${\ll}$황제내경${\gg}$ 6가지 기본 보사수법의 정량적 분석연구

A Study of Quantitative Analysis of Six Basic Reinforcing-reducing Acupunctural Manipulations in Huang di nei jing(黃帝內經)

  • 김유종 (동국대학교 한의과대학 침구의학교실) ;
  • 김은정 (동국대학교 한의과대학 침구의학교실) ;
  • 신경민 (한국한의학연구원 의료연구본부 침구경락연구그룹) ;
  • 이은솔 (동국대학교 한의과대학 침구의학교실) ;
  • 김경호 (동국대학교 한의과대학 침구의학교실) ;
  • 김갑성 (동국대학교 한의과대학 침구의학교실) ;
  • 이승덕 (동국대학교 한의과대학 침구의학교실)
  • Kim, Yu-Jong (Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Dongguk University) ;
  • Kim, Eun-Jung (Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Dongguk University) ;
  • Shin, Kyung-Min (Acupuncture, Moxibustion & Meridian Research Group, Division of Medical Research, Korea Institute of Oriental Medicine) ;
  • Lee, Eun-Sol (Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Dongguk University) ;
  • Kim, Kyung-Ho (Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Dongguk University) ;
  • Kim, Kap-Sung (Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Dongguk University) ;
  • Lee, Seung-Deok (Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Dongguk University)
  • 투고 : 2012.09.27
  • 심사 : 2012.10.06
  • 발행 : 2012.10.20

초록

Objectives : We hypothesized that reinforcing-reducing manipulations produce different effects by quantity of stimulation, and examined whether the difference is statistically significant or not. Methods : The study was conducted to the students of College of Oriental Medicine, Dongguk University. We needled into $ST_{36}$ and applied 6 kinds of basic reinforcing-reducing manipulations in Huang di nei jing by randomized sequence. And we had the students to fill up the questionnaire in form of visual analog scale(VAS). We examined whether significant differences in VAS existed between reinforcing-reducing manipulations(by t-test). And we examined whether significant differences in VDRRT(VAS difference between reinforcing-reducing technique) values existed along the gender, body mass index(BMI), age(by t-test), and psychological sensitivity(by ANOVA). Results : 1. The total stimulation quantity from reducing technique was significantly higher than that from reinforcing technique. Individually VAS values of reducing techniques were significantly higher in rotation, slow-rapid, lift-thrust, respiration and open-close manipulation. 2. The highest stimulation quantity was from rotation manipulation. And the highest VDRRT value was from slow-rapid manipulation. 3. When VDRRT values were analyzed by gender, age, BMI, and psychological sensitivity, VDRRT was significantly different by BMI in rotation manipulation, and by psychological sensitivity in rotation, lift-thrust, and slow-rapid manipulation. Conclusions : We could verify that reinforcing-reducing techniques induce different therapeutic effects by different quantities of stimulations. It suggests that reinforcing-reducing techniques could be applied universally, regardless of gender or age. Further studies are needed to consider control group, or patient groups in characteristic conditions.

키워드

참고문헌

  1. 대한침구학회 교재편찬위원회. 침구학(中). 파주 : 집문당. 2008 : 261-5.
  2. 이경우. 편주역해 황제내경영추 (1). 서울 : 여강출판사. 2003 : 47-9.
  3. 楊繼洲. 鍼灸大成校釋. 서울 : 대성문화사. 1996 : 179-80.
  4. Zhen H. Implementation of reinforcement and reduction of traditional acupuncture and moxibustion. 2008 International Conference on BioMedical Engineering and Informatics. 2008 : 522-5.
  5. 대한침구학회 교재편찬위원회. 침구학(中). 파주 : 집문당. 2008 : 273-8.
  6. 손관영, 이혜정, 최도영. 原絡 및 迎隨補瀉를 이용한 刺鍼이 DMNA로 誘發된 急性肝損傷白鼠에 미치는 效果. 대한침구학회지. 1991 ; 8(1) : 157-71.
  7. 신정철, 유충렬, 조명래. 行間.少府 補瀉鍼法이 局所腦血流量 및 平均血壓에 미치는 影響. 대한침구학회지. 2003 ; 20(6) : 190-200.
  8. Kong J, Ma L, Gollub RL, Wei J, Yang X, Li D, Weng X, Jia F, Wang C, Li F, Li R, Zhuang D. A pilot study of functional magnetic resonance imaging of the brain during manual and electroacupuncture stimulation of acupuncture point(LI-4 Hegu) in normal subjects reveals differential brain activation between methods. J Altern Complement Med. 2002 ; 8(4) : 411-9. https://doi.org/10.1089/107555302760253603
  9. 대한침구학회 교재편찬위원회. 침구학(中). 파주 : 집문당. 2008 : 266.
  10. Liao TJ, Urata S, Nishikawa H. Transient decrease in skin resistance response and level at the deh-chi stage caused by manual acupuncture. Tohoku J Exp Med. 1998 ; 186(1) : 19-25. https://doi.org/10.1620/tjem.186.19
  11. Konofagou EE, Badger GJ, Garra BS, Langevin HM. Imaging the effect of acupuncture needling on human connective tissue in vivo. IEEE Ultrasonics Symposium. 2003 : 1288-91.
  12. Julias M, Edgar LT, Buettner HM, Shreiber DI. An in vitro assay of collagen fiber alignment by acupuncture needle rotation. Biomed Eng Online. 2008 ; 7 : 19. https://doi.org/10.1186/1475-925X-7-19
  13. Langevin HM, Bouffard NA, Badger GJ, Churchill DL, Howe AK. Subcutaneous tissue fibroblast cytoskeletal remodeling induced by acupuncture: evidence for a mechanotransductionbased mechanism. J Cell Physiol. 2006 ; 207(3) : 767-74. https://doi.org/10.1002/jcp.20623
  14. 대한침구학회 교재편찬위원회. 침구학(中). 파주 : 집문당. 2008 : 267.
  15. Langevin HM, Churchill DL, Fox JR, Badger GJ, Garra BS, Krag MH. Biomechanical response to acupuncture needling in humans. J Appl Physiol. 2001 ; 91(6) : 2471-8.
  16. Han JS. Acupuncture: neuropeptide release produced by electrical stimulation of different frequencies. Trends Neurosci. 2003 ; 26(1) : 17-22. https://doi.org/10.1016/S0166-2236(02)00006-1
  17. Ju CJ, Xie W. On reinforcing and reducing methods in moxibustion. Journal of Nanjing University of Traditional Chinese Medicine. 2003 ; 1 : 47-50.
  18. Kim YH, Yeo SJ, Choe IH, Kim YK, Lim S. The study on temperature measurement for the standardization of moxibustion. The Journal of Korean Acupuncture & Moxibustion Society. 2008 ; 25(2) : 129-38.
  19. Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965 ; 150(3699) : 971-9. https://doi.org/10.1126/science.150.3699.971
  20. Yin CS, Kim JH, Park HJ. High-velocity insertion of acupuncture needle is related to lower level of pain. J Altern Complement Med. 2011 ; 17(1) : 27-32. https://doi.org/10.1089/acm.2010.0120
  21. Buschbacher RM. Body mass index effect on common nerve conduction study measurements. Muscle Nerve. 1998 ; 21(11) : 1398-404. https://doi.org/10.1002/(SICI)1097-4598(199811)21:11<1398::AID-MUS6>3.0.CO;2-4