibration sound The upper diagram of FIG. 6 shows the symptom of the hypocardiac vibration sound.
The lower diagram of FIG. 6 shows a symptom model of a hypocardiac vibration sound.
The skin (1) is reproduced by artificial leather (the skin is on the outermost surface, and this figure shows a state where the skin is peeled off). Use vinyl chloride or polyester sheets. This covers the structure of the following tissue.
The subcutaneous tissue (2) is reproduced with a pile fabric.
The peritoneum and fascia (3) are reproduced with cotton fabric and jersey.
The muscle tissue (4) is reproduced with polyurethane and natural rubber.
The ribs (5) are reproduced with a plastic polyester resin (not shown).
For the abdominal organ (6), reproduction is performed using batting.
The hypocardiac vibration sound is a sound of shaking water that is heard when a patient's heart is struck with a fingertip of a doctor and struck. We show water stagnation from the pathophysiological analysis by the blood-blood theory
In this model, the symptom is judged by detecting the sound of water shaking. The pressing pressure is not detected.
A soft abdomen is formed to reproduce the lower heart vibration sound. A 100 ml rubber balloon (11) containing 20 ml of water is placed in the inside, and the identification model is appropriately struck to reproduce the sound of water shaking.

About the installation of the pressure sensor Using the above-mentioned Kampo medical treatment abdominal examination model, observe the state of the state of the abdominal condition indicated by the symptoms of the abdominal symptom, or the state of the agitation, and the patient caused by the hardness and tension It is necessary to determine whether the force to apply light or strong pressure with the fingers of the doctor is appropriate for the part to which the force should be applied by fingers etc. Become. To determine whether it is appropriate, a pressure sensor can be used to determine how much force is being pressed. Specifically, a pressure sensor is installed in the inner part of the abdominal examination model for Chinese medicine medical treatment to which a force of light or strong pressure is applied by a doctor's finger. It is effective to install a pressure sensor between the skin (1) and the subcutaneous tissue (2) of the abdominal examination model for Chinese medicine medical treatment. It can be placed on the peritoneum, fascia (3) or muscle tissue (4), but from the standpoint of measuring pressure, the drag is weak and may not be sufficient.

A well-known pressure sensor can be used.
When the force in a portion corresponding to the diagnosis abdominal Kampo Medicine, abdomen examination model is applied, Chinese medicine abdomen examination model with pressure sensors that are provided acting accordingly is as follows.
The pressure sensor 1 has a thin film-like longitudinal shape as a whole, and has a portion that acts as a sensor that detects a change in the amount of electricity in accordance with the compression force at the tip. Product names A201-1, A201-25, A201-100, etc., which are button sensors manufactured by the company can be used. Based on the output obtained from the pressure sensor 1 , the result is output by the output device 2 (FIG. 7) .

The output of the pressure sensor 1 can be amplified by the amplifying means 4 and the result can be outputted to the output display means 5 such as a personal computer (FIG. 8) (the product name is a button sensor manufactured by NITTA CORPORATION). A201-1, A201-25, A201-100, etc. Further, the amplifier can be connected to an optional amplifier box of the same company, converted into a voltage and output, and connected to a personal computer for output. it can.). An abdominal examination model for Chinese medicine medical treatment is provided, which is provided with a pressure sensor that outputs in accordance with the applied pressure.

When a force is applied to a portion corresponding to the abdominal examination, a pressure sensor that outputs in accordance with an applied pressure provided with a pressure sensor that determines that an appropriate force is applied is as follows.
As the pressure sensor, the following pressure sensors are used in the Chinese medicine medical abdominal examination model provided with a pressure sensor that outputs in accordance with the applied pressure, and in the Chinese medicine medical abdominal examination model provided with the added pressure measuring device. It can be adopted (FIG. 9).
The pressure sensor 9 has a cylindrical plastic or rubber (excluding conductive plastic or rubber in this case) that is compressible when a force is applied between two conductive rubbers. Use what you have. When a force is applied to the two conductive rubber portions, the two cylindrical portions are compressed and both come into contact with each other and become energized. As a result, the output device 2 outputs a result indicating that a specific force is applied to the pressure sensor (the power supply 3 is 9 V. The output device may be a speaker or an optical output in the case of audio output. For example, a light emitting means such as a bean bulb can be used.)
As the conductive rubber, known ones can be adopted. For example, S60 (material silicone, hardness (JIS A) 60, thickness (mm) 0.5 to 2.0 (volume specific ^value 100) manufactured by Kinugawa Rubber Industrial Co., Ltd. Ω · cm)) can be used. In this case, the applied force can be used by being limited to a specific range.

When force is applied to the part corresponding to the abdominal examination, the results measured in advance by an experienced doctor memorized in the storage unit are taken out and compared with the model data, and it is in the appropriate range The abdominal examination simulator for Chinese medicine medical treatment that judges whether or not, records the result, and outputs the result is as follows.
The output from the pressure sensor 1 is amplified by an amplifying means (amplifier) 4, and the signal S from the sensor to be sent is converted into a format that can be read in the computer main body A and received via the interface 7. Send to.
The storage unit 9 also stores, as model data, results measured in advance by experienced doctors. This data is taken out and compared with the recorded data from the pressure sensor 1 in the comparison unit 10. The result is sent to the recording unit 11 and the result is output via the output means 12.
Further, the result is sent to the storage unit 9 and the result is stored.

Symptoms of chest side dissatisfaction (upper figure) are shown. Moreover, the following figure has shown the abdominal examination model for Chinese medicine medical treatment which can sense the symptom of chest side dissatisfaction . Shows symptoms of abdominal skin spasms (upper figure). Moreover, the lower figure has shown the abdominal examination model for Chinese medicine medical treatment which can sense the symptom of abdominal skin spasm . Symptoms of lower heart whip (upper figure) are shown. In addition, the figure below shows the Kampo medicine clinic for abdominal examination model that can be kantoku the symptoms of heart under痞鞭(Shinkahikou). Shows symptoms of small stomach abdomen (upper figure). Moreover, the following figure has shown the abdominal examination model for Chinese medicine medical treatment which can sense the symptom of small abdominal stiffness . Symptoms of small infertility are shown (above). Moreover, the following figure has shown the abdominal examination model for Chinese medicine medical treatment which can perceive the symptom of the small stomach infertility (sofukufujin) . Symptoms of lower heart vibration sound are shown (upper figure). In addition, the figure below shows the Kampo medicine clinic for abdominal examination model that can kantoku the Kokoroka Boeuf sound of water. An example of an abdominal examination model for Chinese medicine medical treatment provided with an additional pressure measuring device using a pressure sensor is shown. Fig. 4 shows another example of an abdominal examination model for Chinese medical treatment provided with an additional pressure measuring device using a pressure sensor. Fig. 5 shows another example of an abdominal examination model for Chinese medicine medical treatment provided with an added pressure measuring device using a pressure sensor. An example of an abdominal examination simulator for Chinese medicine medical treatment using measuring pressure applied to an abdominal medical examination model for Chinese medicine medical treatment is shown.

Explanation of symbols

(1): epidermis (2): subcutaneous tissue (3): peritoneum, fascia (4): muscle tissue (5): rib (6): intraperitoneal organ (7): natural rubber (latex)
(8): Polyester sheet (9): Polyester sheet (10): Mid-lower abdomen (11): Rubber balloon 1: Pressure sensor 2: Output means 3: Power supply
4: Amplifying means 5: Output display means 6: Pressure sensor using conductive rubber 7: Interface 8: Send to recording unit 8
9: Storage unit 10: Comparison unit 11: Recording unit 12: Output means A: Computer body

Claims (9)

The abdominal examination model that senses the symptoms of Kampo medicine treatment to sense that the symptoms of Kampo medicine abdomen are chest distress is a heavy feeling on the right or left side of the season The patient is aware that there is a resistance, the doctor is aware of the resistance at this site, the doctor puts a finger under the radial arch, and the patient feels pain and pressure, resistance pain with dull pain and pressure The outermost skin is entirely covered with artificial leather made of vinyl chloride or polyester sheets, and inside the skin is a subcutaneous tissue made of pile fabric, a peritoneum made of cotton fabric or jersey And fascia, muscle tissue made of polyurethane or natural rubber (latex), ribs made of plastic polyester resin, and an abdominal organ formed by filling the padding, left and right Resistance is kantoku when you press the hypochondrium section, resistance to match the site to be kantoku, pile fabric from the surface layer, natural rubber, polyurethane cotton, and multilayer structure of polyurethane is formed, Munewakiku Kampo medicine clinic for abdominal examination model shall be the feature that it is possible to kantoku the symptoms of full. An abdominal examination model that senses the symptoms of Kampo medicine treatment to sense that the symptoms of Chinese medicine abdomen is abdominal skin spasms is found in the part of the patient's rectus abdominis It is used for doctors to sense that they are in an excessively tensioned state, and to detect the accumulation of sympathetic nerves, weakness of the body, and signs of fatigue. The outermost skin is entirely covered with artificial leather made of vinyl chloride or polyester sheet, and inside the skin is the subcutaneous tissue made of pile fabric, the peritoneum and fascia made of cotton fabric or jersey, The fascia is covered with natural rubber (latex) and reproduced with a plastic polyester resin to express muscle tension, which is a part of the rectus abdominis muscle made of polyurethane or natural rubber And that ribs are formed by intraperitoneal organs are reproduced by batting, characterized in that it can be kantoku symptoms of abdominal skin攣急 Kampo Medicine, for abdominal examination model. An abdominal examination model for experiencing the symptoms of Kampo medical treatment to sense that it is a subclinical whip that is a symptom of Chinese medicine abdomen. The patient is aware of the existence, the doctor feels the sense of resistance present at this site, and feels that the patient complains of tenderness by pressing this part, the outermost epidermis is vinyl chloride The whole is covered with artificial leather consisting of a sheet of polyester and polyester, and the inside of the epidermis is matched with the subcutaneous tissue made of pile fabric using polyester in combination with the pile fabric, and the subcutaneous resistance site, A feeling of resistance in the epigastric region can be felt using polyester, cotton fabric, peritoneum and fascia reproduced by jersey, muscle tissue reproduced by polyurethane or natural rubber, plasticity That ribs be reproduced by polyester resin has an intraperitoneal organ to reproduce the batting, Kampo characterized in that it can be kantoku the mental symptoms under痞鞭(Shinkahikou) Medicine, use abdominal examination model. The abdominal examination model for experiencing the symptoms of Chinese medicine treatment to sense that it is a small abdominal stiffness that is a symptom of Chinese medicine abdomen is a horseshoe-shaped bulge seen in the lower abdomen of the patient This is to make the patient feel that the patient complains of tenderness when the subject bites resistance in this area and presses the ileocecum and sigmoid colon with the fingertips of the doctor. The entire skin is covered with artificial leather made of rubber and polyester, and the inside of the epidermis is subcutaneous tissue made of pile fabric, peritoneum and fascia made of cotton fabric or jersey, muscle made of polyurethane or natural rubber (latex) Subcutaneous resistance site to express horseshoe-shaped resistance found in the lower abdomen, consisting of tissue, ribs made of polyester resin with plasticity, and an abdominal organ formed by filling batting To match that used in conjunction with polyester sheet pile fabric is subcutaneous tissue using a harder polyester sheet, abdomen to that Kampo Medicine, characterized in that it can be kantoku symptoms Kobara KataMitsuru Departmental examination model. The abdominal examination model that senses the symptoms for medical treatment of Chinese medicine to sense that it is a small belly inferiority that is a symptom of the abdomen used in Kampo medicine , the patient feels lower perception of the lower abdomen, by pressing the examiner is this part midline lower abdominal of a patient, attenuation of resistance was kantoku to be able tactile is for obtaining evidence of renal by age-related changes from pathology analysis by thinking of five viscera, The outermost skin is entirely covered with artificial leather made of vinyl chloride or polyester sheets, and the inside of the skin is percutaneous tissue made of pile fabric, peritoneum or fascia made of cotton fabric or jersey, polyurethane or natural It is composed of muscle tissue made of rubber (latex), ribs made of plastic polyester resin, and intra-abdominal organs formed by filling batting, in the midline of the lower abdomen And using a soft cotton to represent the resistance of the lower abdomen, Kobara ferocity (Shofuku Mrs) Kampo Medicine, for abdominal examination model you characterized by symptoms can be kantoku the. Symptoms of belly certificate to be used in traditional Chinese medicine, is intended to determine by kantoku the sound of water in the Kokoroka Boeuf sound of water shakes, Kokoroka Boeuf sound of water is telling a snap by the finger tip of the doctor a heart patient's lower This is an abdominal examination model that senses the swaying sound of the water that is heard by tapping and obtains findings for judging the symptoms of water stagnation from the pathological analysis based on the blood and blood theory. The surface skin is entirely covered with artificial leather made of vinyl chloride or polyester sheets. Inside the skin is subcutaneous tissue made of pile fabric, peritoneum or fascia made of cotton fabric or jersey, polyurethane or natural rubber. It consists of muscle tissue consisting of (latex), a plastic polyester resin with ribs and batting, and an intra-abdominal organ. The hypocardiac vibration sound contains 20 ml of water in the internal part 10 ml of balloon is placed inside, by appropriately beating belly certificate model, and more to reproduce the sound swaying moisture, Kampo for medical care characterized in that it kantoku the Kokoroka Boeuf water sound abdominal examination model. The Kampo Medicine, for abdominal examination model according to any one of claims 1 5, Chinese Medicine, abdomen examination, wherein the pressure sensor is provided for output in accordance with the applied pressure Model . An added pressure measurement characterized in that an output from the pressure sensor is sent to a measuring device connected via an amplifying device in accordance with the pressure applied by the abdominal examination model for Chinese medicine medical treatment according to claim 7. Abdominal examination model for Chinese medicine medical treatment equipped with a device. The output from the pressure sensor according to the pressure applied to the abdominal examination model for Chinese medicine medical treatment according to claim 7 is added to the Chinese medicine medical treatment model by an experienced doctor previously stored in the storage unit. compared outputs a model data outputted from the pressure sensor in accordance with the pressure in a specific range, it is determined whether the appropriate range, and outputs the result of its Chinese medicine An abdominal examination simulator for Chinese medicine that measures the pressure applied to a medical abdominal examination model .

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