• 제목/요약/키워드: Acupuncture techniques

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Development and Validation of a Vision-Based Needling Training System for Acupuncture on a Phantom Model

  • Trong Hieu Luu;Hoang-Long Cao;Duy Duc Pham;Le Trung Chanh Tran;Tom Verstraten
    • Journal of Acupuncture Research
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    • 제40권1호
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    • pp.44-52
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    • 2023
  • Background: Previous studies have investigated technology-aided needling training systems for acupuncture on phantom models using various measurement techniques. In this study, we developed and validated a vision-based needling training system (noncontact measurement) and compared its training effectiveness with that of the traditional training method. Methods: Needle displacements during manipulation were analyzed using OpenCV to derive three parameters, i.e., needle insertion speed, needle insertion angle (needle tip direction), and needle insertion length. The system was validated in a laboratory setting and a needling training course. The performances of the novices (students) before and after training were compared with the experts. The technology-aided training method was also compared with the traditional training method. Results: Before the training, a significant difference in needle insertion speed was found between experts and novices. After the training, the novices approached the speed of the experts. Both training methods could improve the insertion speed of the novices after 10 training sessions. However, the technology-aided training group already showed improvement after five training sessions. Students and teachers showed positive attitudes toward the system. Conclusion: The results suggest that the technology-aided method using computer vision has similar training effectiveness to the traditional one and can potentially be used to speed up needling training.

Acupuncture and Moxibustion for Cancer-related Fatigue: a Systematic Review and Meta-analysis

  • He, Xi-Ran;Wang, Quan;Li, Ping-Ping
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권5호
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    • pp.3067-3074
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    • 2013
  • Background: Faced with highly prevalent and recalcitrant cancer-related fatigue (CRF), together with the absence of any official guidelines on management, numerous groups have been striving to seek and test alternative therapies including acupuncture and moxibustion. However, different patients have various feedbacks, and the many clinical trials have given rise to varied conclusions. In terms of the therapeutic effect of acupuncture and moxibustion, there exist vast inconsistencies. Objective: The aim of the study was to evaluate the auxiliary effectiveness of acupuncture and moxibustion in the treatment of CRF, and to provide more reliable evidence to guide clinical practice. Methods: Randomized controlled trials (RCTs) published before December 2012 were all aggregated, focusing on evaluation of acupuncture or moxibustion for CRF. The quality of the included studies was assessed basing on Cochrane handbook 5.1.0, and the available data were analyzed with RevMan software (version 5.2.0). Descriptive techniques were performed when no available data could be used. Results: A total of 7 studies involving 804 participants were eligible. With real acupuncture versus sham acupuncture, subjects receiving true acupuncture benefited more in the reduction of fatigue. With real acupuncture versus acupressure or sham acupressure, fatigue level appeared 36% improved in the acupuncture group, but 19% in the acupressure group and only 0.6% with sham acupressure. When real acupuncture plus enhanced routine care was compared with enhanced routine care, the combination group improved mean scores for general fatigue, together with physical and mental fatigue. With real acupuncture versus sham acupuncture or wait list controls, the real acupuncture group displayed significant advantages over the wait list controls at 2 weeks for fatigue improvement and better well-being effects at 6 weeks. When moxibustion plus routine care was compared with routine care alone, the meta-analyses demonstrated the combination had a relatively significant benefit in improving severe fatigue and QLQ-C30. Conclusion: Up to the search date, there exist few high quality RCTs to evaluate the effect of acupuncture and moxibustion, especially moxibustion in English. Yet acupuncture and moxibustion still appeared to be efficacious auxiliary therapeutic methods for CRF, in spite of several inherent defects of the included studies. Much more high-quality studies are urgently needed.

"침경지남(鍼經指南)"과 "침구옥룡경(鍼灸玉龍經)"의 문헌적 특징에 관한 연구 (A Study on the Documentary Characteristics of "Chimgyeongjinam(鍼經指南)", "Chimguokryonggyeong(鍼灸玉龍經)" on Acupuncture and Moxibustion)

  • 김성철;김기욱;박현국
    • 대한한의학원전학회지
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    • 제22권1호
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    • pp.93-102
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    • 2009
  • During the Geum and Won dynasties, the documentary characteristics of "Chimgyeongjinam","Chimguokryonggyeong" can be summarized into the following. 1. "Chimgyeongjinam" 1) "Chimgyeongjinam" is an acupuncture and moxibustion anthology by the acupuncture expert of the Geum and Won dynasties, Duhangyeong(竇漢卿) which was edited and revised by Dugyebang and is a kind of "Chimgusaseo(鍼灸四書)" that was printed in the Huanggyeong Imja year of the Won dynasty(1312). 2. This book was printed as a kind of "Chimgusaseo" and the origins of the editions are as such. The entire text of "Chimgusaseo" originates from the Won edition[元刊本] of "Chimgyeongjinam". 3. This book has all the 12 acupuncture and moxibustion dissertations by Du. 4. Most of the contents of Du's works in this book are collections from older medical books like "Jaoyujuchimgyeong(子午流注鍼經)","Donginsuhyeolchimgudogyeong(銅人腧穴鍼灸圖經)","Yujupalhyeol(流注八穴)","Naegyeong(內經)". 5. Duhangyeong's works on acupuncture and moxibustion were mostly collected by later generations and reflected in books on Du's acupuncture methods. dynasty. 2. "Chimguokryonggyeong" 1) The full title of "Chimguokryonggyeong" is "Pyeonjaksineungchimguokryonggyeong(扁鵲神應鍼灸玉龍經)" and it was edited by Wanggukseo(王國瑞) in the Won dynasty. 2) This book was written before 1290 and there is the '"Munyeongaksagojeonseo(文淵閣四庫全書)" edition' which was pretty much spread around much. 3) The main part of this book is the 'Okryongga(玉龍歌)' and it's annotations. 4) The main contents of this book is a record of the acupuncture techniques of the acupuncture master of the Won dynasty, Duhangyeong.

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『의림촬요(醫林撮要)』의 침구법에 대한 연구 (A Study of the Acupuncture of Uirimchalyo)

  • 정유옹;국수호;한창연;강연석;조명래;차웅석
    • 한국의사학회지
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    • 제35권1호
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    • pp.37-44
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    • 2022
  • Uirimchalyo (醫林撮要) was published in advance of the Donguibogam (東醫寶鑑) in the middle of the Joseon Dynasty. This book was a pioneering form of the Donguibogam. This paper examines the acupuncture and moxibustion methods used within Uirimchalyo. Because this book was produced for the general public as well as professional Korean medicine doctors, it did not present complex symptom classification and complicated acupuncture prescriptions. Instead, it summarized acupoints in a simple way and could be used as a standardized treatment guideline. In addition, in the acu-moxa methods of the Uirimchalyo, moxibustion was used more than acupuncture. This implies that the author's intention was to treat the disease gently, and furthermore, that the book inherits the acu-moxa method of Hyangyakjipseongbang (鄕藥集成方). There are many suggestions of experienced prescriptions, which can be seen as focusing on experience-based medicine. In addition, the characteristic of not using many acupuncture points served as the cause of the emergence of Saam acupuncture techniques.

저용량(低容量) He-Ne 레이저침의 혈락적용(血絡適用) 연구(硏究) (The Study on the Application of He-Ne Laser with Low Energy ILIB to the Superficial Venules)

  • 김성철;조은희;나창수
    • Korean Journal of Acupuncture
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    • 제20권3호
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    • pp.35-47
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    • 2003
  • Objective : The purpose of this study was to investigate the significance of the Oriental medical treatment using He-Ne laser with low energy intravascular Laser Irradiation of Blood(ILIB) through the superficial venules. Methods : The investigation of details connected with the superficial venules in the literature is performed. The investigation of details connected with the pricking blood techniques through the superficial venules in the literature is performed. The classification of the pricking blood techniques through the superficial venules by the blood-letting puncture methods in the literature is performed. The arrangement of domestic clinical treatises on the effectiveness of medical treatment using He-Ne laser with low energy ILIB through the superficial venules is performed. The consideration on the methodology for the improvement of the clinical effectiveness of He-Ne laser with low energy ILIB through superficial venules is performed. Results and Conclusions : The superficial venules are small arteries, veins and capillaries in the superficial region of the human body. In the pricking blood techniques, there are the blood-letting puncture using the implement of acupuncture to the Jing points, Extra points and superficial blood vessels and the acupuncture using the Hirudo. The methods of the blood-letting puncture are classified into the venous blood-letting puncture, the pricking , the picking out white fiber-like substances from the subcutaneous tissue, the cluster needling, the scattered needling, the blood-letting puncture of the tready collateral branch of the large channel and the blood-letting puncture of skin. The He-Ne laser with low energy ILIB through the superficial venules belongs to the Oriental medical treatment as the method of the blood-letting puncture in the vein of cubital fossa. The He-Ne laser with low energy ILIB has an effect on hyperfibrinogenemia, hyperlipidemia, speech and motor dysfunction in the case of cerebral infarction, headache, dizziness, pain and numbness. It is considered that fundamental research on the biological change of the human body, the experimental animal and the unicellular animal, and research on the effectiveness and the safety, and the development of He-Ne laser with low energy ILIB of an effective wavelength range are necessary.

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Frozen Shoulder의 침치료에 대한 임상연구 (A Clinical Trial of Acupuncture Treatment for Frozen Shoulder)

  • 홍권의;김영일;임윤경;안택원;강위창;최선미;이현
    • Journal of Acupuncture Research
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    • 제23권1호
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    • pp.165-177
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    • 2006
  • Objectives : 1. Clinical trial for the efficacy evaluation of Korean acupuncture techniques in treating frozen shoulder. 2. Development of the standard clinical guidelines of the acupuncture treatment for the frozen shoulder. 3. Development of the new clinical protocol for the acupuncture treatments. 4. Verification of the hypothesis that treating at both the remote and the nearby acupoints according to the meridian theory is more effective than treating at only the nearby acupoints. Methods : 1. Research designed as Single blind, Randomized, Sham acupuncture controlled clinical Trial. 2. Assignment of 86 patients to one of three groups treated at nearby acupoints(group A), remote & nearby acupoints(group B), and sham points(group C) respectively. 3. Trial conducted at KIOM CRC of Dunsan oriental medical hospital, Daejeon Univ. 4. Estimation of the recovery rate of the frozen shoulder in subjects aged over 40. 5. Efficacy evaluation using VAS, SPADI, ROM and Improvement rate. Results : 1. There was no significant difference in VAS among the three groups. 2. Pain related scores in SPADI of the group B were significantly lower than those of the group A. 3. There was no significant difference in disability related scores of SPADI among the three groups. 4. External rotation of upper arm in the group B was significantly improved in comparison with that in the group C. 5. Abduction of upper arm in group A was improved with weak statistical significance in comparison with that in the group C. Conclusion : Acupuncture at both the remote and the nearby acupoints according to the meridian theory is effective to improve external rotation of frozen shoulder, and acupuncture at the nearby acupoints is effective to improve adduction of frozen shoulder. However it is not clear that acupuncture treatment at both the remote and the nearby acupoints according to the meridian theory is more effective than treating at only the nearby acupoints in the treatment of frozen shoulder. Since our study was a short term trial, a long term trial for a more precise evaluation of acupuncture treatment for frozen shoulder will be needed in the future.

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지능을 이용한 의료 진단시스템 (Medical Diagnosis System using Intelligence)

  • 홍유식
    • 한국인터넷방송통신학회논문지
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    • 제9권1호
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    • pp.25-30
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    • 2009
  • 한방치료는 양방치료에 비해서 많은 장점이 있지만, 과학적으로 효과가 입증되지 않는 문제점이 있다. 뿐만아니라 한양방 협진을 통해서 한방과 양방의 장점을 이용하여 새로운 의료 진료를 하려는 연구가 이루어지고 있다. 특히 침은 한의사가 자침시간을 결정하기 때문에 객관적인 데이터가 없는 실정이다. 본 논문에서는 이러한 문제점을 해결하기위해서, 환자의 신체조건, 나이조건, 병세정도를 고려하여 최적의 자침시간을 산출 하도록 하였다 모의실험 결과 지능을 이용한 전자침이 기존의 방법보다 효율적인 것을 입증하였다.

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침도 침술시 부작용과 예방법에 관한 연구 (Clinical Characteristics of Poor Responders to Acupotomy and Safety Pretreatment Management)

  • 김성철
    • Journal of Acupuncture Research
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    • 제25권4호
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    • pp.117-125
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    • 2008
  • Objectives : Analyze according to types of event causing the adverse outcome due to acupotomy, and discuss problems and safety reqirements to using this therapy in Korea. Methods : Based upon the indication, contraindication, treatment procedures, clinical obsevations, acupotomy-related adverse outcome case reports, the factors of damaging event were classified. Results : The main factors of adverse outcome by acupotomy were anatomical ignorance, contamination of device or hospital staff, failure to notice preexisting disease(cardiovascular disease, hypertension, renal failure, hemophilia, chronic Liver Disease, etc.), unskilled treatment procedures(massive bleeding) and techniques(nerve injury, hepatic and splenic injury, Pneumothorax). Conclusions : It is mandatory to prepare adequate sterilie aseptic technique. The clinician should ensure understand genernal health state of patient and anatomical direction.

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한방치료와 근에너지기법(MET)을 적용한 이상근 증후군 치험 1례 (A Clinical Case Study on Piriformis Syndrome with Oriental Medical Treatment and Muscle Energy Techniques)

  • 최용훈;윤일지
    • 한방재활의학과학회지
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    • 제20권2호
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    • pp.209-217
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    • 2010
  • This study was performed to report the effectiveness of oriental medical treatment and muscle energy techniques on a patient with piriformis syndrome. The patient was diagnosed as piriformis syndrome and treated with acupuncture, herb medicine, physical therapy and muscle energy techniques. We have evaluated curative efficacy with measuring changes of visual analogue scale and physical examination according to period of hospitalization. After treatment, pain and visual analogue scale decreased. Physical examinations were recuperated nearly to normal findings and ambulation was improved. These results suggest that oriental medical treatment and muscle energy techniques were effective on patient with piriformis syndrome.

생체 영상신호 측정을 통한 심장 수지침 효능 분석 (Efficiency Analysis of Cardiac Hand Acupuncture by Measuring the Bio-Image Signals)

  • 김봉현;조동욱
    • 한국산학기술학회논문지
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    • 제14권7호
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    • pp.3319-3325
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    • 2013
  • 본 논문에서는 일상생활에서 생활 의학의 한 방편으로 사용되고 있는 수지침이 실제 인체장기에 어떤 영향을 미치는지에 대해 IT 기술을 적용하여 이를 규명하는 연구를 행하고자 한다. 이를 위해 우선적으로 수지침 요법을 기반으로 인체에 있어 가장 중요한 장기인 심장을 대상으로 심장과 관련된 손 반사점인 A16 혈자리를 5분간 자극하여 전과 후의 얼굴 영상을 수집하고 Lab 색체계를 적용하여 심장과 연관된 이마와 입술 영역에 대한 색상 측정을 통해 상호간의 비교, 분석을 수행하였다. 최종적으로 생체 영상신호의 변화량 측정에 의해 A16 혈자리 자극으로 심장기능에 미치는 효과를 규명하는 연구를 수행하였으며 실험 결과 자료들에 대해 유의성 분석을 통해 실험 결과 자료가 유효한 결과 자료인지 여부에 대한 규명을 행하고자 한다.