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User Manual - AcuGraph Equine Edition

1. _ _ oa __ _ _ oO INTERNET ACCESS The installation process requires Internet access for registration and activation of your software We recommend that you close all applications prior to starting the installation of AcuGraph If you already have a previous version of AcuGraph Equine Edition installed MAKE A BACKUP OF YOUR CURRENT DATA Then follow these steps to install AcuGraph 1 Insert the AcuGraph CD or flash drive and open it You will see the following screen eoo AcuGraph Equine Edition pkg C ED 1 item AcuGraphrEauine Editio AcuGraph Equine Edition pkg Double Clickfo Install 10 Double click the AcuGraph Equine Edition pkg icon You will see the welcome screen of the installer 2 e090 Install AcuGraph Equine Edition Welcome to the AcuGraph Equine Edition Installer 8 Introduction You will be guided through the steps necessary to Destination Sele f install this software Go Back Continue Click Continue and follow the instructions in the installer through the installation process When the process is complete attach the AcuGraph probe to your USB port as shown USB Cable O MIRIDIA TECHNOLOGY The other end of the black USB cable plugs into the USB port on your computer 1 11 NOTE The USB cable ends are indexed to only insert one way Do not force the connection If you are experiencing difficul
2. AcuGraph AcuGraph Password Please enter your password The first time you launch AcuGraph Equine Edition you will be given a checklist of items to complete your AcuGraph setup Follow the instructions to complete the checklist Congratulations Your AcuGraph system is ready for use 14 AcuGraph Chapter 2 Using AcuGraph Equine Edition Precautions for Use Safety First THE ACUGRAPH EQUINE EDITION SYSTEM IS FOR USE BY QUALIFIED PROFESSIONALS ONLY ALWAYS OBSERVE PROPER SAFETY TECHNIQUE WHEN WORKING AROUND EQUINES FAILURE TO OBSERVE PROPER SAFETY PROCEDURES MAY RESULT IN SERIOUS INJURY OR DEATH IF YOU OR YOUR PATIENT IS UNCOMFORTABLE WITH THE ACUGRAPH PROCEDURE DISCONTINUE USE AT ONCE MIRIDIA TECHNOLOGY INC HEREBY DISCLAIMS ALL LIABILITY FOR YOUR USE OF THIS EQUIPMENT INCLUDING CLAIMS FOR INJURY TO HUMANS OR ANIMALS PROPERTY DAMAGE LOSS OR DEATH IF YOU DO NOT AGREE TO BE BOUND BY THESE TERMS PLEASE RETURN YOUR EQUIPMENT TO YOUR VENDOR BY USING THIS EQUIPMENT YOU CERTIFY THAT YOU ARE PROFESSIONALLY QUALIFIED TO WORK IN THE FIELD OF EQUINE ACUPUNCTURE AND THAT YOU AGREE TO OBSERVE PROPER SAFETY PROCEDURES AT ALL TIMES PROTECT YOURSELF YOUR PATIENT AND YOUR EQUIPMENT WITH CARE PAY PARTICULAR ATTENTION TO PLACEMENT OF EQUIPMENT ROUTING OF CABLES AND THE DEMEANOR OF YOUR PATIENT AT ALL TIMES DO NOT PLACE YOURSELF IN A DANGEROUS SITUATION 15 Contrai
3. Kimball Larsen Steve Chamberlin Hardware Engineering Alvin H Larsen Ph D P E Drew Arbore Brent Rasmussen A Note About Meridian Nomenclature ooa ee AcuGraph Equine Edition is programmed to comply with the World Health Organization Standard Acupuncture Nomenclature Second Edition Names and abbreviations are as follows UNO Senet eeanscnaea S LU Large Intestine LI SOMA rnae An ST ee E E A E E E E SP PiCdl AE A HT Small Intestine uj caieraal vette cemccoas SI BIAGOCK aa e ea E BL KIONE aen ana KI PericardiUiisnse rona aN PC Triple Energizer sie ian nica TE Gallbladder cenuara GB INI ETT E ETE LR Governor Vessel 00cceeeeees GV Conception Vessel ccccee CV Because different texts and different instructors have utilized a variety of abbreviations and meridian names through the years some of the names and abbreviations used herein may not be familiar to the user AcuGrapn Table of Contents Contacting Technical Support ccccsseeeeeeeeeeeeeeeeees 4 Chapter 1 Installing AcuGraph Equine Edition 5 Installation for Windows 7 8 cccccceeecceesseeees 8 Installation for Macintosh OS X a se 10 Setting Up AcuGraph ccccccceccsssseseeeeeeees 13 Chapter 2 Using AcuGraph Equine Edition 15 Precautions for USe cccceeccescceescceeccessceecenes 15 Starting FNCU GT OM sestinsosirarcstmnarecsesocarenacneneness 17 F QUST a TA 18 ReCO
4. Next type the parts of the note format you wish to save as part of your template When you have customized it to your liking click on the Save icon and your new template is saved If you wish to modify any note template you may do so by opening it in this window making the modifications and clicking on Save You may create an unlimited number of note templates 62 Chapter 3 Troubleshooting Before You Call Tech Support _ OO AcuGraph has few requirements for successful operation and most problems can be solved by checking some simple items If you are having a problem please check on the following items before calling technical support This will help us provide rapid service in the event of more difficult problems and eliminate excess time spent on problems that can be quickly and easily solved by users First please make sure you have read the applicable sections of this manual The instructions in this manual have been carefully produced and exhaustively tested for accuracy More than half the calls to technical support are simply because the AcuGraph user ignored the instructions in this manual Please READ and FOLLOW the manual instructions The Support section of the AcuGraph Equine Edition website www AcuHotse com support contains more thorough troubleshooting information demonstration videos answers to frequent questions etc 63 Limited Warranty OO The sole warranty regarding
5. 2 A Begin Treatment evious Next History Compare Toggle Splits Normalize Edit Graph New Note Print Ema All Content Copyright 2002 2014 Miridia Technology Inc All Rights Reser This interface allows you to look at exam results in a variety of ways There are 8 different graph displays as well as an information section Each of the buttons at the right side of the window displays a different view of the exam results For information about any of the graph displays simply click on the symbol in the upper right corner of the graph display The Baseline graph is the traditional Ryodoraku style eraph used in meridian graphing Meridians are displayed 29 with fore yin meridians first followed by fore yang then hind yin and hind yang Yin Yang By Element The Yin Yang graph displays all the yin meridians on the left half and the yang meridians on the right half It also gives the average reading for yin and yang allowing comparison of the patient s yin yang balance The By Element graph displays the exam results as coupled meridians within each element and gives the average reading for each element This graph promotes 5 elements analysis by showing the relative balance among the 5 elements The shaded area behind the bars within each element illustrates the average for that element Energy Cycle The Energy Cycle graph displays the meridians in their horary order beginning with Lung This graph style i
6. Install the Software according to the instructions specific to your computet s operating system 4 Install the Hardware but not until AFTER the software is installed Please follow the instructions specific to your computer s operating system Parts of the System __ _ _ _ OO Your AcuGraph system consists of the following parts 1 The Software provided on CD Flash Drive or Download 5 2 The Probe Controller This is the black box with AcuGraph printed on the front 3 The Probe and cables 4 The Ground Pad This is the round pad and sponge 5 The USB cable Please locate and familiarize yourself with each of these items Please DO NOT plug anything in until you are instructed to do so in the installation instructions below 1 Review the System Requirements Bn For proper operation of your AcuGraph system your computer should meet the following minimum specifications Windows e Operating System Windows 7 or Windows 8 e Internet access e 1GB RAM minimum e gt 500 MHz processor e Available USB port e 1 GB free hard drive space e 1024x768 Minimum screen resolution Macintosh e Operating System OSX 10 7 or newer e Internet access e 512 MB RAM minimum e Intel Processor e Available USB port e 1 GB free hard drive space e 1024x768 Minimum screen resolution Printing AcuGraph supports most laser and ink jet printers The printer you wish to use must
7. de Restart Exam All Content Copyright 2002 2014 Miridia Technology Inc All Rights Reserve Probe Volume Speaking Exam The AcuGraph software provides audio direction during an exam so the user can focus on the patient without the need to continually look at the computer screen The voice prompts during the exam speak the name of the point to be measured next The volume level of the voice prompts and the probe tones can be set with the sliders on the exam screen 24 Performing an exam is quite easy and straightforward The following tips will help you perform exams quickly and accurately SAFETY FIRST Always observe proper safety procedures when working with equines Do not place yourself other humans your patient or your equipment in a potentially dangerous situation for any reason Probe Tip Insert a cut cotton swab in the probe end so that the cotton of the swab makes good contact with the metal of the probe tip Standard cotton swabs are generally readily available at drug stores and medical supply companies We also offer pre cut swab tips on our website at www acuegtaph com Moisture Moisten the cotton generously with water or saline solution and shake off any excess An easy way to do this is to keep a small spray bottle near your AcuGraph unit to spray the probe tip during exams Be careful to not get any other part of your AcuGraph unit wet and do not wet the probe beyond the tip Do not use distil
8. In the Records screen you can view all the records available for the selected patient Records are listed by date and type Double clicking on any record will display it in full 00 AcuGraph Equine Edition Patients Records Exam Graphs Reference L i current Patient Mr Bentley Roundhouse Stables te bz Show All New Exam New M Date and Time 08 18 2014 08 18 2014 8 30 PM 04 27 2014 04 27 2014 2 38 PM 04 27 2014 2 19 PM 04 06 2014 04 06 2014 12 26 PM Record Count 4 Record Details I Note This is where you can add notes about the patient treatment etc dh Exam Jing well dh Exam Jing well dh Exam Jing well allt View Graph Pllc Select All Print View Grapt All Content Copyright 2002 2014 Miridia Technology Inc All Rights Re Double click any record to view it or highlight the record and click on View Graph alte Compare You may view multiple exams at the same time by selecting the exam records and clicking Compare 22 Print The Print icon will print the selected record or records Exam oo Zz Exam To perform an exam begin by selecting which type of exam you wish to perform The exam type will always default to the last exam type you selected 800 AcuGraph Equine Edition Current Patient Mr Bentley Roundhouse Stables Use the probe to collect readings from the patient Sing
9. Shutdown and leave it checked And ALWAYS back up your data before installing or uninstalling programs upgrading or reinstalling AcuGraph or changing your computer hardware in any way Your patient records are too valuable to risk Also be advised that if you uninstall AcuGraph without backing up YOU WILL LOSE YOUR PATIENT DATA Please back up your data before uninstalling or reinstalling AcuGraph To configure your automatic backup please check the box marked Automatic Backup at Shutdown Then select the location for your backup The best option is to back up to the Miridia Secure Server through the AcuGraph Secure Backup service NOTE You may check more than one box to simultaneously back up to more than one location 5 Preferences General Measurement ee ae Gaat Reports Notes Automatic Backup Your AcuGraph system is equipped to automatically save your patient data in non volatile storage at a location you can specify below It is STRONGLY recommended that you keep the box below checked to always automatically back up your patient records to a safe location V Automatic Backup at Shutdown Suppress Shutdown Backup Warning Messages M MOST SECURE Backup to Miridia Secure Backup Server _ To Another Location Manual Backup e MOST SECURE Backup to Miridia Secure Backup Server Backup Now Browse i To Another Location Restore MOST SECURE Restore from Miridia
10. Treatments section you can look up treatment point prescriptions by condition treated Clicking on any point name opens an illustration and information about that point O AcuGraph Report 7 dh C E e 2 Graphs e Resources Prefer oints l Charts Treatments Primary Points m Colic PC 6 Cough Lung HT 7 Cushing s Syndrome LI4 Edema LR3 Fever BL 14 Forelimb BL 15 General Wellness GV 24 Hock CV 17 Laminitis Yin Tang Lower Back Hip Lyme Disease Navicular Neck Post performance Pre performance Sciatica Shoulder Skin Rash Stifle Stop Bleeding Tendons Tuina Lin All Content Copyright 2002 2014 Miridia Technology Inc All Rights Re Under Custom in the treatments section user defined custom treatments may be viewed or modified In defining custom treatments the practitioner may select which energetic imbalances will trigger specific recommendations For each meridian you may choose excessive deficient split or any combination of these Any of the selected condition s in that meridian will satisfy the requirement to trigger the recommendation If conditions are stipulated for more than one meridian each meridian stipulated must meet at least one of its stipulated conditions to trigger the custom recommendation 50 00 AcuGraph Report Sie Z20oah Ww E Patients Records Exam Graphs Reference Resources Prefere Points Charts Treatments onditions ustom Custom Treatments Cha
11. from meridian to meridian The purpose of this illustration is to demonstrate the anatomical area where the meridian channel runs This is useful for explaining symptoms and locations The channel in the picture will be color coded according to the graph bar colors to demonstrate the energetic condition of the channel whether it is deficient excessive split or normal Icon Functions Begin Treatment The Begin Treatment icon displays the acupoints of the selected treatment in order This function is designed to serve as a treatment guide to the practitioner during treatment The arrow keys advance from point to point during treatment display ils afi Previous Next These icons show the previous and next graphs in the database for this patient In the event that there is not a previous or next graph for this patient one or both of these icons is grayed out Using the previous and next icons is a convenient and quick way to view previous and current treatments for the patient and to track patient progress is History The History icon displays the Historical Trends window as follows 36 8 0 0 Historical Trends 3 Graphs Starting On Sunday April 27 2014 2 38 PM Meridians PIE Score History GB Split LI Split PC Split BL Split KI Split HT Split ST Split LR Split SP Split SI Split LU Split TE Split SI Low LU High KI High TE Low ee ee 4 27 14
12. has relied upon your agreement to be bound by the terms of this Agreement You further acknowledge that you have read understood and agreed to be bound by the terms of this Agreement and hereby reaffirm your acceptance of those terms You further acknowledge that this Agreement together with the stipulations contained in the software license constitute the complete statement of the agreement between you and Miridia and that the Agreement does not include any other prior or contemporaneous promises representations or descriptions regarding the Software or Hardware This Agreement is not however to limit any rights that Miridia may have under trade secret copyright patent or other laws that may be available to it The agents employees distributors and dealers of Miridia are not authorized to make modifications to this Agreement or to make any additional representations commitments or warranties binding on Miridia Accordingly additional statements such as dealer or other 66 advertising or presentations whether oral or written do not constitute representations or warranties by Miridia and should not be relied upon This Agreement may be modified only in writing If any provision of this Agreement is invalid or unenforceable under applicable law it is to that extent deemed omitted and the remaining provisions will continue in full force and effect The validity and performance of this Agreement shall be governed by Idaho State law
13. shading to show the relative energy level of gt each meridian More shading means a higher average reading for the channel Ideally the shading should reach the area between the inner and outer circles in the chart This graphic is useful for understanding the patient s energetic condition at various times of day Marco Linder Stables 8 6 14 7 13 PM 92 128 Sn t n 102 9 N rm 62 93 IN S Nel 84 100 Ww T Midday v YY 32 The Ratios display gives information about the patient s Ratios relative energy balance Marco Linder Stables 8 6 14 7 13 PM 200 100 Fore Hind Balance L R Balance 6 Fore 1 Right 79 gt L R 100 495 50 0 0 Chi Energy Level Energy Stability 95 normal YIN YANG 79 Within Normal A Yin Yang Balance 8 Yin Limits This display shows several categories of energetic analysis On the left is the Chi Energy Level This is a representation of the patient s overall energetic level Note that it is possible for the patient to be too low or too high in energy and the ideal reading level is in the green area toward the center of the vertical display bar Various breeds will tend to read higher or lower than other breeds Therefore this number has a broad normal range The bottom center shows the Yin Yang Balance for the patient with the yin yang tendency noted The right side of the display shows the patient s Chi Energy Stabil
14. the Software and related materials is that the original disk or flash drive is free from physical defects in material and workmanship assuming proper use for a period of one year from date of purchase If such defect occurs during this period you may return your faulty media to Miridia Technology Inc Miridia along with a dated proof of purchase Miridia will replace it free of charge After one year a replacement disc or flash drive will require a nominal fee The sole warranty regarding the AcuGraph probe and probe controller is that they are free from physical defects in material and workmanship assuming proper use for a period of one year from date of purchase If such defect occurs during this period you may return your faulty probe to Miridia Technology Inc Miridia along with a dated proof of purchase Miridia will replace it free of charge After one year a replacement probe will require a fee Your sole and exclusive remedy for any breach of representation or warranty is that Miridia at its option either a will refund your payment for the software and probe upon your return of the software and probe with a copy of your receipt or b will replace it on an exchange basis without charge except as provided above EXCEPT FOR THE EXPRESS WARRANTY SET FORTH ABOVE THIS SOFTWARE AND HARDWARE ARE PROVIDED AS IS AND TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW MIRIDIA DISCLAIMS ALL OTHER WARRANTIES EXPRESS OR I
15. without reference to choice of law principles except as to copyright and trademark matters which are covered by United States Federal laws This Agreement shall be construed as to its fair meaning and not strictly for or against either party 67 Return Policy e All new AcuGraph systems are fully protected by a 30 day money back guarantee You may return your AcuGraph system anytime within the first 30 days of ownership for a full refund of the purchase price paid If you need to return your system please contact your distributor or Miridia Technology Inc for instructions Note Accessories purchased with your AcuGraph system may be subject to separate return policies Shipping fees are not eligible for refund Please visit www AcuGraph com shop for details 68
16. your report choose the location to save it and press Save Your PDF will be created and saved 45 Treatments The left side of the Graphs screen contains the Treatments Treatment section These 4 buttons control which treatment recommendations will be Jf Basic displayed below in the treatment gt recommendations section of the window based Advanced A v v on the information in the displayed graph T Associated You may choose which treatment recommendation to view by clicking on the ao appropriate button All treatment recommendations are presented as possibilities only and the ultimate decision of how to treat the patient rests with you the licensed practitioner Though several treatment options are presented it is not appropriate or advisable to attempt to perform all the possible treatments on the same patient the same day Rather you should pick the one or two protocols you prefer and perform them You may also use treatments of your own choosing outside the scope of this software Custom Important Notes about Treatments MIRIDIA TECHNOLOGY INC IS NOT LIABLE FOR RESULTS OF TREATMENT AND THE TREATMENT RECOMMENDATIONS ARE TO BE CONSIDERED WITHIN THE CONTEXT OF THE PATIENT S SYMPTOMS DIAGNOSIS TRAINING FITNESS LEVEL AND OVERALL STATE OF HEALTH The AcuGraph software does not and cannot consider each patient s individual situation beyond the electronic examination and it does not take the
17. 4 27 14 Element History RRP RP RK KH NNNNNNNN WWW The Historical Trends window displays the trends in PIE score element history and most common imbalances for the selected patient To choose how many exams are included in the history use the slider at the bottom left of the screen d Toggle Splits The Toggle Splits icon removes split meridians from a graph Because hair can sometimes interfere with good measurement technique you can choose to ignore splits by setting both sides of the meridian to read at the highest reading of the two sides This simplifies treatment plan selection particularly when there are excessive splits Compare The Compare icon takes you to the Patients window with the list of exams displayed for that patient In this window you can select specific 37 graphs for comparison Select as many graphs as you care to from the patient s history for comparison or printing It is best to wait at least 24 hours after treatment before re examining your patient for comparison purposes Re examination directly after treatment will not produce a valid result because Chi energy will still be in flux from the treatment Ly Normalize The Graph Normalization feature removes the effect of the outlying values on the mean of the graph If meridians are excessively high or low and therefore artificially changing the mean normalization will correct the mean and the categories
18. BLE CAUSES DAMAGE CAUSED BY AN ANIMAL IS NOT COVERED BY YOUR WARRANTY Please protect your equipment 16 Starting AcuGraph _ _O _ XX Oo To start AcuGraph double click on the AcuGraph icon AcuGraph Equine Edition When the program is started it will automatically check your USB port to see if the probe controller is attached If the probe controller is NOT attached the program will function normally but the Exam function will not be available If you have started AcuGraph without the probe controller attached and you need to perform an exam you may attach the probe controller to the USB port and retry the desired function Password The AcuGraph Password screen requires the entry of a password before any patient data will be displayed This is to protect the confidentiality of your patient records AcuGraph Password oO 28 Please enter your password Quit The default password from the factory is set as energy all lower case and no quotes It is important that you change the password to one of your own choosing to prevent unauthorized access to protected patient data The password can be changed in the General tab of the Preferences section of the software If you lose or forget your password you will have to contact technical support to regain access to the software For your protection you will be required to verify valid ownership of AcuGrap
19. CLUSION OF LIABILITY FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES SO THE ABOVE LIMITATION OR EXCLUSION MAY NOT APPLY TO YOU 65 THE ACUGRAPH EQUINE EDITION SYSTEM IS FOR USE BY QUALIFIED PROFESSIONALS ONLY ALWAYS OBSERVE PROPER SAFETY TECHNIQUE WHEN WORKING AROUND EQUINES FAILURE TO OBSERVE PROPER SAFETY PROCEDURES MAY RESULT IN SERIOUS INJURY OR DEATH IF YOU OR YOUR PATIENT IS UNCOMFORTABLE WITH THE ACUGRAPH PROCEDURE DISCONTINUE USE AT ONCE MIRIDIA TECHNOLOGY INC HEREBY DISCLAIMS ALL LIABILITY FOR YOUR USE OF THIS EQUIPMENT INCLUDING CLAIMS FOR INJURY TO HUMANS OR ANIMALS PROPERTY DAMAGE LOSS OR DEATH IF YOU DO NOT AGREE TO BE BOUND BY THESE TERMS PLEASE RETURN YOUR EQUIPMENT TO YOUR VENDOR BY USING THIS EQUIPMENT YOU CERTIFY THAT YOU ARE PROFESSIONALLY QUALIFIED TO WORK IN THE FIELD OF EQUINE ACUPUNCTURE AND THAT YOU AGREE TO OBSERVE PROPER SAFETY PROCEDURES AT ALL TIMES PROTECT YOURSELF YOUR PATIENT AND YOUR EQUIPMENT WITH CARE PAY PARTICULAR ATTENTION TO PLACEMENT OF EQUIPMENT ROUTING OF CABLES AND THE DEMEANOR OF YOUR PATIENT AT ALL TIMES DO NOT PLACE YOURSELF IN A DANGEROUS SITUATION The limitations of damages set forth above are fundamental elements of the basis of the bargain between Miridia and you Miridia would not be able to provide this product on an economic basis without such limitations You acknowledge that in providing you with the Software and Hardware Miridia
20. Equine Edition ZS S ACUGrapnh User Manual Copyright 2014 Miridia Technology Inc All Rights Reserved Revision A www AcuHorse com 208 846 8448 Legal Use Information ee All contents Copyright 2003 2012 Miridia Technology Inc All rights reserved No part of this manual or the software it describes may be reproduced without express written consent of the copyright holder AcuGraph and Digital Meridian Imaging are Registered Trademarks of Miridia Technology Inc AcuHerb and IntelliGraph are Trademarks of Miridia Technology Inc The AcuGraph Digital Meridian Imaging System is protected by U S Patent No 8 332 027 Miridia Technology Inc 1875 N Lakes Place Meridian ID 83646 USA 208 846 8448 Credits i AcuGraph Equine Edition represents the culmination of thousands of hours of research design development programming and testing work by a number of professionals All of us at Miridia Technology Inc offer our heartfelt thanks to the following individuals for their contributions Conception and Design Dr Adrian Larsen Cameron Larsen Acupuncture Consulting Dr Shauna Ault Dr Dennis Baker Monique Smith L Ac Dr Lance Carlton Durrett Christopher Harrison L Ac Kimberly Thompson L Ac Horse Models Sharon Katzke Beta Testing Dr Shauna Ault Dr David Lundquist Valerie Hunter L Ac Van Harding L Ac Dr Paul Silcox Software Engineering
21. MPLIED BY STATUTE OR OTHERWISE REGARDING THE SOFTWARE DISK AND RELATED MATERIALS PROBE HARDWARE PROBE CONTROLLER CABLES CONNECTORS OR PROCESSOR INCLUDING THEIR FITNESS FOR A PARTICULAR PURPOSE THEIR QUALITY THEIR MERCHANTABILITY OR THEIR NONINFRINGEMENT THE LIABILITY OF LICENSOR UNDER THE WARRANTY SET FORTH ABOVE SHALL BE LIMITED TO THE AMOUNT PAID BY THE CUSTOMER FOR THE PRODUCT SOME STATES DO NOT ALLOW THE EXCLUSION OF IMPLIED WARRANTIES SO THE ABOVE EXCLUSIONS MAY NOT APPLY TO YOU IN THAT EVENT ANY IMPLIED WARRANTIES ARE LIMITED IN DURATION TO 90 DAYS FROM THE DATE OF PURCHASE OF THE SOFTWARE THIS WARRANTY GIVES YOU SPECIFIC LEGAL RIGHTS YOU MAY HAVE OTHER RIGHTS WHICH VARY FROM STATE TO STATE 64 IMPORTANT YOUR ACUGRAPH UNIT IS NOT A MEDICAL OR VETERINARY DEVICE IT HAS NOT BEEN EVALUATED BY THE U S FOOD AND DRUG ADMINISTRATION NOR HAS ANY STATEMENT IN THE USER MANUAL OR SOFTWARE BEEN EVALUATED BY THE U S FOOD AND DRUG ADMINISTRATION THE ACUGRAPH DIGITAL MERIDIAN IMAGING HARDWARE AND SOFTWARE ARE NOT INTENDED TO DIAGNOSE TREAT CURE OR PREVENT ANY DISEASE THIS EQUIPMENT IS FOR EXPERIMENTAL OR INVESTIGATIONAL USE ONLY AND DOES NOT TAKE THE PLACE OF PROPER DIAGNOSIS AND TREATMENT BY A LICENSED HEALTHCARE PROFESSIONAL Miridia has no control over your use of the Software and Hardware Miridia does not and cannot warrant the performance or results that may be obtained by its use Miridia does
22. Name is set at the time of installation and is correlated with your software license for AcuGraph This information CANNOT be changed without obtaining a new license code If you need a new license code please contact your AcuGraph Distributor The Custom Field Title section lets you name the custom field header shown in the Patients section of AcuGraph This is useful if you are collecting any sort of custom information about your patients and you want to designate the name of the field In the Graph Colors section of the Preferences window you can customize the colors used in your graphs To do so click on the color square you wish to change and select a new color from the selections offered Be sure to save your selection s The Reset Colors button restores all colors to their factory defaults The Enter New Registration Information button is ONLY used for entering a new license code as described above Please do not attempt to change your registration information unless instructed to by Miridia Technology Inc You risk damaging your software and rendering it inoperable Passwords Bn To protect private patient data AcuGraph requires password authentication to enter the program The default password for AcuGraph is energy all lower case without quote marks We recommend you set your own password in the Preferences section and follow proper security procedures by keeping the screen f
23. Secure Backup Server Restore Now C From Another Location Browse Default Settings Close AcuGraph Secure Backup e Ga AcuGraph Secure Backup is a low cost program that PROTECTS your patient data with secure automatic off site backup to our protected servers This means that your patient records have ultimate protection from computer crashes viruses loss theft and disaster Because your data is automatically stored on our secure servers you have the rock solid assurance that no matter what happens to your computer or even your clinic your data is safe and accessible To further enhance your peace of mind your data is encrypted before being sent to our servers so it cannot be intercepted on the internet Once on our servers your data is inspected daily by our automated systems to ensure that your backups are not corrupted If there is ever any problem detected with your data integrity we inform you immediately and help you correct the problem 58 Your AcuGraph installation includes a free 30 day trial of AcuGraph Secure Backup This trial is activated the first time you back up to our secure server This backup feature requires that your computer is connected to the internet when you shut down AcuGraph If your computer is not connected to the internet the program will inform you that the backup was not successful If you do not have access to the internet or choose not to use AcuGraph Secure Backup we
24. ange For example 5 12 In the Select Printer area choose Miridia PDF Maker as your printer Then press Print Next you will be asked to name your report and choose the location to save it When you have done so press Save and your PDF report will be created and saved Save in Desktop t ig fg Ev Name Size Type Date modified A Public A Computer Y 43 PDF Printing For Macintosh After you have selected report options and pressed Print in the AcuGraph print window the operating system will show the following screen Printer Phaser 8560DN a Copies 1 M Collated C Two Sided Pages All OFrom 1 to 1 Layout W Pages per Sheet Layout Direction r amp s Border Two Sided 5 Ol CET review Cuvee Cancel Print From the PDF drop down menu at the bottom left of the screen select Save as PDF 44 Printer Phaser 8S60DN s fa presets Copies 1 M Collated Two Sided Pages All OFrom 1 to 1 pages perSheet 7 SY 1 Layout Direction A EJ Kd N Border Two Sided EDF Preview Supplies SEE CE a D Save as PostScript Fax PDF Mail PDF Save as PDF X Save PDF to iPhoto Save PDF to Web Receipts Folder Edit Menu Save As AcuGraph Report f Where Title AcuGraph Report O Subject sis 7 2 Then name
25. be accessible to your computer by direct connection to your computer or through a network Best results are obtained when graphs are printed in color and a color printer is therefore recommended Before you can print from AcuGraph you must first install the driver software supplied with your printer Please refer to your printer s documentation for installation and operation instructions Internet Features Certain features of AcuGraph require Internet access for operation These features include Installation Secure Backup registration and emailing If you do not have Internet access these features will not work though the remaining features of AcuGraph will function normally Installation for Windows 7 8 Dee INTERNET ACCESS The installation process requires Internet access for registration and activation of your software We recommend that you close all applications prior to starting the installation of AcuGraph If you already have a previous version of AcuGraph Equine Edition installed MAKE A BACKUP OF YOUR CURRENT DATA Then follow these steps to install AcuGraph in Windows 1 Run Windows Update It is critical that Windows be fully updated prior to commencing the installation process If you skip this step AcuGraph may not operate properly 2 Remove ort temporarily disable all antivirus software Such software tends to interfere with the installation process 3 Insert the AcuGraph CD or flash drive The AcuGraph
26. e The presets you selected will be saved to the currently shown Favorite The Cover Pages section lets you choose the cover page or pages for the printed report The following two options are available Report Explanation This cover includes simple explanations of the purpose and meaning of the AcuGraph report Custom Cover Page This option attaches your own custom cover page to your report You can make your cover page as simple or complex as you wish and it can be more than one page if desired To create a custom cover page simply create a document in any word processing or page layout program you choose You may include pictures text formatting and design elements When you have finished creating your cover page save it as a PDF For more information on how to create a PDF please see PDF printing below When you have saved your cover page as a PDF visit the Printing window of the Preferences section of AcuGraph There you can select your PDF document to import it into AcuGraph as your custom cover page For more information on importing a cover page please see the Preferences section of this manual Email AcuGraph includes the ability to email a patient report To use this feature first select the options you wish to include in the report from the Printing Options window Then click the Email icon The following window will appear 41 From Please enter your email address To Plea
27. e Measuring Splits A Split is a situation in which the right and left side readings for a single meridian are significantly different from one another Splits are displayed in purple on the graph Most split meridians are actually the result of inaccurate point location Remember the actual acupuncture point will return a higher reading than the surrounding skin Therefore if the probe is not on the point when the reading is taken the reading will be artificially low For this reason AcuGraph invites the user to re measure any split meridians by re testing the low side of the meridian only If you select this option at completion of your exam the software will prompt you which meridians on which sides need to be re measured Re measuring split meridians provides greater accuracy by eliminating measurement errors 28 Graphs ya ws Graphs In the Graphs window you can view and print patient exam results The interface looks like this LO AcuGraph Equine Edition Ao 6 y we Patients Records Exam Graphs Reference Resources Preferen Treatments Marco Linder Stables 8 6 14 7 13 PM Graphs Fore Limb Hind Limb a obit v i Advanced Yin Yang pq Associatea By Elemer Custom 5 Element Associated Back Shu 4 Points i Energy Cyc int Reason 1o 18 LR or u 7E 23 Ki or Horary Ratios P LE Informatio High Low Hi Split Normal 7 sh J
28. erate pressure Listen for the audio feedback You may move the probe during measurement to find the highest reading then hold it steady while the measurement completes Training Mode If you are unsure of proper point location or unable to duplicate consistent readings on the same patient try using the Training Mode of measurement This feature is activated in the Measurement window of the Preferences section When the Training Mode ts active each measurement consists of the following two steps 1 Locate the point precisely Contact the patient s skin with the probe in the vicinity of the acupoint to be measured Slowly slide the probe across the skin until a sharp increase in the reading is noted This sharp increase indicates you have located the point exactly this is where to take the reading If you move off the point simply move back on until you have located the point of the highest reading Now remove the probe from the skin 2 Measure the point Place the probe at exactly the point of highest reading you located in step one The probe will read for two seconds to allow the reading to stabilize then will capture the reading into the software Now move on to the next point and repeat steps one and two Careful point location in this manner will produce very consistent and reliable graphs Always take the reading at the point of highest conductance Once you have practiced enough to feel confident in your point l
29. f the point simply move back on until you have located the point of the highest reading Now remove the probe from the skin 2 Measure the point Place the probe at exactly the point of highest reading you located in step one The probe will read for two seconds to allow the reading to stabilize then will capture the reading into the software Now move on to the next point and repeat steps one and two Careful point location in this manner will produce very consistent and reliable graphs Always take the reading at the point of highest conductance Once you have practiced enough to feel confident in your point locations you may deactivate the Training Mode Timed measurements can be set so that each point is measured for exactly the same length of time With the Timed measurement option active you need only to rest the probe tip on the point and hold it there The software will automatically take the measurement when the preset length of time has passed 56 Database Maintenance Under the Database Maintenance tab in Preferences you can control how and when AcuGraph creates a backup of your database file IMPORTANT NOTICE It is not a question of IF your hard drive will fail it is a question of WHEN If you do not back up your data YOU ARE PLANNING TO LOSE IT It is very important that your database is backed up frequently preferably daily We recommend that you check the box marked Automatic Backup at
30. h Equine Edition to receive a new password 17 Patients ses gt Patients The Patients icon provides access to records for all the patients you have entered in AcuGraph The scrolling list at the top of the window lists all patients by column and the search box allows searching by name You may also sort patients by clicking on the header of each column to sort by the name or date in that column For example if you click on the Facility Name column all patients will be sorted by facility name and facilities will be listed in alphabetical order 800 AcuGraph Equine Edition SoLL 2 E Patients Records Exam Graphs e Resources Preferen Name or ID RD i gt A 34 Patients Found r Oo Add Patient Edit Patient New Exar Horse Name Facility Name Owner Name Birth Year Last Exam Exams Custom Joey Roundhouse Stables Roger Woodhouse 1993 04 06 2014 1 Mr Bentley Roundhouse Stables Roger Woodhouse 1994 04 27 2014 3 Memphis Creve Coeur Stables Samantha Snyder 2004 04 06 2014 1 Frisco Wesport Farms Tonya Smith 2005 04 06 2014 1 Buddy Belleville Gardens Mike Simpson 1998 04 06 2014 1 Summer Harbor Frontenac Stables Jane Kubota 2007 04 05 2014 1 Luna Frontenac Stables Jane Kubota 1999 04 23 2014 2 Date and Time Record Details All Content Copyright 2002 2014 Miridia Technology Inc All Rights Reser Add Patient The Add Patient icon opens the Add New Patient window where you can enter informati
31. iety chest pain mania restlessness Needling Information Perpendicular insertion one cun deep The treatment types work in the following ways Basic treatment model This model uses Luo points to treat split meridians Sedation points to treat excessive meridians and Tonification points to treat deficient meridians This method does not pay any attention to the 5 elements model or use group points In the Advanced treatment model the points are selected to most efficiently move energy from excess to deficiency The Ko and Sheng cycles are considered as are Luo points and group points e Advanced treatment model considers all possible combinations o The Ad d treatment model ders all possibl binat f points and makes a recommendation based on use of the fewest points possible It also considers musculo tendino points for global and specific effects Associated treatment model This model uses the Associated Back Shu points specific to the meridian imbalances noted Custom treatments This model displays user defined custom treatments tailored to the exam results Custom treatments may be defined in the Reference section Graph Effect Highlighting While viewing the PIE graph or any bar style graph if you roll your mouse pointer over any of the treatment points listed under the basic advanced or associated protocols the portions of the graph that will be affected by that point will be highlighted in a different col
32. ing on the Preferences icon in the upper right corner of the main AcuGraph window This section of the program allows you to control a wide array of features within the program Though basic default preferences are configured when the software is installed we recommend you take time to familiarize yourself with all the preference options so you can take full advantage of the best features of AcuGraph Equine Edition General Preferences Under the General preferences tab you have a variety of options to customize your software Preferences Measurement Database Maintenance Reports Notes User Information Graph Colors User Name AcuGraph Equine Test Edition High a Split m a Address Line 1 123 Anystreet Normal Reset Colors Address Line 2 Suite 123 Registration Information Address Line 3 Enter New Registration Information Address Line 4 Reset City Meridian Country United States dii State Province Idaho Password Postal Code 83564 Confirm Password Phone 123 456 7890 Website Email alarsen miridiatech com Patients _ Show Inactive Patients Custom Field Title Custom Default Settings 53 Under User Information you can customize information about your practice The information entered under User Information will be printed on the reports generated by AcuGraph Please note that the User
33. installer should launch automatically If the installer does not automatically launch navigate to the installer and launch it manually When you see the following screen click Next to continue gt Setup AcuGraph Equine Edition A A Graph Welcome to the AcuGraph Equine Edition Setup Wizard This will install AcuGraph Equine Edition 1 0 0 on your computer It is recommended that you close all other applications before continuing Click Next to continue or Cancel to exit Setup cone 4 Follow the installer instructions to complete the installation When program installation is complete install your AcuGraph probe by doing the following 1 Attach the black USB cable to the LEFT side of the case as shown below gp Acusranh MIRIDIA TECHNOLOGY USB Cable 2 The other end of the black USB cable plugs into the USB port on your computer Your USB port will be labeled with this symbol NOTE The USB cable ends are indexed to only insert one way Do not force the connection If you are experiencing difficulty inserting the USB plug please make sure it is in the proper orientation Normally the molded USB symbol ts facing up 3 When you have plugged in your AcuGraph Probe Controller a small window may appear informing you that the system has found new hardware and is installing drivers When driver installation is complete you are ready to use your AcuGraph Installation for Macintosh OS X
34. ion in the center controls what text information will be included The Treatment section on the right selects what treatment information will be included in the report The Brief Report for File item provides a one page summary report including the Baseline graph and any treatment recommendations selected under the Treatment section This report is useful as a quick reference and for paper files because it is brief and contains only the essential information Under Treatments you may choose which treatments to print and whether to print only lists of recommended points or full reference illustrations and information The other selectable items will be printed in the full report The report will only contain those items selected in the Printing Options window allowing you to customize your reports to your exact desires The Report Language selector is used to determine which language will be used in your printed reports This option is only available if you have purchased additional language packs for your AcuGraph system The Printing Favorites section allows you to save printing preferences for specific types of reports For example if you print a specific type of report on a first visit you can define the report and save it as a preset 40 To do so first click on the sign to add a new report Name it and save it Then select the contents of the report in the printing window and when you are satisfied click sav
35. ity This is determined by analyzing the highest and lowest readings in the exam in relative comparison to the mean Patients with a wider range of readings from high to low will have lower relative energy stability The green area towards the top of the display represents the best balance You may want to think of stability as the opposite of variability A graph with high variability scores low for stability and a graph with low variability scores high for stability The center of the display shows the Right Left and Fore Hind balance superimposed on a horse figure The right left balance reflects the relative balance between readings on the right and left sides of the body and the 33 Pore Hind balance reflects the balance between the readings on the hands and the feet Interpretation of these ratios categories is provided in the Information display See below The P I E Graph stands for Personal Integrated Energetics eraph This graph provides a snapshot of the patient s overall meridian balance in a simplified user friendly format Marco Linder Stables 8 6 14 7 13 PM p 71 100 Typical 51 70 Low 41 50 Poor 31 40 Poor 0 30 Within this graph each meridian is represented by a color coded slice of the pie Energetically healthy meridians extend fully to the edge of the circle and are colored green Energetically unhealthy meridians do not extend fully to the edge of the circle The smaller the
36. le Point Exam PC HT SI DE LI LU Kl BL GB ST LR SP BEE All Content Copyright 2002 2014 Miridia Technology Inc All Rights Reser 23 Your exam type choices are Jing well Points and Single Point A description of each follows Jing well points are the beginning and ending points of the 12 main meridians and are the connection points between the main channels and the tendino musculo branches The Jing well points are located just proximal to the coronary band above the hoof Jing well graphs measure the general energetic balance of the meridians Single Point Exam This exam is designed for the repeated measurement of a single acupuncture point to assess skin resistance responses to various stimuli At the completion of each measurement a dot is placed on the eraph with the measured value plotted Subsequent measurements are then plotted and connected to show the relative change in the readings see illustration below This exam does not produce any record that is saved in the software eoo AcuGraph Equine Edition St A Patients Records Exam Graphs Reference Resources Preference Current Patient Buddy Belleville Gardens Use the probe to collect readings from the patient Exam Type S Jing well Exam Single Point Exam This exam is designed for repeated testing of a single point to track real time reactions to various stimuli This information is designed for real time use and is not stored
37. led water to wet the probe tip Standard tap water mineral water or saline solution are all acceptable choices For best results you should re wet the probe tip after completing 1 2 readings depending on the horse s skin and hair In the case of excessive hair interfering with the exam you may wish to shave the area above the hoofs Ground Pad The ground pad must make good electrical contact with the skin to complete the electrical measurement circuit For best results wet the sponge and place the ground pad in a relatively hairless area such as the lower abdomen or inside hind leg Ensure that the pad is moist enough to make a good connection with the skin The included surcingle strap may be used to hold the ground pad in place during the exam or you may have an assistant hold the pad in place Be sure to route the gray ground wire safely away from the horse s legs to avoid entangling the horse or tripping the operator Point Location Be consistent in your point locations Use the same point and same landmarks on the left side that you used on the right side This may sound obvious but careless point location is the number one cause of erroneous readings A difference of just a few millimeters can change the reading significantly 25 Technique Angle the probe upward at the same angle as the hair grows downward so the probe can separate the hair and reach the skin Place the probe with a deliberate action and light to mod
38. ndications Your AcuGraph system produces extremely low voltages and measurement currents far below the threshold of physical sensation Nevertheless your AcuGraph probe should never be used in the mouth eyes or mucosa on sensitive skin or on rashes lesions or wounds Important Note YOUR ACUGRAPH UNIT IS NOT A MEDICAL OR VETERINARY DEVICE IT HAS NOT BEEN EVALUATED BY THE U S FOOD AND DRUG ADMINISTRATION NOR HAS ANY STATEMENT IN THIS MANUAL BEEN EVALUATED BY THE U S FOOD AND DRUG ADMINISTRATION THE ACUGRAPH HARDWARE AND SOFTWARE ARE NOT INTENDED TO DIAGNOSE TREAT CURE OR PREVENT ANY DISEASE THIS EQUIPMENT IS FOR EXPERIMENTAL USE ONLY AND DOES NOT TAKE THE PLACE OF PROPER DIAGNOSIS AND TREATMENT BY A PROPERLY LICENSED HEALTHCARE PROFESSIONAL Equipment Care Your AcuGraph probe controller unit contains sensitive electronic components Moisture static electricity shocks dropping the unit excessive heat and condensation may all have a damaging effect on your equipment Please be careful to protect your AcuGraph unit for best results and a long service life The AcuGraph Equine Edition includes a heavy duty carry case designed for use both for transporting your equipment and also during the exam process The case provides physical protection as well as protection from dirt dust liquids etc YOUR WARRANTY DOES NOT COVER PHYSICAL DAMAGE TO YOUR EQUIPMENT FROM ABUSE NEGLECT ACCIDENTS OR PREVENTA
39. nnels Excessive Deficient Split Excessive Deficient Split LU SP PC LR MHE KI SI BL TE GB LI ST Recommendations Save New All Content Copyright 2002 2014 Miridia Technology Inc All Rights Res For example if you check the boxes for Triple Energizer TE deficient and Pericardium PC split BOTH of these conditions must exist for the recommendation to be triggered Other conditions may exist in other meridians as well but they are not pertinent to this recommendation As an added example if you check boxes for Triple Energizer TE deficient and Triple Energizer TE excessive and Pericardium PC split then the recommendation will be triggered if the Triple Energizer is deficient and the Pericardium is split OR if the Triple Energizer TE is excessive and the Pericardium is split Any recommendation may be typed in the recommendations space Some categories of custom recommendations may include herbs additional acupuncture points bodywork exercises etc Please note that ACUGRAPH ONLY SERVES AS A DATABASE TO STORE THE PRACTITIONER S RECOMMENDATIONS MIRIDIA TECHNOLOGY INC IS NOT RESPONSIBLE FOR THE CUSTOM RECOMMENDATIONS STORED OR THE RESULTS OF THEIR USE 51 Recommendations that are triggered will be displayed in the Graphs window treatment list and printed in the report if selected 52 Preferences f w a Preferences The Preferences section of AcuGraph is accessed by click
40. not represent warrant or guarantee the accuracy and timeliness of the data contained in the Software and Miridia shall have no liability of any kind whatsoever to you or to any other party on account of any inaccuracies in or untimeliness of the data or for any delay in reporting such data contained in the Software Various information in the Software constantly changes and the information in the Software is only as of a particular date Miridia does not warrant that the operation of the Software will be uninterrupted or error free Miridia is not responsible for problems caused by accident abuse mishandling alteration or improper use Licensor does not warrant or guarantee the suitability of the Software or Probe or that either will meet your requirements TO THE MAXIMUM EXTENT PERMITTED BY APPLICABLE LAW MIRIDIA AND ITS SUPPLIERS WILL NOT BE LIABLE FOR ANY INDIRECT SPECIAL INCIDENTAL OR CONSEQUENTIAL DAMAGES INCLUDING DAMAGES FOR LOSS OF BUSINESS LOSS OF PROFITS OR THE LIKE WHETHER BASED ON BREACH OF CONTRACT TORT INCLUDING NEGLIGENCE PRODUCT LIABILITY OR OTHERWISE EVEN IF MIRIDIA OR ITS REPRESENTATIVES HAVE BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES AND EVEN IF A REMEDY SET FORTH HEREIN IS FOUND TO HAVE FAILED OF ITS ESSENTIAL PURPOSE MIRIDIA S TOTAL LIABILITY TO YOU FOR ACTUAL DAMAGES FOR ANY CAUSE WHATSOEVER WILL BE LIMITED TO THE AMOUNT PAID BY YOU FOR THIS PRODUCT SOME STATES DO NOT ALLOW THE LIMITATION OF EX
41. ny text you choose You may also paste text into the notes window from another application Use the space below to type a note When you are finished press Save Insert Template t Save Cancel The Insert Template pull down menu inserts a pre formatted template in your note This is useful if you have a typical notes template you usually use such as the S O A P note format You can add new custom templates to this menu in the Notes window of the Preferences section r ri Print Email The Print Email icon opens the Printing Options window where custom reports can be defined and printed 39 O Printing Options Select the information you wish to print then press the Print button Printing Favorites Cover Pages Original Settings x H Report Explanation Delete Add Save Custom Cover Page Graphs Information Treatment M Brief Report For File V Meridian Analysis Information eg ee V Ryodoraku Basic V Baseline i V Custom Treatment Recommendations V Advanced Treatment v E Yin Yang M Associated V By Element V Notes v Energy Cycle v 5 Elements v Horary M PLE V Ratios oO ho S Select All Cancel Email Print The main part of the Printing Options window is divided into three sections The Graphs section on the left controls which graphs will be printed in the report The Information sect
42. ocations you may deactivate the Training Mode in the Preferences section Timing To take accurate measurements you should hold the probe on the acupoint until the readings stabilize usually 1 3 seconds The AcuGraph software automatically times the reading and gives a double beep when the reading has been captures At this point you should remove the probe and measure the next point Technique Measurements will be most accurate when the skin is contacted and released with a quick intentional movement Correcting Errors During the examination if you take an erroneous reading or you wish to repeat a measurement for any reason you may move 26 back to a specific point by holding the Shift key and pressing the Tab key Each Tab will move backwards in the exam by one field You may also simply click with the mouse in the field for the measurement you wish to take Manual Entry You may also enter measurements manually by typing the values into the measurement fields and moving between fields with the Tab key If you choose to manually enter values the AcuGraph probe still must be attached to the computer to access the exam screen al Restart Exam If you want to start the exam over simply click the Restart Exam icon Any values already entered will be erased and the exam will start over at the beginning When you take the last measurement with the probe AcuGraph automatically saves the mea
43. of the other meridians By clicking the Normalize icon you will eliminate the effect of the excessively high or low meridians on the mean and the meridians will be automatically re categorized into their correct categories The treatment protocol will likewise be adjusted Use the normalize feature when there are excessively high or low meridians in the graph Note that normalization does NOT remove the outliers excessively high or excessively low meridians from the treatment protocol It only removes them from the calculation to prevent artificially skewing the results The outlying meridians are still treated and corrected aly Edit Graph The Edit Graph icon allows changes to the recorded values after the eraph has been displayed The changes can be made by manually entering new values or by taking readings with the probe Click in the box for the reading you wish to change and type a new number or use the probe to take a new reading NOTE to preserve the integrity of your patient records AcuGraph only allows you to manually edit graph values up to 8 hours after the exam o New Note The New Note icon opens a window where the user may record notes relevant to the patient s case This is a useful place to record symptoms progress treatment method etc The first part of each note recorded will 38 appear next to its associated graph in the records list Notes may be recorded in any length and contain a
44. on about a patient who has not yet been added to the database The items with stars are required to add a new patient 18 Add New Patient Please carefully enter the data below for the new patient When you have completed the data entry choose a button below to continue Duplicate Most Recent Patient Patient Information General Information Horse Name o metas Registered Horse Name Facility Address Birth Year 2013 lt a Gender Gelding rm Facility Phone Trainer Name Trainer Phone Owner Information Owner Name ions Owner Address Vet Phone Custom Owner Email M Patient Is Active Owner Phone merema Add New Patient and View Patient List Cancel Edit Patient The Edit Patient icon opens the Edit Patient window where you can change information about a patient who is already in the database Patients once entered cannot be deleted alt Last Graph The Last Graph icon is a convenient one click way to display the last exam for the selected patient without the need to select the exam from the list 19 Ae New Exam If you double click the selected patient or push the Enter key a new exam for that patient will automatically open You can also start a new exam by clicking the New Exam icon You must have your AcuGraph probe connected to your computer to
45. or This feature is used to display the treatment effect of any point on the graph results thus giving a clear picture of the treatment rationale 48 Reference _ o_o i Reference The reference section provides access to meridian channel illustrations point locations information and charts To use the reference click on any category in the left column Then choose the specific meridian from the next column and the indicated point or meridian illustration will be displayed You can click on any category or meridian at any time to change the information you are viewing You can click on any point in any channel to immediately display an illustration of that point eoo AcuGraph Report AL Z bo Patients Records Exam Graphs Reference Points Treatments Current Patient Memphis Creve Coeur Stables Channels Tonification Whe Whe AEE Sedation fy Fons t Luo Connecting Jing well Source Yuan Xi Cleft Horary Extras 11 A f Missing or semi transparent points are not commonly used Hi Print All Content Copyright 2002 2014 Miridia Technology Inc All Rights Reservedy In the Charts section several types of reference charts are available including graphical charts and textual charts When viewing any textual chart place the pointer over any acupoint to view a popup window with complete information about the point 49 80 Under Conditions in the
46. perform an exam A New Note The New Note icon opens a window where the user may record notes relevant to the patient s case This is a useful place to record symptoms progress treatment method etc The first part of each note recorded will appear next to its associated graph in the records list Notes may be recorded in any length and contain any text you choose You may also paste text into the notes window from another application Use the space below to type a note When you are finished press Save Insert Template x Save Cancel The Insert Template pull down menu inserts a pre formatted template in your note This is useful if you have a typical notes template you usually use such as the S O A P note format You can add new custom templates to this menu in the Notes window of the Preferences section 20 alls View Graph Once you have selected a patient a list of that patient s exam records appears in the bottom half of the Patients screen You may select one or more exams by clicking to highlight them in the list If you select one exam you may view it by clicking the View Graph icon dl Compare If you have selected more than one exam in the list view them by clicking the Compare icon Select All The Select All icon will select all the records for the selected patient 21 Records ____________ _ ra Records
47. place of the practitioner s experience training clinical judgment and skill AcuGraph is for experimental and investigational use only by appropriately licensed practitioners MIRIDIA TECHNOLOGY INC MAKES NO SPECIFIC RECOMMENDATION FOR METHOD OF TREATMENT OF ACUPUNCTURE POINTS Common treatment methods include needle laser pressure and electrical stimulation The method used is at the sole discretion of the practitioner within the scope of the licensed practice When a treatment protocol is selected the recommended points will be displayed in the columns below the treatment selection buttons Next to each recommended acupoint in the Reason column is displayed the reason that particular point was selected Some points will also display a star in the right column Clicking on the star will open a window displaying the energetic effect of the selected point 46 Energy Movement Energy Movement for Point LR 4 Clicking on the point name will open a reference window displaying the location attributes and function of that particular point Point Reference Current Patient Memphis Creve Coeur Stables 47 HT 7 Location On the caudal aspect of the radius just proximal to the A accessory carpal bone at its junction with the flexor carpi ulnaris Attributes Yuan Source Shu Stream Sedation and Earth point of the Heart channel Indications Palpitation carpal joint pain anx
48. rdS esses srsasieae tied E EEE ei 22 E a A E E E 23 CEE A E E EE 29 POPPO a e E E NE 42 Reference ssesssssssssessesserserserssrsseseserserserseee 49 Preferences cccecccscccsscceeccesccessesceesceesseeceees 53 Chapter 3 Troubleshooting ccccceccessseseeeeeeeeeeees 63 Limited Warranty Soe cectvasceenesscanetenacassseeeensnasenans 64 RoW EFO e tear tuasaanes 68 Contacting Technical Support If you need help installing or using AcuGraph Equine Edition this manual likely contains the answers you need Please also check the following web resources For Support www AcuHorse com support For Other Resources Tutorials etc www AcuHorse com resources We can also be reached by telephone at 208 846 8448 AcuGraph Chapter 1 Installing AcuGraph Equine Edition Introduction to Installation There are several important steps to properly installing your AcuGraph system Please review the following outline to familiarize yourself with the simple steps you will be following IT IS VERY IMPORTANT TO FOLLOW THE INSTRUCTIONS EXACTLY This manual has been carefully written and tested to ensure a trouble free installation experience for those who follow these directions Installation Outline Bn _ 1 Review the system requirements to ensure your computer meets the minimum requirements to run AcuGraph 2 If you are updating a current AcuGraph Equine Edition installation Back up your patient database 3
49. recommend you back up to a portable drive such as a USB flash drive or similar so that the backup can be stored offsite in a secure location If this is not possible back up the data to another computer on the network or another drive to secure your patient data against hard drive failure Backing up to the same hard drive where your patient data is stored only invites disaster in the case of a hard drive failure You may also use the controls in this window to manually back up or restore your database at will and to automatically back up to another location Warning If you restore a database from a backup your ENTIRE PATIENT DATABASE WILL BE REPLACED with the database in the backup This cannot be undone Only use this feature if you are sure it is the correct action to take Reports OO 59 Preferences General Measurement Database Maintenance PSE Notes Custom Cover Page Select any file in PDF format to optionally print as a cover page for your patient reports Browse Meridian Analysis Information You can adjust the text that appears in both your on screen and printed reports for every meridian imbalance type Edit Meridian Analysis Information 63 Save Default Settings Close In the Reports section of Preferences you can customize your printed reports in two ways Custom Cover Page You can customize any AcuGraph report with your own custom cover page You can include graphics pictures
50. rom the public or patient view while patient names are displayed as in the Patients section If you forget your password contact Miridia technical support 54 Measurement Preferences se Under the Measurement tab in Preferences you can control how AcuGraph behaves during examinations Preferences General Database Maintenance Reports Notes Measurement Mode Mode Settings Increment 2 Measurement Method _ Training Mode A Timed 3 0 Seconds Retest Splits e Yes G3 x Default Settings Close The Mode Settings area of the window lets you choose your measurement scale and increment order method and calculation method The Measurement Method allows you to choose the way in which AcuGraph takes measurements Training Mode If you are unsure of proper point location or unable to duplicate consistent readings on the same patient try using the Training Mode of measurement This feature is activated in the Measurement window of the Preferences section When the Training Mode is active each measurement consists of the following two steps 55 1 Locate the point precisely Contact the patient s skin with the probe in the vicinity of the acupoint to be measured Slowly slide the probe across the skin until a sharp increase in the reading is noted This sharp increase indicates you have located the point exactly this is where to take the reading If you move of
51. s useful for analyzing the patient s energetic balance throughout different periods of the day In each of the above graph types there are three horizontal lines superimposed on the graph The middle line is the Mean or average of that patient s readings The upper and lower lines represent the normal range of readings for that patient Meridians with at least one reading in this normal range are displayed as normal except in the case of splits see below Meridians with both readings above this range are displayed as excessive and meridians with both readings below this range are displayed as deficient Split Meridians When a statistically significant difference exists between the right and left readings on a given meridian that meridian is considered Split and is given special treatment If a meridian is split it will not be displayed in any other way even if it would otherwise be considered excessive deficient or normal A split condition takes precedence over other considerations for any given meridian 30 The 5 Elements graphic displays the classic 5 elements chart with the relative excess deficient split X and normal meridians noted Element averages are also shown This display is designed to facilitate understanding of 5 elements energy transfers for this patient Marco Linder Stables 8 6 14 7 13 PM en Shen 99 31 The Horary graphic displays the horary chart with superimposed
52. se enter the email address where you would like to send this patient report PO V Update Patient Record Copy Also send a copy to me at this address Enter an optional comment to include in the email Cancel If the Patient s email address is already in your patient database the address will appear in the box If you don t already have the patient s email address you can type it into the box You will then have the option to save the email address you typed as part of the patient s record for future use Once you have selected or entered the email address click the Email icon to send the patient s report PDF Printing AcuGraph includes the ability to produce reports in the PDF format Portable Document Format These reports can then be attached to electronic medical records appended to other PDF documents or electronically stored for later retrieval PDF printing procedures are as follows PDF Printing For Windows After you have selected report options and pressed Print in the AcuGraph print window the operating system will show the following print window or one similar 42 Select Printer a _ _ ee Microsoft XPS Document Writer Miridia PDF Maker Yeaeox Phaser SS00N PS o 4 Status Ready Location Comment Page Range Al Number of copies 1 Selection Current Page Pages 0 F Collate Enter either a single page number or a single page r
53. shaded section of the pie slice the lower the health level of the meridian Additionally meridians are color coded according to imbalance with red for excess blue for deficiency and purple for split The P I E Score stands for Personal Integrated Energetic Score and this single number comprises a complete picture of your patient s meridian balance The higher the score the better the balance Statistical analysis methods are used to include all facets of meridian health in the score calculation The purpose of the score is to provide a fast easy method of graph comparison for owners trainiers and others who may not understand graph analysis but will understand a single number score 34 Remember the P I E scale is 0 100 and the scores may be anywhere within that range The scale on the left gives an idea of the typical degree of imbalance for any score The Information display gives written information about information meridian functions observed imbalances potential symptom associations and energetic balance categories for this exam It is written on the level of the average patient to facilitate understanding without confusing jargon Channel Illustration While viewing any bar style graph clicking on any of the bars opens the channel illustration window as follows The Liver Chieunel IAEE This window shows the meridian channel of the bar that was clicked in the eraph The arrows will move forward and backward
54. surements and displays the patient s exam results A NOTE ABOUT READING CONSISTENCY Some users attempt to determine the accuracy of the AcuGraph exam by performing back to back exams and comparing them They are disappointed to note that readings are not always the same when a meridian is examined twice or more in a short period of time This occurs because the act of measuring an acupuncture point causes a certain amount of electric charge to course through the meridian being measured Studies have shown that acupuncture meridians display capacitance or the ability to store electric charge This means that the act of taking the first reading charges up the meridian and subsequent readings for the next several hours may be affected by this artificial change in charge Therefore it is most correct and reliable to use the results from the first exam obtained rather than repeating an exam a few minutes after the previous exam Similarly it is not effective or accurate to perform an exam directly after treatment Best results are obtained by waiting at least 24 hours between exams Intentional repeated measurements are a misuse of this equipment and provide no clinically relevant or accurate information By following these guidelines you ll find your readings to be consistent accurate and reliable 27 For additional training in reading technique and interpretation view our training resources at www AcuHorse com R
55. text or any other elements you choose to include To create a custom cover page simply create a document in any word processing or page layout program you choose When you have finished creating your cover page save it as a PDF For more information on how to create a PDF please see PDF Printing Once you have created and saved your PDF click on the Browse button under Custom Cover Page and locate your saved PDF file When you select your file it will be imported into AcuGraph and become available for attachment to printed reports when selected in the Print window 60 Meridian Analysis Information You can edit the text that appears in your on screen and printed meridian analysis information reports in this section Notes oO Preferences General Measurement Database Maintenance Reports Use this screen to modify or add templates for use in your patient notes SOAP 0 0O Save Default Settings Close In the Notes section of Preferences you can create custom templates for your notes This feature is useful if you have specific types of notes you keep on a regular basis For example you may have one note template you use on the first visit another for follow up visits etc The SOAP note format is pre programmed in your AcuGraph software To add additional formats click on the green sign and type the name of the new note template you wish to create 61
56. ty inserting the USB plug please make sure it is in the proper orientation Normally the molded USB symbol ts facing up 12 Setting Up AcuGraph Now that you have installed AcuGraph it is time to set up your new software This set up operation only needs to be completed once To set up your software and prepare it for use please follow these steps 1 Double click on the AcuGraph 4 icon to start the application AcuGraph Equine Edition 2 Read and accept the terms and conditions set forth in the license agreement 3 REGISTRATION INFORMATION A window will appear requesting registration information Software Registration Thank you for installing AcuGraph Please take a few moments to register your new software Items marked with an asterisk are requried User Name and Credentials Practice Name Address Line 1 Address Line 2 Address Line 3 Address Line 4 City State Province Postal Code Country Phone Email O A Cancel Save NOTE You MUST enter the information requested in the boxes marked with stars Please enter the information exactly as you want it to appear in your software registration When you have completed the registration screen please press Save 13 4 A window will appear asking for your password The factory set password is energy all lower case without quote marks The password can be changed in the Preferences Section of

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