• 제목/요약/키워드: 한방침

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침치료가 뇌졸중으로 인한 구음장애에 미치는 음향적 특성에 대한 증례보고 (Clinical Acoustic Study of Acupuncture Therapy Effects on Post-Stroke Dysarthria)

  • 이민구;박세욱;이선우;유현희;이승언;김용정;손지우;임은경;김성남;이인;문병순;윤종민
    • 대한한방내과학회지
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    • 제26권3호
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    • pp.660-669
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    • 2005
  • Objectives : The aim of this study is to find the acoustic characteristics of acupuncture therapy effects on post-stroke dysarthria. Methods : Acupuncture therapy was applied for four to six weeks by inserting needles into eight acupuncture points, CV23, CV24, bilateral 'Sheyu' and ipsilateral ST4, ST6 and contralateral LI4, ST36 on facial palsy side. All the speech samples were collected, pre-treatment and post-treatment, using Computerized Speech Lab. VOT and TD of each speech sample and vowel formant(F1&F2) were analyzed on spectrogram. Result : VOT and TD were decreased after treatment. F1 was decreased, and F2 was increased after treatment. Conclusions : This suggests that acupuncture therapy improves symptoms of post-stroke dysarthria by stimulating articulation organs such as tongue, lips, cheeks, larynx and pharynx.

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복부 및 사지 부위의 전기침 자극이 전두근에서 측정한 SEMG 변화에 미치는 영향 - 자율신경계의 변화에 대한 임상적 접근을 위한 사전 연구 - (Changes of Surface Electromyography on Frontalis Muscle during Electro-Acupuncture Stimulation of Abdomen or Legs - A Pilot Study for Clinical Approach to Autonomic Nervous System Changes -)

  • 제준태;최산호;신선호;임진영;이상관
    • 대한한방내과학회지
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    • 제33권1호
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    • pp.14-25
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    • 2012
  • Objectives : To observe physiological changes during clinical acupuncture treatment. Methods : We recruited 40 healthy volunteers who had experienced an acupuncture treatment at least once within the past three years. The experimental group was divided into four groups according to the needling site and frequency of electrical stimulation. Sites consisted of abdomen and legs. Frequencies consisted of 100 Hz and 2 Hz. The procedures of experimental treatment consisted of seven phases, Resting I phase (Resting I), Needle insertion phase (Insertion), Maintenance of needle insertion I phase (Maintain I), Electrical stimulation phase (ES), Maintenance of needle insertion II phase (Maintain II), Needle removal phase (Removal) and Resting II phase (Resting II). We measured the surface electromygraphy (SEMG) through an electrode on the frontalis muscle during all phases consecutively. Results : When SEMGs of all seven phases were analyzed, they significantly increased or decreased according to phases. SEMGs of Insertion, Maintain I, ES and Maintain II phase significantly increased more than RestingI in abdomen and legs groups. SEMGs of the abdomen group were measured as being $4.78{\pm}0.74{\mu}V$ on Resting I, $16.48{\pm}3.97{\mu}V$ on Insertion, $46.31{\pm}10.56{\mu}V$ on Maintain I, $45.88{\pm}9.72{\mu}V$ on ES, $45.56{\pm}9.69{\mu}V$ on Maintain II, $18.76{\pm}3.05{\mu}V$ on Removal, and $3.75{\pm}0.65{\mu}V$ on Resting II. SEMGs of the legs group were measured as being $3.34{\pm}0.35{\mu}V$ on Resting I, $12.11{\pm}1.76{\mu}V$ on Insertion, $36.74{\pm}6.99{\mu}V$ on Maintain I, $33.57{\pm}6.30{\mu}V$ on ES, $32.66{\pm}6.03{\mu}V$ on Maintain II, $14.08{\pm}2.15{\mu}V$ on Removal, and $2.88{\pm}0.32{\mu}V$ on Resting II. Conclusions : SEMG changed differently according to processes of acupuncture. Electrical stimulation showed different change of SEMG. Thus, acupuncture treatment may change the status of the autonomic nervous system.

교통사고 후 발생한 경항통 환자에 대한 황련해독탕약침과 분리정제봉약침의 치료 효과 비교연구: 무작위 배정 (The Comparative Study on the Effect of HWANGRYUNHAEDOKTANG Pharmacopuncture and Essential Bee Venom Pharmacopuncture for Cervical Pain Caused by Traffic Accidents: A Randomized Controlled Trial)

  • 이옥진;남대진;허건;이재은;김빛나라;송은모;이은정;이정민;오민석
    • 한방재활의학과학회지
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    • 제24권4호
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    • pp.145-153
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    • 2014
  • Objectives The purpose of this study is to compare the effects of HWANGRYUNHAEDOKTANG Pharmacopuncture and Essential Bee Venom pharmacopuncture on cervical pain caused by traffic accident. Methods The clincal study was conducted to traffic accident patients who had admitted to Dae-Jeon University Cheonan Oriental Hospital from May 17, 2014 to September 2, 2014. The patients were simple randomization and divided into two groups. In one group, patients were treated with the oriental medicine and HWANGRYUNHAEDOKTANG Pharmacopuncture, While in the other group, patients were treated with the oriental medicine therapy and Essential Bee Venom pharmacopuncture therapy. visual analogue scale (VAS), pain threshold and neck disablity index (NDI) were used To estimate the efficacy of Pharmacopuncture treatment. Results 1) HWANGRYUNHAEDOKTANG Pharmacopuncture Group showed significant decrease of VAS and NDI after 3rd times treatment than before treatment (p<0.001). Essential Bee Venom Pharmacopuncture showed significant decrease of VAS, NDI and improve ment of pain threshold after 3rd times treatment than before treatment (p<0.01, p<0.001). 2) There was no significant difference between HWANGRYUNHAEDOKTANG Pharmacopuncture group and Essential Bee Venom Pharmacopuncture group in VAS, pain threshold and NDI. Conclusions We found out that HWANGRYUNHAEDOKTANG Pharmacopuncture and Essential Bee Venom Pharmacopuncture treatment are considered to be effective and useful in cervical pain caused by traffic accident.

자율신경 활성도와 비만 여성 침치료 효과의 상관성 연구 (The Correlation Analysis between Heart Rate Variability and Effect of Acupuncture on Obese Women)

  • 김제인;양요찬;김고운;조재흥;김송이;박히준;송미연
    • 한방재활의학과학회지
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    • 제26권4호
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    • pp.85-96
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    • 2016
  • Objectives The purpose of this study was to investigate the relationship between the effects of acupuncture treatment and heart rate variability (HRV) in pre-menopausal obese women. Methods Thirty-seven obese women who met the inclusion criteria were recruited. To estimate the effects of acupuncture, obesity indices, such as body weight (BW), waist circumference (WC), hip circumference (HC), and the waist-hip ratio (WHR), were measured before and after the treatment. The HRV test was conducted before treatment and analyzed using the frequency domain method. Results The lnLF/HF ratio (natural logarithm of low frequency power/high frequency power ratio of the HRV value) before treatments was negatively correlated with differences in WC, HC, and WHR during treatment. The correlation coefficients between the lnLF/HF ratio and the differences in WC, HC, and WHR were r=-0.459 (p<0.01), r=-0.327 (p<0.05), and r=-0.339 (p<0.05) respectively. Conclusions As the baseline ratio of sympathetic activity to parasympathetic activity decreases, WC, HC, and WHR reduction significantly increased during treatment. Further study is needed to uncover the relationship between obesity-related variables and the autonomic nervous system to predict the effect of acupuncture.

갱년 및 폐경 후 여성의 안면홍조에 대한 침 치료 다기관 임상연구 : 수행보고 및 방법론적 교훈 (Methodologic Lessons Learned from Multicenter, Randomized, Controlled Clinical Trial of Acupuncture for Hot Flashes in Peri- and Postmenopausal Women)

  • 김건형;김동일;황덕상;이진무;김형준;윤현민;정희정;강경원;이명수;최선미
    • 대한한방부인과학회지
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    • 제23권1호
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    • pp.42-52
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    • 2010
  • Purpose: This report aims to administer methodologic issues around recently conducted multicenter study for evaluating the effects of acupuncture on menopusal hot flashes and discuss practical issues for further implementation of acupuncture clinical trial for hot flashes. Methods: Study process were mentioned, and issues related to avoiding risk of bias, designing appropriate control group, optimal outcome measurement, potential different effects of menopausal status on study outcomes, and suggestions for developing future clinical trials are discussed. Results: Shortcomings of our multicenter study include lack of allocation concealment and assessor blinding, subjective outcome measurement, short-term follow-up, and fixed acupuncture regimen despite pragmatic purpose of this study. Improving trial design, using objective or validated outcomes, assessing long-term effects of acupuncture, and individualizing acupuncture regimen are needed in future clinical trials. Conclusion: We expect these practical discussions to enable researchers to plan and develop future well-designed clinical trials for evaluating the effects of acupuncture on hot flashes or other women's health issues.

세균에 의해 면역이 유도된 동애등에의 항균활성 (The Antimicrobial Activity of Bacterial-challenged Black Soldier Fly, Hermetia illucens)

  • 박관호;윤은영;박승원;구태원
    • 생명과학회지
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    • 제26권12호
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    • pp.1409-1414
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    • 2016
  • 동애등에(Hermetia illucens)를 포함한 곤충은 불량환경에서 오랜 진화의 역사를 통해 병원균 침입에 대응하기 위하여 강력한 항균 펩타이드를 발현하는 선천성 면역기전을 보유하고 있다. 동애등에 생체 내 항균펩타이드를 인위적으로 유도하기 위하여, E. faecalis 포함한 5종의 세균을 한방침에 묻혀 주사하였다. 5종 세균에 의해 면역이 유도된 동애등에로부터 혈림프를 채취하여 각 세균에 따른 항균펩타이드 유도효과에 의한 항균활성을 그람양성균인 S. aureus와 그람음성균인 E. coli에 대해 비교 분석하였다. 그 결과, 고초균인 B. subtilis은 5종 세균 중 그람양성 및 음성균 둘 다에 대해서 가장 높은 항균활성을 나타내었다. B. subtilis ($1{\times}10^9cfu/ml$)에 의해 면역이 유도된 동애등에는 주사 후 24시간째 가장 강한 항균활성을 나타내었다. 또한 B. subtilis에 의해 면역이 유도된 동애등에는 가금류의 주요 병원균인 S. enteritidis, S. typhimurium 및 S. pullorum에 대해서도 높은 항균활성을 나타내었다. 이상의 결과로써, B. subtilis에 의해 면역이 유도된 동애등에는 가축 성장촉진용 항생제를 대체할 수 있는 사료첨가제로써 매우 유용할 것으로 판단된다.

좌골신경통 백서모델에서 침치료의 효과: 체계적 문헌고찰 및 메타분석 (Effect of Acupuncture on Sciatica in Rat Models: Systematic Review and Meta-analysis)

  • 윤예지;김수전;조재흥;김고운;송미연
    • 한방재활의학과학회지
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    • 제30권1호
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    • pp.79-93
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    • 2020
  • Objectives While sciatic neuropathy is one of the common symptoms which have the lifetime incidence of 13~40%, still there is no consensus about the standardized and the most effective conservative treatment. In addition, the importance of systematic review and meta-analysis of preclinical are growing as they could suggest possible effective treatment strategy for future studies. Therefore, we conducted systematic review and meta-analysis to estimate analgesic effect of acupuncture on sciatica in rat models. Methods Systematic search was conducted for all controlled comparative preclinical trials which assessed analgesic effect of acupuncture in sciatica rat models. Database of PubMed, EMBASE, Web of Science, CNKI and 6 Korean databases were used. The primary outcome was pain, which is evaluated by stimulus behavior tests in rat models. We assessed the methodological quality with Systematic Review Centre for Laboratory Animal Experimentation's risk of bias tool. RevMan 5.3 was used for meta-analysis and subgroup analysis was conducted according to treatment site, acupuncture point, treatment period and frequency used in electroacupuncture. Results 14 studies were finally included following our inclusion criteria. The data from meta-analysis indicated that the acupuncture significantly improved the result values of behavior tests for pain evaluation, compared to no-treatment control group in animal models (standardized mean difference=4.43, 95% confidence interval 3.16 to 5.69, Z=6.84, p<0.00001; χ2=68.02, p<0.00001; I2=82%). The results of subgroup analysis indicate that acupuncture treatment of unilateral site, distal acupoints, longer treatment period and applying 2/100 Hz frequency in electroacupuncture could be more effective. Conclusions Systematic review and meta-analysis of animal studies are getting important for the future clinical studies and the improvement of heatlh care. Therefore the results of the study would provide evidence and better design for the forthcoming studies.

비만 환자에 대한 조위승청탕의 효과 및 부작용에 관한 임상적 고찰 (Clinical Observation on Effects and Adverse Effects of Choweseuncheng-tang on Obesity Patients)

  • 서동민;이상훈;이재동
    • Journal of Acupuncture Research
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    • 제22권3호
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    • pp.145-153
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    • 2005
  • 비만이 질병으로 인식되기 시작하면서 치료에 대한 관심이 높아져 가고 있으며, 한방 치료에 대한 효과 및 부작용에 대한 연구가 필요한 실정이다. 이에 의정부 한방병원에 비만 치료를 위해 내원한 20명을 대상으로 조위승청탕 가미방 치료 후에 조사한 결과는 다음과 같다. 1. 비만 환자 20명에 대한 전기침 치료 및 약물 요법 치료 후 체중감소 결과는 치료 1주 후 평균 $1.33{\pm}0.85kg$, 2주 후에 평균 $2.45{\pm}1.64kg$, 3주 후에 평균 $3.25{\pm}2.09kg$, 4주 후에 평균 $4.15{\pm}2.38kg$이 감소된 것으로 나타났으며, BMI는 치료 4주 후 $1.62{\pm}1.05$ 감소된 것으로 나타났다. 2. BMI 기준으로 4주 치료 후 위험체중에서 평균 $3.15{\pm}1.74kg$ 감소하였고, 비만 Class I에서 평균 $3.57{\pm}1.62kg$ 감소하였으며, 비만 Class II에서 평균 $6.98{\pm}2.88kg$ 감소하였다. 3. 태음인에서 $4.47{\pm}2.51kg$가 감소되었으며, 소음인에서 $3.20{\pm}0kg$ 감소되었으며, 소양인에서 $2.50{\pm}1.93kg$ 감소되었다. 4. 복약이후 식욕의 감소에 따른 체중감소량은 식욕의 저하군에서 평균 $4.94{\pm}2.64kg$ 감소하였고, 보통에서는 $3.35{\pm}1.25kg$ 식욕 증가 군에서는 $2.25{\pm}2.62kg$ 감소하였다. 5. 치료 후 체지방율은 평균 $3.16{\pm}1.25%$ 감소되었다. 6. 치료 전 후에 혈압과 맥박 모두 증가나 감소는 없었으며, 정상적으로 나타났으며, 치료 전 측정한 수치와 치료 4주 후에 재측정한 BUN, Cr, GOT, GPT는 모두 참고치 이하에서 변화를 보여 정상 소견으로 나타났으며, 각종 호소 증상으로 자율신경계 항진 증상은 11명이 호소하였으며, 불면이 1례, 발한이 9례, 심계 항진이 1례였다. 위장관 증상은 7명이 호소하였으며, 오심이 3례, 복통이 4례였으며 기타 증상으로 3명이 호소하였으며 두통이 2례 현훈이 1례였다.

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냉부하검사(CST)를 활용한 수부냉증의 침치료 효과에 대한 예비 연구 (Effects of Acupuncture on patients with cold hypersensitivity by Cold Stress Test : pilot study)

  • 황덕상;조정훈;이창훈;장준복;김용석;이경섭;이윤재
    • 대한한방체열의학회지
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    • 제5권1호
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    • pp.69-77
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    • 2006
  • Purpose : There are many patients with cold hypersensitivity who want oriental medicine treatment. But there has been no study of acupucture treatment effect on patients. So we examined effects of acupuncture treatment at different acupuncture points and compared results of 1st cold stress test and 2nd cold stress test. Method : 8 patients with hand cold hypersensitivity applied for this study. To rule out an bias, we excluded the patients with skin diseases, spinal nerve disease of cervial spine, external wounds. We measured body temperature with D.I.T.I. We performed cold stress test(CST) by 6 thermographic observation using D.I.T.I ; the 1st was taken after 15 minutes-resting, the 2nd was immediately taken after 1 minute soak in $20^{\circ}C$ water, the 3rd was taken at 10 minutes after the soak, and after a week, the 4th was taken after 15 minutes resting, the 5th was immediately taken after 1 minute soak in $20^{\circ}C$ water, the 6th was taken after 10 minutes with acupunture treatment. There were two groups of patients. First group was acupuncture that performed acupuncture therapy on distal points. Second group was acupuncture that performed acupuncture therapy on proximal points. We compared first CST and second CST recovery rate result. Results : The recovery rate at distal points acupuncture therapy was higher than before of that. but not significantly different. The recovery rate at proximal points acupuncture therapy was significantly higher than before of that. The recovery rate of both the back, the palms, all fingers of after proximal acupuncture therapy was significantly higher than before of that. Conclusions : Acupuncture could be effective therapy method on cold hypersensitivity, especially using proximal acupuncture points could be good at cold hypersensitivity patients. This was pilot study of very small samples, results had limitations. For further results more examine would be needed.

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가미계작지모탕약침(加味桂芍知母湯藥鍼)이 퇴행성관절염 병리인자 및 동물병태 모델에 미치는 영향 (Anti-inflammation and Anti-oxidation Effects of Gamikyejakjimo-tang Herbal Acupuncture on Pathologic Factor and MIA-induced Osteoarthritis Rat)

  • 이현재;박정오;오민석
    • 한방재활의학과학회지
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    • 제25권4호
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    • pp.1-20
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    • 2015
  • Objectives This study was intended to clarify the anti-inflammation and anti-oxidation effects of gamikyejakjimo-tang herbal acupuncture (GKHA) for osteoarthritis. Methods Osteoarthritis was induced by injection of MIA into right knee joint cavities of rats. Rats were divided into a total of 4 groups (n=8). The 4 groups were normal group, control group, positive comparison group and expeimental group. Indomethacin and GKHA were medicated for a total of 4 weeks. After that, functions of liver and kidney by AST, ALT, creatinine, BUN, DPPH and ABTS free radical scavenging activity, ROS (reactive oxygen species) production, NO (Total Nitric oxide), IL-$1{\beta}$, IL-6, TNF-${\alpha}$ production, weight changes in the hind legs of MIA-induced osteoarthritis rat, serum PGE2, TIMP-1, MMP-2, MMP-9, LTB4, hs-CRP, and white blood cells, neutrophils, lymphocytes, monocytes were measured. The volume of cartilage was observed by micro CT arthrography. H&E and Safranin-O staining were used to examine the injury of synovial tissue. Results 1. In the hind leg weight bearing measurement, level of weight was increased. 2. AST, ALT, BUN, creatinine were decreased. 3. The production of total white blood cell was decreased, and the production of neutrophils, lymphocytes, monocytes were significantly decreased. 4. The production of NO, PGE2, TIMP-1, MMP-2, MMP-9, LTB4 were significantly decreased, and the production of hs-CRP was also decreased but with no significance. 5. The cartilage volume was significantly increased. 6. In H&E staining and Safranin-O staning, the cartilage cell appeared to be proliferated, and proteoglycans appeared to be increased. Conclusions Based on the results above, Gamikyejakjimo-tang Herbal Acupuncture has anti-oxidation and anti-inflammation effects, which leads to suppressing the underlying causes and the progression of osteoarthritis.