• 대한한방소아과학회지
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• 제12권1호
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• pp.133-143
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• 1998

Myofascial pain syndrome is one of the pain syndrome resulted from myofascia which covered muscles and clinically characteristic feature by sensitive trigger point in skeletal muscles and referred pain reactivated by stimulating each trigger point. The origin of headache are local lesion such as head, chest, abdominal organ, systemic lesion with fever or in toxic state. the other factors are consciousness, personality, anxiety, depression, which cause muscle strain in physiological environment. The Oriental Medical therapy for headache has herb medication and acupuncture. especially acupuncture therapy has not only classical systemic acupuncture(體鍼) but also neo-acupuncture(新鍼) such as commonly using auricular acupuncture(耳鍼) and manual acupuncture (手鍼), recently trigger point acupuncture is used. The author analyzed 27 cases of patient with headache treated by trigger point acupuncture therapy in Dong-yu Oriental Medical Hospital from March 1st 1997 to February 28th 1998. The following results were obtained. 1. The sex ratio of the female was 59.26%(16 cases) and male was 40.74%(11 cases), the ratio of high school student was 62.96%(17cases) as first. 2. The headache duration ratio of 2-3 years was 37.04%(10 cases) as first, 1-2 years was 25.93%(7 cases) as second. 3. The portion ratio of whole headache was 33.33%(9 cases) as first, lateral headache was 29.63%(8 cases) as second 4. The combined symptoms ratio of anorexia was 40.74%(11 cases) as first, fatigue was 33.33%(9 cases) as second, neck stiffness and dizziness was each 25.93%(7 cases) as third. 5. The therapeutic duration ratio of below 1 week was 29.63%(8 cases) as first, 2-3 weeks was 22.22%(6 cases) as second, 1-2 weeks and 3-4 weeks was each 18.52%(5 cases) as third. 6. The ratio of family history was 11 cases(40.74%). mother with headache was 6 cases, father was 3 cases, and brothers & sisters was 2 cases. 7. The herb medication ratio of Chungsanggyuntongtang(淸上?痛湯) was 37.04%(10 cases), Kamiondamtang(加味溫膽湯) was 22.22%(6 cases), Hyangsapyunguisan(香砂平胃散) was 18.25%(5 cases) etc. 8. The remedial effect ratio of good was 25.93%(7 cases), fair was 48.15%(13 cases), not improved was 7.41%(2 cases), side effect was 3.70%(1 cases), and unknown was 14.81%(4 cases).

• 한국산학기술학회논문지
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• 제18권1호
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• pp.95-106
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• 2017

본 연구는 국내 수면장애를 가진 성인을 대상으로 비약물적 중재를 실시한 논문을 메타분석하여 중재 효과의 크기를 확인하고자 실시되었다. 본 연구의 자료검색은 국가과학기술정보 통합서비스 (NDSL), 한국교육학술정보원 (RISS), 한국학술정보원 (KISS), 학술데이터베이스서비스 (DBpia)에서 이루어졌으며, 검색된 2000년부터 2016년까지의 연구 1,334편 중 16편의 연구를 선정하였다. 분석은 메타분석 R(version 3.3.1)을 활용하였으며, 랜덤효과모형을 이용하여 비약물적 중재의 효과크기를 산출하였다. 메타분석 결과 수면장애가 있는 성인에게 수행된 비약물적 중재의 효과크기 Hedges' g는 2.36 (95% CI: 1.44~3.28)로 큰 효과크기이었으며, 통계적으로 유의한 것으로 나타났다. 조절효과 분석에서 연령 집단, 중재방법, 입원유무 및 결과측정 도구에 따른 효과크기는 통계적으로 유의한 차이가 있었으나 연구설계 및 참여자 유형에 따른 효과크기는 유의한 차이가 없었다. 중재 중 이압요법이 가장 큰 효과크기를 보였고, 발반사 마사지, 아로마요법, 기타 및 웃음치료 순이었다. 연구결과는 수면증진을 위한 비약물적 중재가 수면에 효과적임을 확인하게 되었고, 실무에서 수면장애를 가진 성인을 위한 중재를 선택하고 실행하는데 객관적인 근거를 제공할 수 있을 것이다.

• Journal of Acupuncture Research
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• 제24권4호
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• pp.209-223
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• 2007

Objectives : Facial Nerve Paralysis is one kind of common diseases and it can be treated by natural therapy and the efficiency of treatment is relatively high. In clinical trial, it is not difficult to find patients who were not completely recovered from Facial Nerve Paralysis, so the symptoms are fixed permanently. This leads many doctors and patients to have interests in the progress and prognosis of the disease, so this study was to analyze clinical prognosis factors and verify the effects of Electrodiagnostic Test. Methods : The 378 subjects were chosen from 987 patients who were suffering from Peripheral Facial Palsy, diagnosed with Bell's palsy and Ramsay Hunt Syndrome and had admission treatment. They got Oriental-Western Medicine Treatment within two weeks after outbreaks of the disease and treated at least over 3 weeks using Oriental-Western Medicine Treatment. Results : 1. There was a significant difference in the results of treatment according to gender, age, types of Facial Palsy, existence of Post Auricular Pain, existence of Labyrinth Symptom, HBGS, and existence of onsets of recovery as clinical prognosis factors of Peripheral Facial Palsy, However, a statistically significant difference was not shown in the results of treatment according to the position of Facial Palsy(left or right), existence of a relapse, and diabetes, hypertension. 2. As a result of overall treatment, 77.2% of patients were recovered almost entirely and 22.8% were not, and the quelae of incomplete recovery were Synkinesis, facial contracture, facial spasm, crocodile tears and scheroma in order of frequency. 3. The results of electrodiagnostic test represented useful correlation to predict the final effects of treatment. Conclusion : Based on the above results, the prognosis factors, the degree of recovery, and the sequelae of incomplete recovery were analysed and the effects of electrodiagnostic test was verified.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제33권6호
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• pp.497-504
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• 2011

Purpose: Patients who had a subcondylar fracture with a displaced or deviated condylar segment were treated with a retromandibular approach (RMA) or an endoscope-assisted transoral approach (EATA) in our department of oral and maxillofacial surgery. The clinical results of the approaches were compared. A comparative study of specific approaches for subcondylar fractures has not been published before in Korea. Methods: Twenty-one patients with subcondylar fractures of the mandible were included. Ten patients were treated with the retromandibular approach and 11 were treated with an endoscope-assisted transoral approach. We examined patient age, gender, fracture sites, classifications, period of maxillomandibular fixation, facial nerve (FN) or greater auricular nerve (GAN) injuries, maximal mouth opening, deflection, occlusal changes, number of plates, follow-up period, and other complications. Preoperative computed tomography and pre-operative, post-operative, and follow-up panoramic views were taken of each patient. Results: Mean maximal mouth openings were similar between the two approaches. FN and GAN injuries were more frequent in the RMA group but the deflective rate with mouth opening was higher in the EATA than that in RMA group. Two cases of post-operative infection occurred in the EATA group, and occlusal changes were observed in one case for both approaches. Conclusion: The RMA offers more direct access and visualization of the surgical field but it can cause scars and retractive injuries of the FN and GAN. But, EATA did not result in consequent nerve injuries or scars postoperatively, but unfavorable fractures such as $medial$ $override$ condyles were more difficult to reduce endoscopically. Except cases of an expected difficult reduction, the treatment of choice for a displaced subcondylar fracture may be an EATA.

• Korean Journal of Acupuncture
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• 제21권1호
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• pp.41-50
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• 2004

Objectives : This study was designed to investigate the differences of effects in smoking cessation after acupuncture treatment and we hypothesized that the discrepancies might be caused by individual genetic differences. Methods : Acupuncture treatment was given to the subjects three times a week for the 231 healthy male Korean smokers without personal or familial history of psychiatric or neurological illness. We evaluated for differentiate responder and non-responder who showed more than 50% decrease in the cigarette consumption or the desire for smoking were regarded as responder, and less than 25% decrease in the cigarette consumption or the desire for smoking were regarded as non-responder, respectively. Allele and genotype frequencies of the Taq1 A polymorphism of dopamine D2 receptor (DRD2) gene were compared in 231male smokers. Chai-square analyses were performed to test for an interactive effect between the DRD2 Taq1 A allele. Results : The allele frequencies and genotype distributions of DRD2 gene among the smokers (n = 231) showed significant the differences in their genotype distributions. The responder and non-responder showed the difference in genotype distribution with a prevalence of A1 allele. A slightly positive association of DRD2 Taq1 A1 genotypes with smoking was observed. Conclusions : This experiment results indicate that the present of DRD2 allele genotype showing significant difference in the genotype distributions between responders and non-responders could be explained by the difference in the genetic effect of DRD2 A1 allele.

• 한방비만학회지
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• 제7권1호
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• pp.87-96
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• 2007

Objectives : This study was performed to evaluate the effect of oriental medical treatment on aged female obese patient. Methods : We experienced an aged female obese patient. We applied herbal medication(Choweseuncheng-tang), electrolipolysis, auricular acupuncture to her from 26th, March. 2007 to 25th, May. 2007. And we examined the changes of her weight, body composition, body size, skin resistance variability, visual analogue scale of knee pain. Results : 1. Her weight decreased from 73.5kg to 71.1kg and body mass index(BMI) decreased from $29.46kg/m^2$ to $28.11kg/m^2$. 2. Body fat mass(BFM) decreased from 25.7kg to 21.6kg but body muscle mass(BMM) increased from 45.1kg to 46.7kg. 3. Waist-hip ratio(WHR) decreased from 0.96 to 0.92. 4. Basal metabolic rate(BMR) increased from 1,273kcal to 1,314kcal. 5. The circumference of upper extremity decreased 1.03cm and lower extremity decreased 1.30cm but the circumference of the muscle of upper extremity increased 0.41cm and lower extremity increased 0.63cm. 6. The circumference of chest and hip are decreased. In addition to the circumference and fat of abdomen are decreased. 7. The visual analogue scale of knee pain is improved. Conclusions : According to above results, oriental medical treatment could be used safety to aged obese patients without loss of fat free mass. The study is more required to aged obese patient from now on.

• Korean Journal of Acupuncture
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• 제30권3호
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• pp.145-150
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• 2013

목적 : 본 연구는 코카인 연구에 사용된 경혈을 고찰하고 그 효능을 경락학설의 관점에서 해석하기 위해 수행되었다. 방법 : 논문 검색 사이트 PubMed에서 50 개의 논문, KISS에서 16 개의 논문, OASIS에서 9 개의 논문, NDSL에서 40 개의 논문, DBPIA에서 19 개의 논문을 '코카인' 또는 '침'을 검색어로 하여 조사하였다. 영문로 작성된 코카인(남용, 의존, 민감화, 섭취, 금단 증상, 재발, 탐닉)에 관한 논문을 조사하였고 수기침이나 전침만을 대상으로 하였으며 이침은 제외하였다. 결과 : 가장 많이 이용된 경혈은 신문(HT7)이었고 합곡(LI4), 태연(LU9), 족삼리(ST36), 삼음교(SP6) 등은 한 번씩 사용되었다. 신문은 수소음심경이 뇌의 기능과 깊이 관련되어 있다는 것 및 혈명이 가지는 뜻으로부터 충분히 이해될 수 있으며 태연은 신문의 효능을 증강시키는 것으로 생각된다. 합곡은 머리 꼭대기로 흐르는 궐음경을 조절하는 것으로 생각되고 족삼리는 궐음과 관련된 스트레스 반응을 조절하는 것으로 보이며 삼음교는 정신질환에 효능이 있으므로 뇌 기능을 조절하기 위해 사용된 것으로 생각된다. 결론 : 코카인 연구에 사용된 경혈은 다양한 경로를 통해 뇌 기능에 영향을 주는 것으로 사료되며 장부상통 이론이 일정 부분 관련되어 있는 것으로 생각된다.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제13권1호
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• pp.30-36
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• 1991

본 연구는 구강 및 악안면 영역에서의 미세 신경 재건술에 대한 일련의 연구의 하나로서 구강 및 악안면 영역의 신경 결손부를 재건할 경우 가장 많이 이용되는 비복신경에 대한 해부학적 특성을 조사하여 이식 신경 선택시에 도움이 되도록 하고자 본 연구를 시행하였다. 연구 대상은 사체에서 채취한 10편의 비복 신경으로 하였고 각 신경편의 길이 측정후 신경편의 근심부, 중심부, 원심부에 대하여 신경의 평균 총단면적, 신경속의 평균 숫자, 신경속의 평균 총단면적 등을 측정하였고 신경속의 주행 양태 및 신경 주의 외막의 미세혈관 분포를 관찰하였다. 연구결과, 채취 가능한 비복 신경의 길이는 평균 35.5cm 이었고 신경의 평균 총단면적은 근심부, 중심부, 원심부에서 부위별로 각각 $3.83mm^2$, $3.28mm^2$, $4.65mm^2$이고, 신경속의 평균 총단면적은 부위별로 각각 $0.80mm^2$, $0.79mm^2$, $1.23mm^2$이었다. 신경속의 평균 숫자는 부위별로 각각 7.67, 6.17, 3.83개 이었고 주로 복신경속 모양(polyfascicular patten)의 구조를 보이며, 신경속의 주행양태는 불규칙하였고 신경 주위 외막의 미세혈관 분포는 존재하였지만 이약하였다. 신경이식 수술후 바람직한 결과를 얻기 위해서는 신경의 총단면적이 비슷하거나 크며 비슷한 신경속의 숫자를 지니는 유사한 해부학적 구조를 가진 이식신경을 선택하여 최대로 신경속간 접합이 될 수 있도록 해야하는데 비복 신경은 신경속의 해부학적 특성, 크기, 숫자로 보아 하치조신경, 안면신경, 부신경등 악안면부의 신경이식에 널리 쓰일 수 있는 이식 신경으로 사료되며 특히 원심부에서 채취가능한 약 15cm 가량의 비복신경은 하치조 신경의 신경속 구조와 매우 유사하며 하치조신경 결손부의 이식 신경으로 적합한 것으로 사료된다.

• 혜화의학회지
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• 제18권1호
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• pp.19-28
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• 2009

Objectives: This study was conducted to help clinical studies for treating Functional Dyspepsia with acupuncture. We inspected tendency of studies of acupuncture treatment for functional dyspepsia and analyzed the assessing instrument for it by scrutinizing Pubmed recent publications. Materials and Methods: We inspected 8 theses and scrutinized their objectives, periods, participants, materials and methods, the instrument of assessment for the studies, and criteria and symptom score for questionaire, results and JADAD score. Results: 1. Most studies were published by oriental doctors except one which was published by an American doctor. More and more studies are being published in America and written in English recently. So it is considered that western doctors think that the acupuncture treatment is useful as unorthodox medicine for functional dyspepsia. 2. Among the 4 clinical studies, 2 studies were RCT and 1 study was not RCT and 1 study with vagueness. All 4 clinical studies were not double-blinded because they were about comparison between acupuncture treatment and medicine. 3. ST36, PC6, CV12, BL21 were chiefly used, and auricular point, ST40, SP6 were also used. Manual acupuncture were used in 2 studies, and low frequency pulse and electroacupuncture were used in other studies respectively. 4. 4 clinical studies used 0~3 points symptom score as the instrument of assessment. Additional assessments were on gastric emptying time, EGG and plasma level of motilin. All thesis were not verified of validity and reliability. 5. Among the 4 reviewed thesis, 2 theses were about acupuncture as one of the various treatment of functional dyspepsia, and the other 2 theses were about efficacy of acupuncture treatment. And the result generally showed effectivity of acupuncture treatment. Conclusion: Acupuncture treatment for functional dyspepsia is considered useful as in unorthodox medicine by western doctors, and it is necessary to provide objective instrument for assessing acupuncture treatment for functional dyspepsia.

• 한방안이비인후피부과학회지
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• 제11권1호
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• pp.23-39
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• 1998

The clinical data and thermographic imaging were analyzed on the 100 cases of Bell's palsy who were treated in the Kwang-Ju Oriental Medical Hospita! of Wonkwang University from February to October 1997. All the cases were taken Digital Infrared Thermograph Imaging(DITI) before treatment and 30 cases of them were taken follow up imaging again after recovery. And the following results were obtained. 1. Of 100 cases, under teenager occupied $1\%,\;teenager\;8\%,\;2nd\;decade\;14\%,\;3rd\;decade\;11\%,\;4th\;decade\;16\%,\;5th\;decade\;26\%,\;6th\;decade\;16\%,\;7th\;decade\;7\%\;and\;over\;80\;occupied\;1\%$. 2. Male occupied $48\%$ and female occupied $52\%$. 3. $42\%\;of\;male\;and\;23\%$ of female had the affected side at left side. And right facial nerve palsy occured at $29\%\;of\;male\;and\;29\%$ of female. 4. The most common cause of Bell's palsy was cold wind $18\%$, and the next were excessive labor $15\%,\;stress\;12\%,drinking\;2\%\;and\;cold\;food\;1\%$. 5. Thermal pattern were present as hyperthermal pattern in $44\%$ and hypothermal pattern in $22\%$. 6. The DITI showed hyperthermal pattern as close as to the onset day and changes to hypothermal pattern as times passed. 7. The DITI pattern and post-auricular pain, the most common prodomal syndrome, showed no significant relationship. 8. The relationship between the grade of paralysis and thermal patttern of DITI showed no significance. 9. Mean temperature of loci in affected side indicrtted $30.27^{\circ}C\;at\;Yang\;baek,\;30.02^{\circ}C\;at\;Taeyang,\;29.25^{\circ}C\;at\;Geoyo,\;29.62^{\circ}C\;at\;Jichang,\;29.78^{\circ}C\;at\;Hakwan,\;29.61^{\circ}C\;at\;Hyupgeo,\;and\;30.59^{\circ}C$at Yeopoong. 10. Mean temperature of loci in unaffected side showed $30.16^{\circ}C\;at\;Yang\;baek,\;30.02^{\circ}C\;at\;Taeyang,\;29.61^{\circ}C\;at\;Geoyo,\;29.68^{\circ}C\;at\;Jichang,\;29.70^{\circ}C\;at\;Hakwan,\;29.57^{\circ}C\;at\;Hyupgeo,\;and\;29.89^{\circ}C$at Yeopoong. 11. Of 30 cases who were taken follow up imaging again after recovery, the relationship between delta T at loci and symptoms showed no significance. It should be needed further investigation in order to apply them for clinical evaluation.