The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
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Sympathetic Nerve Function to Electrical Response of Ryodoraku Point and Disarrangement of its Meridian Location on the Anatomical Viscera Exclude the Association between Ryodoraku Theory and Meridian Principle

양도점의 전기적 반응에 대한 교감신경작용과 경락 배열과 실질장기의 불일치는 양도락의 경락 관련성을 배제한다.(위 운동장애형 기능성 소화불량증 환자의 양도점 H4,5,6의 반응을 중심으로)

  • Yoon, Sang-Hyub (Dept. of Internal Medicine, College of Oriental Medicine, Kyung-Hee University)
  • 윤상협 (경희대학교 한의과대학 비계내과학교실)
  • Published : 2011.06.30
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Abstract

Objectives : The purpose of this study was to investigate two subjects: the diagnostic value of bilateral lowering of electrical activity at point H4,5,6 of Ryodoraku and the mechanism for Ryodoraku phenomena. Methods : Electrical activities of Ryodoraku test and electrogastrography recorded simultaneously and monitored continuously from 16 cases of functional dyspeptic patients were collected and their variations were grouped by the topics of discussion which were peculiarity, stability, lagging, alterability, and anomaly. Ryodoraku recordings obtained from 6 patients with different gastrointestinal diseases and 1 normal healthy person were used as control. The results are discussed with Nakatani's suggestion, theory of sympathetic nerve and Meridian Principle, respectively. Finely, coincidence of stomach arrangement between anatomy and meridian system in Ryodoraku was also evaluated. Results : Time-course variation showed a regular relationship between the typical pattern of Ryodoraku at point H4,5,6 and gastric myoelectrical activity. However, an irregular relationship and atypical pattern of Ryodoraku occasionally appeared. A literature search suggested that electrical response at the Ryodoraku point H4,5,6 may be dependent on an afferent sympathetic spinal reflex transmitted from the stomach. However, there was no evidence for making clear whether bilateral lowering of electrical activity at this point was induced by hypofunction of local sympathetic nerve in the skin itself or of signals transmitted from the gastric sympathetic nerve or not. The coincidence of 19% could not provide a visceral arrangement of the stomach between anatomy and meridian systems. Conclusions : Bilateral lowering of electrical activity at Ryodoraku point H4,5,6 has value as a diagnostic index for gastric dysmotility of functional dyspepsia. This phenomenon is associated with spinal reflex transmitted from the afferent sympathetic nerve in the stomach but not that of meridian function.

Keywords

References

  1. 박영배. 양도락의 원리와 임상적 활용. 제3의학(현곡학회지) 1996;1(2):83-94.
  2. 선재광. 경락이론과 임상적 활용에 관한 연구. 경락진단학회 1998;51-7.
  3. Sancier KM. Electrodermal measurements for monitoring the effects of a Qigong workshop. J Altern Complemnent Med 2003;9(2):235-41. https://doi.org/10.1089/10755530360623347
  4. Schmidt J, Sparenberg C, Fraunhofer S, Ziringibl H. Sympathetic nervous system activity during laparoscopic and needlescopic cholecystectomy. Surg Endosc 2002;16(3):476-80. https://doi.org/10.1007/s00464-001-9057-y
  5. Nakatani Y, Yamashita K. 良導絡 Ryodoraku acupuncture - A guide for the application of Ryodoraku therapy, electrical acupuncture, a new autonomic nerve regulating therapy. Tokyo: Ryodoraku Research Institute; 1977, p. 61-8.
  6. Weng CS, Hung YL, Shyu LY, Chang YH. A study of electrical conductance of meridian in the obese during weight reduction. Am J Chin Med 2004;32(3):417-25. https://doi.org/10.1142/S0192415X04002077
  7. Lee CT, Chang YH, Lin WY, Xu JM, Chen HY, Chou PL, et al. Application of meridian electrical conductance for renal colic: a prospective study. J Altern Complement Med 2010;16(8):861-8. https://doi.org/10.1089/acm.2009.0273
  8. Chen JX, Ma SX. Effects of nitric oxide and noradrenergic function on skin electric resistance of acupoints and meridians. J Altern Complement Med 2005;11(3):423-31. https://doi.org/10.1089/acm.2005.11.423
  9. Ogata H, Matsumoto T, Tsukahara H. Electrical skin resistance changes in meridians during ophthamic surgery with local anesthesia. Am J Chin Med 1983;11(1-4):130-6.
  10. 김소연, 윤상협, 김윤범, 정승기. 기능성 소화불량증에서 위 운동성 장애 진단을 위한 양도락지표 연구. 대한한방내과학회지 2008;29(2):401-12.
  11. 윤상협. 위장질환 환자의 양도락에 대한 경락학설과 자율신경이론의 연관성 연구 (위 운동장 애형 소화불량증과 위궤양 환자의 증례를 대상으로). 대한한방내과학회지 2010;31(4):837-45.
  12. Yamazaki K, Tajimi T, Okuda K, Niimi Y. Skin potential activity in rats, cat, and primates (including man): a phylogenetic point of view. J Com Physiol Psychol 1975;89(4):364-70.
  13. 今村伸仁. 良導絡 はもういぃ加減古典と訣別すぺし. 日良自律 1985;30(3):21-5.
  14. 홍상선, 윤상협, 임중화, 한숙영, 박석규, 김진성, 등. 위마비 환자에 대한 위전도 검사로 한방치료효과를 확인한 치험1례. 대한한방내과학회지 2002;23(3):519-27.
  15. 김동엽, 이병철, 한권상, 사공석진, 안현식, 김도현. 24채널의 양도락진단기를 이용한 경락의 우세방향에 따른 자기치료시스템에 관한 연구. 전자공학회논문지 2002;39(6):34-43.
  16. 엄국현, 윤상협, 이준석, 김현경, 이선영, 허원 영, 등. The correlation between deviation indexes of Ryodoraku and acute stress in patients with functional dyspepsia. 대한한의학회지 2006;27(4):142-9.
  17. 김현경, 윤상협, 이준석, 엄국현, 이선령, 김소연, 등. 기능성 소화불량증 환자의 피로도에 대한 체표 교감신경 활성 및 심혈관 반응의 연계성 (양도락과 맥진검사의 진단적 가치). 대한한방내과학회지 2006;27(2):390-7.
  18. Soh KS. Bonghan circulatory system as an extension of acupuncture meridians. J Acupunct Meridian Stud 2009;2(2):93-106. https://doi.org/10.1016/S2005-2901(09)60041-8
  19. 성호경 김기환. 생리학. 6판. 서울: 도서출판 의학문화사; 2002, p. 627-8, 637-8.
  20. Jebbink HJ, Van Berge-Henegouwen GP, Bruijs PP, Akkermans LM, Smout AJ. Gastric myoelectrical activity and gastrointestinal motility in patients with functional dyspepsia. Eur J Clin Invest 1995;25(6):429-37. https://doi.org/10.1111/j.1365-2362.1995.tb01725.x
  21. Hayashi Y, Ikata T, Takai T, Takata S, Sogabe T, Koga K. Time course of recovery from nerve injury in skeletal muscle: energy state and local circulation. J Appl Physiol 1997;82:732-7.
  22. Reeves TM, Phillips LL, Povlishock JT. Myelinated and unmyelinated axons of corpus callosum differ in vulnerability and functional recovery following traumatic brain injury. Exp Neurol 2005;196(1):126-37. https://doi.org/10.1016/j.expneurol.2005.07.014
  23. Farrar JT, Ingelefinger FJ. Gastrointestinal motility as revealed by study of abdominal sounds. Gastroenterology 1955;29(5):789-800.
  24. 김규태, 김동훈, 박영재, 김정국, 박영배. 양도락 연구동향에 관한 문헌 고찰. 대한한의진단학회지 2005;9(1):69-83.
  25. Critchley HD. Electrodermal Response: What happens in the brain. Neuroscientist 2002;8(2):132-42. https://doi.org/10.1177/107385840200800209
  26. Vertrugno R, Liguori R, Cortelli P, Montagna P. Sympathetic skin response: basic mechanism and clinical application. Clin Auto Res 2003;13(4):256-70. https://doi.org/10.1007/s10286-003-0107-5
  27. Koss MC, Davison MA. Characteristics of electrodermal response. Naunyn Schmiedebergs Arch Pharmacol 1976;295(2):153-89. https://doi.org/10.1007/BF00499448
  28. Lofstrom JB, Malmqvist LA ,Bengtsson M. Can the "sympatho-galvanic reflex" (skin conductance response) be used to evaluate the extent of sympathetic block in spinal analgesia. Acta Anaesthesiol Scand 1984;28(5):578-82. https://doi.org/10.1111/j.1399-6576.1984.tb02123.x
  29. Ray BS, Hinsey JC, Geohegan WA. Observation on the distribution of the sympathetic nerves to the pupil and upper extremity as determined by stimulation of the anterior roots in man. Ann Surg 1994;118:647-55.
  30. Curt A, Weinhardt C, Dietz V. Significance of sympathetic skin response in the assessment of autonomic failure in patients with spinal cord injury. J Auto Nerv Syst 1996;61(2):175-80. https://doi.org/10.1016/S0165-1838(96)00080-X
  31. Christensen NJ. The biochemical assessment of sympathoadrenal activity in man. Clin Auton Res 1991;1:167-72. https://doi.org/10.1007/BF01826215
  32. Dodt C, Breckling U, Derad I, Fehm HL, Born J. Plasma epinephrine and norepinephnine concentrations of healthy humans associated with nighttime sleep and morning arousal. Hypertension 1997;30:71-6. https://doi.org/10.1161/01.HYP.30.1.71
  33. Irlenbuch U, Sterba RB, Sterba M, Thoss F, Drischel H. Essay in the classification of morning and evening types of activity in the light of the daily course of autonomically influenced body functions. Chronobiologia 1985;12:339-49.
  34. Kumru H, Vidal J, Perez M, Schestatsky P, Valls-Sole J. Sympathetic skin responses evoked by different stimuli modalities in spinal cord injury patients. Neurorehabil Neural Repair 2009;23(6):553-8. https://doi.org/10.1177/1545968308328721
  35. 後藤公哉. 김영설, 박영배 驛. 양도락의 동서의학. 서울: 군자출판사; 2009, p. 4-6.
  36. Riley LH, Richter CP. Uses of the electrical skin resistance method in the study of patients with neck and upper extremity pain. Johns Hopkins Med J 1975;137(2):69-74.
  37. Yamakat S, Ishikawa M, Saijo M, Fukushima S, Yamanobe K, Masamune O, et al. A diagnostic re-evaluation of electric skin resistance,skin temperature and deeper tenderness in patients with abdominal pain. Tohoku J. Exp. Med 1976;118(suppl):183-9. https://doi.org/10.1620/tjem.118.Suppl_183
  38. Casale R, La Rovere MT. Increased sympathetic tone in the left arm of patients affected by symtomatic myocardial ischemia. Funct Neurol 1989;4(2):161-3.
  39. 차채훈, 신윤진, 김진명, 김윤범. 양도락의 반복성 재현성에 관한 임상적 연구. 대한한의학회지 2009;30(1):76-82.
  40. de Erausquin GA, Pitra JC, Rey RB,Faiman CP,Baratti CM.A novel non-invasive method to measure skin potential respose:some pharmacological evidence. Methods Find Exp Clin Pharmacol 1989;11(12):756-70.
  41. Girardot MN, Koss MC. A physiological and pharmacological analysis of the electrodermal response in the rat. Eur J Pharmacol 1984;17(2):185-91.