• 제목/요약/키워드: 임상고찰(臨床考察)

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Pub Med 검색(檢索)을 통한 전침(電鍼)의 최신(最新) 연구(硏究)에 관한 고찰(考察) -임상(臨床) 논문(論文) 중심(中心)으로- (Systemic Review : The Study on Electroacupuncture in PubMed)

  • 서동민;강성길
    • Journal of Acupuncture Research
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    • 제19권3호
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    • pp.168-179
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    • 2002
  • Objective : To research the trend of the study related to electroacupuncture and to establish the hereafter direction for the study on electroacupuncture. Methods : We have referred to PubMed, with electroacupuncture (Limits: 5 Years, only items with abstracts, English, Human) Results : 1. We have searched 67 papers in 49 journals on electroacupuncture. 2. The pattern of study was as follows: review articles-8 papers in 8 journals, RCT articles-22 papers in 16 journals, meta-analysis-2 papers in 2 journals, and clinical trials-29 papers in 14 journals. 3. How frequently each Meridians was used for electroacupuncture in the searched papers was as follows: Large Intestine Meridian-14 times, Stomach Meridian-12 times, GallBladder Meridian-5 times, Governor Vessel-4 times, Conception Vessel-3 times, Pericardium Meridian-2 times, Triple Energizer Meridian-2 times, and Liver Meridian-2 times in that order. 4. The acupoints used in the searched papers were as follows: LI4-8 times, ST36, LI11, and GB34-3 times, GV20, LR3, and PC6-2 times in that order. 5. The diseases in the searched papers were as follows: pain, stroke, and others. Conclusion : More clinical data would be needed to prove the effects of electroacupuncture for better application.

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골다공증(骨多孔症)에 관(關)한 문헌적(文獻的) 고찰(考察) -주로 최근(最近)의 한의학적(韓醫學的) 임상(臨床) 및 실험논문(實驗論文)을 중심(中心)으로 (Review of Recent Research on the Osteoporosis - is mainly dependent on the Oriental medicine Clinical and Experimental study)

  • 김종환
    • Journal of Acupuncture Research
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    • 제15권2호
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    • pp.437-454
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    • 1998
  • Osteopotosis is a disease characterized by reduced amount of bone mass leading to enhanced bone flagility. The number of patients with osteoporotic vertebral fracture is increasing and it is one of the leading causes of morbidity in the elderly and postmenopausal women. It is a condition in which bone mass decrease, causing bones to be more susceptible to fracture. A trivial trauma can easily cause one or more bones to break in a person with severe osteoporosis. So it is a major health problem. Pysicians and patients are concerned with the optimum approach to the treatment and prevention of osteoporosis. Until a recent date, many oriental medicine studies were performed to find the preventive and curative efficacy on the osteoporosis, which is differ from therapeutics of Western-medicine. The proper use of Herb-med and role of Accupuncture are issues that have generated major research efforts. This study was carried out to investigate evaluation of clinical and experimental study on the osteoporosis. So, these are to be mentioned in this paper.

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체침(體鍼)과 두침(頭鍼)을 시행(施行)한 중풍환자(中風患者) 29례(例)의 임상고찰(臨床考察) (A clinical study on 29 cases with Stroke treated by commom acupunture therapy and scalp acupunture)

  • 하치홍;한상균;조명래;유충렬;이병열
    • Journal of Acupuncture Research
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    • 제18권4호
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    • pp.82-90
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    • 2001
  • Objective : This study is for taking data for the clinical application of scalp acupunture(頭針). Methods : I made 29 patients an object of this study. They were diagnosed as Stroke and hospitalized in Dong-shin Univ. Korean Traditional Medicine Hospital from March, 2001 to May, 2001. They were divided into two groups. One was an experimental group, treated by 2 methods - common acupunture therapy and scalp acupunture(jung-sup jeon who-sa-sun(頂攝前 後斜線). The other was an control group, treated only by common acupunture therapy. Results : In an experimental group, there were 8 excellent cases(57.14%) and 6 good cases(42.86%). In an control group, there were 3 excellent cases(20%), 10 good cases(66.6%) and 2 improved cases(13.33%). There was no significant difference in variable of effects according to treatments. Conclusions : I thought that it needed to prove effects of scalp acupunture(頭鍼) for efficient application by more clinical data from now.

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두침(頭鍼)을 시행한 요추간판탈출증 환자 30례에 대한 임상고찰(臨床考察) (A Clinical Report on 30 Cases with H.I.V.D by Scalp Acupuncture)

  • 장석근;김영화;강재희;김정호;임윤경;이현;이병렬
    • Journal of Acupuncture Research
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    • 제20권5호
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    • pp.252-260
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    • 2003
  • Objective : The purpose of this report is to examine the effects of Scalp Acupuncture therapy in the H.I.V.D patients. Methods : We investigated 30 patients suffering from low back pain with sciatica which were admitted to Cheonan O. M. hospital from Aug. 1, 2001 to Jan. 31. 2002. 30 patients had a diagnosis of herniated lumbar intervertebral disc by Lumbar-C.T or Lumbar-M.R.I. we treated 30 patients by Scalp Acupuncture therapy. Results : 1. We operated Scalp Acupuncture on the foot-motion sensory area(족운동감각구), the sensory area(감각구) 2. In the result of treatment due to clinical symptoms, leg radiating pain was more effective than any other clinical symptoms. 3. The efficacy of Scalp Acupuncture therapy was 83.3%(when we set a standard things more than fair) and 63.3%(when we set a standard things more than good). Conclusions: The Scalp Acupuncture therapy is effective of H.I.V.D patients, but we thought that it needed to prove effects of Scalp Acupuncture therapy for efficient application by more clinical reports.

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두부(頭部) 독맥경(督脈經), 족태양방광경(足太陽膀胱經) 경혈(經穴)의 도마침법(倒馬鍼法)을 시행한 급성(急性) 요부(腰部) 염좌(捻挫) 환자 10례(例)에 대한 임상고찰(臨床考察) (Therapeutic Effect of Ten case Treated with Scalp and Do-ma acupuncture related with Governer Vessel and Bladder Meridian on Acute Low Back Pain)

  • 이준성;김영일
    • 혜화의학회지
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    • 제14권2호
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    • pp.177-187
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    • 2005
  • Objective : This study is designed in order to evaluate the therapeutic effect of Scalp Acupuncture and Do-ma Acupuncture related with Governer Vessel(Dok) and Bladder Meridian(Chok-taeyang) on acute low back pain Methods : We investigated 10 patients suffering from acute low back pain were treated from Mach. 1st 2005 to Jun. 30th 2005. 10 patients, were diagnosed only straightened curvature on lateral view of lumbar spine X-ray and get Scalp acupunture related with Governer Vessel(Dok) and Bladder Meridian(Chok-taeyang) and Do-ma acupuncture. Pain rating score(PRS) was used to assess the pain for its intensity, frequency, duration, and aggravating factors. And visual analog scale(VAS) was used, too. Results : Both Scalp acupunture related with Governer Vessel(Dok) and Bladder Meridian(Chok-taeyang) and Do-ma acupuncture therapy showed good effect on acute low back pain. It was proved by the difference between PRS and VAS checked before treatment and what checked after treatment. In the evaluation of treatment effect, Exellent was 2(20%), Good was 5(50%), Moderate was 3(30%), Poor was 0(0%). Conclusion : The therapeutic effect of Scalp Acupuncture and Do-ma Acupuncture on acute low back pain can be recommended as a useful therapy to treat acute low back pain.

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봉독약침병행치료(峰毒藥鍼竝行治療)한 요추간판탈출증환자(腰椎間板脫出症患者)의 임상고찰(臨床考察) (A Clinical study carried out common acupuncture therapy and Bee-Venom Acupuncture on HNP of L-spine)

  • 배은정;조현열;진재도;신민규;한상균;양기영;황규정;신영일;이현;이병렬
    • Journal of Acupuncture Research
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    • 제19권1호
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    • pp.54-64
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    • 2002
  • Objective : The one of the main cause in back pain & sciatica is HNP of L-spine. This study is for taking data for the clinical application of Bee-Venom Acupuncture on HNP of L-spine. Methods : This clinical study was carried out 24 patients with HNP of L-spine, who had been admitted from March, 2001 to November, 2001. We devided the patients into two groups; One was an experimental group, treated by 2 methods-common acupuncture therapy and Bee-Venom Acupuncture. The other was an control group, treated only by common acupuncture therapy. Results and Conclusion : In an experimental group, there were 4 excellent cases (33.33%) and 5 good cases(41.67%). In an control group, there were 2 excellent cases (16.67%) and 5 good cases (41.67%). We thought that it needed to prove effects of Bee- Venom Acupuncture for efficient application by more clinical data from now.

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요각통환자(腰脚痛患者)의 동씨침(董氏鍼) 병행시술(竝行施術)이 통증감소(痛症減少)에 미치는 영향(影響)에 대한 임상고찰(臨床考察) (A Clinical Study on the Effects of Pain control of Dong-Si acupunture therapy for the patients with lumbago)

  • 하치홍;한상균;박춘하;조명래;배은정;신영일;양기영;황규정;이현;이병렬
    • Journal of Acupuncture Research
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    • 제19권1호
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    • pp.92-100
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    • 2002
  • Objective : I planned to write this paper to use more Dong-Si acupunture treatment clinically by comparing Dong-Si acupunture with common acupunture for lumbago. Methods : This study was carried out on 56 patients with lumbago who were hospitalized in Dongshin Univ. Oriental Hospital from 1st, April, 2001 to 31st, Octover, 2001. Group A of 28 patients were taken both common acupunture and Dong-Si acupunture. And Group B of 28 patients were only taken common acupunture. And after 10 days of admission, I checked and compared VAS(Visual Analogue Scale) and improvement index out of these two groups. Results : In improvement index, Group A is $0.3932{\pm}0.1073$ and Group B is $0.2793{\pm}0.1080$. So Group A is thought to be significant(P=0.000). In VAS(Visual Analogue Scale), Group A is $6.9286{\pm}1.4889$ and Group B is $5.0000{\pm}1.4142$. So Group A is also thought to be significant(P=0.0000). Conclusion : The group with both Dong-Si acupunture and common acupunture treatment is more effective than the group with common acupunture treatment.

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뇌졸중환자(腦卒中患者) 290례(例)에 대(對)한 임상(臨床) 고찰(考察) (III) ('Clinical Observation on the 290 cases of Cerebrovascular Accident')

  • 강관호;전찬용;박종형
    • 대한한의학회지
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    • 제18권2호
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    • pp.223-244
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    • 1997
  • Clinical observation was done on 290 cases of patients who were diagnosed as CVA with brain CT, TCD, MRI scan and clinical observation. They were hospitalized in the oriental medical hospital of Kyung-Won University from 1st January to 31st December in 1996. 1. The cases were classified into the following kinds : cerebral infarction, cerebral hemorrhage, and transient ischemic attack. The most case of them was the cerebr진 infarction. 2. There is no significant difference in the frequency of strokes in male and female. And the frequency of strokes was highest in the aged over 50. 3. In cerebral infarction the most frequent lesion was the territory of middle cerebral artery, and in cerebral hemorrhage the most frequent lesion was the basal ganglia. 4. The most ordinary preceding disease was hypertension, and the next was diabetes. 5. The rate of recurrence was high in cerebral infarction. 6. The frequency of strokes seems to have no relation to the season. 7. The cerebral infarction occurred usually in resting and sleeping, and the cerebral hemorrhage in acting. 8. The course of entering hospital, most patients visited this hospital as soon as CVA occurred. And the half of patient visited this hospital within 2 days after CVA attack. 9. In the cases of patients who were unconscious at the admission, the prognosis was worse than that of the alert patients. 10. The common symptoms were motor disability and verbal disturbance. 11. The average duration of hospitalization was 27.4 days, and in case of cerebral hemorrhage the duration was prolonged. 12. The average time to start physical therapy was 13.3rd day after stroke in cerebral infarction and it was 19.9th day after stroke in cerebral hemorrhage. 13. The common complications were urinary tract infection, pneumonia, myocardial infarction and so on. 15. At the time of entering hospital, in most cases the blood pressure was high, but blood pressure was well controlled at the time of discharge. 16. Generally reported, hypercholesterolemia and hypertriglyceridemia are usually found in cerebral infarction. But in this study, they were found more frequently in cerebral hemorrhage than in infarction. 17, In the most cases, western and oriental medical treatments were given simultaneously. 18. In acute or subacute stage, the methods of smoothening the flow of KI(順氣), dispelling phlegm(祛痰), clearing away heat(淸熱) or purgation(瀉下) were frequently used. And in recovering stage, the methods of replenishing KI(補氣), tonifying the blood(補血) or tranquilization(安神) were frequently used.

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사상인(四象人)의 체질병증약리(體質病證藥理)에 관한 고찰(考察) (A Study on the Symptomatic-pharmacology(病證藥理) Sasang Constiution)

  • 송일병
    • 사상체질의학회지
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    • 제10권2호
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    • pp.1-14
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    • 1998
  • 1. 연구목적 사상의학(四象醫學) 임상은 무엇보다 정확한 체질진단(體質診斷)과 적합한 용약(用藥)이 필요하다. 동무(東武)는 "동의기세보원(東醫器世保元)"을 통해 체질진단(體質診斷)의 단서(端緖)로 체형기상(體形氣像), 용모동기(容貌洞氣), 성질재간(性質材幹) 등을 제시하고 있으나 무엇보다 병증(病症)을 관찰하여 용약(用藥)할 것을 강조하였다. 이 글에서는 체질병증(體質病證)의 특징(特徵)을 개괄적으로 살피고, 사상인(四象人) 고유의 처방(處方)이 나오게 되는 배경과 처방(處方)의 임상예(臨床例)를 사상의학(四象醫學)의 임상(臨床) 활용(活用)의 정확성을 기하는 것이 연구의 목적이다. 2. 연구 방법 "동의세기보원(東醫器世保元)"의 "사상인병증론(四象人病證論)"과 "동의사상신편(東醫四象新編)"의 사상처방(四象處方) 운용(運用)의 임상예(臨床例)를 중심으로 체질(體質) 병증(病症)의 특징을 파악하고 처방의 사용 정신을 살펴 보고자 하였다. 3. 연구 결과 사상인(四象人) 각 병증약리(病症藥理)를 살펴 보아 아래와 같은 결과를 얻었다. 1. 사상의학(四象醫學)의 병증(病證)은 심신(心身)을 중시한 형상의학(形象醫學)에서 나왔고 온열양한(溫熱凉寒)의 사상적(四象的) 요약(要約) 정신(精神)으로 설명되고 있다. 2. 소음인(少陰人)과 소양인(少陽人) 병증(病症)은 수곡지기(水穀之氣)의 한열병증(寒熱病證)으로 치료(治療) 정신(精神)은 상하승강(上下升降)의 조절(調節) 정신(精神)에서 찾을 수 있고, 태양인(太陽人) 병증(病證)은 기액지기(氣液之氣)의 온량병증(溫凉病證)으로 치료(治療) 정신(精神)은 내외완속(內外緩束)의 조절(調節) 정신(精神)에서 찾을 수 있다. 3. 사상인(四象人)의 병증(病證)을 개괄하면, 태양인(太陽人病證)은 하허상실병증(下虛上實病證)이며 혈액구모병증(血液俱耗病證)이고, 소음인병증(少陰人病證)은 하함병증(下陷病證)이며 위한병증(胃寒病證)이고, 태음인병증(太陰人病證)은 조열병증(燥熱病證)이며 이열병증(裏熱病證)이고, 소양인병증(少陽人病證)은 화열병증(火熱病證)이며 이열병증(裏熱病泣)이다. 4. 사상의학(四象醫學) 체질병증(體質病證)의 특징은 성정(性情)과 한열(寒熱)의 표리병증(表裏病證) 구분(區分) 정신(精神), 보명지주(保命之主)를 통한 표리병증(表裏病證)의 포괄(包括) 정신(精神), 수곡지기(水穀之氣)와 기액지기(氣液之氣) 병증(病證)의 구분(區分) 정신(精神)으로 설명하고 있다. 5. 병증(病證)의 운영정신(運營精神)은 경중완급(輕重緩急) 및 순역(順逆)의 구분(區分) 정신(精神), 체질속성(體質屬性)에 따른 약물(藥物) 조절(調節) 정신(精神), 동출일속(同出一屬)의 포괄적 치료(治療) 정신(精神)으로 요약할 수 있다.

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북미지역주민(北美地域住民)의 사상체질(四象體質) 분포(分布)에 관(關)한 연구(硏究) (A Study on the Sasang Constitutional Distribution Among the People in the United States of America)

  • 고병희;김선호;박병관
    • 사상체질의학회지
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    • 제11권2호
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    • pp.119-150
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    • 1999
  • 동(東) 서양의학(西洋醫學)이 여러 방면(方面)으로 눈부시게 발전(發展)해 왔음에도 불구(不拘)하고 동일질병(同一疾病)에 대한 약(藥) 효과(效果)의 개인별(個人別) 차이(差異)나 질병(疾病)에 대한 개인별(個人別) 감수성(感受性)의 차이(差異)에 따른 여러 가지 면역관계(免疫關係) 질환(疾患)의 다양성(多樣性)이나 난치병(難治病)의 다양(多樣)한 예후(豫後) 등(等)의 이유(理由)를 정확(正確)히 이해(理解)하지 못하고 따라서 적절(適切)한 대처(對處)를 하지 못하고 있는 것이 현실(現實)이다. 그런데 사상의학(四象醫學)의 네 체질(體質)에 따른 질병(疾病) 관리(管理), 치료(治療) 및 예방법(豫防法)은 현대(現代)의 난치병(難治病)이라고 할 수 있는 성인병(成人病), 면역계(免疫係) 질환(疾患), 스트레스성(性) 질환(疾患)의 관리(管理)에 효과적(效果的)으로 적용(適用)할 수 있으므로 현재(現在) 한방임상의학(韓方臨床醫學)에서 많이 응용(應用)되고 있다. 이러한 사상의학(四象醫學)을 세계(世界)에 폭넓게 적용하기 위해서는 국제적(國際的)으로 응용(應用)할 수 있는 체질진단(體質診斷)의 기준(基準)이 마련되어야 한다. 우선(于先) 본(本) 연구(硏究)는 외국인(外國人)에게도 과연(果然) 체질(體質)이 존재(存在)할까 하는 의문점(疑問点)을 해결(解決)하기 위(爲)하여 미국인(美國人)을 대상(對象)으로 체질(體質) 분류(分類)를 시도하여 체질(體質) 존재(存在) 여부(與否)를 확인(確認)하는 작업(作業)부터 시작(始作)하였다. 또 체질(體質)이 존재(存在)한다면 체질(體質) 진단(診斷) 도구(道具)로는 어떤 것이 좋을까를 알아보기 위(爲)한 연구(硏究)를 병행(竝行)하였다. 선택(選擇)된 체질(體質) 진단(診斷) 도구(道具)로는 경희대학교(慶熙大學校) 사상의학(四象醫學) 교실(敎室)에서 개발(開發)되어 학회(學會)에서 공인후(公認後) 임상(臨床)에서 널리 사용(使用)되는 체질(體質) 진단(診斷) 도구(道具)인 QSCCII를 바탕으로 이를 영문(英文)으로 번역(飜譯)하고 채점(採點) 방법(方法)을 보완(補完)하여 새롭게 제작(製作)된 new QSCCII + 사용(使用)하였다. 본(本) 연구(硏究)는 국내(國內)에서 표준화(標準化)되어 사용(使用)하고 있는 체질진단진단도구(體質診斷診斷道具)인 QSCCII를 보완하여 미국(美國)에서 응용(應用)할 수 있는 새로운 진단(診斷) 도구(道具)를 마련하고자 처음으로 시도(試圖)된 연구(硏究)이다. 조사(調査) 대상(對象)은 University of Bridgeport. Connecticut. U.S.A의 학생(學生), 교직원(敎職員)그리고 Health Science Center의 Clinic을 방문(訪問)한 사람중(中) 본(本) 조사(調査)에 협력(協力)한 사람이 주(主)로 그 대상(對象)이 되었으며 기타(其他) 주변(周邊)의 현지인(現地人)들이 대상(對象)이 되었다. 년(年) 조사대상인원(調査對象人員) 344명(名)이었고 전체(全體) 조사(調査) 대상(對象)에서 재검사(再檢査)를 할 수 있었던 인원(人員)은 240명(名)이었다. 연구기간(硏究期間)은 1998년(年) 9월(月)부터 1999년(年) 8월(月)까지 약(約) 1년(年) 여(餘)에 걸쳐 실시(實施)되었다. 이러한 연구결과(硏究結果)를 고찰(考察)해 볼 때 아래와 같은 결론(結論)을 얻었다. 1. 미국(美國) 사람에게도 사상체질(四象體質)은 존재(存在)한다. 추론(推論)컨데 미국(美國)에는 다양(多樣)한 인종(人種)이 섞여 살고 있으므로 외국인(外國人) 모두에게 역시(亦是) 체질(體質)이 존재(存在)한다고 볼 수 있다. 2. 미국인(美國人)에게 특(特)히 백인(白人)에게선 소양인(少陽人)으로 진단(診斷)되는 경향(傾向)이 높았다. 이 결과(結果)는 미국(美國)사람에게도 사상체질(四象體質)은 존재(存在)한다는 가설(假說)과 다소(多少) 부합(附合)된다 사료(思料)된다. 3. 검사재검사(檢査再檢査)를 통하여 분석(分析)된 결과(結果)를 볼 때 그 결과(結果)가 일관(一貫)되게 나오는 것으로 보아 new QSCCII +가 외국인(外國人)의 체질(體質)을 진단(診斷)할 때 일관(一貫)된 결과(結果)를 얻을 수 있는 진단방법(診斷方法)일 가능성(可能性)을 시사(示唆)한다. 4. 표준(標準) 집단(集團)의 체질(體質) 분류(分類)에서는 인종(人種)에 관계(關係)없이 체질(體質)이 존재(存在)하고 있었다. 5. 반응(反應) 빈도(頻度)가 낮은 문항(問項)은 미국인(美國人)을 위(爲)한 표준화(標準化) 연구(硏究)를 할 때 미국인(美國人)에게 이해(理解)가 될 수 있는 또다른 표현(表現)으로 바꾸어 적용(適用)해 볼 필요(必要)가 있을 것으로 추정(推定)된다. 6. 미국인(美國人)의 체질(體質)을 정확(正確)하게 하기 위(爲)해서는 표준화(標準化) 작업(作業)을 함으로써 QSCCII라는 진단도구(診斷道具)를 이용(利用)하여 측정(測定) 진단(診斷) 데이터를 평가(評價)할 수 있는 진단(診斷) 기준(基準)이 만들어져야 한다. 7. 체질(體質)이 불투명(不透明)하다고 나온 71명(名) 중(中)에는 잠재적(潛在的) 태양인체질(太陽人體質)이 포함(包含)되어 있을 것으로 추정(推程)되나 태양인(太陽人)의 희소성(稀少性)에서 기인(起因)하는 new QSCCII+의 변별력저하(辨別力低下)에 대한 해결방안(解決方案)에 대(對)한 연구(硏究)가 추후(追後)에 진행(進行)되어야 할 것으로 사료(思料)된다. 8. 연구결과(硏究結果) 북미지역(北美地域)의 체질분포(體質分布)는 다음과 같다. 연인원(年人員)을 대상(對象)으로한 분포(分布)에서는 소양인(少陽人) 36.25 %(87명), 태음인(太陰人) 13.75 %(33명(名)), 소음인(少陰人) 20.41%(49 명(名)), 분류(分類)가 안되거나 태양인(太陽人)인 경우(境遇)가 29.58%(71 명(名))이었다.

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