• 제목/요약/키워드: 침 치료

검색결과 662건 처리시간 0.031초

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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노루궁뎅이(Hericium erinaceus) 자실체 추출 조다당류의 생쥐 Sarcoma 180에 대한 면역증강 및 항암 효과 (Immuno-stimulating and Antitumor Effects on Mouse Sarcoma 180 by Crude Polysaccharides Extracted from Fruiting Body of Hericium erinaceus)

  • 최연일;이재성;이우윤;이태수
    • 생명과학회지
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    • 제20권4호
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    • pp.623-631
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    • 2010
  • 노루궁뎅이는 담자균문, 민주름버섯목, 산호침버섯과에 속하는 식의약용버섯으로 예로부터 위궤양이나 위암의 치료에 효과가 있으며 생쥐의 Sarcoma 180과 Ehrlich Sarcoma에도 효과가 있다고 알려져 왔다. 노루궁뎅이의 자실체로부터 중성염용액, 열수 및 메탄올 등을 이용하여 조다당류를 추출하고 ICR mice에 주사하여 항암 및 면역증강 효과를 조사하였다. Sarcoma 180, HepG2, HT-29, NIH3T3 등의 세포에 대한 세포독성을 조사한 결과 $10{\sim}2,000\;{\mu}g/ml$의 조다당류 농도에서 각각의 암세포는 세포독성을 거의 나타내지 않았다. Sarcoma 180으로 접종된 ICR mouse에 자실체에서 추출한 각각의 조다당류를 투여한 실험군은 대조군에 비해 수명이 각각 29.1~54.1% 연장되었다. 노루궁뎅이 자실체를 중성염 용액으로 추출한 조다당류는 $50\;{\mu}g/ml$의 농도에서 비장세포의 수를 2.9배 증가시켰으며 또한 중성염 추출 조다당류를 $200\;{\mu}g/ml$의 농도로 투여한 실험군 생쥐의 B 임파구 alkaline phosphatase의 활성은 대조군에 비해 5.5배의 증가하였다. 중성염 용액 추출 조다당류를 50 mg/kg body weight의 농도로 투여한 실험군 생쥐의 총 복강 세포 수와 백혈구의 수는 대조군에 비하여 각각 4배와 2.3배로 증가하였다. 또한 면역 관련 장기인 간, 비장 및 흉선의 체중에 대한 무게 비율은 대조군에 비하여 유의성을 보이지 않았다. 따라서 노루궁뎅이의 자실체에서 추출한 조다당류는 생쥐의 면역을 증강시키고 생쥐의 Sarcoma 180에 대해 항암효과를 나타내었다.

요통 침치료를 위한 경혈 선정에 관한 체계적 문헌 고찰 (Systematic Review of Selection of Acupuncture Points for Lower Back Pain)

  • 이인선;조희진;이순호;정원모;김송이;박히준;이혜정;채윤병
    • Korean Journal of Acupuncture
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    • 제29권4호
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    • pp.519-536
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    • 2012
  • Objectives : The purpose of this study is to figure out which acupoints are selected to treat low back pain and attempt to analyze the effectiveness of those acupoints in current clinical trials. Methods : We searched the three electronic databases(PUBMED, RISS, KISS) and manually checked related Korean journals and reference lists up to April 2012. We included randomized controlled trials, clinical controlled trials, and case reports/series using needle type acupuncture( manual acupuncture, electronic acupuncture) to treat low back pain in English and Korean. We investigated the frequency of selected acupoints, change of visual analogue scale of low back pain and statistical significance in each study among trials. Results : We included 37 articles(Domestic 17, International 20) 53 studies(Domestic 28, International 25) in this study. The most frequently adopted acupoints were BL23, BL24, BL25, GB30, BL26, BL60, BL32, BL40, KI3, GV3, ST36 in domestic studies and BL23, BL25, BL40, BL60, GB30, GB34, BL32, BL26 in international studies. There were differential effectiveness of acupoints between domestic and the international studies using statistical significance of visual analog scale for low back pain. Conclusions : These results suggest that both proximal and distal acupoints based on meridian theory were used in clinical trials to treat low back pain. It would be helpful to provide clinical guideline, evaluate the results of clinical trials appropriately, and reveal the effectiveness of acupoints.

슬개대퇴관절 불안정성에서의 관절경적 All-inside 관절막 중첩술 및 외측 지대 유리술 (수술 술기) (All-inside Arthroscopic Capsular Imbrication and Lateral Release in Patellofemoral Instability (Operative technique))

  • 김재화;조덕연;윤형구;김정열
    • 대한관절경학회지
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    • 제10권1호
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    • pp.118-122
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    • 2006
  • 목적: 슬개대퇴관절 불안정성에 대한 치료 방법 중 하나인 관절경적 all inside 관절막 중첩술 및 외측 지대 유리술을 소개하고자 한다. 방법: 슬관절의 관절경적 기본 검사 후, 관절경을 전내측 도달법을 개설하여 위치한 후, 외측 지대의 근위부에서 원위부까지 유리술을 시행하기 위하여 상외측 도달법을 개설하여 관절경 scissor를 위치한다. 슬개골의 가장자리부터 5 mm에서 1 cm정도에서 외측 지대 유리술을 시행한다. 외측 지대 유리술 후, 관절경을 전외측 도달법을 개설하여 위치한 후, 상외측 도달법을 개설하여 5 mm 배관을 삽입하고, 조작용 상내측 삽입구를 개설한다. 경피적으로 만곡 침을 상내측 삽입구를 통해 통과시킨 후 봉합사를 상외측 삽입구를 통해 회수하는, all inside 수기로 시행된다. 결론: 근위부 재정렬을 위한 여러 가지 관절경적 방법이 제시되었지만, 대부분이 내측 절개를 이용한 관절경 보조수기 방법들이었다. 관절경적 all inside 관절막 중첩술 및 외측 지대 유리술은 기존의 관절경 보조 수기 방법들에 비해 내측 절개를 피함으로써 내측 광사근에 손상을 주지 않는 점에서 장점을 가진다. 이 수기는 최소 침습적이면서 직접 관찰하면서 내측 슬개대퇴 인대의 긴장의 정도를 조절하기가 쉬운 수술 수기로 사료된다.

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중풍후 언어장애 환자 20례에 대한 체침과 사암침 치료의 임상적 비교 고찰 (Clinical comparison studies on 20 cases of stroke patients with dysarthria by Sa-Am & General acupuncture)

  • 송민식;김영화;장석근;김정호;임윤경;강재희;박영수;이병렬;이현;홍권의;김영일;송인선
    • Journal of Acupuncture Research
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    • 제20권6호
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    • pp.160-167
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    • 2003
  • Objective : The study was designed to evaluate the possibility of treatment of stroke patients with dysarthia by the sa-am acupuncture. Methods: From March 1st 2003 to June 30th 2003, the clinical comparison studies were carried out 20 cases of stroke patients with dysarthria treated by Sa-Am acupuncture(Group I) & general acupuncture(Group II), who had been treated in Dept. of acupuncture and Moxibustion, Dae-jeon Oriental Medical Hospital, Dae-jeon University. Results : The results obtained as follows; 1. The Articuration of Group I and Group II was improved significantly. Group I is more effective than Group II significantly(p<0.05). 2. The Vowel of Group I and Group II was improved but there was no signification(p>0.05). 3. The Alternation of Group I and Group II was improved significantly. Group I is more effective than Group II significantly(p<0.05). 4. The Speed of reading the sentence of Group I and Group II was improved but only Group I was improved significantly(p<0.05). Conclusions: This result suggest that sa-am acupuncture was effective treatment of stroke patients with dysarthria. So further research is needed continuously.

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경항통에 침치료를 시행한 무작위대조군연구(RCT)들에 대한 계통적 연구 (A Systematic Review of Randomized Controlled Trials on Acupuncture Treatment for Neck Pain)

  • 김현욱;김성수;강정아;남동우;김은정;홍권의;김성철;이재동;김갑성;이건목
    • Journal of Acupuncture Research
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    • 제26권2호
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    • pp.103-123
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    • 2009
  • Objectives : The aim of this study is to review RCTs of acupuncture treatment for neck pain and to establish standards of acupuncture treatment for neck pain. Methods : We searched articles in Pubmed using ICD 10. Study quality was assessed using the FEAS and Jadad score. Results and Conclusions : Three review studies and nineteen clinical trials were searched and reviewed. Among the nineteen clinical trials reviewed, positive outcome was reported in thirteen studies. Most frequently used meridians were GB, BL, SI, GV and LI, The most frequently used acupuncture points were $GB_{20}$, $GB_{21}$, $LI_4$, $BL_{10}$, $GV_{14}$ and $SI_3$. More than two needles were inserted in the studies and needle retention time was more than 10 minutes. The most frequently used needle length was 40mm, and diameter was 0.25mm and 0.30mm. The mean number of treatment sessions were more than 10 times. Frequency of treatment was more than once a week, And treatment duration was more! than 5 weeks. The total FEAS scores ranged from 3 to 15.5, and the mean value was 9.39. Jadad score ranged from 2 to 5, and the mean value was 3.42. The number of studies scoring over three points on the Jadad scale was sixteen.

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급성기 요통에 대한 체침(體鍼) 팔체질침(八體質鍼)의 치료 효과에 관한 비교 연구 - 토양체질(土陽體質)로 판정된 환자를 대상으로 - (The Comparative Study on Effect of Body Acupuncture and 8 Constitution Acupuncture in Acute Stage Lumbago - For Patients Checked up the Pancreotonia -)

  • 이윤규;박서영;전현정;김성환;김지현;이세민;김재수;이경민;이봉효;정태영;임성철
    • Journal of Acupuncture Research
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    • 제26권2호
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    • pp.181-188
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    • 2009
  • Objectives : This study was designed to evaluate comparative effects of body acupuncture and 8 constitution acupuncture on acute stage lumbago. Methods : 50 patients checked up the Pancreotonia with acute stage lumbago were randomly divided into 2 groups. One group(Control group) took body acupuncture therapy, and the other group(Test group) took 8 constitution acupuncture therapy. Visual analogue scale(VAS), lumbar flexion and extension were checked before and after acupuncture therapy for evaluating the improvement of lumbago. Wilcoxon signed rank test and Mann-Whitney U test of SPSS 15.0 for windows program were used for a statistical analysis. Results : Both body acupuncture therapy and 8 constitution acupuncture therapy showed good effect on acute stage lumbago. And test group showed better effect on decreasing of VAS and improving of lumbar flexion and extension than control group. There was only statistically significant difference between two groups in improving of lumbar flexion, while, decreasing of VAS and improving of lumbar extension were not significant statistically. Conclusions : 8 constitution acupuncture therapy can be recommended as a useful therapy to treat patients checked up the Pancreotonia with acute stage lumbago. Futher study is needed to confirm the effectiveness of 8 constitution acupuncture.

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봉약침이 중풍후유증으로 인한 견비통에 미치는 치료 효과에 관한 연구 (The Effects of Bee Venom Acupunture Therapy on Shoulder Pain Patients in Stroke Sequelae)

  • 이윤구;이윤경;김재수;이경민;이봉효;정태영;임성철
    • Korean Journal of Acupuncture
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    • 제25권2호
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    • pp.125-141
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    • 2008
  • Objective : The aim of this study is to investigate the curative effect of Bee Venom Acupuncture Therapy for pain and limited R.O.M (range of motion) of shoulder in stroke patients. Methods : The subjects of this study were 6 patients with shoulder pain in stroke sequelae. Routine Oriental Medical programs (Acupunture, moxibustion, herbal medicine and physical therapy) were maintained for each subject throughout this study. Single subject ABABAB design was adopted. Each period was 4 days as a rule. Only during the treatment period, Bee Venom Acupuncture Therapy was provided as intervention at the acupoints of LI15(Gyeonu), TE14(Gyeollyo), GB21(Gyeonjeong), LI14(Bino). The change of pain was measured with a Visual Analogue Scale(VAS). The pain threshold was measured using pressure algometer at the same acupoints where Bee Venom Acupuncture Therapy was provided. And the R.O.M of shoulder joint (flexion, extension, abduction, adduction, external rotation, internal rotation) was measured as well. Analysis was performed by Bayesian analysis using WinBUGS for the comparison of treatment(Bee Venom Acupuncture Therapy) and non-treatment. Results : The median overall improvement for difference in VAS was -2.219(-3.213, -1.175), for difference in external rotation of shoulder R.O.M was 9.992(-2.298, 18.49), for difference in tenderness score of LI14(Bino) by pressure algometer was 5.05(0.6283, 7.762). 95% credibility intervals being shown in brackets. However, the median overall improvement for difference in the other measurements was not significant. Conclusion : This study suggests that Bee Venom Therapy may be applicable to decrease pain and improve R.O.M of shoulder in hemiplegia patients with stroke. Further elaborated single subject designs need to be accumulated to confirm the effects of Bee Venom Acupunture Therapy on shoulder pain in patients with stroke sequelae.

PubMed 검색(檢索)을 이용한 전립선(前立腺) 질환(疾患)의 침치료(鍼治療)관련 연구(硏究)에 대한 고찰(考察) (The Review on the Prostate Disease-related Studies with Acupuncture Therapy in PubMed)

  • 송호섭
    • 대한약침학회지
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    • 제7권2호
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    • pp.65-73
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    • 2004
  • Objective : This study was to review on the prostate disease-related studies with Acupuncture therapy in renowned medical internet site of PubMed, and to make master plan of the study, especially, on Bee Venom Acupuncture(BVA) of Prostate disease and then to devise the idealistic therapeutic ways of it. Method : We made the internet search with the key words of bee venom(bee venom therapy, apitoxin, apitherapy, bee sting, bee sting therapy), acupuncture, prostate, prostatitis, prostrate cancer in Pubmed, from June 1st to July 1st,2004. Results : 1.25 papers were found in 19 publised jounals. of which two named'Urology'and Prostate' had three papars, two called 'JUrology' and 'Cancer Immunol Immunother' had two papers, and the others had a paper respectively. 2. In the classification by papers' types, Review papers were 8 and Original were 17 where there were 5 clinical trials, 11 experimental studies and 1 epidemiologic paper. Of 5 clinical trials, 2 belonged to Randomized Control Study, and of 11 experimental studies, 4 belonged to in vitro and 7 belonged to in vivo with in viro studies, and 1 epidemeologic belonged to meta-analysis. 3. In the classification by prostate diseases, 4 were about prostatitis, 3 were about prostate related symptoms, 16 were about prostate cancer, and two were about the others. 4. In the classification by applied treatment methods, 5 were related with Acupuncture, 10 were related with BVA(Bee Venom, Bee), and 10 were related with the others. Of 5 related with Acupuncture, 3 used general acupuncture, 1 used electrical acupuncture, and 1 used general acupuncture and electrical acupuncture at the same time. 5. In 2 RCTs of Clinical trials, Control group was set up to the group using different compatible treatment method or using meridians not related with treating prostate disease. Single or double blind methods couldn't be found. 6. In the clinical trials, IPSS, NIH, CPSI or subjective global assessment were used as the Index of Evaluation. 7. The Leg Greater Yang Bladder Meridian(B), The Leg Lesser Um Kidney Meridian(K) and Conception Vessel Meridian(CV) were used as major meridians, and B10(Taejo, Dazhu), B23(Shinsu, Shenshu), B28(Panggwangsu, Pangguangshu), B35(Hoeyang, Huiyang), B39(Wiyang, Weiyang), B40(Wijung, Weizhong), B54(chilbyon, Zhibian), K1(Yongchon, Yongquan), K10(Umgok, Yingu), CV3(Chungguk, Zhongji), CV4(Kwanwon, Guanyuan),S6(Hyopko, Jiache) were used as acupoints. Electrical acupuncture(EA) was considered to be more important and CV3(Chungguk, Zhongji), CV4(Kwanwon, Guanyuan) were mainly selected as EA applied acupoints. 8. It is mostly said that Acupuncture appeared to be a safe, effective, and durable treatment alternative in improving symptoms of patients with prostate diseases, refractory to conventional medicine. A larger controlled study was required to confirm these encouraging initial results. Conclusion : Papers about BVA of Prostate cancer or Prostatitis were not found, and low permeability of Prostate is concerned, BVA with the anti-inflammatory and anti-cancer effect can be adopted as a new alternatives of Prostate disease treatment, so it is thought that Study of how to make access to prostate, animal experiment including in vivo and in vitro and more clinical trials with using acupoints on related meridian should be followed.

Effective Concentration of Procaine Solution for Inotophoresis

  • 이재형;김주형;제갈승주
    • The Journal of Korean Physical Therapy
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    • 제10권1호
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    • pp.1-6
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    • 1998
  • 효율적으로 국소마취를 유발시키는 procaine이온도입의 효과적인 농도를 조사하였다. 19세에서 34까지의 자원자 45명을 9명씩 무작위로 5군으로 나누어 배치하고, 각군 대상자의 오른쪽 전완 전면에 각각 $2\% (pH\;5.2H),\;4%(pH\;5.12),\;8\%(pH\;4.98),\;16\%(pH\; 4.72),\;32\%(pH\;4.52)$ 염산 procaine용액 2ml를 적신 $3.5\times3.5 cm$의 면패드를 대고 4mA로 10분간 양극 직류전류를 통전시켰다. 이온도입 직후부터 5분 간격으로 21 G주사침으로 이온도입부위를 1mm함몰되게 눌러 바늘로 찌르는 통증을 느낄 때까지 감각검사를 시행하여 국소마취지속시간을 측정하였다. Procaine의 농도에 따른 축소마취지속시간을 일원분산분석한 결과 유의한 차이를 보였으며 (F=5.83; df=4, 40; p<.001). 이를 사후검정한 결과 농도 $4\%$의 국소마취지속시간이 농도 $2\%,\;8\%,\;16\%,\;32\%$보다 유의하게 길었다 (p<.01). 또한 상관분석 결과 약물의 농도는 국소마취지속시간과 상관관계가 없었다 (r=-0.41, NS). 본 연구 결과 $4\%$ 농도의 염산 procaine 용액의 이온도입이 국소마취지속시간을 가장 길게 유지하여 $4\%$ 염산 procaine 용액이 이온도입에 가장 효과적인 농도였음을 알 수 있었다.

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