因地治宜针灸开穴时间的研究及软件开发与应用
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摘要
针灸时间治疗学包括利用五输穴的子午流注针法,使用八脉交会穴的灵龟八法及飞腾八法等,此为古今研究较多者,然而此三法之取穴关乎传统中国时间之计算,包括日干支及时干支,当日时干支推算出来后,则紧接着子午流注法按阳日阳时开阳穴及阴日阴时开阴穴法则行之;而灵龟八法及飞腾八法分别依「八法逐日干支歌」、「八法临时干支歌」及「飞腾八法歌」法则以完成最终之取开穴之目的。
     依本研究之文献探索总结,时间针法相较于常规用针具有其疗效之提升作用,然就临床现实面来说,繁复的时辰计算流程却也造成此时间针法推展之不易,有鉴于此,借用计算器强大计算的能力,将取开穴繁复的流程予以简化,对运用时间针法来说,在既有的疗效提升基础上,更能发挥其特殊治症之效验。
     目的:
     总结子午流注、灵龟八法与飞腾八法作为中医时间医学之古今计算方式与取开穴法则之探索实践,探析各式时间针法于现代针灸临床使用之疗效,设计可方便使用的时间针法取穴软件,合并卫星定位功能并延伸跨时区动态取穴,以便利于临床之应用。
     方法:
     本课题着眼在子午流注、灵龟八法及飞腾八法之取开穴法则之研究;而其应用决定在十二经之五输穴与八脉交会穴,综合历代及现代医家提出开穴法则之论述,大致上来说,时间针法之取开穴法则可区分为两种模式:一为几何代数之公式转换;二为指掌推演。
     关于几何代数公式之转换,当于日干支、时干支之计算中,寻求最佳算法之可能性。除此之外,其它关于时间针法之即时取穴或按时取穴方法不外乎是翻查书面表格,并藉由歌诀所透漏的数学概念逐次公式转换,于记忆上来说并不简单。至于本课题之研究,则采软件编程的方法,焦点锁定在各式计算算法中找寻其最佳化之形式并予以简化,作法上,利用计算机有效率的数据结构安排,以及数据库表格快速检索的设计,合并计算机本身擅长的搜寻技术,即便是透过行动运算平台如手机,也能经由微幅算法之精简来大幅提升其计算效能,进而达到精确且快速地取穴。
     再者,透过手持设备之内建GPS模块,发展以卫星定位技术为基础的「跨时区动态取穴」功能,如此一来可扩充时间针法软件的应用性。
     成果:
     本研究立基于子午流注、灵龟八法及飞腾八法等针法的应用,利用计算机高速运算能力解决特定时辰开穴问题,无论是针灸专家或是人们保健取穴,都可以省却各式速算、查表、掐指或掌推的繁琐过程;至于经由辨证论治寻经取穴的针灸专家,在既有疗效的前提下,透过此「针论」(本课题针对时间针法所开发之手机App)软件之辅助而能达到随时随地取穴目的,并收到事半功倍之效。
     本研究共发展出「即时取穴」、「定时取穴」、「针赋歌诀」及「系统设定」等四大功能模块。其中「即时取穴」及「定时取穴」均能有效地获取当下时间或预定时间之子午流注、灵龟八法及飞腾八法等所开之穴位,且需时仅约10-50ms(毫秒),相较于传统的人工翻查表格或指推法更具明显的效益。
     当开启行动设备如手机或平板计算机并执行此「针论」App时,系统预设开启「即时取穴」画面,并展示目前时间所相对应之日干支及时干支,且依子午流注、灵龟八法及飞腾八法之取穴法则依序显示所开之穴位,这样高效的即时取穴机制对于一位临床医者来说,可以达到对患者最为迅速的诊治。
     再者,当系统切换至「定时取穴」功能时,更能以预约未来时间的方式取穴,如此可针对特殊病患来加以取穴,而定时取穴的整体操作画面亲和力高,易于操控,尤其透过万年历的接口设计,更方便使用者点按及设定「年、月、日、时、分」。其次,本研究所开发之系统针对五输穴及八脉交会穴常用针赋歌诀做了数据统整汇编,方便医者在线检索翻查。
     最后关于「系统设定」方面,这可说是本研究最具创意及特色之处,其功能主要为「跨时区动态取穴」。简单来说,一天之内往返不同国家之两地,将因不同国家地处不同时区而致使时间有所差异,这就是时区的观念。本研究开发之软件系统于此时区差异能经由GPS卫星定位而巧妙且技术性地的加以转换时间,以期符合当前所在地域之位置及时间,且依此所在之时区时间予以动态取穴。关于生物时钟节律之论述得知,择时取穴之时辰定位在于当地时间。
     至于跨时区转换时间之关键算法,本研究方法首在利用手机系统内建之GPS模块以实作出当下地理位置之定位程序,并反复验证此程序以确立其地理位置搜寻结果之正确性;接续交付此绝对地址之经纬度予以Android系统并呼叫Google应用程序接口功能将此经纬度转换成当地相应时区,待时区正确转换后,再经由程序设计将其以当地时间呈现开穴结果。
     结论:
     子午流注法、灵龟八法及飞腾八法乃中国传统时间医学经验的总结,征诸于临床亦有相当良好的疗效,但其中开穴的方法涉及日干支及时干支的推算,以子午流注法来说,若逢该时为闭穴时辰,则进一步采夫妻穴替用之,层层迭加,反复推敲,如此过多琐碎的时间耗费在推算及翻查表格实令临床医家备感不便,就算三种针法疗效再高,也只能束之高阁,诚不可惜也。本课题研究之成果确切能利用计算机之行动运算关键技术,而能于极短的时间内精确地开出三种针法相应穴位,对临床医者来说能达开穴之速效性,于取穴上来说亦多了选择性,再则,「定时取穴」之功能可于预定之日期时间来加以开穴,对于临床之特殊案例来说,亦多了一种选择。而于「跨时区动态取穴」之功能言,更能有效符合时间医学于全世界各地的区域性及适用性。
Acupuncture-moxibustion time therapeutics including the use of five transport points for the Midnight Noon Ebb Flow(子午流注),the Eightfold Method of the Sacred Tortoise(灵龟八法)and the Method of Eight Flight(飞腾八法)base on the confluence points of the eight vessels, and this is the ancient and modern research more, this three methods of acupoints, however, relates to traditional Chinese time calculation, including stems and branches of the day, and stems and branches of the hour. when the stems and branches of the day, and stems and branches of the hour be calculated, we may further get the acupoints about the Midnight Noon Ebb Flow, the Eightfold Method of the Sacred Tortoise and the Method of Eight Flight.
     In our study of literature exploring the summary of the time acupuncture compared with conventional open acupoints to enhance the role of its efficacy, contingent on the clinical reality of face, complicated hour process but also cause this time acupuncture Promotion is not easy, in borrow calculator powerful computing capacity, will take the open-acupoints complex process be simplified, time acupuncture enhance both the efficacy on the basis of better play its special cure disease efficacy.
     Objective
     Analysis of the Midnight Noon Ebb Flow, the Eightfold Method of the Sacred Tortoise and the Method of Eight Flight. For Chinese time medicine of ancient and modern time calculation to take and open acupoints rule of exploration and practice. Exploring the three kinds of the time acupuncture clinical use of the efficacy, designed to facilitate the use of time acupuncture take and open acupoints software, combined satellite positioning function and extends cross time zones for dynamic open-acupoints, to facilitate the clinical application.
     Methods
     The topics focus on the open-acupoints of the Midnight Noon Ebb Flow, the Eightfold Method of the Sacred Tortoise and the Method of Eight Flight. The application decision to the Meridian and Collateral's five transport points and the confluence points of the eight vessels, the ages and modern physicians the exposition of the law, generally speaking, the law of time acupuncture method to open acupoints can be divided into two modes:a geometric algebra formula conversion; the other is finger inferring.
     When the stems and branches of the day and stems and branches of the hour calculation, the possibility of seeking the best algorithm algebra formula conversion. In addition, other methods about the the time acupuncture for immediate open acupoints on time is nothing more than check written form and table, and by the verses reveal the mathematical concept of successive conversion formula is not simple for the memory. As for the subject of the study, the method of mining software programming, lock the focus in a variety of computing algorithms to find its best form and simplify the practice, fast efficient use of computer data structure arrangements, as well as database tables retrieved design, combined computer itself good search technology, even through mobile computing platforms such as mobile phones, can streamline algorithm through slightly to significantly enhance its performance computing, thus achieving accurate and fast open acupoints.
     Furthermore, through the handheld device's built-in GPS module, the development of satellite positioning technology-based reach cross time zones for opening acupoints feature, this way can be expanded time acupuncture software applications.
     Outcome
     The legislation for open-acupoints of the Midnight Noon Ebb Flow, the eightfold method of the sacred tortoise and the method of eight flight applications, the use of computer-speed computing power to solve specific hour open-acupoints, whether the acupuncture experts or people care acupoints, can save all kinds of quick calculation, the look-up table, pinch fingers or palm push tedious process; through this "针论"(the topic for the the time acupuncture method developed by phone App) software auxiliary can reach anywhere for opening acupoints and have a multiplier effect.
     In this study, a total of four functional modules developed [Instant open-acupoints],[Timing open-acupoints],[Acupuncture verses]and [System settings].[Instant open-acupointsj and [Timing open-acupoints] can effectively obtain the present time or scheduled time for the Midnight Noon Ebb Flow, the Eightfold Method of the Sacred Tortoise and the Method of Eight Flight, and the need is only about10-50ms (ms), compared to the traditional manual search of form, finger inferring the more obvious benefits.
     When turned on mobile devices such as mobile phones or tablet computers and perform this "针论" App, the system is turned on by default " Instant open-acupoints" screen, and show the time corresponding to the stems and branches of the day, and stems and branches of the hour, and in Midnight Noon Ebb Flow, the Eightfold Method of the Sacred Tortoise and the Method of Eight Flight rule of law sequentially display the open-acupoints, such immediate and efficient the open-acupoints mechanism for a clinician who can achieve the most rapid diagnosis and treatment of patients.
     Furthermore, when the "针论" App switches to "Timing open-acupoints" feature, it's the better way to an appointment the next time open acupoints, so be the acupoints for specific patients, and the overall operation of the timing open-acupoints screen with high affinity, easy to control, especially calendar interface design, more user-friendly point by setting the year, month, day, hour, minute. Secondly, the system developed for the five transport points and the confluence points of the eight vessels commonly used verses compilation of data integration, easy to doctor online search to look up." System settings", it can be said that this study is the most creative and distinctive place, and its main function is dynamic open-acupoints cross time zone. In simple terms, within a day and from different countries will vary depending on national located in different time zones a result of the time difference, this is the concept of [time zones]. The research and development of software systems in this time zone difference via GPS satellite positioning and clever technical converted time, in line with the current position of the geographical location and time, and so where the time zone to be dynamic open-acupoints. Discussion on the rhythm of the biological clock that is the local time.
     As for across time zones conversion key algorithm, the method of the present study is the first in the use of the mobile-phone system built-in GPS module in order to build the current location of the positioning process, and repeated verification of this procedure to establish the correctness of the result of its geographical location Search; succeeding delivery the latitude and longitude of the absolute address to the Android system and call the Google application programming interface functions for this latitude and longitude converted into the corresponding local time zone, the time zone to be converted correctly, and then through programming to the local time in showing the results of the open-acupoints.
     Conclusion
     The Midnight Noon Ebb Flow, the Eightfold Method of the Sacred Tortoise and the Method of Eight Flight is summed up the experience of the Chinese traditional Acupuncture-moxibustion, it's also quite good clinical efficacy, but the open-acupoints method involves the Chinese Day and Hour complex computing, naming day-stems-branches(日干支)and hour-stems-branches(时干支).In Midnight Noon Ebb Flow, when the time is a closed-acupoints hour, further mining couple acupoints alternate, but layers of superimposed and repeated scrutiny, so too trivial time-consuming implemented in the form of projections and looked up make the clinical physicians are greatly inconvenience, even if all three method of acupuncture efficacy is even higher, can only be shelved. The outcome of the research on the exact use of mobile computing key technologies of the computer, and within a very short time to open the corresponding acupoints of three acupuncture method, the quick result of the open-acupoints for the clinician who can be reached at acupoints on it resembles a choice, Furthermore, the [Timing open-acupoints] on the scheduled date and time to be open acupoints, for the special case of the clinical, it resembles a choice. In the cross time zone dynamic open-acupoints function, is more effective to meet the time medicine around the world at the regional and applicability.
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