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A Comparison Study of Acupuncture Points Selection between Classics of Traditional Medicine and Clinical Trials in Dental Disorders (치아 질환의 침 치료 혈위 선택에 대한 고전문헌과 현대 임상연구 비교)

  • Kim, Song-Yi;Oh, Jihyeon;Hong, Jaehwa;Park, Sang Kyun;Park, Hi-Joon
    • Korean Journal of Acupuncture
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    • v.30 no.4
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    • pp.201-211
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    • 2013
  • Objectives : The aim of this study is to summarize and compare acupuncture points used for dental disorder in the classics with those used in recent clinical trials. Methods : We searched the data for acupuncture points used and rationale of acupuncture in dentistry. Following two sources were searched: 1) seven Classics of traditional medicine and 2) clinical trials through Pubmed from January 2000 to March 2013 with no language restriction. Results : Dental pain was the most common disorder in the dentistry section of the Classics of traditional medicine. We found many similarities of acupuncture points used between literatures and clinical trials. From the meridian perspective, large intestine meridian(LI), stomach meridian(ST), triple energizer meridian(TE), and gallbladder meridian(GB) were frequently used in the Classics of traditional medicine and the clinical trials. From the acupuncture point perspective, acupuncture points were selected according to syndrome. The specific points such as five transport points, source points, and connecting points were also used. In the clinical trials, combination of acupuncture points usually consisted adjacent points and distant points. Among them, LI4 was used in all of the studies included in this review. Conclusions : For well-designed clinical trial, appropriate intervention is essential. To establish appropriate acupuncture treatment, we have to suggest reasoning for treatment based on literature and/or expert consensus. Our review only focused on pain relief in dentistry and had many limitations. Further studies based on the literatures such as the Classics of traditional medicine are required to ensure the rationale of acupuncture treatments in various dental disorders.

Ancient Chinese Astronomical Analysis of the Chapter, Wigi Haeng in Youngchu (Spiritual Pivot) (영추, 위기행편에 대한 중국 고천문학적 분석)

  • Ur, Woosen
    • Korean Journal of Acupuncture
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    • v.36 no.4
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    • pp.252-263
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    • 2019
  • Objectives : This research aimed to 1) analyze the true meanings of the chapter, 'Wigi Haeng (Wei Qi Xing), the movement of guard qi' in Youngchu (Ling Shu) from the point of view of ancient Chinese Astronomy, 2) calculate the speed of Wigi over 24 Chinese seasons, 3) analyze the true meaning of daytime and nighttime in the chapter. Methods : 1) The chapter 'Wigi Haeng' was analyzed using concepts of ancient Chinese astronomy, 2) the records of angular distances of 28 constellations in the Book of Han (Han Shu) were used to analyze the meanings, and 3) the records of lengths of daytime and nighttime in the Book of Hou Han (Hou Han Shu) were used to calculate the speed of Wigi. Results : 1) The author of the chapter 'Wigi Haeng' did not consider the irregularity in the angular distances of the 28 Chinese constellations (Su). 2) The commentary in the Huangjenaegyong Taeso (Huang Di Nei Jing Tai Su) about the constellations in the chapter is correct. 3) The speed of Wigi changes in daytime and nighttime depending on the seasons. 4) When the speed of Wigi increases in daytime, the speed in nighttime decreases, and vice versa. 5) The beginning of daytime in 'Wigi Haeng' is not the time of sunrise but the time of dawn (2.5 Gak before sunrise). The nighttime ends 2.5 Gak after sunset. Conclusions : 1) The chapter 'Wigi Haeng' demonstrates the ancient astronomical point of view on the universe and the movement of Wigi. The speed of Wigi is variable. 2) This chapter does not address the irregularity in the angular distances of the 28 Su. 3) More research is needed on the meaning of daytime and nighttime in 'Wigi Haeng'.

Comparison Study for Analgesic Effects of Electroacupuncture on Surgical Ankle Sprain Model Classified as Grade 3 in Rats (수술적 방법으로 유도된 3단계 고도(高度) 발목염좌 모델에서 혈위(穴位)에 따른 전침효과의 비교)

  • Yang, Seung-Bum;Sohn, In-Chul;Lee, Sung-Ho;Cho, Sang-Hoon;Kim, Jaehyo
    • Korean Journal of Acupuncture
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    • v.30 no.1
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    • pp.47-55
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    • 2013
  • Objectives : The purpose of this study was to determine whether electroacupuncture(EA) is effective in reducing pain on the severe ankle sprain classified as grade 3 in rats. Methods : The severe(grade 3) ankle sprain model was induced surgically by ankle ligament injury(the anterior talofibular, the calcaneofibular and the posterior talofibular) in the Sprague-Dawley rats(180~250 g). The effects of EA on weight bearing forces(WBR) of the affected foot were examined in a rat model of ankle sprain. EA was applied to either SI6, ST37, GB34, GB39 or GB42 acupoints by trains of electrical pulses(2 Hz, 1 ms pulse width, 2 mA intensity) for 15 min. Results : Cutting of the lateral ankle ligament complex produced the severe ankle sprain symptoms as grade 3. EA of the contralateral SI6 resulted in more analgesic effect than one of ipsilateral SI6 even though there was significant effect. EA of the ipsilateral GB34 and GB39 produced potent analgesic effects on the surgical ankle sprained pain behaviors. However, there were no significant analgesic effects in the contralateral GB34 and GB39 EA groups. In addition, both side of ST37 and GB42 did not result in analgesic effect on the surgical ankle sprained rat. Conclusions : The data suggest that EA induced analgesia shows point specificity on the severe ankle sprained pain model classified as grade 3.

A Study on the Courses of Lower Limb Region of Stomach Meridian -Focused on Categorized Collection of Literatures on Chinese Meridians and Collaterals- (족양명위경 하지부 유주에 관한 고찰 - 『중국침구경락통감』을 중심으로-)

  • Park, Sang Kyun;Ahn, Sung;Lee, Kwang Ho
    • Korean Journal of Acupuncture
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    • v.35 no.3
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    • pp.117-122
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    • 2018
  • Objectives : Most meridians have each well point located at the distal end of fingers or toes, congruous with their meridian courses. Exceptively, ST45(Yeotae), stomach meridian(ST)'s final point, is located at the lateral side of the tip of the second toe, while the tip of the second toe was not mentioned in the course of ST. So, we studied the course of lower limb region of ST. Methods : Courses of ST in Categorized Collection of Literatures on Chinese Meridians and Collaterals(CCM) was examined. The literatures included in CCM was selected as study subjects to be studied if the meridian route was different from "Youngchu" or more detailed notes were attached. There are 3 branches in lower limb region of ST, we analyzed theories of scholars of all time about the 3 branches of ST. Results and Conclusions : Branch 1 descends along the lateral margin of the fibula to the dorsum of foot, entering into the medial side of the middle toe. Branch 2 leaves ST36 separately, terminating at the lateral side of the middle toe. Branch 3 leaves ST42 and descends to the end of the great toe. The medial side of the middle toe equate to the lateral side of the second toe, and it is connected to ST45. So branch 1 is the main stream of ST. Branch 3 drives to the great toe passing between first and second toe, it goes medial side of LR2.

A Study on Acupoint SP3 in Saam Acupuncture Method (사암도인침법에서 태백혈의 운용에 대한 연구)

  • Kim, Song-Yi;Lee, Soon-Ho;Park, Ji-Yeun;Park, Hi-Joon
    • Korean Journal of Acupuncture
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    • v.31 no.4
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    • pp.179-187
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    • 2014
  • Objectives : Saam acupuncture initiated by Saamdoin is traditional and originative method, which is characterized by applying the five phases theory and mother-child reinforcement-reduction principle to the selection of acupoints and needling manipulation. Our study was aimed to summarize and assess the use of acupoint SP3(Taebaek) in Saam acupuncture treatment and to further understand Saam acupuncture in an aspect of the combination of acupoints. Methods : We searched the data based on "(Do Hae Kyo Kam) Sa-Ahm's acupuncture method" for SP3 used and acupoint combination including SP3. We performed frequency analysis, network analysis, and cluster analysis for quantitative aspect. To understand clinical implication of SP3 with another acupoint, qualitative and descriptive methods were also carried out. Results and Conclusions : In our study, SP3 was frequently used for tonification of lung, spleen, heart, and kidney meridian and sedation of kidney, heart, and lung meridian. For this, many acupoints such as LU8, LU9, KI3, HT8, KI7, LU10 and LR1 were used with SP3. The combination of SP3 and other acupoints were used to treat stroke, common cold, and pain conditions including headache, low back pain, respiratory disease as well as gastroenteric troubles including stomachache, indigestion, vomiting, and constipation. To further understand Saam acupuncture, an understanding of the five transport points based on five elements characters, pathological changes (deficiency and excess) of viscera and bowels, and concept of source point should be preceded.

Current Research Trend on the Acupuncture and Moxibustion Treatment for Pancreatitis (국내외 췌장염 관련 침구치료 연구 현황)

  • Kang, Ha Ra;Lee, Yeon Sun;Kim, Hye Ryeon;Kim, Eun Jung;Kim, Kyung Ho;Kim, Kap Sung;Jung, Chan Yung;Lee, Jun Kyu
    • Korean Journal of Acupuncture
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    • v.35 no.2
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    • pp.56-69
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    • 2018
  • Objectives : The aim of this study is to review the current research trend on the acupuncture and moxibustion treatment for pancreatitis. Methods : Through nine search engines, articles were collected, which had involved the use of acupuncture and moxibustion treatment for pancreatitis. Data were extracted from the selected articles regarding the year, country, type of pancreatitis, study design, evaluation variable, intervention, point for acupuncture and moxibustion, and effectiveness of treatment. Results : Total 56 articles were reviewed. The number of studies increased gradually every ten years. Fifty-one studies(91%) were conducted in China. Most of clinical studies and animal experimentations reported on acute pancreatitis. Thirty-nine studies were randomized controlled trials(RCTs), but most of them were assessed as uncertain in the risk of bias evaluation. The degree of overall improvement(79%) was used mainly as evaluation variable of clinical studies. In animal experimentations, the examination of pancreatitis tissue(77%) and blood test(77%) were used the most. Most of studies were conducted with the acupuncture, one with moxibustion. Among them, electroacupuncture was the most common intervention of treatment group. ST36 was the most frequently used acupuncture point in the included studies. Effective rate increased and serum amylase, clinical symptoms, recovery time of gastrointestinal function decreased statistically significantly in the treatment group of clinical studies. Conclusions : The result of this study could be used for the future practice and research about the acupuncture and moxibustion treatment for pancreatitis.

A Study on the Writing Background and Meaning of 『Jukheon-Silheombang』 -Focused on the Effect of the 『Chimgu-Kyungheombang』- (『죽헌실험방』 저술 배경 및 의의 연구 -『침구경험방』 영향을 중심으로-)

  • Park, Hunpyeong;Lee, Yumi;Choi, Donghee;Kim, Mirae;Youn, Daeehwan;Bae, Yangja;Na, hangsu
    • Korean Journal of Acupuncture
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    • v.35 no.2
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    • pp.98-104
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    • 2018
  • Objectives : It is noted that Jukheon-Silheombang(Actual Formulas of Jukheon), is a rare book published by a private physician in 1950s. The study of this book is the data that can be used to see how the acupuncture of Huh-Im is inherited and performed in the local small towns right after the Korean War. Methods : Through the investigation of various literature data and interviews with the author's descendants, Jukheon-Silheombang's related figures, citation documents, book formation and content characteristics were descriptively analyzed. Results and Conclusions : Jukheon-Silheombang can be used to study characteristics of acupuncture treatments given in a small town in the late 1950s. It has the significance of preserving traditional acupuncture such as the Sakwan point method and inheriting the clinical utility of Chimgu-Kyungheombang(Acupucture & Moxibustion Skills Guide) of Huh-Im.

Hip and Finger Degenerative Arthritis Case Series Protocol for Applying Korean Medicine Clinical Pathway (퇴행성관절염(고관절, 수지관절염) 한의표준임상경로 적용연구 프로토콜)

  • Suzy Han;Yejin Hong;Dongwoo Nam;Jeongrok Kim;Changwoo Seon;Seojeong Ha;Minjeong Kim
    • Korean Journal of Acupuncture
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    • v.41 no.1
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    • pp.1-6
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    • 2024
  • Objectives : The aim of this study is to set out case series study protocol to complete clinical pathway (CP) of hip and finger degenerative arthritis by applying CP, based on Korean medicine clinical practice guideline developed by clinical experts, to clinical field. Methods : The treatments included Manual acupuncture, acupoint injection, electroacupuncture, laser acupuncture, cupping, moxibustion, chuna, and physiotherapy. They were conducted in the 2nd week of admission and 4th week of out patient department (OPD) days. We carried out 10-point Likert scale questionnaires on the clinical usefulness and the satisfaction of patients and staff after applying CP. Appropriateness and improvement on patients were conducted using a 10-point Likert scale. An open-ended questionnaire was also conducted to ask if there was any requirement to be added. Results : In past research studies, there were no related studies about Korean medicine CP on hip and finger degenerative arthritis. Final version of CP is going to be completed based on the questionnaire. Conclusions : This evidence-based case series study protocol is expected to contribute development of hip and finger degenerative arthritis.

Effects of Achyranthis Radix Herbal-Acupuncture on Adjuvant Athritis in Rats (우슬약침(牛膝藥鍼)이 Rat의 Adjuvant 관절염(關節炎)에 미치는 영향(影響))

  • Chang, Tong-Young;Park, Hee-Soo
    • Journal of Pharmacopuncture
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    • v.2 no.1 s.2
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    • pp.93-109
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    • 1999
  • To investigate effects of Achyranthis Radix herbal-acupuncture on adjuvant arthritis in rats, the edema rate, the number of WBC, the quantity of total protein, albumin and globuline in the blood serum and histological test of the muscular tissue were measured in the arthritis part. 1. After elicitating arthritis of Sprague dawley(SD) rats by injection of Freund's complete adjuvant for 2 weeks, normal saline was injected for the Exp. I group and Achyranthis Radix herbal-acupuncture was injected for the Exp. II group during 30days. Selected point was $D\acute{u}b\acute{i}(ST_{35})$ in both the groups. And then the volume of the paw were checked. The volume of the paw was $0.84{\pm}0.14mm$ in the Exp. I group and $0.47{\pm}0.11mm$ in the Exp.II group, the swelling of the paw was restricted significantly in the Exp. II group(p<0.05). 2. The number of WBC was $10.34{\pm}0.14(10^3/ml)$ in the normal group and $37.47{\pm}5.46(10^3/ml)$ in the Exp. I group. It was $21.24{\pm}2.58(10^3/ml)$ in the Exp. II group. This fact showed that the group Exp. II with Achyranthis Radix herbal-acupuncture was more effective than the Exp. II group in the treatment of arthritis(p<0.05). 3. The content of the total protein in the blood serum was $6.14{\pm}0.43g/dl$ in the normal group, $7.95{\pm}0.94g/dl$ in the Exp. I group, and $6.41{\pm}0.68g/dl$ in the Exp. II group. There was no significance in total protein between the Exp. II group and the Exp. I group from the statistical analysis. 4. The content of albumin in the blood serum was $2.94{\pm}0.13g/dl$ in the normal group, $2.01{\pm}0.48g/dl$ in Chang Tong-young the Exp. I group and $3.15{\pm}0.27g/dl$ in the Exp. II group. This fact showed that the Exp. II group had significant increase in the serum albumin from the statistical analysis compared with the Exp. I group. 5. The content of the globulin in the blood serum was $3.19{\pm}0.48g/dl$ in the normal group, $4.70{\pm}1.26g/dl$ in the Exp. I group and $3.26{\pm}0.57g/dl$ in the Exp. II group. There was no significance in the serum globulin between the Exp. II group and Exp. I group from the statistical analysis. 6. In histological finding, because of severe inflammatory reaction, remarkably irregular tissue and large amount of inflammatory cells were found in the Exp. I group. But the Exp. II group showed small amount of inflammatory cells, the refrained inflammatory state and even recovering state.

Effects of Hetero-segmental Electro-acupuncture on Formalin Induced Pain in the Rat (거자법(巨刺法)에 의한 전침자극(電鍼刺戟)이 흰쥐의 formalin 유도(誘導) 통증(痛症)에 미치는 영향(影響))

  • Park, Sang-Kyun;Kim, Jae-Hyo;Kim, Min-Sun;Park, Byung-Rim;Sohn, In-Chul;Kim, Kyung-Sik
    • Journal of Acupuncture Research
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    • v.17 no.2
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    • pp.231-246
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    • 2000
  • Acupuncture has been used for treatment of numerous diseases, especially for pain control in the oriental culture. However, the mechanism of pain control by acupuncture was not clear so far. The present study was examined that the effects of electro-acupuncture (EA) applied to the acu-point of extra-segmental area on modulation of formalin induced pain in Sprague - Dawley rats. In order to apply EA to acu-points in the plantar area of right fore paws, a pair of teflon - coated stainless steel wires were implanted in HT 7 (shin-mun) and PC 7 (dae-neong) 5 days before behavioral test. A behavioral test was performed by means of video camera after injection of 5% formalin ($50{\mu}l$) into the lateral plantar region of left hind paw. EA was delivered by a constant current stimulator at 4~5 mA, 2 ms, and 10 Hz for 30 min. The electromyographic activities were recorded in the biceps femoris muscle under chloral hydrate anesthesia. Test stimuli with 1~9mA were applied to the sural nerve territory including the medial portion of the 4th toe and the lateral portion of the 5th toe. Behavioral responses including favoring, flinching and bitting were occured in the biphasic pattern, such as the lst phase (0~5 min) and the 2nd phase (20~45 min) after formalin injection. However, EA (4~5 mA, 2 ms, 10 Hz) significantly inhibited Che behavioral responses. EMG activities of flexor reflex had a latency of 100~300 ms and thresholds of test stimuli for EMG were 4~5 mA in normal rats. Injection of formalin decreased threshold of test stimuli and increased EMG activities for 2hrs after injection. However, EA significantly inhibited EMG activities of flexor reflex increased by formalin and recovered EMG evoked thresholds. These results suggest that contralateral extra-segmental EA inhibits the first and second phases of formalin induced pain but their mechanism be needed to examine additionally.

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