• 제목/요약/키워드: 장경전

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구판(龜板)약침이 여성의 퇴행성 슬관절염에 미치는 영향 (The Effect of Chinemys reevesii Gray Pharmacopuncture for Women with Knee Osteoarthritis)

  • 신소연;서동균;김신영;서종철;서연주;이윤주;빈창현;정택근;송춘호;윤현민;김철홍;장경전
    • Journal of Acupuncture Research
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    • 제32권3호
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    • pp.163-173
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    • 2015
  • Objectives : The aim of this study is to determine whether Chinemys reevesii Gray pharmacopuncture is a clinically effective treatment for women with knee osteoarthritis. Methods : Female patients with knee osteoarthritis were recruited from May $1^{st}$, 2014 to April $15^{th}$, 2015 at the Department of Acupuncture & Moxibustion Medicine of Dong-Eui University Korean Medical Hospital. Patients were randomly assigned to two groups. 4.0 ml of Chinemys reevesii Gray pharmacopuncture was injected at acupuncture points of the experimental group(n = 24) twice a week for three weeks. The control group(n = 24) received 5 % dextrose injections in order to identically stimulate the same acupuncture points of $ST_{35}$, $ST_{34}$, $SP_9$, $SP_{10}$, $GB_{34}$, $LR_8$, $EX-LE_4$, and $EX-LE_2$. The Short-Form McGill Pain Questionnaire(SF-MPQ), the Korean Western Ontario and McMaster Universities Osteoarthritis Index(KWOMAC), and the European Quality of Life-5 Dimensions(EQ-5D) were recorded to evaluate treatment efficacy at first visit, after two weeks and four weeks from the initial visit. Results : 40 patients completed the trial. The experimental group showed more significant improvement than the control group in the scores of SF-MPQ, KWOMAC, and EQ-5D. However, there was no significant difference between groups in a few of the assessment scales. Conclusions : Chinemys reevesii Gray pharmacopuncture can be an effective treatment in control of pain, improvement in function and health-related quality of life for women with knee osteoarthritis.

턱관절 자세 음양 교정술을 병행한 한방치료가 만성요통에 미치는 영향 (The Effect of Korean Medical Treatment with Postural Yinyang Correction of Temporomandibular Joint on Chronic Low Back Pain)

  • 김신영;서종철;서연주;박종현;이윤주;김철홍;송춘호;장경전;이영준;윤현민
    • Korean Journal of Acupuncture
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    • 제33권4호
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    • pp.157-165
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    • 2016
  • Objectives : The purpose of this study was to examine whether or not Postural Yinyang Correction of TMJ(Temporomandibular joint) using Standard intraoral appliance could decrease chronic low back pain. Methods : We reviewed the medical records of 40 patients with TMJ disorder aged from 30 to 70 years from 124 patients who were treated in chronic low back pain at Department of Acupuncture & Moxibustion of Korean Medicine Hospital of Dong-Eui University from November $1^{st}$, 2015 to June $5^{th}$, 2016. The patients were divided into 2 groups: Group A and Group B. In Group A, we treated the patients with acupuncture, sweet bee venom treatment and FCST(Functional Cerebrospinal Therapy) through Standard intraoral appliance from ABA(Accurate Balancing Appliance), Full body exercise therapy, and Upper cervical alignment balance therapy. In Group B, we treated the patients with acupuncture and sweet bee venom treatment. To estimate the effectiveness in controlling pain, we analyzed the Visual analog scale(VAS). To evaluate functional change of patients, we analyzed the Oswestry low back disability questionnaire(ODI). Results : In both groups, VAS and ODI decreased significantly. In the VAS, the result of Group A is significantly more effective than that of Group B. In the ODI, the result of Group A is statistically less effective compared to that of Group B, but not significantly. Conclusions : According to the results, Postural Yinyang Correction of TMJ using Standard intraoral appliance may be effective treatment for low back pain, but the further researches are needed.

호도약침(胡桃藥鍼)이 수은(水銀)에 의한 급성신불전(急性腎不全) 가토(家兎)의 신세요관(腎細尿管) 물질이훈계(物質移勳系) 장애(障碍)에 미치는 영향(影響) (The Effect of Juglandis Semen Herbal Acupuncture on Alterations of Tubular Transport Function in Rabbits with Mercury-Induced Acute Renal Failure)

  • 이성한;김철홍;윤현민;장경전;안창범;송춘호
    • Korean Journal of Acupuncture
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    • 제23권1호
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    • pp.45-57
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    • 2006
  • Objective : This study was undertaker to determine if Juglandis Semen herbal acupuncture (JSA) exerts protective effect against alterations in membrane transport function in rabbits with mercury-induced acute renal failure. Methods : Nephrotoxicity was induced by subcutaneous administration of Hg(a single dose of 10mg/kg) and JSA was performed at both sides of Shenshu($(BL_{23})$, Sinsu) for 7 days. Results: The administration of Hg at a subcutaneous single dose of 10 mg/kg caused a reduction in GFR to 12% of the basal value and an increase in fractional $Na^+$ excretion to 8.9-fold, indicating generation of acute renal failure. When JSA were given for 7 days prior to Hg administration, such changes were significantly attenuated. The fractional excretion of glucose and phosphate was increased to approximately 102- and 35-fold, respectively, in rabbits treated with Hg alone. The increase in rabbits treated with Hg following ISA are significantly lower than that in animals treated with Hg alone. Uptakes of glucose and phosphate in purified isolated brush-border membrane and $Na^+-K^+-ATPase$ activity in microsomal fraction were inhibited in rabbits treated with Hg alone, suggesting that impairment in proximal reabsorption of glucose and phosphate is resulted from a direct damage of membrane transport carriers and disruption of the normal $Na^+$ gradient. Such changes were prevented by JSA. Conclusion These results indicate that the administration of Hg causes impairment in reabsorption of solutes in the proximal tubule via the generation of reactive oxygen species. JSA provides the protection against the Hg-induced impairment in proximal reabsorption, and its effect may be resulted from its antioxidant action.

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황련해독탕(黃連解毒湯) 약침요법을 통한 만성(慢性) 결막염(結膜炎) 또는 안구건조증(眼球乾燥證) 환자 1례에 대한 보고 (The Clinical Study on Chronic Conjunctivitis or Xerophthalmia treated with The Hwangryunhaedock-tang Herbal Acupuncture Therapy)

  • 이채우;박인범;김상우;안창범;송춘호;장경전;김철홍;윤현민
    • Korean Journal of Acupuncture
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    • 제20권4호
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    • pp.77-84
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    • 2003
  • 저자는 황련해독탕약침(黃連解毒湯藥鍼)을 응용한 만성결막염(慢性結膜炎) 또는 안구건조증(眼球乾燥症)이라 추정되는 환자(患者) 1례(例)에 대한 임상적 고찰을 통한 결과 다음과 같이 요약(要約)할 수 있다. 1. 만성결막염(慢性結膜炎과 안구건조증(眼球乾燥症)은 한의학적(韓醫學的)으로 '백삽'과 매우 유사하며, 충혈, 소양감, 이물감, 통증, 눈꼽등의 증상을 주소로 하여 악화와 호전을 반복하며 대개 만성의 경과를 보이는 질환이다. 2. 안과 질환은 대부분 화열(火熱)로 인한 것 장부(臟腑)로는 심(心)과 간(肝)이 밀접한 관련이 있다. 3. 본 증례에서도 열(熱)로 인한 것으로 판단하여 황련해독탕(黃連解毒湯) 약침 요법을 심유(心?) 간유혈(肝?穴)에 시술하고 안구(眼球)에 약침액을 점안하여 충혈, 이물감, 껄껄한 느낌, 통증에 있어 현저한 증상의 호전이 있었다. 4. 본 증례(症例)에서 약물치료나 다른 요법을 사용 하지 않고, 황련해독탕(黃連解毒湯) 약침 요법과 약침액의 점안만으로 치료한 결과 유의한 효과를 거둘 수 있었다.

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와송약침액이 Oxidant에 의한 신장세포손상에 미치는 영향 (Beneficial effect of Orostachys japonicus A. berger herbal acupuncture on oxidant-induced cell injury in renal epithelial cell)

  • 박상원;김철홍;윤현민;장경전;안창범;송춘호
    • Korean Journal of Acupuncture
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    • 제24권1호
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    • pp.171-187
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    • 2007
  • Objectives : This study was performed to determine if Orostachys japonicus A. Berger herbal acupuncture (OjB) provides the protective effect against the loss of cell viability and DNA damage induced by oxidant in renal proximal tubular cells. Methods : The cell viability was evaluated by a MTT reduction assay and DNA damage was estimated by measuring double stranded DNA breaks in opossum kidney (OK) cells, an established proximal tubular cell line. Lipid peroxidation was determined by measuring malondialdehyde (MDA), a product of lipid peroxidation. Results : H2O2 increased the loss of cell viability in a time-dependent manner, which were prevented by 0.1% OjB. The protective effect of OjB was dose-dependent over concentration range of 0.05-0.5%. H2O2 caused ATP depletion and DNA damage, which were prevented by OjB and the hydrogen peroxide scavenger catalase. The loss of cell viability by H2O2 was not affected by the antioxidant DPPD, but lipid peroxidation by the oxidant was completely inhibited by DPPD. Generation of superoxide and H2O2 in neutrophils activated by phorbol-12,13-dibutyrate was inhibited by OjB in a dose-dependent manner. OjB inhibited generation of H2O2 in OK cells treated with antimycin A and exerted a direct H2O2 scavenging effect. Exposure of OK cells to 1 mM tBHP caused a significant depletion of glutathione which was prevented by OjB. OjB accelerated the recovery in cells cultured for 20 hr in normal medium without oxidant following oxidative stress. Conclusions : These results suggest that OjB exerts the protective effect against oxidant-induced cell injury and its protective effect was resulted from radical scavenging and antioxidant activities.

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단삼약침액(丹蔘藥鍼液)이 신장(腎臟) 근위세뇨관세포(近位細尿管細胞)에서 산화제(酸化劑)에 의한 인산(燐酸)의 이동억제(移動抑制)에 미치는 영향(影響) (The Effect of Salviae Radix on Oxidat-Inhibition of Phosphate Uptake in Renal Proximal Tubular Cells)

  • 이호동;윤현민;장경전;송춘호;안창범
    • Journal of Acupuncture Research
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    • 제17권3호
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    • pp.208-218
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    • 2000
  • This study was undertaken to determine if Salviae Radix (SR) exerts protective effect against oxidant-induced inhibition of phosphate uptake in renal proximal tubular cells. Membrane transport function and cell death were evaluated by measuring phosphate uptake and trypan blue exclusion, respectively, in opossum kidney (OK) cells, an established proximal tubular cell line. $H_2O_2$ was used as a model oxidant. $H_2O_2$ inhibited the phosphate uptake in a dose-dependent manner over the concentration range of 0.1-0.5 mM. Similar fashion was observed in cell death. However, the phosphate uptake was more vulnerable to $H_2O_2$ than cell death, suggesting that $H_2O_2$-induced inhibition of phosphate uptake is not totally attributed to cell death. Decreasedphosphate uptake was associated with ATP depletion and inhibition of $Na^+$-pump activity as determined by direct inhibition of $N^+-K^+$-ATPase activity. When cells were treated with $H_2O_2$ in the presence of 0.05% SR, the inhibition of phosphate uptake and cell death induced by $H_2O_2$ was significantly attenuated. SR restored ATP depletion and decreased $Na^+-K^+$-ATPase activity, and this is likely responsible for the protective effect of SR on decreased phosphate uptake. The protective effect of SR was similar to the $H_2O_2$ scavenger catalase. SR reacts directly with $H_2O_2$ to reduce the effective concentration of the oxidant. The iron chelator deferoxamine prevented the inhibition of phosphate uptake and cell death induced by $H_2O_2$, suggesting that $H_2O_2$-induced cell injury is resulted from an iron-dependent mechanism. These results indicate that SR exerts the protective effect against $H_2O_2$-induced inhibition of phosphate uptake by reacting directly with $H_2O_2$ like the $H_2O_2$scavenger enzyme catalase, in OK cells. However, the underlying mechanism remains to be explored.

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요추추간판탈출증군과 단순요통군간의 Current Perception Threshold상의 차이에 관한 연구 (The study of difference between HIVD group and simple low back pain group by Current Perception Threshold test)

  • 김철홍;이병훈;권혜연;임춘우;서정철;윤현민;송춘호;장경전;안창범
    • Journal of Acupuncture Research
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    • 제18권6호
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    • pp.59-69
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    • 2001
  • Objective : The aim of this study is to assess the ability of the CPT test to dignosis radiculopathy in Korean with NeuvalTM CPT database. Method : Electrical stimulation(at 2000, 250, and 5Hz) using Neurometer was applied to the 19 patients who felt back and sciatic pain with herniated intervertevral disc(HIVD) of L-spine, dignosisd by lumbar CT or MRI, and the 33 patients who felt only back or hip or leg pain without HIVD, stenosis, spondylolisthesis which causing radiculopathy. The test sites were toe1, toe3 and toe5 related to L4, L5 and S1 nerve roots. Results : The mean values of the CPT of HIVD group was stiatically lower than LBP group at toe1-250Hz, toe3-2000Hz, 250Hz and toe5-250Hz, 5Hz. The grading CPT score of HIVD group was stastically higher than LBP group at the toe3(L5). The VAS of HIVD group was stastically higher than LBP group. Conclusion : These results suggest that the CPT test can be a valuable testing for diagnosing radiculopathy in Korean. In using CPT test further study is needed for the diagnosis and evaluation of sensory nerve dysfunction in the musculoskeletal disease.

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삼기활력약침이 불면, 피로에 미치는 효과 (The Clinical Review of Samgi-Halleak Pharmacopuncture Effects for Insomnia & Fatigue)

  • 이유환;권기순;이승훤;이은솔;김철홍;장경전;송춘호;김영균;김원일;윤현민
    • Journal of Acupuncture Research
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    • 제29권3호
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    • pp.101-113
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    • 2012
  • Objectives : The purpose of this study is to investigate the effects of Samgi-Halleak pharmacopuncture treatment on insomnia and fatigue. Methods : This study was done with 47 nurses under shiftwork schedule. Subjects were divided into two groups ; Samgi-Halleak pharmacopuncture treated group(experimental group, N=24), normal saline treated group(control group, N=23). The procedures had been conducted to the subjects injecting 0.1~0.2mL total 1mL, 0.5~1cm deep on each acupoint 2 times per week. The acupoints were Pungji($GB_{20}$), Gyeonjeong($GB_{21}$), Sinsu($BL_{23}$). Both of groups were treated total 8 times, but control group was treated additional pharmacopuncture the same way as experimental group after 8 times normal saline treatment. The collected data were analyzed with insomnia and fatigue at baseline and post pharmacopuncture using independent samples t-test, Paired t-test, ${\chi}^2$-test by SPSS 18.0 Windows program. Results : After 8 times treatment, the scores of both groups showed significant improvement in insomnia and fatigue. Comparing the experimental and control group, there were more significant improvement in experimental group than control group in the scores of insomnia and fatigue. Conclusions : Samgi-Halleak pharmacopuncture can be used for effective treatment in patients with insomnia and fatigue.

벨마비에 미치는 경추 추나요법의 영향에 대한 임상적 고찰 (The Clinical Research of Cervical Chuna Treatment's Effects on Bell's Palsy)

  • 정재엽;이은솔;서동균;신소연;김신영;권형근;김철홍;장경전;윤현민
    • Journal of Acupuncture Research
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    • 제31권3호
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    • pp.45-55
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    • 2014
  • Objectives : The purpose of this study is to investigate the effect of cervical Chuna treatment for Bell's palsy. Methods : We investigated 30 patients with Bell's palsy who had visited at Department of Acupuncture & Moxibustion, of Korean Medicine Hospital Dong-Eui University from June $1_{st}$, 2013 to April $15_{th}$, 2014. Subjects were randomly divided into two groups. Group A(experimental group) was treated by Korean-Western combination treatment with Cervical Chuna treatment and group B(control group) was treated by Korean-Western combination treatment without it. The cervical Chuna treatment was done twice a week, for a total of 8 times. We evaluated the change of each group by using Yanagihara's unweighed grading system. Results : Yanagihara's score in group A was significantly improved during each period from the first visit to four weeks later. However, Yanagihara's score in group B was significantly improved except during first week. The improvement of Yanagihara's score in group A is higher than group B during every period. And significant differences were shown after two weeks from the first visit between the two groups. Conclusions : These results suggest that cervical Chuna treatment may be effective for Bell's palsy.

말초성 안면신경마비에 대한 매선요법과 SBV 약침치료의 효능 비교 (Comparison of the Efficacy between Needle-embedding Therapy and Sweet Bee Venom Pharmacopuncture Therapy on Peripheral Facial Paralysis)

  • 김정희;정재엽;이승훤;신소연;박재흥;김철홍;장경전;송춘호;윤현민
    • Journal of Acupuncture Research
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    • 제30권4호
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    • pp.35-44
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    • 2013
  • Objectives : This study was designed to compare the effect between needle-embedding therapy and sweet bee venom pharmacopuncture therapy on early stage of peripheral facial paralysis. Methods : We investigated 60 patients with peripheral facial paralysis. Subjects were randomly divided into two groups and dropped out 20 patients. : needle-embedding therapy group(group A, n=20, dropped out 9 cases among 29 cases) and sweet bee venom pharmacopuncture therapy group(group B, n=20, dropped out 11 cases among 31 cases). needle-embedding therapy was performed for group A three times a week dividing face into three areas during 4 weeks and Sweet bee venom pharmacopuncture therapy was performed for group B two or three times a week during 4 weeks. To evaluate the effect of treatment applied for two groups, we used Yanagihara's unweighed grading system and House-Brachmann grading system at before treatment, after one week from visit, two weeks from visit, three weeks from visit, and four weeks from visit. Results : After treatment, Yanagihara's score and House-Brachmann grading system were improved in each group except during first week. But there was no significant difference in improvement between group A and group B. Conclusions : Needle-embedding therapy would be as effective to improve symptoms of early stage of peripheral facial paralysis as sweet bee venom pharmacopuncture therapy.