Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
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Study on the Effect of Acupuncture at Jeonjung($CV_{17}$) on the Heart Rate Variability in Healthy Adults

단중혈(膻中穴) 침자극이 정상 성인의 심박변이도에 미치는 영향

  • Park, Jin-Soo (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Wonkwang University) ;
  • Ahn, Min-Seob (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Wonkwang University) ;
  • Lee, Jeong-Ju (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Wonkwang University) ;
  • Choi, Byoung-Sun (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Wonkwang University) ;
  • Park, Min-Cheol (Department of Oriental Medical Ophthalmology & Otolaryngology & Dermatology, College of Oriental Medicine, Wonkwang University) ;
  • Yang, Hyun-Ju (Department of Oriental Medical Ophthalmology & Otolaryngology & Dermatology, College of Oriental Medicine, Wonkwang University) ;
  • Park, Ga-Young (Department of Oriental Internal Medicine, Sam-se Oriental Hospital) ;
  • Kim, Min-Chul (Department of Oriental Rehabilitation Medicine, Sam-se Oriental Hospital) ;
  • Jo, Eun-Heui (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Wonkwang University)
  • 박진수 (원광대학교 부속한방병원 침구과) ;
  • 안민섭 (원광대학교 부속한방병원 침구과) ;
  • 이정주 (원광대학교 부속한방병원 침구과) ;
  • 최병선 (원광대학교 부속한방병원 침구과) ;
  • 박민철 (원광대학교 부속한방병원 안이비인후피부과) ;
  • 양현주 (원광대학교 부속한방병원 안이비인후피부과) ;
  • 박가영 (삼세한방병원 한방내과) ;
  • 김민철 (삼세한방병원 한방재활의학과) ;
  • 조은희 (원광대학교 부속한방병원 침구과)
  • Received : 2011.01.10
  • Accepted : 2011.02.01
  • Published : 2011.04.20
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Abstract

Objectives : This study was accomplished to investigate the effects of acupuncture at Jeonjung($CV_{17}$) on the heart rate variability(HRV) in healthy adults. And based on that, we tried to find out how acupuncture at Jeonjung($CV_{17}$) effects on the activity and balance of the autonomic nervous system. Methods : We investigated on 74 healthy volunteers consisted of 24 subjects in acupuncture group, 24 subjects in sham acupuncture group and 24 subjects in control group. On the other hand, two volunteers were ruled out by standard of elimination. The study was established by randomized trial. Acupuncture was applied at Jeonjung($CV_{17}$) during 10 minutes in acupuncture group and minimal acupuncture was applied at the same area in sham acupuncture group. No treatment was executed in control group. We measured HRV 3 times : baseline measurement and after treatment in acupuncture group and sham acupuncture group (after rest in control group) twise. The SPSS 15.0 for Windows was used to analyze the data by paired t-test, Wilcoxon signed ranks test (in group) and One-Way ANOVA, Kruskal-Wallis test (between the groups). Results: 1. In acupuncture group, Mean HRT, PSI, Normalized HF decreased significantly. SDNN, Ln (TP), Ln (LF), Ln (VLF), Normalized LF and LF/HF ratio increased significantly. RMSSD, Ln(HF) were not affected. 2. In sham acupuncture group, all indicators were not affected. 3. In control group, mean HRT, Ln(TP) decreased significantly. SDNN, RMSSD, PSI, Ln(LF), Ln(HF), Ln(VLF), normalized LF, normalized HF and LF/HF ratio were not affected. Conclusions : We suggest that acupuncture at Jeonjung($CV_{17}$) increases the activity of autonomic nervous system and makes effects on the balance of the autonomic nervous system.

Keywords

References

  1. Kamath MV, Fallen EL. Power spectral analysis of heart rate variability : a noninvasive signature of cardiac autonomic funtion. Crit Rev Biomed Eng. 1993 ; 21(3) : 245-311.
  2. Shi X, Wang ZP, Liu KX. Effect of acupuncture on heart rate variability in coronary heart disease patients. Zhongguo Zhong Xi Yi Jie He Za Zhi. 1995 ; 15(9) : 536-8.
  3. Haker E, Egekvist H, Bjerring P. Effect of sensory stimulation (acupuncture) on sympathetic and parasympathetic activities in healthy subjects. J Auton Nerv Syst. 2000 ; 79(1) : 52-9. https://doi.org/10.1016/S0165-1838(99)00090-9
  4. 이상훈, 김은정, 박연철, 고영진, 남동우. 침자극이 뇌졸중 환자의 심박변이도에 미치는 영향. 대한침구학회지. 2006 ; 23(1) : 135-43.
  5. 김민수, 곽민아. 장우석, 이기태, 정기삼, 정태영, 서정철, 서해경, 안희덕. 전침 자극이 정상 성인의 심박변동에 미치는 영향. 대한침구학회지. 2003 ; 20(4) : 157-69.
  6. 김정신, 황욱, 배기태, 남상수, 김용석. 少府(HT8) 刺鍼이 정신적 스트레스를 가한 성인의 심박변이도에 미치는 영향. 대한침구학회지. 2004 ; 21(5) : 227-39.
  7. 강문수, 김락형. 정신적 스트레스와 神門(HT7) 刺鍼이 정상성인의 심박변이도(HRV)에 미치는 영향. 동의신경정신과학회지. 2009 ; 20(1) : 165-76.
  8. 박성욱, 정우상, 문상관, 박정미, 고창남, 조기호, 김영석, 배형섭. 內關-公孫자침이 스트레스 상태의 정상성인 자율신경계에 미치는 영향. 대한한의학회지. 2008 ; 29(2) : 107-15.
  9. 임윤경, 김준표, 김태한. 대학 경락경혈학각론. 대전 : 오비기획. 2006 : 1042.
  10. 남동현, 박영배. 연령별 맥박변이도 표준화에 관한연구. 대한한의진단학회지. 2001 ; 5(2) : 93-101.
  11. 대한침구학회 교재편찬위원회 편저. 침구학(上). 서울 : 집문당. 2008 : 308-9.
  12. 양동인, 심영우, 노형욱, 김덕원. 측정 자세에 따른 HRV 변화. 대한전자공학회 2009년도 정보 및 제어 심포지움 논문집. 2009 : 399-401.
  13. Akselrod S, Gordon D, Uble FA. Shannon DC, Barger AC, Cohen RJ. Power spectral analysis of heart rate fluctuation : a quantitative probe of beat-to-beat cardiovascular control. Science. 1981 : 213, 220-2. https://doi.org/10.1126/science.6166045
  14. 박영재, 박영배. 통계기법을 활용한 변증 정량화연구. 대한한의진단학회지. 2001 ; 5(2) : 306-30.
  15. 이향숙, 박종배, 서정철, 박히준, 이혜정. 침의 대조군연구에서 실험처치 보고에 대한 표준-STRICTA 권장안 및 침임상실험에서 최적의 치료, 거짓대조군 및 블라인딩에 관한 동의안. 대한침구학회지. 2002 ; 19(6) : 134-54.
  16. Hugh MacPherson, Adrian White, Mike Cummings, Kim Jobst, Ken Rose, Richard Niemtzow. Standards for Report Interventions in Controlled trials of Acupuncture : The STRICTA Recommendations. Acupuncture in Medicine. 2002 ; 20(1) : 22-5. https://doi.org/10.1136/aim.20.1.22
  17. 임종국. 침구치료학. 서울 : 집문당. 1986 : 4-5, 8-9, 18, 34-5, 169, 222-4.
  18. 대한침구학회 교재편찬위원회 편저. 침구학(上). 서울 : 집문당. 2001 : 197, 568.
  19. 안영기. 경혈학총서. 서울 : 성보사. 1986 : 608-11, 672, 702-3.
  20. 곽건민 등. 膻中에 刺血및 拔罐하여 精神分裂症 을 치료. 山東中醫雜誌. 1997 ; 16(2) : 74.
  21. 이희영, 김종우, 박종훈, 황의완. 화병의 진단 및 변증유형에 관한 연구. 동의신경정신과학회지. 2005 ; 16(1) : 1-17.
  22. 김태헌, 류영수. 전신체열촬영에 의한 홧병 환자의 임상적 연구. 동의신경정신과학회지. 1999 ; 10(1) : 133-46.
  23. 하선윤, 조성연, 장진영, 김용석, 남상수. 심박 변이도 분석을 통한 膻中穴壓診과 자율신경실조의 상관성 연구. 대한침구학회지. 2009 ; 26(5) : 57-63.
  24. 조성연, 하선윤, 장진영, 남상수, 김용석. 膻中穴黃連解毒湯藥鍼이 정신적 스트레스를 가한 성인의 심박 변이도에 미치는 영향. 대한침구학회지. 2009 ; 26(5) : 49-56.
  25. 정연탁, 임윤경. 膻中穴에 刺絡附缸法을 시술한 驚悸․怔忡患者27例대한 症例報告. 대전대학교 한의학연구소 논문집. 2007 ; 16(2) : 199-210.
  26. Shin KS, Minamitani H, Onishi S, Yamazaki H, Lee M. Autonomic differences between athletes and nonathletes:spectral analysis approach. Med Sci Sports Exerc. 1997 ; 29(11) : 1482-90. https://doi.org/10.1097/00005768-199711000-00015
  27. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability : Standards of measurement, physiological interpretation and clinical use. Circulation. 1996 ; 93(5) : 1043-65. https://doi.org/10.1161/01.CIR.93.5.1043
  28. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability : Standards of measurement, physiological interpretation and clinical use. Eur Heart J. 1996 ; 17(3) : 354-81. https://doi.org/10.1093/oxfordjournals.eurheartj.a014868
  29. Akselrod S, Gordon D, Shannon DC, Berger AC, Cohen RJ. Power spectrum analysis of heart rate fluctuation : a quantitative probe of beatto- beat cardiovascular control. Science. 1981 ; 213(4504) : 220-2. https://doi.org/10.1126/science.6166045
  30. 유기용, 이광연, 민병일, 고은상, 김지훈, 홍무창. 혈압과 심박동에 대한 경혈자극 및 피부 분절 자극 효과의 비교연구. 대한침구학회지. 2002 ; 19(1) : 147-58.
  31. 설현, 송범용, 육태한. 인삼 약침과 산조인 약침이 정상인의 심박 변이도(HRV)에 미치는 영향. 대한침구학회지. 2009 ; 26(5) : 19-28.