We assume the major function of the arterial system is transporting energy via its transverse vibration to facilitate the blood flowing all the way down to the microcirculation. A highly efficient system is related to maintaining a large pressure pulse along the artery for a given ventricular power. The arterial system is described as a composition of many infinitesimal Windkessels. The strong tethering in the longitudinal direction connects all the Windkessels together and makes them vibrate in coupled modes. It was assumed that at rest condition, the arterial system is in a steady distributed oscillatory state, which is the superposition of many harmonic modes of the transverse vibration in the arterial wall and the adherent blood. Every vibration mode has its own characteristic frequency, which depends on the geometry, the mass density, the elasticity, and the tethering of the arterial system. If the heart rate is near the fundamental natural frequency, the system is in a good resonance condition, we call this "frequency matching." In this condition, the pulsatile pressure wave is maximized. A pressure wave equation derived previously was used to predict this fundamental frequency. The theoretical result gave that heart rate is proportional to the average high-frequency phase velocity of the pressure wave and the inverse of the animal body length dimension. The area compliance related to the efficiency of the circulatory system is also mentioned.

Acupuncture points (acupoints) form part of the meridian system that constitutes the most fundamental concept in oriental medicine, but their physiological basis has not been clarified. In this study we employed laser Doppler flowmetry (LDF) to extract the microcirculatory characteristics of acupoints and their surrounding tissues, and we interpreted the results from the viewpoint of microcirculatory physiology. Three groups of measurements were performed focusing on the following two important acupoints in oriental medicine in healthy volunteers (n = 13 for group A and n = 9 for groups B and C, respectively): Hoh-Ku (Li4, on the hand) and Ching-Ku (B64, on the foot). The two groups of measurements around Hoh-Ku (Groups A and B) were so designed as to examine the effect of the direction of the nonacupoint away from the acupoint, whereas comparison between the Hoh-Ku and the Ching-Ku measurements was to verify whether the phenomenon was consistent in the upper and the lower extremities. We found that the mean LDF signals were significantly larger at the acupoints than in their surrounding tissues (all p < 0.05), which indicates a larger blood supply into the microvascular beds of acupoints. The results indicate that the physical properties of the vascular structure of acupoints may affect the perfusion resistance, and thereby modulate the microcirculatory perfusion in accordance with tissue needs. This finding facilitates the localization of acupoints, helps in identifying the connection between microcirculatory physiology and responses to acupoint stimulation, and introduces an objective research method for understanding the mechanisms that underlie oriental medicine.

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It is known that arteries in their natural position are always subject to a longitudinal stress. However, the effect of this strong longitudinal tension has seldom been addressed. In this paper, we point out that the traditional pulse wave velocity formulae considering only the circumferential elasticity fail to include all the important energies. We present a vigorous derivation of a pressure wave equation, the pressure wave equation with total energy, which considers all the important energies of the whole arterial system by treating the arterial wall and the blood as one system. Our model proposes that the energy transport in the main arterial system is primarily via the transverse vibration motion of the elastic wall. The final equation indicates that the longitudinal stress is essential and the high frequency phase velocity is related to the longitudinal tension along the arterial wall and its Young's shearing modulus. By applying this equation, we suggest that longitudinal elastic property is an important factor in hemodynamics and in the treatment of cardiovascular diseases.

We aimed to characterize the frequency spectra of skin blood flow signals recorded at Hoku, an important acupuncture point (acupoint) in oriental medicine. Electrocardiogram (ECG) and laser Doppler flowmetry signals were measured simultaneously in 31 trials on seven volunteers aged 21-27 years. A four-level Haar wavelet transform was applied to the measured 20 min laser Doppler flowmetry (LDF) signals, and periodic oscillations with five characteristic frequency peaks were obtained within the following frequency bands: 0.0095-0.021 Hz, 0.021-0.052 Hz, 0.052-0.145 Hz, 0.145-0.6 Hz, and 0.6-1.6 Hz (defined as FR1-FR5), respectively. The relative energy contribution in FR3 was significantly larger at Hoku than at the two non-acupoints. Linear regression analysis revealed that the relative energy contribution in FR3 at Hoku significantly increased with the pulse pressure (R(2) = 0.48; P < 0.01 by F-test). Spectral analysis of the flux signal revealed that one of the major microcirculatory differences between acupoints and non-acupoints was in the different myogenic responses of their vascular beds. This information may aid the development of a method for the non-invasive study of the microcirculatory characteristics of the acupoint.

The present study used laser Doppler flowmetry (LDF) to investigate the connection between skin microcirculatory flow and the length of the RR interval (LRR). Local heating was performed on healthy volunteers to further elucidate its effect on LDF index. ECG and LDF signals were measured in 102 trials on seven volunteers. Each experiment involved a 5 min control and a 5 min heating-effect sequence. Each laser Doppler flux pulse was categorized into four groups according to its LRR compared with the 5 min average LRR. Synchronized averaging analysis was applied to the four groups of pulses to obtain their averaged waveforms, from which four flux parameters were calculated. The ac component of the flux increased significantly with increasing LRR, and the differences therein between the groups with LRR more than 4% smaller and more than 4% larger than the average LRR increased from 15.8% during the control period to 23.9% during the heating period. Understanding of the different flux responses between the control and local-heating experiments may aid the development of a new index, which helps to avoid LDF's main drawback of providing only qualitative measurement.

The pulse examination (脈診 mài zhěn) is a unique diagnostic approach of Traditional Chinese Medicine. The description of pulse examination in the history of Traditional Chinese Medicine is full of amazement and mythology. After researching in hemodynamics and investigating in clinical application for three decades, this article describes the development and the merits and demerits of pulse examination. The experiences of the ancients are tried to be illustrated with modern knowledge and language. As the theory of resonant blood circulation is discovered, Traditional Chinese Medicine could be on the shoulder of Newton and then lead the development of modern medicine. Hope the tool of pulse examination constructed according to eigen-vector with specific time domain and position can bring the running water for Traditional Chinese Medicine. Quantitative research could overcome the plight of analog logic qualitative research, and therefore bring new health revolution.

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