DOI QR코드

DOI QR Code

A Study of the Initial Dose of Sweet Bee Venom for the Treatment of Patients with Lower Back Pain

  • Lee, Kwang Ho (Department of Acupuncture and Moxibustion Medicine, College of Korean Medicine, Sangji University)
  • Received : 2020.07.06
  • Accepted : 2020.07.24
  • Published : 2020.08.31

Abstract

Sweet bee venom (SBV) causes less hypersensitivity reactions compared with whole bee venom. To determine the appropriate SBV initial dose for pharmacopuncture treatment of lower back pain, the initial dose, and the dose which caused hypersensitivity were retrospectively reviewed between January 1st, 2017 and December 31st, 2019. There were 523 first-visit patients who received SBV pharmacopuncture for lower back pain and 41 showed hypersensitivity. No systemic reactions were observed and localized reactions were not severe. Hypersensitivity was observed during the first (7 cases), and fifth treatments (8 cases). An initial SBV (10%) volume of 0.1 mL was used in 2 cases, 0.2 mL in 6 cases, 0.6 mL in 41 cases, and 1.2 mL in 474 cases. The hypersensitivity rate during the first and fifth treatment was 1.34% and 1.53%, respectively. As a result, 1.2 mL of SBV was considered the acceptable initial dose. However, for safer treatment, we recommend limiting the initial dose of SBV to 0.5 mL.

Keywords

References

  1. Lee KH, Cho YY, Kim S, Sun SH. History of Research on Pharmacopuncture in Korea. J Pharmacopunct 2016;19:101-108. https://doi.org/10.3831/KPI.2016.19.010
  2. Kwon KR, Koh HK. The Clinical Observation of Immune Response by Korean Bee Venom Therapy. J Korean Acupunct Moxib Soc 2000;17:169-174. [in Korean].
  3. Textbook Compilation Committee of Korean Pharmacopuncture Institute. Pharmacopuncturology, 3rd ed. Seoul (Korea): Hanmibook; 2019. p. 165-198.
  4. Kim HJ, Ji YS, Lee SM, Jeon JH, Kim YI. A systematic review of clinical study of bee venom acupuncture. Acupuncture 2013;30:151-159. [in Korean].
  5. Lee HS, Lee JD, Koh HK. The review on the study of bee venom in the domestic papers. Acupuncture 2003;20:154-165. [in Korean].
  6. Na WM, Lee SY, Jang EH, Kim SC, Moon HC, Kim SM et al. A Study on Pain relief effects and Allergic responses for the Osteoarthritis of the knee joint Between Sweet Bee Venom and Bee Venom Pharmacopuncture. J Pharmacopuct 2007;10:47-55. [in Korean].
  7. Kim SC, Na WM, Lee SY, Jang EH, Lim SG. A Study on Pain relief effects and Allergic responses for the Osteoarthritis of the knee joint Between Sweet Bee Venom and Bee Venom Pharmacopuncture. J Pharmacopuct 2008;11:31-40. [in Korean]. https://doi.org/10.3831/KPI.2008.11.1.031
  8. Korea JoongAng Daily [Internet]. 2018 [cited 2020 June 20]. Available from: https://news.joins.com/article/22870647. [in Korean].
  9. Nan DJ, Oh MS. Characteristics of 601 Low Back Pain Patients: A Korean Medicine Hospital Experience, Retrospective Chart Review. J Korean Med Rehabil 2015;25:135-153. [in Korean]. https://doi.org/10.18325/jkmr.2015.25.2.135
  10. Go HY, Ko YS, Lee JH, Chung WS, Shin BC, Cha YY et al. Cross-sectional Study of Therapy Type and Pattern Identification in Lumbago Patients. J Korean Med Rehabil 2013;23:177-184. [in Korean].
  11. Apitoxin Injection [Internet]. 2018 [cited 2020 June 29]. Available from: http://www.health.kr/searchDrug/result_drug.asp?drug_ cd=A11AOOOOO1881. [in Korean].
  12. Muller U, Fricker M, Wymann D, Blaser K, Crameri R. Increased specificity of diagnostic tests with recombinant major bee venom allergen phospholipase A2. Clin Exp Allergy 1997;27:915-920. https://doi.org/10.1111/j.1365-2222.1997.tb01233.x
  13. Akdis CA, Blesken T, Wymann D, Akdis M, Blaser K. Differential regulation of human T cell cytokine patterns and IgE and IgG4 responses by conformational antigen variants. Eur J Immunol 1998;28:914-925. https://doi.org/10.1002/(SICI)1521-4141(199803)28:03<914::AID-IMMU914>3.0.CO;2-C
  14. Choi YC, Kwon KR, Choi SH. Purification of Peptide Components including Melittin from Bee Venom using gel filtration chromatography and propionic acid/urea polyacrylamide gel electrophoresis. J Pharmacopuct 2006;9:105- 111. [in Korean].
  15. Paull BR, Yunginger JW, Gleich GJ. Melittin: An allergen of honeybee venom. J Allergy Clin Immunl 1977;59:334-338. https://doi.org/10.1016/0091-6749(77)90056-2
  16. Della-Torre E, Lanzillotta M, Doglioni C. Immunology of IgG4-related disease. Clin Immunol 2015;181:191-206.
  17. Lee KH. Correlation between the Constitution of Sasang and Sexual Difference in the Hypersensitive Reaction of Sweet Bee Venom. J Pharmacopunct 2012;15:45-47. https://doi.org/10.3831/KPI.2012.15.005