• 제목/요약/키워드: 근위취혈

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회전근개 질환에 사용되는 근위혈들의 자침 심도에 대한 연구 (The Study of Depth of Local Acupuncture Points for Rotator Cuff Disorders)

  • 백승태;이승덕;변혁;김우영;정용래;이아람;김갑성
    • Journal of Acupuncture Research
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    • 제22권6호
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    • pp.165-171
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    • 2005
  • 목적 : 견관절 질환의 대부분의 원인을 차지하는 극상근건과 견봉하 점액낭 질환 침치료에 있어서 근위취혈의 관점으로 접근했을 때 손상된 조직인 극상근건과 견봉하 점액낭에 자입하는 것이 중요하다. 어떻게 이 조직에 접근할 것인가에 대해 X선 촬영을 통해 확인해 보고자 한다. 방법 : 4명의 지원자를 받아서 견우혈(LI 15), 거골혈(巨骨穴)(LI 16), 노상혈(UE 57)의 혈자리에 투시촬영을 이용해 자침을 하였다. 투시촬영으로 원하는 조직에 침이 자입되었음을 확인한 후 X선 촬영을 하여 확인하는 방법으로 진행하였다. 결과 : 견우혈(LI 15) 자침시(刺針時) 5cm의 깊이로 직자(直刺)할 때 원하는 조직인 근상근건과 견봉하 점액낭에 도달하는 것을 확인할 수 있었다. 거골혈(巨骨穴)(LI 16) 자침시(刺針時) 5cm의 깊이로 노상혈 부위로 하사자(下斜刺) 했을 때, 노상혈(UE 57) 자침시(刺針時) 5cm의 깊이로 거골혈(巨骨穴) 부위로 상사자(上斜刺) 했을 때 극상근건과 견봉하 점액낭에 도달함을 확인할 수 있었다. 결론 : 극상근건과 견봉하 점액낭 질환을 근위취혈의 관점으로 치료하고자 할 때 견우혈, 거골혈(巨骨穴), 노상혈에 정확한 깊이와 방향으로 자입을 해야 원하는 조직인 극상근건과 견봉하 점액낭에 자입할 수 있음을 확인할 수 있었다.

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경항통의 침치료에 있어서 근위취혈방법과 근위취혈.원위취혈 병행방법에 의한 치료효과 비교 연구 (Comparative Study of Treatment Effect between Near Acupuncture Point Needling and Near Acupuncture with Remote Acupuncture Point Needling on Treatment of Posterior Neck Pain)

  • 박재연;윤경진;최유진;김민석;전재천;이태호;노정두;이은용
    • Journal of Acupuncture Research
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    • 제28권1호
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    • pp.85-92
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    • 2011
  • Objectives : The purpose of this research was to compare remote and near acupuncture point needling with near acupuncture point needling acupuncture on posterior neck pain treatment. Methods : We divided 36 patients with posterior neck pain patient into two groups and treated Group A with near acupuncture and remote acupuncture point needling and Group B with near acupuncture point needling. The efficacy of treatment was measured by VAS scores and NDI scores of before and after 5 days to start treatment. Results : Both group A and B represented effective improvement in VAS and NDI of neck pain. And group A is more effective than B group statistically. Conclusions : It was suggested that near acupuncture and remote acupuncture point needling might have more effect compared with near acupuncture point needling acupuncture on posterior neck pain treatment.

급성기(急性期) 요통(腰痛)의 침치료(鍼治療)에 있어서 근위취혈(近位取穴)과 원위취혈병용(遠位取穴倂用)의 비교(比較) 연구(硏究) (The Comparison of Effectiveness between Near Acupuncture Point Needling and Near Acupuncture with Remote Acupuncture Point Needling on Treating Low Back Pain of Acute Stage)

  • 박기범;이진석;김대중;송계화
    • Journal of Acupuncture Research
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    • 제23권4호
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    • pp.61-68
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    • 2006
  • Objectives : The Purpose of this report is to examine the effect of Remote Acupuncture Point Needling in the Low Back Pain patient of Acute Stage. Methods : From October 1st 2005 to May 31th 2006, 30 cases of low back pain patients at acute stage were divided into 2 groups; one group(control group) took near acupuncture point needling, and the other group(test group) took near acupuncture point needling with remote acupuncture point needling. For evaluating change of pain, Visual Analog Scale(VAS) was checked before and after Treatment. Results : Both acupuncture therapy showed good effect on low back pain of acute stage. And test group showed better effect on decreasing pain than control group. It was proved by the difference between VAS checked before treatment and what checked after treatment. But it was not significant statistically. Conclusion : Near acupuncture point needling and remote acupuncture point needling can be recommended as a useful therapy to treat low back pain of acute stage.

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교통사고로 인한 편타성 손상 환자에 대한 원위취혈 및 근위취혈의 치료효과 비교 연구 (Comparative Study on the Effect of Acupuncture on Local Acupoints and Distal Acupoints for Patients with Whiplash Injury)

  • 김지현;이경민;임성철
    • 한국한의학연구원논문집
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    • 제16권2호
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    • pp.159-166
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    • 2010
  • Objective : The purpose of this study is to compare the Effect of Acupuncture on Local Acupoints and Distal Acupoints for Patients with Whiplash Injury. Method : From January 1st 2009 to September 31th 2009, 10 patient were divided into 2 groups. One group was taken Local Acupoints, and the other group was taken Distal Acupoints. To check pain and treatment satisfaction, visual analog scale(VAS) and five-point likert scale were used before and after treatment. Result : Both acupuncture theraphy showed improvement in VAS and five-point likert scale. And Local Acupoints group showed more effective than Distal Acupoints group on five-point likert scale. Conclusion : This Study suggests that Acupuncture on Local Acupoints and Distal Acupoints can be applicable to improve symptom in Patients with Whiplash Injury.

경항통 환자에 대한 원위취혈 및 근위취혈의 침치료 직후 효과에 대한 비교 연구 (Clinical Study on Immediate Response after Acupuncture on Local Acupoints and Distal Acupoints for Neck Pain Patients)

  • 이휘용;송범용;육태한;강지숙;홍권의
    • Journal of Acupuncture Research
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    • 제25권6호
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    • pp.183-192
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    • 2008
  • Objectives : The purpose of this study was to compare immediate response after acupuncture on Local Acupoints group and Distal Acupoints group for neck pain patients. Methods : From January 2nd 2008 to August 31th 2008, 10 neck pain patients were divided into 2 groups. One group(test I group) was taken Local Acupoints, and the other group(test II group) was taken Distal Acupoints. To check immediate response and satisfaction of needling, visual analog scale(VAS), range of motion(ROM), clinical evaluation grade and five-point likert scale were used before and after treatment. Results : Both acupuncture therapy showed immediate response and good effect on neck pain. And test I group showed more immediate response than test II group on all categories. Conclusions : Local Acupoints group can be recommended as an immediate and useful therapy to treat neck pain.

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상기도기침증후군으로 의심되는 만성기침 환자에 대한 인후부 근위취혈 침치료 및 한약 온열크림 도포 경과 : 증례보고 (Treatment of Chronic Cough in an Upper Airway Cough Syndrome (UACS)-Suspected Patient with Local Acupuncture Points Stimulation and Application of Topical Herbal Mixed Heating Cream : A Case Report)

  • 김은미;조희근
    • 대한한방내과학회지
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    • 제40권3호
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    • pp.557-565
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    • 2019
  • Objectives: This study investigated the effect of local acupuncture point stimulation and the application of a topical herbal mixed heating cream in a chronic cough patient who had not responded to various medications for more than a few months. Methods: An 81 year-old female patient who was suspected to be suffered from Upper Airway Cough Syndrome (UACS) was examined. The patient was treated with local acupuncture point stimulation and the application of a topical herbal mixed heating cream. We used the Leicester Cough Questionnaire, Cough-Specific Quality-of-Life Questionnaire, and Verbal Numerical Rating Scale to assess the patient's respiratory symptoms. Results: Local acupuncture point stimulation and the application of a topical herbal mixed heating cream resulted in the improvement of cough symptoms. The quality of life due to the alleviation of symptoms also significantly improved. Adverse effects were not observed. Conclusions: This study suggests that local acupuncture point stimulation and the application of a topical herbal mixed heating cream may be an effective therapy for the treatment of chronic cough in patients with UACS.

요추간판탈출증에 봉약침의 근위 취혈과 근위 및 원위 취혈의 비교 (The Comparison of Bee Venom Herbal-acupuncture Therapy between Neighboring Acupuncture Points and Neighboring-Remote Acupuncture Points on the Treatment of Lumbar Spine Herniation of Nucleus Pulpous)

  • 김경운;서보명;윤종석;이윤경;최성훈;이경민;임성철;서정철;정태영;한상원
    • Journal of Acupuncture Research
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    • 제22권6호
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    • pp.181-187
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    • 2005
  • Objectives : The purpose of this study is to compare the improvement effects on lumbar spine herniation of nucleus pulpous between neighboring acupuncture points and neighboring-remote acupuncture points by bee venom herbal-acupuncture therapy. Methods : The 30 patients who had a diagnosis of lumbar spine herniation of nucleus pulpous were divided into two groups. Group A was 15 cases treated with bee venom herbal-acupuncture therapy on neighboring acupuncture points, group B was 15 cases treated on neighboring and remote acupuncture points. The two groups were also managed by moxibustion, physical theraphy and herbal medicine. The improvement effects between two groups was estimated by low back pain index and visual analogue scale(VAS) score after 10 days treatment. Results : After 10 days treatment. low back pain index and VAS score were significantly improved in both two groups, but there was no significantly difference between two groups in both low back pain index and VAS score. Conclusion : In this study, there were same effects between neighboring acupuncture points and neighboring-remote acupuncture points bee venom herbal-acupuncture therapy. But further studies are required to confirm the effect of these methods.

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만성 경항통 환자에 대한 근위취혈과 원위취혈 침치료 효과 비교연구 (A Randomized Clinical Trial of Local Acupoints Compared with Distal Acupoints in Chronic Neck Pain Patients)

  • 김소정;장진영;김남식;김용석;남상수
    • Journal of Acupuncture Research
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    • 제28권5호
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    • pp.57-64
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    • 2011
  • Objectives : The purpose of this study is to compare the efficacy after acupuncture on local acupoints group and distal acupoints group for chronic neck pain. Design : A randomized, crossover clinical trial. Methods : From 15st, September 2010 to October 30th, 2010. 20 patients with chronic neck pain were randomly assigned to either group A or group B. Group A received acupuncture at local acupoints then after 1 week washout period acupuncture at distal acupoints. Group B received the treatment in reverse order. To evaluating efficiency and satisfaction, visual analog scale(VAS), neck disability index(NDI), cranio-cervical flextion test(C-CFT) and five-point likert scale were measured before and after each treatment. Results : Patients in local acupoints group experienced greater improvement than distal acupoints group in VAS. Both local acupoints group and distal acupoints group showed significant improvement in NDI but not in C-CFT and the NDI score change comparison between the two groups had no significance. Local acupoints group showed more effective than distal acupoints group on five-point likert scale. Conclusions : Local acupoints is more effective than distal acupoints in controlling pain in chronic neck pain.

급성기 족관절 염좌의 근위취혈(近位取穴)과 원위취혈(遠位取穴)의 치료 효과 비교 연구 (The Comparison of Effectiveness between Near Acupuncture Point Needling and Remote Acupuncture Point Needling on Treating Ankle Sprain of Acute Stage)

  • 김대중;최용준;김도호;엄재연;송계화;이진석;조남근
    • Journal of Acupuncture Research
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    • 제24권4호
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    • pp.25-33
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    • 2007
  • Objective : The purpose of this study is to compare the effects of near acupuncture point needling and remote acupuncture point needling on treating ankle sprain of acute stage. Methods : From March 1st, 2007 to May 30th, 2007, the 50 patients who had visited Iksan oriental medical hospital, Wonkwang university with acute ankle sprain were divided into 2 groups ; one group took near acupunture point needling, and the other group took remote acupunture point needling. Both group had been treated with the same additional rest, ice, compression and elevation(RICE) therapy. To evaluating the efficiency of each treatment, Visual Analog Scale(VAS) and Ankle-Hindfoot Scale(AHS) were applied before 1st treatment and after 3rd treatment. Results : As a result of evaluation by using AHS, the score change comparison between the two groups had no significance after the treatment. As a result of evaluation by using VAS, treatment score of remote acupucture point needling was marked lower than score of near acupucture point needling. Conclusion : Remote acupucture point needling is more effective than near acupucture point needling in controlling the pain of acute ankle sprain.

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퇴행성 슬관절염에 대한 근위취혈과 원위취혈 침 치료의 효과 비교에 대한 임상연구 (A Randomized Clinical Trial of Local Acupoints Compared with Distal Acupoints in Degenerative Osteoarthritis on Knee)

  • 박인식;정찬영;장민기;강미숙;이승우;김은정;이승덕;김갑성
    • Journal of Acupuncture Research
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    • 제25권2호
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    • pp.227-242
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    • 2008
  • Objectives : To compare the efficacy of local acupoint with distal acupuncture at relieving pain and improving function in knee osteoarthritis. Designs : A randomized, single-blinded, crossover clinical trial. Settings : One outpatient clinic(department of acupuncture & moxibustion) located in academic teaching hospital, South Korea. Patients : 17 patients with osteoarthritis of the knee(mean age 62.76[$SD{\pm}4.37$] years). Interventions : The trial had 4 stages : baseline(2weeks), phase I and II(each 2weeks), washout period(2weeks). Patients were randomly assigned to either group A or group B. Group A received acupuncture at local acupoints during phase I, then acupuncture at distal acupoints in phase II. Group B received the treatments in reverse order. In each phase, the patients were treated with acupuncture for 6 times. Measurements : The primary outcome was subjective pain as measured by a 100mm visual analogue scale(VAS) ranging from 0(no pain) to 10(worst pain ever). Secondary outcomes were changes in the Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC) total and pain scores. Measurements were obtained at baseline, 1st day of phase I and II, and 2 days after last treatment of phase I and II. Results : The 17 participants in 2 groups were well matched for age, sex, target knees, baseline VAS score, WOMAC pain score and WOMAC score. Participants in local acupoint group experienced greater improvement than distal acupoint group at 2 days after last treatment in WOMAC total score(mean difference, -10.65[95% CI, -20.56 to -0.74] ; P=0.036) but not in VAS(mean difference, -12.41[95% CI, -29.56 to 4.73] P=0.15) and WOMAC pain score(mean difference, -1.82[95% CI, -3.98 to 0.33] ; P=0.094). Conclusions : Local acupoints are more effective than distal acupoints at relieving pain and improving function in knee osteoarthritis.

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