아건강(亞健康) 치료[치미병(治未病)]에 미치는 태극침법의 효능에 대한 임상적 관찰

Clinical Observation on Effectiveness of Taegeuk Acupuncture for Patients in Sub-health Status: a Case Series

  • 김재규 (부산대학교 한의학전문대학원 임상의학부) ;
  • 채한 (부산대학교 한의학전문대학원 양생기능의학부) ;
  • 김건형 (부산대학교 한의학전문대학원 임상의학부) ;
  • 노승희 (부산대학교 한의학전문대학원 임상의학부)
  • Kim, Jae-Kyu (Division of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Chae, Han (Division of Longevity and Biofunctional Medicine, School of Korean Medicine, Pusan National University) ;
  • Kim, Kun-Hyung (Division of Clinical Medicine, School of Korean Medicine, Pusan National University) ;
  • Noh, Seung-Hee (Division of Clinical Medicine, School of Korean Medicine, Pusan National University)
  • 투고 : 2011.07.15
  • 심사 : 2011.07.26
  • 발행 : 2011.08.20

초록

Objectives : This study aimed to report observed effectiveness and safety of Taegeuk acupuncture for patients in sub-health status. Methods : We analyzed clinical medical records of 36 outpatients who have visited the Pusan national university Korean medicine hospital between March and June, 2010. Patients received 6 sessions of Taegeuk acupuncture according to their constitutional types. Hepatic dullness sound and symptom reduction were used for the evaluation of clinical effectiveness of Taegeuk acupuncture. One traditional Korean medicine doctor performed all treatment procedures and assessments. Patients were allowed to continue their previous medication during acupuncture treatment. However, no additional traditional Korean medicinal interventions except the acupuncture were conducted during the whole treatment period. Results : After 6 sessions of Taegeuk acupuncture, mean hepatic dullness sound scores (0~100) were reduced from $97.3{\pm}9.0$ to $24.3{\pm}23.7$ with statistical significance (n=36, p<0.001). Mean symptom reduction scores (0~100) were changed from 0 to $53.3{\pm}29.6$ with statistical significance (n=24, p<0.001). 24 patients reported 44 cases of additional improvements of perceived health condition during or after the treatment course. No serious adverse events related to the Taegeuk acupuncture treatment were observed. Conclusions : Taegeuk acupunture may be a feasible, effective and safe treatment intervention for patients with chronic symptoms. Further well-designed studies are needed to confirm those observed improvements and evaluate benefits of Taegeuk acupuncture.

키워드

참고문헌

  1. 김재규. 太極鍼法의 임상 적응증에 대한 小考. 대한침구학회지. 2011 ; 28(2) : 69-73.
  2. 李炳幸. 鍼道源流重磨. 서울 : 한방춘추사. 1974 : 344-53.
  3. 이향숙, 차수진, 박히준, 서정철, 박종배, 이혜정. STRICTA(침 임상연구에서 중재 보고를 위한 표준) 개정판: CONSORT Statement의 확충안. 경락경혈학회지. 2010 ; 27(3) : 1-23.
  4. Paterson C, Britten N. The patient's experience of holistic care: Insights from acupuncture research. Chronic Illn. 2008 ; 4(4) : 264-77. https://doi.org/10.1177/1742395308100648
  5. Paterson C, Dieppe P. Characteristic and incidental (placebo) effects in complex interventions such as acupuncture. BMJ. 2005 ; 330(7501) : 1202-5. https://doi.org/10.1136/bmj.330.7501.1202
  6. Paterson C, Unwin J, Joire D. Outcomes of traditional Chinese medicine (traditional acupuncture) treatment for people with long-term conditions. Complement Ther Clin Pract. 2010 ; 16(1) : 3-9. https://doi.org/10.1016/j.ctcp.2009.08.001
  7. Schulman D. The unexpected outcomes of acupuncture: case reports in support of refocusing research designs. J Altern Complement Med. 2004 ; 10(5) : 785-9.
  8. Lewith GT, White PJ, Kaptchuk TJ. Developing a research strategy for acupuncture. Clin J Pain. 2006 ; 22(7) : 632-8. https://doi.org/10.1097/01.ajp.0000210908.42299.1a
  9. Borud EK, Alraek T, White A, Grimsgaard S. The acupuncture treatment for postmenopausal hot flushes (Acuflash) study: traditional Chinese medicine diagnoses and acupuncture points used, and their relation to the treatment response. Acupunct Med. 2009 ; 27(3) : 101-8. https://doi.org/10.1136/aim.2009.000612
  10. Nahas R. Complementary and alternative medicine approaches to blood pressure reduction: an evidence-based review. Can Fam Physician. 2008 ; 54(11) : 1529-33.
  11. Slader CA, Reddel HK, Jenkins CR, Armour CL, Bosnic-Anticevich SZ. Complementary and alternative medicine use in asthma: who is using what? Respirology. 2006 ; 11(4) : 373-87. https://doi.org/10.1111/j.1440-1843.2006.00861.x
  12. Dillard JN, Knapp S. Complementary and alternative pain therapy in the emergency department. Emerg Med Clin North Am. 2005 ; 23(2) : 529-49. https://doi.org/10.1016/j.emc.2004.12.015
  13. Jorm AF, Christensen H, Griffiths KM, Rodgers B. Effectiveness of complementary and self-help treatments for depression. Med J Aust. 2002 ; 176(Suppl) : S84-S96.
  14. Ernst E. Dissecting the therapeutic response. Swiss Med Wkly. 2008 ; 138(1-2) : 23-4.