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Miridia Technology - AcuGraph® User Manual
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1. 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 Please enter the email address where you would like to send this patient report ee S O 4 Cancel Email 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 emailed 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 Select Printer _ Microsoft XPS Document Writer aa Miridia PDF Maker dh Xerox Phaser 8500N PS 4 Status Ready Location Comment Page Range Al Number of copies 1 Selection Current Page Pages 0 x Collate Enter either a sin
2. meridians noted Element averages are also shown This display is designed to facilitate understanding of 5 elements energy transfers for this patient Example Patient Sunday August 07 2005 11 00 AM Source Points Fire ion The Horary graphic displays the horary chart with superimposed shading to show the relative energy level of 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 Example Patient 8 7 2005 11 00 AM Source Points A J 4 Midnight 7 3 e Midday i The Ratios display gives information about the patient s relative energy balance Example Patent Sunday August 07 2005 11 00 AM Source Points Upper Lower Balance one LefVRight Balance 11 Upper 0 0 0 Chi Energy Level YANG Energy Stability 106 normal YIN YANG 70 A Within Low Normal Limits Yin Yang Balance 10 Yin This display shows several categories of energetic analysis On the left is the Chi Energy Level This is a representation of the patients 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 The bottom center shows the Yin Yang Balance for t
3. Report fv Where Title AcuGraph Report Then name your report choose the location to save it and press Save Your PDF will be created and saved Treatments The left side of the Graphs screen contains the Treatment section These 9 buttons control which treatment recommendations will be displayed below in the treatment recommendations section of the window based on the information in the displayed graph Treatments din D 41 e Tah Y Ej e gt w Basic Treatment 10 Points You may choose which treatment recommendation to view by clicking on the Z 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 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 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 PATIENTS SYMPTOMS DIAGNOSIS LIFESTYLE HABITS FITNESS LEVEL AND OVERALL STATE OF HEALTH The AcuGraph software does not and cannot consider each patient s individual situation beyon
4. Graphs Graphs In the Graphs window you can view and print patient exam results The interface looks like this 4 AowGraph t 5 n s s oO Eei L Reco tam Preferences Treatments Graphs foot a A Yev ang gt By Element WAS d 5 Elements tase reatnent 6 Ponts Energy Cycle Pori Reason i 1 HTS HT Spat LU 5 LU High Ei Horary Lae LR Low i Ratios PIE n nionmadon togn ds dh 2 At bet Degn Trestrert Prewcut Next History Compere rri 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 graph used in meridian graphing Meridians are displayed with arm yin meridians first followed by arm yang then leg yin and leg yang 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 e
5. Spt GS Low BL Spin LR hgh HT Low LU Low GB righ SP Low KI High As Bi bs he he hs N kk ee Si High 4 ST high 1 U Hgh 1 SI Low i PE Som E new O nate 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 dl 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 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 O intelliGraph IntelliGraph is a revolutionary new technology developed by Miridia Technology Inc that completely changes the state of the art for meridian analysis by using statistical modeling to correct exam information and reveal true imbalances while eliminating the false positives that may otherwise appear This method builds on and improves Dr Nakatant s original staggered scale compensation method resulting in the most accurate meridian assessments ever available IntelliGraph i
6. act with the selected ingredient By clicking on the drug classes you can drill down to specific drug groups and drug names IMPORTANT NOTE ABOUT DRUG INTERACTIONS The interactions built into the AcuGraph database represent the best available information at the time of publication There may be newer more complete or more relevant information available elsewhere These interactions are presented as is for informational purposes only You should always consult authoritative information sources before recommending an herbal formula to a patient that takes prescription drugs Miridia Technology Inc is not liable for mistakes omissions or inaccuracies in the interaction information To return to the herbal information screen simply click on View Herb Details The PD ee TOnunciation button provides spoken pronunciation of the Chinese name of each formula To prescribe a formula simply select the number of bottles to prescribe from the bottom of the window A note will be created and appended to the graph noting the formula prescribed Additionally the prescribed number of bottles will automatically be added to your AcuHerb shopping cart for ease in reordering To view other AcuHerb formulas you can choose the element family and formula from the lists at the top of the window If you prescribe one of the formulas that was not on the recommended formula list it will be added to the list For more details about t
7. d the electronic examination and it does not take the 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 cupping moxibustion tapping 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 Clicking on the point name will open a reference window displaying the location attributes and function of that particular point Point Reference Current Patient Adrian Larsen LI 6 Pian Li Veering Passage Location With the elbow flexed and the radial side of the arm facing upwards on the line connecting LI 5 and LI 11 3 cun proximal to LI 5 Attributes Luo point of the Large Intestine channel TCM Actions Regulates the waterways frees the channel and
8. eness This model considers patient history types and severity of imbalances and treatment type comparison before recommending a complete treatment regimen including points herbs auricular custom applications and home care If two exam types are performed on the same day for example Source and Jing well the Expert protocol will compare both exams and synthesize a treatment that will address all imbalances noted The Expert protocol also considers imbalances that have appeared repeatedly in the patient s recent exam history and provide special enhanced treatment to these persistent imbalances y Auricular treatment model This model uses master auricular points for overall systemic balance and specific meridian points for tonification and split meridians i L Back Shu treatment model This model uses the Back Shu points specific to the meridian imbalances noted pa Divergent Channels treatment model This model is only available on Tsing Jing well point exams This model treats 3 specific divergences Left Right divergences Splits are treated using Back Shu points Top Bottom divergences are treated using Extraordinary Vessels and Front Back Yin Yang divergences are treated using He sea and master points Notice that the recommended treatment points are color coded Points in red should be tonified or treated with current Points in blue should be sedated or treated with current Spinal Sub
9. gle page number or a single page range 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 Name Size Type Date modified d Public A Computer erare ER Save as type PDF Files pdf Cancel 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 00 00 aa ab a 1 fa Presets Standard H Copies M Collated C Two Sided Pages All OFrom 1 Layout m Pages per Sheet f 1 B Layout Direction A Ce A 1 Border _ None B Two Sided off Crore Preview Supplies Cancel Print From the PDF drop down menu at the bottom left of the screen select Save as PDF Printer Phaser 8560DN 00 00 aa ab a fa Presets Copies Fi Collated C Two Sided Pages All OFrom 1 to 1 aot pages persheet G O O Pa g if mmy Layout Direction LA Ss istaj N Border Two Sided Grrr Cancel Save as PDF 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
10. he AcuHerb supplements please visit www acuherb com Custom treatments This model displays user defined custom treatments tailored to the exam results Custom treatments may be defined in the Reference tab
11. he patient with the yin yang tendency noted The right side of the display shows the patients Chi Energy Stability 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 Upper Lower balance superimposed on a human figure The right left balance reflects the relative balance between readings on the right and left sides of the body and the upper lower 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 graph This graph provides a snapshot of the patient s overall meridian balance in a simplified patient friendly format Example Patient 8 7 2005 11 00 AM Source Points 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 ereen Energetically unhealthy meridians do n
12. lears Lung Meat celoxibes Ihe sanding Soe 3 tablets Servings per contains 20 Propeetary bere 229 hire per abet Ryw teeransg Shesg Paang act Oipteapdete Mid Deeg kiir Fagyvorl Gsm Story roat TCM Indications Any throat ciscomfart or Lung Yin deficiency dry and sore throats wih fever dry cough wih Tejare taxy Ghe Ba Nel bel Acul lerb diood tinged sputum due to deficiency of Lung Tee peony Var Oer Py bart enchant vishen Yn Wiebe pecrry fiu Stex roet Chinese boorioe Gan Can roet Chinese rist Bo Hei kel mee Tocheoled Ving Yau Ging Fe P Modern Indicatons eae Chronic bronchitis acute pharyngis and acute Cet ewe net eeeterted ia d Sou gal Contraindications Contranmdkaled during pregnancy TCM Contraindications Contraindikated for acute cough due io EP This formula can be cloying and aggravate Neat View Intecacthons lt i Fronuncaton Botl s Presaoed F0 2 3 amp Fo This Geach In this window you can access complete information about the herbal formula you have selected including therapeutic actions indications contraindications recommended usage and potential drug interactions The Previous and Next buttons will show the previous and next recommended formulas for this exam The ____WiewInteractions utton opens a hierarchical list of the ingredients in the herbal formula Clicking on any of these ingredients shows the list of classes of drugs that may inter
13. lements 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 The Energy Cycle graph displays the meridians in their horary order beginning with Lung This graph style is 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 theMean 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 will be displayed as normal except in the case of splits see below Meridians with both readings above this range will be displayed as excessive and meridians with both readings below this range will be displayed as deficient Split Meridians When there is a statistically significant difference between the right and left readings on a given meridian that meridian is considered Split and will be 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 The 5 Elements graphic displays the classic 5 elements chart with the relative excess deficient split X and normal
14. licked in the graph The arrows will move forward and backward through the graph as will the arrow keys on the keyboard The purpose of this illustration is to demonstrate the anatomical area where the meridian channel runs This is useful for explaining symptoms and locations to patients 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 dispay ail a 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 as History The History icon displays the Historical Trends window as follows ANO iI 12 Graphs Starting On Wednesday May 26 2010 6 16 PM Mercias PIE Score History TE Spit LU Spi K Low Li Spit gt SP Hig HT Spt LR Spit ST Low PC Low GB Som BL ragh LR Low SP
15. luxation treatment model This model shows the areas of potential spinal subluxation based on the exam findings Only practitioners properly trained and licensed in spinal manipulation or body work should use these recommendations N AcuHerb treatment model This model recommends traditional Chinese herbal formulas for treatment of the energetic imbalances shown in the graph These recommendations should only be used by practitioners properly licensed and trained to dispense herbal supplements Though a graph may generate a number of potential herbal recommendations no more than two formulas should be given to the patient at the same time For this reason AcuGraph limits prescriptions to only up to two formulas per exam The formula recommendations are listed in order based on a scoring system The higher the score the more strongly recommended is the formula To view the reasons the formula was recommended simply click on the green text in the reason column To view complete information about any of the recommended herbal formulas click on the formula s name in the list and the following window will appear Herbal Foemutls Information 302 LU BA HE GU JIN PLAN MOLU RUN CHANG PN HE SP KI LA 304 LU YANG YIN QING FEI PIAN Motai Fire Earth Water Wood 304 LU YANG YIN QING FEI PIAN Nourish Lung Yin Revevivig erycess Hear in Me Lung sce 1832 AD TCM Therapeutic Actions Supplement Facts Nurlures Yni C
16. 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 m co 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 Print The Print icon opens the Printing Options window where custom reports can be defined and printed Select the information you wish to print then press the Print bution Printing Favorites Cover Pages Ommas 9 H 5 ae Dee Add Save L Report Coptenetion Graphs information Treatment i Mardan Arasa Informanon i __ Scrwening Report V Basaine il ro i i r i i 7 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 section 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 repor
17. ot extend fully to the edge of the circle The smaller the 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 your patient who may not understand graph analysis but will understand a single number score 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 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 Illustrations While viewing any bar style graph clicking on any of the bars opens the channel illustration window as follows The Large Intestine Channel of Hand Yang Ming 20 Points This window shows the meridian channel of the bar that was c
18. s always active by default This ensures that exam information is always automatically corrected as the exam is processed This also diminishes false imbalance findings and clarifies the true imbalances in the exam IntelliGraph does this by correcting exam findings based on meridian measured side measured patient gender patient age and graph mean Measurements are adjusted in real time to compensate for the distinct properties of each meridian for any specific patient population Should you wish to view the raw data readings rather than the corrected IntelliGraph readings you can disable the IntelliGraph feature by clicking on the icon Normalize The Graph Normalization feature removes the effect of the outlying values on the mean of the graph For an example of this effect open the patient called Example Patient and view the graph with the notation of Example 2 Normalization Example Patient 8 6 2005 11 00 AM Source Points You will notice that many of the patient s meridians in this example are just below the normal range LU PC HT KI and that three meridians are excessively high SI TE LI The effect of the three high meridians is to raise the mean to the point that many of the borderline meridians appear low when they really aren t deficient By clicking the Normalize icon you will eliminate the effect of the 3 excessively high meridians on the mean and the 2 of the deficient meridians
19. t 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 The Screening Report is only available to those who have purchased the AcuGraph Screening Module add on This one page report is designed for use at public screening events to quickly and easily demonstrate the patient s energetic condition and help them take the next steps toward receiving care The screening report can be customized with your practice information in the Printing window of the Preferences section 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 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 firs
20. t visit you can define the report and save it as a preset 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 save 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
21. the connecting channels indications Nosebleed deafness aching of the hand arm and shoulder edema difficult urination abdominal distention from toxic fluid dry heaves swelling of the lateral region of the cheek madness with continual talking visual disturbance tinnitus sore throat Needling Information Perpendicular or oblique insertion 5 8 cun Moxibustion is applicable Q Flip image 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 The Advanced treatment model considers all possible combinations of points and makes a recommendation based on use of the fewest points possible It also considers musculo tendino points for global and specific effects See Example 3 in the graphs of Example Patient for an example of how this type of intelligent processing reduces the number of recommended points from 22 points to 4 points The Expert treatment protocol goes beyond basic and advanced treatment to a whole new level of effectiv
22. will be automatically re categorized into their correct category of Normal The treatment protocol goes from requiring stimulation of 14 points in the basic protocol to only 10 points basic and 6 points advanced Thus normalization prevents over treatment of the patient 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 It is of course up to the practitioner to decide whether normalization is appropriate for each particular patient on a case by case basis If normalization is selected it will remain selected on all patients and all graphs until it is deselected Dy Edit Graph The Edit Graph icon allows changes to the recorded values after the graph 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 Ll 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
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