Journal of Naturopathy (한국자연치유학회지)

Koean Soceity for Naturopathy (한국자연치유학회)
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Changes in the Pressure Pain Threshold by the Direction of Acupressure on Jisil(BL52)

지실혈에서 지압의 방향에 따른 압통 역치의 변화

  • Received : 2021.02.21
  • Accepted : 2021.03.24
  • Published : 2021.03.31
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Abstract

Purpose: At acupoint pressure, the pressing direction of all acupoints is usually vertical. However, it is not clear whether the vertical direction is toward the belly button or the body's center in the BL52. In this study, the effective direction of acupressure was studied by measuring the pressure pain threshold according to the direction of acupressure in 30 subjects. Methods: The distance from the subject's GV4 to the left and right BL52 and the distance from GV4 to the navel were measured, and then using the ellipse where the left and right BL52 of GV4 pass through the navel, the angles of the navel direction and the body's center were calculated in the left and right BL52. The pressure at the time when the subjects felt pain while pressing the BL52 in two directions was used as the acupressure pain threshold. The pain threshold was measured 3 times at 3 minute intervals on the left and right BL52s of the subject. Results: The acupressure pain threshold measured in the left and right BL52 of the subjects was significantly decreased when pressed toward the trunk center (p < .05). In BL52, it was more sensitive to pressure when the direction of pressure is toward the body's center. Conclusions: Acupressure therapy of acupoint is more sensitive to external stimuli than the surrounding. In this study, acupressure directed toward the trunk center is more efficient than toward the belly button in BL52.

목적: 경혈 지압에서 모든 혈의 가압 방향은 통상적으로 수직 방향이다. 그러나 지실혈(BL52)에서는 수직 방향이 배꼽 부위를 향하는지 몸통의 중심을 향하는지 명확하지 않다. 본 연구에서는 30명의 대상자의 BL52에 대한 지압의 방향에 따른 압통 역치를 측정하여 효과적인 지압 방향을 연구하는 것이었다. 방법: 대상자의 명문혈(GV4)을 중심으로 좌우 지실혈까지의 거리와 GV4와 배꼽까지의 거리를 측정하여 명문혈 좌우 지실혈이 배꼽을 지나는 타원을 이용하여 좌우 지실혈에서 배꼽 방향 및 몸통 중심 방향의 각도를 계산했다. BL52에 두 방향으로 가압하면서 대상자들이 통증을 느끼는 시점의 압력을 통증 역치로 하였다. 압통역치는 대상자의 좌우 BL52에서 3분 간격으로 3번씩 측정하였다. 결과: 대상자들의 좌우 BL52에서 측정된 압통 역치는 몸통 중심부를 향하여 가압할 때 상대적으로 유의하게 감소하였다(p < .05). BL52에서는가압방향이몸통의중심부를향할때압력에대해더예민한것으로나타났다. 결론: 주변보다 외부 자극에 더 예민한 경혈의 지압 요법에서, BL52에서는 몸통의 중심부를 향하도록 지압하는 것이 배꼽 방향으로 지압하는 것보다 효율적이라는 것을 시사한다.

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References

  1. Ahn, Y.G. 2006. Acupuncture. Seongbosa, Gyeonggi.
  2. Chang, S.H. 2004. Easy to understand acupuncture points. Seongbosa, Gyeonggi.
  3. Choi, J.Y. 2008. Complementary therapy for improvement of quality of life in cancer patients. J. Kor. Med. Ass. 51(5): 435-442. https://doi.org/10.5124/jkma.2008.51.5.435
  4. Choi, W.J. 2014. A Study on the properties and functions of the twelve main meridians: Focusing on the relationships between the internal organs and the meridians. Kor. J. Acup. 31(4): 208-217. https://doi.org/10.14406/acu.2014.034
  5. Fischer A.A. 1986. Pressure threshold meter: its use for quantification of tender spots. Arch. Phys. Med. Rehabil. 67(11): 836-838.
  6. Fischer, A.A. 1987. Pressure algometry over normal muscles. Standard values, validity and reproducibility of pressure threshold. Pain. 30(1): 115-126. https://doi.org/10.1016/0304-3959(87)90089-3
  7. Jin, C.W., S.J. Jo, H.J. Hong, and Y.H. Hong. 2009. The effect of oriental massage therapy on work-related musculo-skeletal pain and subjective symptoms of fatigue among indivisuals working at the hotel. J. Vocat. Rehabil. 19(2): 35-50.
  8. Jo, Y.J. 2017. The effect of combined intervention of scapular stabilization exercise and sling exercise on pain, neck function and tenderness threshold in patients with chronic neck pain. Sahmyook University Master's Thesis.
  9. Joung. M.O. 2019. The effects of acupressure and meridian massage on shoulder pain in middle-aged women: Whole body massage versus shoulder massage. Kyonggi University Master's Thesis.
  10. Joung, S. 2003. 活人指壓全書, Haenglim, Seoul.
  11. Journal of Acupuncture Research. 2008. The acupuncture and moxibustion. Jipmoondang, Seoul.
  12. Katsutoshi, T.(translated by Kim. H.S). 2004. Acupressure massage in pictures. Eyenheart Pub., Seoul.
  13. Kim, B. 2007. The east and west investigation research against "the hand technical medical therapy". J. Orien. Acad. 1: 197-237.
  14. Kim. H.T. 2019. The effect of acupoint manual therapy on lumbar disc herniation of patients. Sunmoon University Doctoral dissertation.
  15. Kim. H.J., D.S. Heo, and M.S. Oh. 2007. The study of relationship between trigger points and acupoints (2): From quadratus lumborum to deep intrinsic foot muscles. Research Institute of Korean Medicine, Taejon University. 16(1): 127-132.
  16. Kim. J.H., M.N. Chang, M.J. Choi, and M.C. Kim. 2020. Jeju Wellness Therapy 'Nogorogi': Experimental analysis for the possibility. J. Tour. Industry Res. 40(1): 51-59.
  17. Kim, K.H. 1988. The complete book of shiatsu therapy. Health Newspaper, Seoul.
  18. Kim, S.S. 1995. Pyun-Jac royal guide. Sung Han & Kim, Seoul.
  19. Kim, Y.H. 1990. Mean pressure threshold over individual skeletal muscles in normal korean adult measured by pressure algometer. Kor. Cent. J. Med. 55(10): 687-694.
  20. Kwon, Y.E., S.J. Lee, C.S. Yoon, and J H. Lee. 2001. Pressure pain threshold measurement using a pressure algometer in myofascial pain syndromes. Kor. J. Pain. 14(1): 32-36.
  21. Lee, J.H. 2007. A comparative studyonthe pain reduction effect of aroma skin massage and aroma inhalation massage: Focusing on patient swith cervical pain. Kyonggi University Master's Thesis.
  22. Lee, J.H., J.H. Lee, H.S. Shin, Y.C. Yoon, M.K. Oh, and S.H. Kwon, 2008. Usefulness of electronic pressure algometer in evaluation of pressure pain threshold in normal korean adults. Ann. Rehabil. Med. 32(6): 698-702.
  23. Lee, S.B., M.S. Lee, and Y.H. Lee. 2014. Efficiency of thermotherapy and qi-therapy on pressure pain thresholds of trigger points for overcoming pain. J. Naturopathy. 3(1): 43-52.
  24. Lidell, L. 2000. The new book of massage. London, United Kingdom.
  25. Reeves, J.L., B. Jaeger, and S.B. Graff-Radford. 1986. Reliability of the pressure algometer as a measure of myofascial trigger point sensitivity. Pain. 24(3): 313-321. https://doi.org/10.1016/0304-3959(86)90117-X
  26. Shin, B.S. and C.Y. Park. 1996. Pressure pain threshold of shoulder muscles in VDT workers. Ann. Occupat. Environ. Med. 8(1): 15.26.
  27. Yang, H.J., H.Y. Sim, and K.H. Lee. 2016. A retrospective study on needling depth of hwangmun (BL51) and jisil (BL52) with MRI. J. Kor. Acup. Moxib. Med. Soc. 33(2): 89-96.