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침자 보사에서 자침 자극 강도의 특성

Characterizing the Stimulation Intensity in Acupuncture Manipulation Techniques for Tonification and Sedation Therapy

  • 윤다은 (경희대학교 한의과대학 경혈학교실) ;
  • 장우창 (경희대학교 한의과대학 원전학교실) ;
  • 류연희 (한국한의학연구원 한의과학연구부) ;
  • 이인선 (경희대학교 한의과대학 경혈학교실) ;
  • 채윤병 (경희대학교 한의과대학 경혈학교실)
  • Yoon, Da-Eun (Department of Meridian and Acupoints, College of Korean Medicine, Kyung Hee University) ;
  • Jang, Woochang (Department of Korean Medical Classics, College of Korean Medicine, Kyung Hee University) ;
  • Ryu, Yeonhee (KM Science Research Division, Korea Institute of Oriental Medicine) ;
  • Lee, In-Seon (Department of Meridian and Acupoints, College of Korean Medicine, Kyung Hee University) ;
  • Chae, Younbyoung (Department of Meridian and Acupoints, College of Korean Medicine, Kyung Hee University)
  • 투고 : 2022.08.12
  • 심사 : 2022.08.28
  • 발행 : 2022.09.27

초록

Objectives : The purpose of this study was to characterize the stimulation intensity in acupuncture manipulation techniques for tonification and sedation therapy. Methods : To describe the level of stimulation used in acupuncture manipulation techniques for tonification and sedation therapy, we reviewed the acupuncture manipulation techniques described in classical medical textbooks. Results : Based on the patients' conditions and pattern identification, acupuncture manipulation strategies for tonification and sedation therapy were chosen. For example, the excess condition was treated with sedative therapy, and the deficiency condition was treated with tonification therapy. For tonification therapy, weak to modest stimulation was applied in acupuncture manipulation techniques, whereas intense stimulation was applied for sedative therapy. Even though the intensity of acupuncture stimulation was chosen based on the clinical examination, deqi sensation is a crucial component of acupuncture treatment, and during acupuncture practice, the practitioner should choose the right intensity of acupuncture stimulation based on deqi response in each patient. Conclusions : We concluded that the tonifying and sedative effects of acupuncture treatment are related to the stimulation intensity of acupuncture manipulation techniques. For individualized medicine, the right amount of acupuncture stimulation should be administered based on the patients' conditions and responses, such as deqi responses.

키워드

과제정보

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HF22C0023).

참고문헌

  1. Armour M, Smith CA. Treating primary dysmenorrhoea with acupuncture: a narrative review of the relationship between acupuncture 'dose' and menstrual pain outcomes. Acupunct Med. 2016 ; 34(6) : 416-24. https://doi.org/10.1136/acupmed-2016-011110
  2. White A, Cummings M, Barlas P, Cardini F, Filshie J, Foster NE, et al. Defining an adequate dose of acupuncture using a neurophysiological approach - a narrative review of the literature. Acupunct Med. 2008 ; 26(2) : 111-20. https://doi.org/10.1136/aim.26.2.111
  3. Yoon DE, Lee IS, Chae Y. Identifying dose components of manual acupuncture to determine the dose-response relationship of acupuncture treatment: a systematic review. Am J Chin Med. 2022 ; 50(3) : 653-71. https://doi.org/10.1142/S0192415X22500264
  4. Yoon DE, Lee IS, Chae Y. Determining the adequate dose of acupuncture for personalised medicine. Acupunct Med. 2021 ; 39(5) : 565-6. https://doi.org/10.1177/0964528420988292
  5. Ye GP, Huang YF, Su ML, Zhang LY, Wu MX. Study on the literature and application value of the theory of reinforcing and reducing manipulations of acupuncture therapy in Huangdi Neijing. China Journal of Traditional Chinese Medicine and Pharmacy. 2018 ; 33(8) : 3348-51.
  6. Seo Y, Lee IS, Jung WM, Ryu HS, Lim J, Ryu YH, et al. Motion patterns in acupuncture needle manipulation. Acupunct Med. 2014 ; 32(5) : 394-9. https://doi.org/10.1136/acupmed-2014-010585
  7. Lim JW, Jung WM, Lee IS, Seo Y, Ryu HS, Ryu YH, et al. Development of acupuncture manipulation education system. J Acupunct Res. 2014 ; 31(4) : 11-9. https://doi.org/10.13045acupunct.2014049 https://doi.org/10.13045acupunct.2014049
  8. Jung WM, Lim J, Lee IS, Park HJ, Wallraven C, Chae Y. Sensorimotor learning of acupuncture needle manipulation using visual feedback. PLoS One. 2015 ; 10(9) : e0139340. https://doi.org/10.1371/journal.pone.0139340
  9. Chen ZX, Wang YY. Relationship between stimulus quantity and acupuncture reinforcing and reducing manipulations. Zhongguo Zhen Jiu. 2013 ; 33(7) : 619-21.
  10. Yu Y, Dong X, Ai B. Recognition of ancient reinforcing-reducing manipulations of acupuncture therapy. Acta Chinese Medicine. 2019 ; 34(11) : 2450-3.
  11. Fang YY, Wu MX, Lu H, Zhang CH. Discussion on the important elements of reinforcing and reducing manipulations of acu- puncture therapy. China Journal of Traditional Chinese Medicine and Pharmacy. 2019 ; 34(3) : 921-3.