• 제목/요약/키워드: SPICA

검색결과 83건 처리시간 0.024초

CIPA(Congenital Insensitivity to Pain with Anhidrosis)를 가진 환아에서 욕창의 치험례 (A Case of Pressure Sore in Congenital Insensitivity to Pain with Anhidrosis)

  • 황재하;박선형;유성인;노복균;김의식;김광석;이삼용
    • Archives of Plastic Surgery
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    • 제33권5호
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    • pp.669-671
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    • 2006
  • Purpose: Congenital insensitivity to pain with anhidrosis(CIPA) is a rare form of autosomal recessive peripheral sensory neuropathy. Patients with CIPA show loss of pain sensation, which leads to corneal ulcers and opacities, self-mutilation of the tongue and fingertips, as well as fractures with subsequent joint deformities and chronic osteomyelitis. The purpose of this report is to highlight the fact that pressure sores also are a potential complication of CIPA. Methods: This case report describes a patient presenting with pressure sores resulting from CIPA. A 5-year-old boy was referred to our department for the treatment of a $5{\times}5cm$ sacral pressure sore as a result of a hip spica cast applied for the treatment of a left hip joint dislocation. He had a history suggesting CIPA such as multiple bony fractures, mental retardation, recurrent hyperpyrexia, anhidrosis, and clubbing fingers due to oral mutilation. A microscopic examination of the sural nerve showed mainly large myelinated fibers, a few small myelinated fibers and an almost complete loss of unmyelinated fibers. After wound preparation for two weeks, the exposed bone was covered with two local advancement flaps. Results: Two weeks later, complete wound healing was achieved. A 16-month follow-up showed no recurrence. However, the patient presented with a new pressure sore on the left knee due to orthosis for the treatment of the left hip joint dislocation. Conclusion: The early diagnosis of CIPA and special care of pressure sores are important for preventing and treating pressure sores resulting from CIPA.

국산 생약 추출물의 항염증 활성 스크리닝 (Screening for Anti-inflammatory Activities in Extracts from Korean Herb Medicines)

  • 안상미;김형건;최은정;황형훈;이은석;백지훈;부용출;고재숙
    • 대한화장품학회지
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    • 제40권1호
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    • pp.95-108
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    • 2014
  • 화장품은 일반인이 장기간 연용하는 제품으로 인체 피부에 대한 안전성이 매우 중요하다. 화장품에 의한 접촉피부염은 자극성 물질이 피부에 접촉 후 침투하여 유발하는 염증반응으로 활성화된 면역세포에서 염증을 매개하는 다양한 인자를 분비함으로써 시작된다. 본 연구에서는 국산 생약 추출물을 이용하여 RAW264.7 대식 세포에서 염증 관련 인자에 대한 영향을 통해 항염증 활성을 스크리닝 하였다. 51종의 국산 생약 추출물 중 측백, 측백엽(초), 향부자, 형개, 동과자, 산약, 산약(초), 상지, 송절, 택사의 에탄올 추출물 10종이 lipopolysaccharide(LPS)에 의해 유도된 세포독성을 감소시킴과 동시에 염증 관련 인자인 Nitric oxide (NO), interleukin (IL)-1${\beta}$, IL-6, tumor necrosis factor (TNF)-${\alpha}$의 생성을 억제하는 것을 확인하였다. 또한, 이들 생약 추출물은 인체피부에서도 자극을 유발하지 않음을 인체 첩포시험을 통해 검증하였다. 따라서, 항염증 활성이 확인된 10종 국산 생약 추출물은 피부 자극을 예방할 수 있는 화장품 소재로서의 활용이 가능할 것으로 사료된다.

상완신경총 손상 환자에서 시행한 견관절고정술 (Shoulder Arthrodesis in Brachial Plexus Injury Patient)

  • 한정수;정덕환;이재훈;정비오;박현철;김진영;송종훈;서재완
    • Archives of Reconstructive Microsurgery
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    • 제18권2호
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    • pp.55-61
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    • 2009
  • Purpose: To analyze the clinical and radiologic results of the shoulder arthrodesis in brachial plexus injury patients with flail upper extremity. Material and Method: From Aug 1978 to April 2008, 29 shoulders in 29 patients with brachial plexus injury with shoulder fusion, we evaluated 20 shoulders in 20 patients, more than 1 year follow up. The average follow-up period was 6.45years (range: 1year~24years). There were 13 men and 7 women, and the mean age at the time of trauma was 32.0years(2~65 years). The type of injury was a motorcycle accident in 11 patients, in car accident in 5, pedestrian accident in 3, and fall from a height in 1. The lesion of injury was root and trunk in 1 patient, trunk and cord in 1, trunk in 18. Surgery was performed on the whole arm type paralysis in 12 patients, lower arm type paralysis in 8 patients. The preoperative visual analog scale score was 8.7(7~10). When the trapezius and serratus anterior muscle were in function, operation was performed. 18 patients were processed to the additional operation. Gracilis free flap in 6 patients, neurotization in 3, Steindler flexor plasty in 6, and tendon transfer in 3 were performed. Fixation was conducted with cancellous screws in 13 patients, Knoles pins in 5, and cancellous screws and Knoles pins in 2. The position of the arthrodesis at operation was $28.5^{\circ}$($20~45^{\circ}$) in abduction, $30.3^{\circ}$($20~45^{\circ}$) in flexion, and $30.8^{\circ}$($20~40^{\circ}$) in internal rotation. Result: The follow up visual analog scale score was 3.4(0~7). Postoperatively, shoulder spica cast was applied for 15.3weeks(8-20weeks). The median time to bony union was 17.7weeks(9~28weeks). Average range of motion was $32.0^{\circ}$($15~40^{\circ}$) of abduction, $24.0^{\circ}$($10~40^{\circ}$) of flexion, and $18.5^{\circ}$($10~30^{\circ}$)of internal rotation. Conclusion: The shoulder fusion in brachial plexus injury patients is one of the good methods to relieve pain, improve the function and stabilize the flail shoulder joint.

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나역에 대한 文獻的 考察(處方과 藥物을 중심으로) (A Literature Study on the Cervical Lymphic Node)

  • 민영규;정동환;심상희;박수연;김종한;최정화
    • 한방안이비인후피부과학회지
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    • 제16권2호
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    • pp.1-45
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    • 2003
  • We get the conclusion this following through bibliographic consideration about the cause of disease, disease mechanisms and remedy, prescription of tuberculosis of the cervical lymphic node. 1. The tuberculosis of the cervical Iymphic node is named the linear lump of scrofula(마도라력), the scrofula around neck(반사력), the wide-spread scrofula(류주력), the papule like lotus seed(련자력), the scrofula(라력), the subcutaneous nodes(結核), the scrofula due to disorder of Gi(기력) and the scrofula due to accumulation of phlegm(담력) according to the criterion of regions of disease, causes, rounding parts and shapes. 2. The cause of the tuberculosis of the cervical lymphic node are the stagnation of liver Gi(肝氣鬱結), the accumulation of phlegm and the stagnation of Gi(痰凝氣滯), the deficiency of vital essence of the liver and kidney(肝腎陰虛), the wind-heat of liver, gallbladder and triple warmer(肝膽三焦風熱), the dry-fire(燥火), the dryness of blood(血燥), the unwholesome diet(飮食不潔), the abundance of diet(食味之厚), the stagnation of Gi(鬱氣之積), the exhaustion syndrome(虛勞), the excessive thought(思慮過多), the toxin of wind-heat(風熱毒) and the germ of subcutaneous nodes(結核菌). 3. Symptoms of the tuberculosis of the cervical lymphic node are swelling slowly in comparison in the early days of occurrence, and are not pain, not itch, not heat, not other special symptoms. But in some cases, tuberculosis of the cervical lymphic node are quickly swelling in the early days of occurrence, and the fever and pain appear, The pyosis is accompanied with the fever and the pain at first generally, and then removing the pus from abscess is dissolved the fever and the pain in the majority of cases and representative of the general exhaustion syndrome. 4, The remedy of tuberculosis of the cervical Iymphic node is the early days, clearing the liver and relieves constraint(疏肝解鬱), phlegm and dissolving accumulation(化痰散結) the middle days, pus draining and toxin expelIing(托裏透膿) the latter days, replenish the kidney and strengthen the spleen(滋腎健脾). 5. The medication to treat the tuberculosis of the cervical lymphic node are the 益氣養榮湯(lkgiyangyoungtang)(14th), the 夏枯草散(Hagochosan)(10th) and et cetra in regular sequence. 6. The herb to treat the tuberculosis of the cervical Iymphic node are the 連翹(FRUCTUS FORSYTHlAE)(59th), the 甘草(RADIX GLYCYRRHIZAE)(51th), the 當歸(RADIX ANGELICAE GlGANTIS)(47th), the 黃芩(RADlXSCUTELLARIAE)(40th), the 夏枯草(SPICA PRUNELLAE)(23th) in regular sequence.

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항암활성 수종생약의 B16-Fo와 A549 암세포에 대한 항전이 효과( I ) (Antimetastatic effect of several crude drugs with antitumor activity on B16-Fo and A549 cells ( I ))

  • 김성훈;유시용
    • 대한한의학회지
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    • 제17권1호
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    • pp.111-131
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    • 1996
  • For the development of antimetastatic agent 41 kinds of crude drugs were used for the evaluation of inhibitory effect of several crude drugs on cell adhesion of pulmonary cancer cells and platelet aggregation. Results were obtained as follows: 1. Water extracts of crude drugs inhibited cell adhesion of A549 to complex extracelluar matrix over 40 % of contol were Houttuyniae Herba, Mylabris, Rhei Radix et Rhizoma, Meliae Cortex, Ferula Resina, Oldenlandiae diffusae Herba at the higher concentration of $10^{-3}g/ml$ while those inhibiting cell adhesion of Bl6-Fo over 40 % of control were $10^{-5}g/ml$ of Houttuyniae Herba, Aurantii Fructus, Lithospermi Radix, Zedoariae Rhizoma. Prunellae Spica, Foeniculi Fructus, Rbei Radix, Scutellariae Radix, Meliae Cortex, Ferula Resina and Oldenlandiae diffusae Herba. 2. MeOH extracts of crude drugs at the concentration of $4{\times}10^{-4}g/ml$ inhibiting cell adhesion of A549 specifically to single extracelluar matrix over 40 % of control were Lithospermi Radix, Agrimoniae Herba, Rhei Radix and Ferula Resina to collagen I, Houttuyniae Herba, Lithospermi Radix, Bupleuri Radix, Salviae miltiorrhizae Radix, Orostachys Herba, Sappan Lignum, Meliae cortex ferula Resina and Coicis Semen to collagen Ⅳ, Mylabris, Agrimoniae Herba to laminin, Houttuyniae Herba and Meliae Cortex to fibronectin. 3. NeOH extracts of crude drugs at the concentration of $4{\times}10^{-4}g/ml$ inhibiting cell adhesion of B16-Fo specifically to single extracelluar matrix over 60 % of control were Lithospermi Radix, Salviae miltiorrhizae Radix, Meliae Cortex and Ferula Resina to collagen I, Lithospermi Radix, Bupleun Radix, Saiviae miltiorrhizae Radix, Ferula Resina and Acanthopanacis Cortex to collagen Ⅳ, Bupleuri Radix, Orostachys Herba to laminin, Houttuyniae Herba to fibronectin. 4. MeOH extracts of crude drugs inhibiting platelet aggregation over 40% of ADP control were at the concentration of $50{\mu}g/m{\ell}$ of Houttuyniae Herba, Angilicae gigantis Radix, Zedoariae Rhizoma. Coicis Semen and $100{\mu}g/m{\ell}$ of Ferula Resina, Orostachys Herba, Salviae miltiorrhizae Radix, Curcumac Radix, Carthami Flos, Lithospermi Radix, Gleditsiae Spina, Sappan Lignum, Acanthopanacis Cortex. These results suggest that several crude drugs including Ferula Resina, Houttuyniae Herba, Lithospermi Radix and Salviae miltiorrhizae Radix chiefly have more possibility to exert antimetastatic activity and require in vivo antimetastatic study.

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Near-Infrared Imaging Spectrometer onboard NEXTSat-1

  • 정웅섭;이대희;문봉곤;박귀종;박성준;표정현;박영식;김일중;박원기;김민규;이덕행;남욱원;한원용;임명신;이형목;이정은;신구환;채장수
    • 천문학회보
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    • 제38권1호
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    • pp.70.1-70.1
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    • 2013
  • New space program for "Next-Generation Small Satellite (NEXTSat)" launched last year after the success of the series of Science & Technology Satellite (STSAT). KASI proposed the near-infrared imaging spectrometer as a scientific payload onboard NEXTSat-1. It was selected as one of two scientific payloads. The approved scientific payload is the near-infrared imaging spectrometer for the study of star formation history (NISS). The efficient near-infrared observation can be performed in space by evading the atmospheric emission as well as other thermal noise. The observation of cosmic near-infrared background enables us to reveal the early Universe in an indirect way through the measurement of absolute brightness and spatial fluctuation. The detection of near-infrared spectral lines in nearby galaxies, cluster of galaxies and star forming regions give us less biased information on the star formation. In addition, the NISS will be expected to demonstrate our technologies related to the development of the Korea's leading near-infrared instrument for the future large infrared telescope, SPICA.

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국내 시판되는 허브류의 항산화 및 항균효과 검색 (Antioxidant and Antibacterial Activity of Commercially Available Herbs in Korean Markets)

  • 채인경;김현정;유미희;김혁일;이인선
    • 한국식품영양과학회지
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    • 제39권10호
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    • pp.1411-1417
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    • 2010
  • 총 폴리페놀 함량은 로즈마리에서 가장 높은 폴리페놀 함량을 보였고, 구절초, 라벤더, 레몬그라스도 $72{\sim}80\;{\mu}g$/mg의 비교적 높은 폴리페놀 함량을 보였다. 반면 카렌듈라와 목향은 다른 허브류보다 20~40% 정도의 낮은 폴리페놀의 함량을 보였다. 그리고 총 플라보노이드 함량에서는 레몬그라스, 로즈마리, 구절초, 카렌듈라, 라벤더, 목향 순으로 높은 함량을 나타냈다. 로즈마리, 라벤더, 구절초, 레몬그라스는 최고농도에서 90% 이상의 높은 DPPH 소거능이 있었고, $IC_{50}$값은 로즈마리 $6.23{\pm}0.58\;{\mu}g/mL$, 라벤더 $18.29{\pm}0.68\;{\mu}g/mL$, 구절초 $20.33{\pm}1.04\;{\mu}g/mL$, 레몬그라스 $22.38{\pm}0.77\;{\mu}g/mL$, 카렌듈라 $60.03{\pm}4.01\;{\mu}g/mL$, 목향 $65.64{\pm}2.64\;{\mu}g/mL$이었다. 이들 허브 추출물들의 항균 활성을 살펴보면, S. aureus 균주는 최고농도 100 mg/mL에서 구절초 14.5 mm, 로즈마리 15 mm로 가장 뛰어난 항균활성을 나타내었고, E. coli O157:H7 균주는 최고농도 100 mg/mL에서 구절초 16 mm, 로즈마리 17 mm로 우수한 항균효과를 나타냈다. 따라서 허브류 중에서 로즈마리 추출물이 가장 높은 총 폴리페놀의 함량을 보였고, 총 플라보노이드의 함량은 레몬그라스에서 가장 높았다. 또한 S. aureus와 E. coli O157:H7 2종류의 균에 대한 항균 효과는 로즈마리와 구절초에서 가장 뛰어난 효과를 확인하였다.

연교김패전(連翹金貝煎)의 Escherichia coli에 대한시험관내 항균력 평가 (In Vitro Antibacterial Effects of Yeonkyokeumpae-jeon against Escherichia coli)

  • 한상겸;김동철
    • 대한한방부인과학회지
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    • 제28권1호
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    • pp.29-45
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    • 2015
  • Objectives: The object of this study was to observe the in vitro antibacterial effects of Yeonkyokeumpae-jeon (YKKPJ) have been used for treating various gynecological diseases including mastitis in Korea, and individual six kinds of herbal composition aqueous extracts - Forsythiae Fructus (FF), Millettiae Caulis (MC), Lonicerae Flos (LF), Fritillaria Thunbergii Bulb (FT), Taraxci Herba (TH) and Prunellae Spica (PS) against E. coli. Methods: Antibacterial activities against E. coli of YKKPJ, FF, MC, LF, FT, TH and PS aqueous extracts were detected using standard agar microdilution methods. In addition, the effects on the bacterial growth curve were also monitored at MIC and $MIC{\times}2$ levels. The effects on the intracellular killing and bacterial invasion of individual test materials were also observed using Raw 264.7 and MCF-7. The results were compared with ciprofloxacin, a second generation of quinolone antibiotics in the present study. Results: MIC of YKKPJ, FF, MC, LF, FT, TH, PS aqueous extracts against E. coli were detected as $0.039{\pm}0.013mg/ml$, $0.064{\pm}0.033mg/ml$, $0.108{\pm}0.053mg/ml$, $0.078{\pm}0.027mg/ml$, $16.250{\pm}8.385mg/ml$, $15.625{\pm}9.375mg/ml$, $0.254{\pm}0.131mg/ml$, repectively. YKKPJ, FF, MC, LF, FT, TH, PS aqueous extracts showed antibacterial effects against to E. coli, except for FT and TH, which were showed negligible antibacterial effects, respectively. In addition, ciprofloxacin with YKKPJ, FF, MC, LF and PS aqueous extracts also showed marked dosage-dependent inhibition of bacterial growth, and favorable inhibitory effects on the both bacterial invasion and intracellular killing assays using MCF-7 and Raw 264.7 cells were detected in this experiment. Conclusions: The results obtained in this study suggest that traditional polyherbal formula YKKPJ aqueous extracts showed more favorable antibacterial activities as compared to individual six kinds of herbal composition aqueous extracts. The antibacterial effects of YKKPJ against E. coli considered as results of complicated synergic effects of their six kinds of herbal components rather than simple antibacterial effects of single herbal components. It means, YKKPJ aqueous extracts may show potent anti-infectious effects against E. coil for mastitis.

소아 알레르기 결막염의 한의학적 병인, 변증, 치법 및 한약재 선택에 대한 문헌적 고찰 (A Review of Korean Medical Pathogenesis, Pattern Identification, Treatment Principle and Herbal Medicines for Allergic Conjunctivitis in Pediatric Patients)

  • 김예지;서혜선;박용석;박슬기;이선행;이진용
    • 대한한방소아과학회지
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    • 제35권2호
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    • pp.21-36
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    • 2021
  • Objectives We aimed to understand etiology, pattern differentiation, treatment principle, and the role of selected herbs in the treatment of Korean herbal medicine for allergic conjunctivitis (AC) in children. Methods We searched relevant literature published up to February 20, 2021 through CNKI, using search formula of (SU= '結膜炎'+'conjunctivitis') AND (SU='儿童'+'小儿'+'少儿'+'幼年') AND (SU='治療'+'中医治療'+'中藥'+'中医藥'+'顆粒'+'胶囊'+'自擬'+'湯'+'丸'+'散'+'方'). Results Among 81 searched studies, 9 randomized controlled trials and 1 case report were selected and analyzed. In all studies included, the efficacy of herbal treatment for AC was confirmed, and there was no evidence that herbal medicine treatment has higher risk of developing side effects compared to conventional eye drop treatment. As an etiology, wind (風邪) was observed the most frequently, and Saposhnikoviae Radix (防風) and Schizonepetae Spica (荊芥) were in frequent use to dispel wind (祛風). As visceral pattern identification, spleen (脾) and lung (肺) were two important keywords, and spleen deficiency (脾虛), dampness-heat in the spleen and stomach (脾胃濕熱), lung qi deficiency (肺氣虛) were main pathologic mechanisms. Else, treatments related to liver (肝) and removing dampness-heat (濕熱) were mentioned next. Conclusions This study is significant in that AC in children, which has a lack of research compared to other allergic diseases, has been studied in the contents of Korean medicine and laid foundation that can be used as basic data in the actual clinical field. Based on this study, it is hoped that clinical data of Korean herbal medicine treatment for childhood AC will be further accumulated.

HepG2 및 PC12 세포에서 혼합 한약재 발효물의 산화적 스트레스 억제 활성 평가 (Effect of Fermented Herbal Mixture against Oxidative Stress in HepG2 and PC12 Cells)

  • 이윤정;김난슬;손명수;김교남;황용일;박은주
    • 한국식품영양과학회지
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    • 제45권7호
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    • pp.1057-1064
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    • 2016
  • 생체 내에서 발생하는 활성산소종(ROS)은 정상적인 상태에서 체내의 항산화 효소와 물질에 의해서 소거되지만, ROS가 과도하게 생성되면 산화적 스트레스를 유발한다. 천연물을 이용하여 이러한 ROS를 경감시켜 산화적 스트레스를 감소시키는 것은 만성 질병을 예방하고 각종 질병의 합병증을 예방할 수 있는 식이 전략의 하나이다. 본 연구에서는 국화, 영지, 가시오가피, 오미자, 지구자, 구기자, 그리고 산수유를 공통으로 한 혼합 한약재 발효액을 제조하였으며, 조성에 따라 하고초와 쇠비름이 추가된 FHM-A 및 석창포와 산해박이 추가된 FHM-B로 구분하였으며, 혼합 한약재 발효물을 활용하여 차 및 음료 개발에 있어 기초자료로 활용하고자 하였다. FHM-A 및 FHM-B의 총페놀 함량을 분석한 결과 FHM-B에서 유의적으로 높은 총페놀 함량이 나타났다. ORAC value는 FHM-A가 FHM-B보다 유의적으로 높은 활성을 나타냈고, ROS 생성 억제 활성은 FHM-A와 FHM-B 간에 차이가 나타나지 않았다. 간세포인 HepG2 세포에서 에탄올로 유도된 산화적 스트레스에 대한 발효액 FHM-A 및 FHM-B는 $10{\sim}100{\mu}g/mL$에서 모두 세포독성을 나타내지 않았으며, FHM-A와 FHM-B 모두 에탄올로 유도된 세포독성에 대한 보호 효과를 나타냈다. 또한, FHM-A와 FHM-B 모두 에탄올로 유도된 산화적 스트레스로 인해 증가한 지방축적을 억제하는 효과를 나타냈다. 신경세포인 PC12 세포에서 $H_2O_2$로 유도된 산화적 스트레스에 대한 발효액 FHM-A 및 FHM-B의 분석 결과 $1{\sim}50{\mu}g/mL$에서 FHM-A와 FHM-B 모두 세포독성을 나타내지 않았으며, FHM-A와 FHM-B 모두 농도 의존적으로 $H_2O_2$로 유도된 세포독성에 대한 보호효과를 나타냈다. FHM-B는 항산화제로 잘 알려진 비타민 C와 같은 수준의 높은 세포보호 효과를 확인하였다. 이상의 연구 결과는 발효액 FHM-A와 FHM-B가 간 기능 및 신경 스트레스와 관련된 질병 예방을 위한 식품개발에 있어 기초 자료로 활용될 수 있음을 보여준다.