• 제목/요약/키워드: Acupuncture Points

검색결과 892건 처리시간 0.024초

A narrative review of clinical studies on thread embedding acupuncture treatment for spasticity after stroke

  • Sooran Cho;Eunseok Kim
    • 대한한의학회지
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    • 제43권4호
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    • pp.131-144
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    • 2022
  • Objectives: This study aimed to review clinical studies on thread embedding acupuncture (TEA) for the treatment of patients with post-stroke spasticity (PSS) Methods: Clinical studies related to TEA treatment for PSS were searched for in several electronic databases, including PubMed, Cochrane Library, MEDLINE, OASIS, and CNKI. After the selection/exclusion process, information on study design, disease, experimental/control group, intervention, outcome measurement, between-group differences, and adverse events was extracted. Results: A total of 13 randomized controlled trials were included in this review. The usual frequency of TEA treatment was once every 1-2 weeks, and the treatment most commonly included 4 sessions. In the dorsal area, EX-B2 and the acupoints in governing vessel meridian were commonly used. Acupoints in the meridian of the large intestine were most frequently used in the treatment of upper limb spasticity. Except for HT1, PC6, and PC8, all TEA points for treating PSS of the upper limb were on the Yang meridians. For the lower limb spasticity, the most frequently used acupoints were ST36, GB34, GB30, BL60, and BL57 on Yang meridians, and LR3, SP6, SP9, and SP10 on Yin meridians. TEA treatment showed better effects than conventional treatment for PSS in terms of spasticity, motor dysfunction, and activities of daily livings. Nevertheless, the absence of the follow-up observation, lack of sham TEA treatment, and low quality of the included studies necessitated caution in interpreting the results. Conclusions: The results of this review are expected to provide basic data on the modalities of TEA treatment for PSS and provide insights to facilitate well-designed studies in the future.

감각이상을 주소로 내원한 당뇨병 환자 8례에 대한 임상보고 (Clinical Study of 8 Diabetic Patients with Paresthesia)

  • 김진미;조충식;김철중
    • 대한한방내과학회지
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    • 제31권2호
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    • pp.372-379
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    • 2010
  • Objective : The purpose of this study was to report the effect of Bogijetong-tang on diabetic peripheral neuropathy. Methods : Nine patients who were diagnosed or suspected with diabetic peripheral neuropathy enrolled in this study. They took Bogijetong-tang 2 or 3 times a day and were given acupuncture therapy. To evaluate the therapeutic effect, Visual Analog Scale (VAS) or Total Symptom Score (TSS) were examined at intervals of about 7 days. Result : TSS score decreased an average of 2.74 points and VAS scores decreased an average of 3.67 points. As the pain decreased, accompanied gait disturbance also improved in some patients. Conclusion : Bogijetong-tang is effective in treating diabetic peripheral neuropathy, but study of the concrete mechanism and efficacy is needed.

한방치료로 호전된 자폐스펙트럼장애 1례 보고 (A Case Report of Autism Spectrum Disorder Treated by Korean Medicine)

  • 설재현;강주봉;장규태
    • 대한한방소아과학회지
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    • 제32권4호
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    • pp.42-50
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    • 2018
  • Objectives The purpose of this study is to report a case of one autism spectrum disorder child who was treated by Korean medicine treatment. Methods The subject was a male child with autism spectrum disorder. This patient was treated with oriental herbal medicine and acupuncture. The improvement was observed by K-CARS. Results Korean medicine treatment relieved an autism spectrum disorder child's symptoms. For example, emotional excitement, hyperactivity disorder and repetition behavior are improved. K-CARS score at the initial stage of the treatment was 48 points, which can be considered as severe autistic. After 27 months of the treatment, the K-CARS was 26 points which is not autistic. There was no side effect reported. Conclusions This study showed that Korean medicine can be an effective treatment option for autism spectrum disorder.

정경혈(正經穴) 중(中) 맥동처(脈動處)와 그 혈위(穴位)의 동이(同異)에 대(對)한 연구(硏究) (Study On The Same And Different Locations of Acupoints on Pulse)

  • 조학준;이평재
    • 대한한의학원전학회지
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    • 제20권4호
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    • pp.17-35
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    • 2007
  • Objectives : To consider same or not the positions of acupoints on the meridian in the old acupuncture books. Methods: On the basis of old acu-books, We count the number of acupoints that are on pulse. Thru the three books-"Yijongkumkam(醫宗金鑑)","Chimkuhak 1st(鍼灸學-上)", Kyunghyulhakchongseo(經穴學叢書)"-We Compared the way of positioning of acupoints, also did on the location of acupoints, vein, vascular system, around the acupoints, based on the anatomical structures(esp. artery) Results : On the basis of old acu-books, the number of acupoints(only in the twelve meridian) on the pulse is 35, and the number of points not in the old books but on the pulse is 6, sum is 41 points. Comparion from Sambukuhu consultation method(三部九候診法) in "Somun(素問)", Some points, Taeyang(太陽, not in the twelve meridian), Yimun(耳門) and Koryo(Yimun and Koryo are in) are on pulse. Like Chonbu(天府) and Hyupbaek(俠白), We can feel the pulse on ulna side of biceps muscle, noton radial side. Shikdu(食竇) was described as on pulse in the "Chimkushimbopyokyul(鍼灸心法要訣)", but we could hardly feel it. Conclusions : It'll be right to add the Yimun(耳門) and Koryo to the points on pulse, of course two points are not in the twelve meridian. We must take the points Chonbu(天府) and Hyupbaek(俠白), on ulna side of biceps muscle. Shikdu(食竇) must be excepted, because we cannot feel the pulse in consultation.

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전침이 복부비만 성인의 비만관련 지표에 미치는 영향-무작위배정 단일 맹검 예비연구- (Effects of Electroacupuncture on Parameters Related to Obesity in Adults with Abdominal Obesity:Three arm Randomized Single Blind Pilot Study)

  • 정지윤;김종인;이상훈;강성길
    • Journal of Acupuncture Research
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    • 제27권6호
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    • pp.43-57
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    • 2010
  • Objectives : To investigate the effects of electroacupuncture on parameters related to obesity in adults with abdominal obesity. Methods : A three arm randomized single blind pilot study was conducted from Jan 4 to March 25, 2010 in Kyung Hee Oriental Medical Hospital. The subjects were 39 adults with abdominal obesity and were randomly divided by computer generated random table into 3 groups; EA(electroacupuncture), sham EA(sham electroacupuncture) and waitlist groups. Acupuncture points located at abdomen($CV_{12}$, $CV_6$, $ST_{25}$, $SP_{15}$, $SP_{14}$) and extremities($LI_4$, $LI_{11}$, $ST_{36}$, $ST_{44}$) were inserted by disposable stainless steel needles and were stimulated 30 minutes with 24Hz, 0.27~1.3mA(tolerable strength), asymmetric biphasic continuous pulse wave form by STN-111 Stratek device in EA group. Two treatment sessions per week for 5 weeks(10 sessions in total) were done in EA and sham EA groups. The primary outcome measurement was WC(waist circumference), and the secondary outcome measurements included WHR(waist hip ratio), ASF(thickness of abdominal subcutaneous fat), and inbody measurements of BW(body weight), BMI(body mass index), BFR(body fat ratio) and VFA(visceral fat area), and also scores of BULIT-R(bulimia test revised), KoQoL(Korean obesity of QoL) and BSQ(body shape questionnaire). Results : All of 39 subjects were included in ITT(intention-to-treat) analysis. There were significant reductions in WC, WHR and ASF after 5-week electroacupuncture treatments and the percentage reductions were significantly greater than sham EA or waitlist group. There were no significant differences between groups in percentage reductions of other parameters(BW, BMI, BFR, VFA, BULIT-R, KoQoL and BSQ). But, there were continuous reductions in BW, BMI, BFR and VFA at 3 weeks after the end of treatment and there was significant reduction in BW compared with the baseline value in EA group. No seriously adverse effects were reported during the period. Conclusions : Electroacupuncture was more effective than sham electroacupuncture or no intervention on the reduction of WC, WHR and ASF in adults with abdominal obesity.

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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족삼음경의 락혈에 시술된 침 자극에 의한 NO, NOS, NE 발현 연구 (Studies on NO, nNOS, eNOS, iNOS and NE Expression by Acupuncture at SP4, KI4 and LR5)

  • 이유미;신욱;최동희;김미래;나창수;윤대환
    • Korean Journal of Acupuncture
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    • 제34권1호
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    • pp.37-46
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    • 2017
  • Objectives : The acupuncture about acupoint affects the production of NO, NOS, and NE.Local action of acupuncture is important for acupuncture treatment. To prove this, the revelation degree of NO, NOS, and NE was observed by stimulating the acupuncture at the connecting point of SP4, KI4, and LR5 in the depths of Superficial layer, Middle layer and Deep layer. Methods : Needles were inserted into rats, on each right and left sides of the connecting point, SP4, KI4 and LR5 acupoints which are the stream points of the foot meridian. After insertion, needles were retained for three minutes. After the retention, rat was sacrificed via cardiac puncture, and tissues of each SP4, KI4 and LR5 point near meridian vessel was extracted to examine the changes in the expression of NO, NOS and NE. Results : In terms of the effect in NO production, there was significant increase in the Superficial layer, Middle layer and Deep layer at KI4. In terms of the effect in NE production, there was significant decrease in the Superficial layer at SP4 and increase in the Superficial layer, Middle layer and Deep layer at LR5. In terms of the effect in nNOS production, there was significant increase in the Superficial layer, Middle layer and Deep layer at SP4 also in the Superficial layer at KI4. In terms of the effect in eNOS production, there was a significant increase in the Superficial layer, Middle layer and Deep layer at SP4, KI4 and LR5. In terms of the effect in iNOS production, there was significant increase in the Superficial layer, Middle layer and Deep layer at SP4, KI4 and LR5. Conclusions : The effect of acupuncture applied at the connecting point of six meridians of the foot on the activities of NO, NOS and NE could be observed, and it can be induced from the effect of needle stimulation on disrupted local and systemic nervous responses.

특발성 파킨슨병 환자의 뜸치료 효과 (Effect of Moxibustion on Patients with Idiopathic Parkinson's Disease)

  • 박상민;이상훈;강미경;정지철;박히준;임사비나;장대일;이윤호
    • Journal of Acupuncture Research
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    • 제22권1호
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    • pp.91-97
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    • 2005
  • 2004 년 3월 9일부터 5월 15일까지 경희의료원 침구과 외래를 내원하여 8주간 연구과정을 마친 환자 29명의 환자를 관찰하여 뜸치료 전, 후의 파킨슨병 증상의 호전도를 여러 임상 척도를 이용하여 살펴 본 결과를 다음과 같이 보고하는 바이다. 1. UPDRS 점수는 침치료 전, 4주 후, 8주 후 각각 $35.41{\pm}22.98$, $31,93{\pm}23.44$, $30.75{\pm}24.55$로 나타나 통계적으로 매우 유의한 차이가 있었다 (p<0.01). 2. HY stage의 변화는 4주후(p=0.046)에는 유의한 변화가 있으나, 8주후에는 (0.063) 유의한 변화가 없었다. 3. Schwab과 England에 의한 ADL의 변화는 4 주후, 8주후 모두 유의한 변화가 없었다(p>0.05). 4. FOCQ의 변화는 치료 4주후에는 유의한 차이가 있었으나(p=0.05) 8주 후에는 유의한 차이가 없었다(p=0.13) 5. 뜸치료를 통해 환자에게서 파킨슨병 임상척도의 변화 외에 움직임의 유연성이나, 덜 피로함과 같은 다양한 변화가 나타났다.

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봉한학설에 대한 반박문헌의 타당성에 관한 고찰 (A Study on the Validity of Refuting Literature about the Bonghan theory)

  • 이상훈;장문희;소광섭;이병천;성백경;류연희
    • Korean Journal of Acupuncture
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    • 제27권3호
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    • pp.129-142
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    • 2010
  • Background : The Bonghan theory is a hypothesis on the anatomical structure of the acupuncture point and meridian system. It has been regarded as a misunderstanding of the lymphatic system, or as a made-up story, for the past 40 years. Since 2002, Many studies have been published either to support the theory or to refute the old viewpoint. Objective : The purpose of this study was to find out the validity of the refutation by reviewing the publications. Methods : Searches were made from online databases (Riss4u.net, Google.com, Sciencedirect.com, Pubmed.com, baidu.com, and ci.nii.ac.jp) from 1960 to 2009. The search terms that were used were "Bonghan," "Bong han," "봉한," "thread-like structure," "KИM БOH XaHOM", "CИCTEMA KEHPAK," "鳳漢," "鳳漢管," and "鳳漢学說." References from the searched publications were also used. Results : Since the 1960s, 107 publications were identified as related works, but only 11 publications sought to refute the Bonghan theory. Two publications were researches, and nine were reviews. In the analysis of the correlation of the arguments with the publication contents, it was found that the research of G. Kellner reviewed the Bonghan system properly but that V. V. Kosmatov did not classify the ear-reflex zone as a traditional acupuncture point. For the review publications, only two reviews contained proper arguments, but seven publications were identified as broad interpretations, wrong translations, etc. Moreover, the two proper reviews were grounded on the research of G. Kellner. Conclusions : We found that the scientific origin of the refutation of the Bonghan theory is only one research by G. Kellner. This result suggest that Bonghan theory was not discussed enough to determine the invention.

동작침법의 국내 임상 연구 동향: 주제범위 문헌고찰 (Domestic Clinical Research Trends of Motion-Style Acupuncture Treatment: A Scoping Review)

  • 전종혁;우현준;하원배;금지혜;한윤희;박신혁;이정한
    • 한방재활의학과학회지
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    • 제32권4호
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    • pp.19-32
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    • 2022
  • Objectives This scoping review aimed to investigate the domestic clinical research trends of motion-style acupuncture treatment (MSAT), identify diseases and symptoms for which MSAT is used, summarize specific methods of MSAT, and suggest the direction of future studies. Methods The study was conducted in accordance with a previously specified methodology, using the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews (PRISMA-ScR) checklist. We searched nine electronic databases for studies on MSAT reported till March 21, 2022. The search terms were 'kinematic acupuncture,' 'MSAT,' 'motion style acupuncture,' and 'motion style treatment.' Results A total of 29 studies were included in our analyses; of them, 23 (79.3%) were before-after studies. Lumbosacral disease was the most common for which MSAT was applied (n=16). The frequency and duration of treatments differed depending on the researchers, and local acupoints (including ashi points) were used in 22 (75.9%) studies. In most cases, the method of mobilizing the joint or stretching the muscle in the disease area was used after inserting the acupuncture; however, in 7 studies, gait exercise was used. Most studies used MSAT in combination with other treatments. Conclusions This study supports the direction of future research by presenting the methodological applications of MSAT. To increase its clinical applicability, studies with a high level of evidence investigating the application to various body part, standardization and safety of MSAT are necessary.