• Korean Journal of Acupuncture
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• v.32 no.3
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• pp.130-135
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• 2015

Objectives : This study is to investigate stimulation effects of acupoints at differential meridian along arm and leg on the physiological phenomenon of heartbeats. Methods : 8 subjects were participated in this study. The experiments were performed in Resting session(Rs), Insertion session(Is), Stimulation session1(Ss1), Stimulation session2(Ss2), Stimulation session3(Ss3) sequence. Time of each session and the interval between each session was 30 seconds all. Acupuncture was performed manually on PC3 or LR8 at random with a two-day interval. stand deviation of N-N interval(SDNN) was measured for each session. Results : At PC3, SDNN increased in Ss1, Ss2, and Ss3 compared to Rs but at LR8, there was little change between Ss1, Ss2, Ss3 and Rs. Post-hoc analysis revealed that mean value of SDNN significantly increased in Ss1 compared with Baseline at PC3, while there was little change at LR8. When LR8 and PC3 were compared at each time point, there was a significant difference only in Ss1. Conclusions : Our results indicate that there is a correlation between specific physiological functions and acupoints.

• The Journal of Korean Medicine
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• v.19 no.2
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• pp.112-124
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• 1998

The purpose of this study was to investigate the effect of Brousson etiae fructus (BF) on the urethral nitrite level and the urethral nitric oxide synthase (NOS) activity in streptozotocin (STZ) induced diabetic rats. In vitro, the urethral NOS activity was not noted in the level of Dose of extract prepared from BF. In vivo, the urethral NOS activity was increased in normal rats and STZ induced diabetic rats by dose and term of extract prerared from BF. The the NOS activity decreased in STZ induced diabetic rats was increased as highly as norma1 group by the extract of BF The level of urethral nitrite and glutathione was increased too. But the level of urethral lipid peroxide increased in STZ induced diabetic rats was decreased as lowly as normal group by the extract of BF. In conclusion, the extract of BF can restore erectile dysfunction of STZ induced diabetic rats.

• Korean Journal of Acupuncture
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• v.26 no.4
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• pp.135-144
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• 2009

Objective : The Meridian sinew is one of the meridian subsystems, which includes muscles distributed on the twelve meridian. This study was performed to understand which muscle is falling under 'Foot lesser yin meridian sinew'. Methods : We have studied the literatures on meridian sinew theory and searched muscles which correspond to 'Foot lesser yin meridian sinew' in anatomical muscular system. And we researched myofascial pain syndrome about the symptoms of the muscles falling under 'Foot lesser yin meridian sinew'. Lastly we compared 'Foot lesser yin meridian sinew' with 'Deep Frontal Line' - one of the anatomical trains. Results & Conclusion : 1. It is considered that 'Foot lesser yin meridian sinew' includes flexor digitorum brevis muscle, abductor hallucis muscle, medial head of gastrocnemius muscle, flexor digitorum longus muscle, adductor muscle, iliopsoas muscle, erctor spinae muscle. 2. The symptoms of 'Foot lesser yin meridian sinew' are similar to the myofascial pain syndrome with referred pain of the muscles falling under 'Foot lesser yin meridian sinew'. 3. 'Deep frontal line' is similar to 'Foot lesser yin meridian sinew', but not exactly in neck & pelvic muscles.

• Journal of Ginseng Research
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• v.20 no.2
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• pp.133-138
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• 1996

Rabbit corpus cavernosal smooth muscle strips submaximally precontracted with phenylephrine (5$\times$$10^6$ M) and treated with increasing concentrations of Korean ginseng (1, 5, 10, 20, 30, 40 mg/ml) showed tension decrease concentration-dependently (1 mg/ml: 1.7%, 5 mg/ml: 10.2%, 10 mg/ml: 22.7%, 20 mg/ml: 44.0%, 30 mg/ml: 65.2%, 40 mg/ml: 95.6%). Relaxations to Korean ginseng were inhibited significantly by endothelial disruption, by pretreatment with methylene blue, pyrogallol, L-NNA and atropine. Pretreatment of the muscle strips with ginseng caused concentration-related inhibition of a phenylephrine induced contraction, and in calcium-free high potassium depolarizing solution, decreased basal tension as well as inhibited contraction induced by Caclr. Korean ginseng also produced the reduction of responses to depolarizing medium(50, 40, 60 mM KCI). With these results we can confirm the relaxation effect of ginseng at a dose dependent on the cavernosal smooth muscle and suggest that its action is mediated by multiple action mechanisms that include increasing the release of nitric oxide from the corporal sinusoids. Increasing intracellular calcium sequestration, and a hyperpolarizating action.

• The Journal of Korean Medical History
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• v.35 no.1
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• pp.87-99
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• 2022

The purpose of this paper is to test the hypothesis that some early Chinese meridians were described by haptic exploration of the arterial pulse. The method is as follows: First, the relevant passages of the Mawangdui medical texts, the oldest meridian monographs, are translated based on perceptual anatomy. Second, the pulse is haptically searched for in the palm, lower arm, upper arm, armpit, and torso of the human body. Finally, their locations are compared with the translation. As a result, It was confirmed that the pulse locations detected on the body were mostly consistent with the routes of the meridians described in the texts. So meridians were haptically detectable pulse routes. What is known today as the flow direction of hand-yin meridians is actually the direction of searching the pulse. Our result runs counter to Huang Longxiang's claim that the route of the meridians are virtual routes set by speculation. Our findings also dispute Vivien Shaw's claim that the meridians of Mawangdui medical texts were discovered by anatomical dissection. They also refute the claim that meridians were discovered by the extrasensory perception of the inner sight (內觀) and the subjective experience of the meridian sensitive person. The hand-yin meridians of Mawangdui medical texts are well described so that anyone can find them by touching them with their fingers.

• Journal of Physiology & Pathology in Korean Medicine
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• v.29 no.2
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• pp.180-188
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• 2015

This study was conducted to investigate the relaxation effects and its mechanisms of Nelumbinis Semen(NS) extract in isolated rabbit corpus cavernous tissues. In order to examine the relaxation effects and its mechanisms of NS, we treated the ethanol extract of NS(0.01-3.0 mg/ml) and indomethacin(IM), tetraethylammonium chloride(TEA), Nω -nitro-L-arginine (L-NNA), methylene blue(MB) were treated before NS extract to contracted strips induced by PE 1 μM. We also treated calcium chloride(Ca) 1 mM after pretreatment of NS extract in Ca²⁺-free krebs-ringer solution to contracted strips induced by PE. Cell viability and NO concentration on human umbilical vein endothelial cell(HUVEC) was measured by MTT assay, Griess reagent system. eNOS production was investigated by histochemical and immunohistochemical staining. NS extract was significantly affected on the relaxation of cavernous strips and NS extract-induced relaxation was not different by pretreatment of IM, TEA, MB, but inhibited by the pretreatment of L-NNA. And increase of contraction induced by Ca²⁺ addition, in a Ca²⁺-free solution, was decreased by pretreatment of NS. NO concentration on HUVEC was increased. When NS extract was applicated on corpus cavernosum of penis(CCP) in SHR, ratio of smooth muscles to collage fibers by PE was decreased and formation of eNOS around helicine artery was increased. These results suggest that CCP relaxation effects of NS extract are shown by suppressing influx of extracellular Ca²⁺ through the production of NO and eNOS.

• Journal of Physiology & Pathology in Korean Medicine
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• v.31 no.1
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• pp.52-58
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• 2017

This study was aimed to examine relaxing effects of Acanthopanacis cortex(AC) through nitric oxide(NO) production and phosphodiesterase type 5(PDE-5) inhibition in corpus cavernosum. In order to define the relaxation effects of AC extract, rabbit corpus cavernous tissues were prepared in $2{\times}2{\times}8mm$ sized strip. AC extract ($0.01-3.0mg/m{\ell}$) were treated in contracted strips induced by phenylephrine(PE) and $N{\omega}$-nitro-L-arginine (L-NNA) was treated before AC extract-treated. And calcium chloride($Ca^{2+}$) 1 mM was infused into precontracted strips after pretreatment of AC extract in $Ca^{2+}-free$ krebs-ringer solution. When AC extract was applied to human umbilical vein endothelial cell(HUVEC), cell viability was measured by MTT assay, and NO concentration was measured by Griess reagent system. Ratio of smooth muscles to collagen fibers and eNOS, PDE-5 positive reaction were measured by histochemical and immunohistochemical process on mice corpus cavernosum. AC extract significantly affected relaxion of the cavernous strips, and the pretreatment of L-NNA inhibited AC extract-induced relaxation. Contraction induced by the addition of $Ca^{2+}$ was inhibited by treatment with the AC extract in $Ca^{2+}-free$ solution. In AC group, NO concentration, ratio of smooth muscle to collagen fibers, and eNOS positive reaction were increased, PDE-5 positive reaction was decreased compared to PE group. As a result of the above experiment, it was thought that AC extract inhibits the inflow of extracellular $Ca^{2+}$ by activating cGMP through the increase of eNOS / NO and the decrease of PDE-5 which inhibits cGMP activity, in the corpus cavernosum.

• Archives of Plastic Surgery
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• v.34 no.6
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• pp.753-758
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• 2007

Purpose: Penoscrotal extramammary Paget's disease is a rare cutaneous malignancy that primarily affects the elderly. To prevent local recurrence, adequate surgical excision with its intraoperative frozen section, proper reconstruction, and careful follow-ups are required. The present study describes the treatment of patients with penoscrotal extramammary Paget's disease, focusing on the reconstruction after the ablation of lesion. Methods: Nine patients were selected who had undergone a local pedicle flap procedure due to the large defects after ablation of extramammary Paget's disease of the penoscrotal area, during the period of 1999 to 2005. Wide excision combined with intraoperative frozen sectioning was performed, and the penoscrotal wound was reconstructed with a local skin flap. Three flaps were chosen depending on the size of the defect. If the defect size was small and the scrotal tissue was adequate, scrotal flap(n=5) was enough for its reconstruction. However, as there were large defects with insufficient remnant scrotal tissue, a groin flap(n=2) or an anterolateral thigh flap(n=2) were performed. Results: There were no complications with the postoperative wound. Furthermore, no local recurrence was noted during two to six years of follow-up period (mean average 3.7 years). Conclusion: For the resurfacing the penoscrotum at large defects after ablation of extramammary Paget's disease, we performed reconstruction with a local flap. In the aspect of both function and cosmetic concerns, the results were satisfactory.　

• The Journal of Internal Korean Medicine
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• v.32 no.1
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• pp.136-143
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• 2011

Priapism is a persistent penile erection that continues for more than 4 hours beyond, or is unrelated to, sexual stimulation. Because priapism is a medical emergency, all patients with priapism should be evaluated and treated urgently. Subtypes of priapism are ischemic, non-ischemic and stuttering priapism. Stuttering type is a recurrent form of ischemic priapism in which unwanted painful erections occur repeatedly with intervening periods of detumescence. The etiology of this type is often idiopathic and the treatments are still not clearly established. We present one case of stuttering priapism which occurred after suppression of his sexual desire. A 23-year-old man visited our clinic complaining of recurrent pain and erections persisting for about 5 weeks. We performed evaluation and confirmed the diagnosis of Rigid swollen penis. Jibaekjihwang-tang gamibang (ZhiBaiDihuang-Tang Jiaweifang) was administerd to the patient for 9 days. After the treatment, duration of erections and pain showed remarkable improvements. This will be recorded as the first case report of treating priapism with a Korean medical approach and suggests that Korean medicine therapy can be efficient to treat priapism.

• The Journal of Internal Korean Medicine
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• v.22 no.1
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• pp.53-61
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• 2001

Objectives : The following are the results of the experimental studies of Samjasan (SJS) extract on the nitric oxide synthase (NOS) activity and the level of lipid peroxide in the penises of rats. Methods : Cnidii Fructus, Cuscutae Semen, Schizandrae Fructus constitute SJS. 150 g of crushed crude drug was extracted with methyl alcohol, under reflux, for 24 hours, three times; the total extractive was evaporated under reduced pressure to give 28.6 g. Results : In vitro, the SJS extract didn't effect the activity of NOS. However, the SJS extract decreased the activities, the ratio of type conversion of xanthine oxidase, the levels of lipid peroxide, In vitro, after administration of the SJS extract to rats, the activities and ratio of type conversion of xanthine oxidase decreased, but the activity of NOS and the content of nitrite increased. Also, the levels of the superoxide anion radical and lipid peroxide decreased in the penises of rats. But, after administration of the SJS extract to rats, the levels of glutathione did not increase. The effects of the SJS extract did better as the dosage and the length of treatment increased. Conclusions : These results suggest that the SJS extract decreases the activities of free radical generating enzymes which form lipid peroxide and increases the NOS activity in the penises of rats. Therefore, the SJS extract is capable of improving of sexual ability in rats.