• Title/Summary/Keyword: 경락학(經絡學)

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Effects of Meridian Massage on Facial Paralysis, Pain, and Anxiety in Bell's Palsy Patients (경락마사지가 안면신경마비환자의 안면마비회복도, 통증 및 불안에 미치는 효과)

  • Lee, Jeong-Soon;Seo, Nam-Sook;Han, Mi-Sook
    • Journal of East-West Nursing Research
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    • v.15 no.2
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    • pp.110-118
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    • 2009
  • Purpose: This study identifies the effects of meridian massage on relieving facial paralysis, pain, and anxiety in Bell's palsy patients. Methods: A nonequivalent control group pre-test/post-test design was used for the study. The subjects were 51 Bell's palsy patients (experimental group=26, control group=25) of D University's oriental medicine hospital. The experimental group received a meridian massage for 20 min three times a week for two weeks. The data were analyzed with the following methods by using the SPSS/WIN 12.0 program: $x^2$-test, Fisher's exact test, and t-test. Results: The facial paralysis scores of the experimental group were significantly higher than those of the control group. The pain and anxiety scores of the experimental group were significantly lower than those of the control group. Conclusions: The results suggest that meridian massage (applied by nurses) has beneficial effects on facial paralysis, pain, and anxiety in patients suffering from Bell's palsy. Thus, meridian massage is recommended as an alternative nursing intervention program for patients with Bell's palsy.

Usability and Educational Effectiveness of AI-based Patient Chatbot for Clinical Skills Training in Korean Medicine (한의학 임상실습교육을 위한 인공지능 기반 환자 챗봇의 사용성과 교육적 효과성)

  • Yejin Han
    • Korean Journal of Acupuncture
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    • v.41 no.1
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    • pp.27-32
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    • 2024
  • Objectives : This study developed an AI-based patient chatbot and examined the usability and educational effectiveness of the chatbot in the context of Korean medicine education. Methods : The patient chatbot was developed using the AI chatbot builder 'Danbee', and a total of five experts were surveyed and interviewed to determine the usability, effectiveness, advantages, disadvantages, and improvement points of the chatbot. Results : The patient chatbot was found to have high usability and educational effectiveness. The advantages of the patient chatbot were 1) it provided students with practical experience in performing clinical skills, 2) it provided instructors with assessment materials while reducing their teaching burden, and 3) it could be effectively used for horizontal and vertical integration education. The disadvantages and improvements of the patient chatbot were 1) improving the accuracy of intention inference, 2) providing students with specific instructions for problem-solving activities, and 3) providing assessment results and feedback about students' activities. Conclusions : This study is significant in that it proposes a new training method to overcome the limitations of the existing doctor-patient simulation. It is hoped that this study will stimulate further research on the improvement of students' clinical skills using artificial intelligence.

Analysis of Tonification and Sedation Methods in the 『Yeongsochimgugyeong』 (『영소침구경』 보사법 분석)

  • Oh, Doohan;Kim, Jong-hyun;Kim, Youn-Sub;Kim, Song-Yi
    • Korean Journal of Acupuncture
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    • v.36 no.3
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    • pp.171-180
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    • 2019
  • Objectives : Although the tonification and sedation method such as mountain-burning fire method and heaven-penetrating cooling method, is one of the important techniques that have been claimed to increase the effect of acupuncture, research on this has been sparse. The aim of this study is to provide an understanding of tonification and sedation methods in the "Yeongsochimgugyeong". Methods : We analyzed the similarities and differences by comparing the contents of the tonification and sedation method described in books "Yeongsochimgugyeon" and "Complete Compendium of Acupuncture and Moxibustion" Results : A total of 28 out of the 33 tonification and sedation methods described in "Yeongsochimgugyeon" were compared with those in "Complete Compendium of Acupuncture and Moxibustion". As a result, we found that many of the tonification and sedation methods recorded in "Yeongsochimgugyeon" were based on more detailed and specific clinical cases. Conclusions : The tonification and sedation methods in "Yeongsochimgugyeon" were not only descriptive and consistent in describing that methods, but also contains valuable information for clinical use. In the future, based on this research, we will be able to clinically implement these tonification and sedation methods and quantitatively evaluate them.

A Study on Formation and Development of the Meridian Pulse System(I) -Focusing on 'Shi-yi-mi-jui-jing(十一脈灸經)' and 'Ling-shu(靈樞)- (경맥체계(經脈體系)의 형성(形成)과 발전(發展)에 관(關)한 연구(硏究)(I) -『십일맥구경(十一脈灸經)』과 『영추(靈樞)』를 중심으로-)

  • Son, Gwang-Rak;Park, Hyun-Kook
    • The Journal of Dong Guk Oriental Medicine
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    • v.6 no.1
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    • pp.35-66
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    • 1997
  • Today's meridian system is revealing the theory made after the standard of 'Ling-shu Jing-mai(靈樞 經脈)'. But after excavating 'Ma-wang-dui'(馬王堆)'s' medical books from his 'Han(漢)' Dynasty tomb, there had to be some adjustments made concerning the former meridian systme. 'Shi-yi-mai-jiu-jing(足臂十一脈灸經)' and 'Yin-yand-shi-yi-mai-jiu-jing(陰陽十一脈灸經)' are not related and each of them was developed independently and influenced by the Meridian Pluse Theory of 'Ling-shu(靈樞)'. Accordingly, the leaning toward heart pluse system and the circulating pulse system were formed and 'Ling-shu(靈樞)' was influenced by this. Therefore, investigating these processes thoroughly is the main subject stated in this thesis. The occupying percentage of the 'leaning toward heart pluse system(向心脈系)' and the 'circulating pluse system(循環脈系)' in each section is one-sided to the loaning toward heart pluse system. However, today's 'Jing-mai system(經脈體系)' is developed focusing on 'Jing-mai(經脈)'. The reason for this should be investigated by using the medical history of acupuncture & moxibustion. Analongizing roughly, from the time after five transfer points of 'Ben-shu(本輸)' was absorbed into 'Jing-mai(經脈)' as only the main meridians of the traditional 'Meridian Point(經穴)' and couldn't seem to realize the true self of the original 'Ben-shu(本輸)'. Therefore, various misunderstandings might have occured in clinic, basal narusis, and antiquity of the influenced preconception of 'Jing-mai(經脈)' being first.

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Forsythiae Fructus Extract Inhibits RANKL-Induced Osteoclast Differentiation and Prevent Bone Loss in OVX-Induced Osteoporosis Rat (연교의 파골세포 분화 및 골 흡수 억제 기전 연구)

  • Eom, Ji-Whan;Kim, Jae-Hyun;Kim, Minsun;Kim, Sangwoo;Shin, Hwajeong;Jung, Hyuk-Sang;Sohn, Youngjoo
    • Korean Journal of Acupuncture
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    • v.36 no.2
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    • pp.115-126
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    • 2019
  • Objectives : Osteoporosis is a condition characterized by low bone mass and increased bone fragility. It has become a major problem of senior citizens. The purpose of this study is to experiment the effect of water extract of Forsythiae Fructus (wFF) on osteoclast differentiation; and the other purpose is to examine the effect of wFF on osteoporosis in ovariectomized rat. Methods : To investigate the effect of wFF on osteoclast differentiation and activity, RAW 264.7 cells were used. The number of TRAP positive cell, TRAP activity, pit area, mRNA expression of makers (RANK, TRAP, CA II, CTK, MMP-9, NFATc1, c-Fos), protein expression of makers (NFATc1, c-Fos) were investigated. For in vivo study, 40 female Sprague-Dawley (SD) rats were induced osteoporosis by ovariectomy (OVX) and then tested for anti-osteoporosis effect by administration of wFF. Results : wFF suppressed osteoclatogenesis, TRAP activity and pit area formation. Moreover, wFF decreased the expression of master differentiation factors (NFATc1, c-Fos) and also reduced the osteoclastogenesis-related markers (TRAP, CA II, CTK, MMP-9). These suggest that wFF inhibit osteoclasts differentiation and bone resorption. In the OVX rat model, wFF inhibited decreasing of BMD and trabecular area. Conclusions : Forsythiae Fructus should be effective for osteoporosis prevention and treatment.

Genotoxicity Study of ChondroT (ChondroT의 유전독성 연구)

  • Kim, Sun-Gil;Kim, Joo Il;Kim, Ji-Hoon;Yoon, Chan Suk;Jeong, Ji-Won;Na, Chang-Su;Kim, Seon-Jong
    • Journal of Korean Medicine Rehabilitation
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    • v.31 no.1
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    • pp.59-79
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    • 2021
  • Objectives This study was performed to observe the genotoxic effect of the ChondroT. Methods To evaluate the genotoxicity of ChondroT, an experiment of bacterial reverse mutation test, in vitro mammalian chromosomal aberration test and mammalian erythrocyte micronucleus test in mouse was conducted. Results TA98, TA100 and TA1537 strains in the absence of metabolic activation system (S9 mix), the number of revertant colonies being greater than 2-fold of the respective negative control value. Both in -S9 mix and +S9 mix, the frequencies of aberration cells with structural aberration and numerical aberrations of chromosome were less than 5%. There was no increase of polychromatic erythrocyte with one or more micronuclei at any dose of test substance compared to the negative control group (p<0.05). Conclusions In TA98, TA100 and TA1537 strains in the absence of metabolic activation system (S9 mix), the number of revertant colonies was greater than 2-fold of the respective negative control value, showing positive results. ChondroT was considered to be non-clastogenic to Chinese hamster lung (CHL/IU) cells under the present experimental condition. and ChondroT was determined not to induce an increased frequency of micronuclei in the bone marrow cells of male ICR mice under the present experimental condition.

Hip and Finger Degenerative Arthritis Case Series Protocol for Applying Korean Medicine Clinical Pathway (퇴행성관절염(고관절, 수지관절염) 한의표준임상경로 적용연구 프로토콜)

  • Suzy Han;Yejin Hong;Dongwoo Nam;Jeongrok Kim;Changwoo Seon;Seojeong Ha;Minjeong Kim
    • Korean Journal of Acupuncture
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    • v.41 no.1
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    • pp.1-6
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    • 2024
  • Objectives : The aim of this study is to set out case series study protocol to complete clinical pathway (CP) of hip and finger degenerative arthritis by applying CP, based on Korean medicine clinical practice guideline developed by clinical experts, to clinical field. Methods : The treatments included Manual acupuncture, acupoint injection, electroacupuncture, laser acupuncture, cupping, moxibustion, chuna, and physiotherapy. They were conducted in the 2nd week of admission and 4th week of out patient department (OPD) days. We carried out 10-point Likert scale questionnaires on the clinical usefulness and the satisfaction of patients and staff after applying CP. Appropriateness and improvement on patients were conducted using a 10-point Likert scale. An open-ended questionnaire was also conducted to ask if there was any requirement to be added. Results : In past research studies, there were no related studies about Korean medicine CP on hip and finger degenerative arthritis. Final version of CP is going to be completed based on the questionnaire. Conclusions : This evidence-based case series study protocol is expected to contribute development of hip and finger degenerative arthritis.

Korean Medical Treatment for Partial Rupture of Gastrocnemius Muscle Observed by Ultrasonography: A Case report (초음파를 통해 경과관찰한 비복근 부분파열 환자의 한의학적 치료: 증례보고)

  • Youn, Young Hoon;Kim, Hye Min;Kim, Jae Su;Lee, Hyun Jong;Lim, Sung Chul;Lee, Yun Kyu
    • Korean Journal of Acupuncture
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    • v.39 no.3
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    • pp.107-113
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    • 2022
  • Gastrocnemius muscle partial rupture is a common muscle injury. This case is report on a patient with a gastrocnemius muscle partial rupture who was continuously observed with ultrasonography while receiving Korean medicine treatment. Acupuncture, pharmacoacupuncture, herbal medicine, physical therapy and rehabilitation treatment were performed on a patient diagnosed with gastrocnemius partial rupture. The improvement of symptoms was evaluated using Numeric Rating Scale (NRS), Range of Motion (ROM) of ankle, circumference of calf and size of hematoma by using ultrasonography. NRS decreased more than 90%, ROM of ankle joint gradually improved, calf circumference improved, and hematoma reduced by more than 90% when measured by ultrasonography. In this study, gastrocnemius muscle partial rupture was observed with ultrasonography, and it is considered that the Korean medical treatment is useful for gastrocnemius muscle partial rupture.

Strabismus Treated with Korean Medical Treatment Including Scalp Acupuncture: A Case Report (두침을 중심으로 시행한 외사시 환자 한의복합치료 치험 1례)

  • Hye Min Kim;Young Hoon Youn;Jae Soo Kim;Hyun Jong Lee;Sung Chul Lim;Yun Kyu Lee
    • Korean Journal of Acupuncture
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    • v.40 no.1
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    • pp.25-31
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    • 2023
  • Strabismus is a vision disorder in which the eyes do not properly align with each other when looking at an object and it can negatively affect the quality of life. This case is a report on a strabismus patient who received Korean medicine treatment including scalp acupuncture. Scalp acupuncture, body acupuncture, and herbal medicine were performed on a patient diagnosed with strabismus and diplopia. The improvement of symptoms was evaluated by the Numeric Rating Scale (NRS), Scott and Kraft Score (SK score), and change of symptoms and progress of diplopia. NRS decreased by more than 85%, and the SK score gradually changed from -4 to 0, which means strabismus mostly recovered, and the symptom and progress of diplopia were reduced. In this study, it is considered that Korean medical treatment including scalp acupuncture is useful for strabismus patients.

Eight Confluent Acupoint Combinations Patterns: Data Mining and Network Analysis (데이터마이닝과 네트워크분석을 통한 팔맥교회혈의 배합 패턴 연구)

  • Min-Jeong Kwon;Da-Eun Yoon;Heeyoung Moon;Yeonhee Ryu;In-Seon Lee;Younbyoung Chae
    • Korean Journal of Acupuncture
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    • v.40 no.4
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    • pp.177-183
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    • 2023
  • Objectives : One of the crucial combinations of acupoints for treating various disorders involves the Eight Confluent acupoints. The present study aims to investigate the selection patterns of the Eight Confluent acupoints in clinical trials and determine the most frequent pairings through network analysis. Methods : The frequencies of the Eight Confluent acupoints were extracted from the Acusynth database, which includes data from 421 clinical investigations. We examined the degree distribution, eigenvector centrality, proximity centrality, and betweenness centrality of these acupoint combinations using network analysis. Results : Data mining revealed that among the Eight Confluent acupoints, PC6 and TE5 were the most commonly applied in the treatment of 30 disorders. Additionally, we identified the most frequently co-occurring pairs of Eight Confluent acupoints by network analysis which included PC6-GV20, SP4-GV4, LU7-LI4, TE5-PC7, GB41-SP6, KI6-BL62, and SI3-BL62. Conclusions : Through the application of data mining and network analysis, we have elucidated the selection patterns and combinations of the Eight Confluent acupoints. These findings provide valuable insights that can enhance doctors' understanding of clinical database-driven Eight Confluent acupoint selection patterns.