Browse > Article

Correlation between Qi-Stagnation and Pressure Pain Threshold on $CV_{17}$ (Danzhong : 膻中) in Burning Mouth Syndrome Patients - In the Perspective of Quantification of Pressure Pain Threshold on $CV_{17}$ by using Algometer -  

Kang, Kyung (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University)
Kim, Jin-Sung (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University)
Seon, Jong-Ki (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University)
Son, Ji-Hee (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University)
Kim, Ju-Yeon (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University)
Jang, Seung-Won (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University)
Son, Ji-Young (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University)
Lee, Hyun-Ju (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University)
Ryu, Bong-Ha (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University)
Publication Information
The Journal of Internal Korean Medicine / v.33, no.4, 2012 , pp. 498-510 More about this Journal
Abstract
Objectives : This study was designed to find out whether there is a correlation between qi-stagnation score and pressure pain threshold (PPT) on acupuncture point $CV_{17}$ in burning mouth syndrome (BMS) patients. Methods : Thirty BMS patients who newly visited Oral Disease Clinic at the Kyung Hee University Korean Medicine Hospital were surveyed. The subjects were evaluated on age, illness duration, sex, self-assessed severity of BMS, qi-stagnation score, and PPT on 3 acupuncture points ($CV_{17}$, Rt. $SP_9$, Lt. $SP_9$). Results : There was significant correlation between age and PPT on $CV_{17}$ (p=0.005). Therefore, partial correlation analysis with age as control variable was done, and the result showed significant correlation between qi-stagnation score and PPT on $CV_{17}$ (p=0.001). Qi-stagnation diagnostic point by PPT on $CV_{17}$ was suggested as 3.8056 $kg/cm^2$ based on the fact that diagnostic score is 28.50 in the qi-stagnation questionnaire. Furthermore, considering that PPT is effected by age, we could attain qi-stagnation diagnostic equation of PPT on $CV_{17}$, that is suggested as $0.047{\times}(age)+0.848kg/cm^2$. PPT of 3 acupuncture points ($CV_{17}$, Rt. $SP_9$, Lt. $SP_9$) was compared, and the result showed that PPT was significantly lower on $CV_{17}$ (w/Rt $SP_9$: p=0.022, w/Lt. $SP_9$: p=0.012). Also, significance and correlation coefficient with qi-stagnation were higher on $CV_{17}$ (p<0.001, r=-0.620) than Rt. $SP_9$ (p=0.023, r=-0.413) or Lt. $SP_9$ (p=0.014, r=-0.444). Conclusions : The result of this study suggested that PPT on $CV_{17}$, measured quantitatively by algometer, had a strong correlation with qi-stagnation score in BMS patients. Therefore, the study showed that $CV_{17}$ can be a useful acupuncture point in diagnosing qi-stagnation by measuring PPT in BMS patients.
Keywords
burning mouth syndrome; pressure pain threshold; $CV_{17}$; diagnostic point; algometer;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Danhauer SC, Miller CS, Rhodus NL, Carlson CR. Impact of criteria-based diagnosis of burning mouth syndrome on treatment outcome. J Orofac Pain 2002;16(4):305-11.
2 Vittorio S, Daniela A. Gianluca V, Massimo M, Enrico B, Marco G, et al. Anxiety, depression and pain in burning mouth syndrome: first chicken or egg?. Headache 2012;52:1019-25.   DOI   ScienceOn
3 Scala A, Checchi L, Montevecchi M, Marini I, Giamberardino MA, Update on burning mouth syndrome : overview and patient management. Crit Rev, Oral Biol Med 2003;14(4):275-91.   DOI   ScienceOn
4 Grushka M, Epstein JB, Gorsky M. Burning mouth syndrome. Am Fam Physician 2002;65 :615-20.
5 Drage LA, Rogers RS 3rd. Burning mouth syndrome. Dermatol Clin 2003;21(1):135-45.   DOI   ScienceOn
6 Patton LL, Siegel MA, Benoliel R, De Laat A. Management of burning mouth syndrome : systematic review and management recommendations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103(supple 1):S39.e1-13.   DOI
7 Abdollahi M, Radfar M, A Review of Druginduced Oral Reactions. J contemp Dent Pract 2003;4(1);10-31.
8 최승훈. 한방병리학. 서울: 일중사; 1997, p.314
9 허준. 동의보감. 서울: 동의보감출판사; 2005, p. 59, 67, 77, 2351, 2352.
10 Kim J. Jung Y, Park K, Park JW. A digital tongue imaging system for tongue coating evaluation in patients with oral malodour. Oral Dis 2009;15(8):565-9.   DOI   ScienceOn
11 Ko SJ, Kim JS, Ryu BH, Park JW. Clinical Study on application of algometer to irritable bowel syndrome -In the view of quantification of the oriental abdominal diagnostics-. Korean J. Orient. Int. Med 2011;10:173-81.
12 Okitsu R, Iwasaki K, Monma Y, Takayama S, Kaneko S, Shen G, et al. Development of a questionnaire for the diagnosis of Qi-stagnation. Complement Ther Med 2012;20:207-17.   DOI   ScienceOn
13 Yang HT, Kim KS. Studies on the application of clinic of poricadium and triple energizer used by Jun Jung(CV17) and Serk Moon(CV5) point. J. Korean Acupuncture & Moxibustion Society 1996;13(1):165-73.
14 Kim JW, Whang WW. A clinical study on treatments of Hwabyung with oriental medicine. J Korean Oriental Med 1998;19(2):5-16.
15 Zeller A. Zungenbrennen bei iener 47 jahrigen Hausfrau. Praxis 2001;90:1103-5.
16 Hakeberg M, Hallberg LR-M, Berggern, Burning mouth syndrome: experience from the perspective of female patients. Eur J Oral Sci 2003;111 :305-11.   DOI   ScienceOn
17 Lautenbacher S, Strian F. Similarities in age differences in heat pain perception and thermal sensitivity. Funct Nertol 1991;6:129-35.
18 Kim JS, Ryu BH, Park DW, Ryu KW. A study on the relationship between depression and anxiety tendencies and KI-depression/ KI-stasis in chronic fatigue patients. J. of the Association of for Neo Medicine. 1992:3(2);83-92.
19 대한침구학회 교재편찬위원회 편저. 침구학(상) 경락수혈. 파주: 집문당; 2008, p. 196.
20 Ha SY, Cho SY, Jang JY, Kim YS, Nam SS. Study of the relation between palpation of the Jeonjung(CV17) and autonomic nerve system by heart rate variability. Korean Acupuncture & Moxibustion Society. 2009;26(5):57-63.
21 Chakour MC, Gibson SJ, Bradbeer M, Helme RD. The effect of age on A delta- and C-fibre thermal pain perception. Pain 1996;64:143-52.   DOI   ScienceOn
22 Riccardo GV Torta, Jacopo Munari. Symptom cluster: Depresssion and pain. Surgical Oncology 2010;19:155-9.   DOI   ScienceOn