• 제목/요약/키워드: acupoint(穴位)

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위암 수술 후 장마비에 대한 한의학적 치료의 효과 : 체계적 문헌 고찰 및 메타분석 (The Effectiveness of Traditional Korean Medicine for Treating Postoperative Ileus in Gastric Cancer Patients: A Systematic Review and Meta-Analysis)

  • 배혜리;김은지;서현식;이남헌
    • 대한한방내과학회지
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    • 제43권4호
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    • pp.625-642
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    • 2022
  • 목적: 본 연구는 위암 수술 후 장마비의 한의학적 치료 효과를 평가하기 위해 수행하였다. 방법: 2007년 1월 1일부터 2022년 5월 11일까지 출판된 연구들을 6개의 데이터베이스를 통해 수집하였다. 수술 후 한의학적 치료를 받은 위암 환자를 장마비 관련 지표들을 통해 관찰한 연구들을 선정하였다. 결과: 한약, 침, 뜸, 전기혈위자극, 이혈요법, 족삼리혈의 약물 주입을 수술 후 장마비 치료법으로 사용한 27편의 연구를 선정하였다. 한약, 한약과 침 병용요법, 침, 뜸, 전기혈위자극, 이혈요법, 족삼리혈의 네오스티그민 주입 치료군에서 수술 후 첫 가스 배출까지의 시간이 감소하였고 (p<0.00001), 수술 후 첫 배변까지의 시간이 한약. 한약과 침 병용요법, 침, 뜸, 전기혈위자극, 이혈요법, 족삼리혈의 네오스티그민 주입 치료군에서 유의미하게 감소하였다 (p<0.00001). 심각한 이상반응은 나타나지 않았다. 결론: 한의학적 치료는 위절제술 후 위암 환자에게 수술 후 장마비의 예방과 치료법으로 활용될 수 있으며 수술 후 장마비 치료의 임상적 효과를 명확히 하기 위해 후속 연구가 필요하다.

생쥐에서의 골도분촌에 의한 상응혈위 (Transpositional Acupoints of the Mouse)

  • 고형균
    • Journal of Acupuncture Research
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    • 제18권6호
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    • pp.225-231
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    • 2001
  • Objective : Modern acupuncture research often utilizes the methodology of animal experiment where animal acupoints(AA) are stimulated and the results observed. There hasn't been any consensus on the AA locations yet, but it is integral for the locations to be defined in detail for any animal experiment. Methods : The review of 24 original articles published in the Journal of Korean Acupuncture and Moxibustion Society for recent one year which utilized animal experiment methodology revealed that AA are located primarily by the method of transposition from human acupoints. Only a few of those AA were defined in detail. ST-36, CV-12, GB-34, BL-23 were among the most frequently used AA. Results & Conculsion : Transpositional Ⅲ acupoint system of mouse is proposed, which includes 3 points of LU meridian, 4 of LI, 10 of ST, 8 of SP, 3 of HT, 4 of SI, 26 of BL, 2 of KI, 4 of PC, 3 of TE, I1 of GB, 6 of LR, 8 of CV and 19 of GV.

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골도법(骨度法)과 동신촌법(同身寸法)에 의한 혈위(穴位) 선정 비교 -상지부(上肢部).복부(腹部).하지부(下肢部)의 경혈(經穴)을 중심으로- (A Comparative Study on the Location of Acupoints by Bone Proportional Cun and Body Cun -Acupoints in Upper Limb, Abdomen, and Lower Limb-)

  • 이봉효;안뜰에봄;임명아;정준길;조정윤;황민혁;이경민;박지하
    • 한국한의학연구원논문집
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    • 제16권2호
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    • pp.125-130
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    • 2010
  • Objectives : The bone proportional cun and body cun have been used widely for the location of acupoints in oriental medical clinic. The aim of this study is to compare the two location methods. Methods : 21 students were examined for the location of 6 acupoints (each 2 points in the 3 parts of upper limb, abdomen, and lower limb) using the twe methods. The data of location were analyzed with t-test. Results : In the upper limb, the data from bone proportional cun and body cun were proved to be different significantly. However, there was no significant difference between the data from the two methods in the abdomen and lower limb. Conclusion : The results of this study demonstrate that the oriental medical doctors should be more careful in the choice of appropriate method for the location of acupoints in the upper limb, while it is not important whether they use bone proportional cun and body cun in the abdomen and lower limb.

효천증 침구치료 혈위 및 치법에 관한 고찰 (A Historical Study of the Acupoints for Using Acupuncture and Moxibustion on Wheezing and Dyspnea)

  • 윤대환;박상빈;신영일;이남구;나창수
    • Korean Journal of Acupuncture
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    • 제32권2호
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    • pp.59-65
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    • 2015
  • Objectives : The purpose of this study is to investigate acupoints that appear in ancient records and use with regard to treatment to the wheezing and dyspnea. Methods : We investigated 10 ancient records from Song Dynasty to the Qing Dynasty that had medical references to wheezing and dyspnea. Results and Conclusions : Out of acupoints that found out to be used for treatment of wheezing and dyspnea in this study, Conception and Governor channels account for 38.9%, the three yang meridians of the foot account for 22.2% and the three tin meridians of the Hand account for 13.9%. In 10 ancient records, CV22(Tian tu) appears 5 times, CV12(Zhongwan) and ST36(Zusanli) appear 4times. A total number of acupoints that appear in the ancient records were 35. In compendium of medicine, the number of acupoints was 21. In cmpendium of acupuncture and moxibustion, the number of acupoints was 10. In the treatment of wheezing and dyspnea, not only acupuncture but also moxibustion has a great importance.

심정격(心正格) 혈위(穴位)에 시술한 침자(鍼刺)와 침습(侵襲)및 비침습(非侵襲) 레이저침요법(鍼療法)이 뇌허혈(腦虛血)에 미치는 영향(影響)에 대한 비교(比較) 연구(硏究) (Comparative studies of effects of manual acupuncture, invasive laser acupuncture and laser skin irradiation at the Heart Jeonggyeok acupoint on the focal ischemia induced by intraluminal filament insertion in rats)

  • 윤정영;김영선;윤대환;이석희;오광환;정성호;나창수
    • Korean Journal of Acupuncture
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    • 제27권1호
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    • pp.125-142
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    • 2010
  • Objectives: The purpose of this study was to identify the effectiveness of neuronal activities for the acupuncture and laser acupuncture application. Methods: The subject were divided into 7 groups as control group without acupuncture, acupuncture treatment with tonify manipulation with the direction of channel at HT9, LR1(AT-A), acupuncture treatment with purge manipulation against the direction of channel at HT3, Kl10(AT-B), acupuncture treatment with tonify manipulation with the direction of channel at HT9, LR1 and purge manipulation against the direction of channel at HT3, KI10(AT-C), laser acupuncture treatment with red light 658 nm at HT9, LR1(LAT-A), laser acupuncture treatment with green light 532 nm at HT3, KI10(LAT-B), laser acupuncture treatment with red light 658 nm at HT9, LR1 and green light 532 nm at HT3, KI10(LAT-B). Antiapopotic effect of acupuncture was observed by Bax, Bcl-2 and cytochrome C. Neuroprotective effect of acupuncture was observed by cresyl violet and ChAT. Results: AT-A, AT-B, AT-C, LAT-A, LAT-B and LAT-C groups were significantly increased comparing the control groups in expression ChAT and in neuroprotective effect by cresyl violet. AT-A, AT-B, AT-C, LAT-A, LAT-B and LAT-C groups were significantly decreased comparing the control groups in expression Bax. AT-C, LAT-A, LAT-B and LAT-C groups were significantly increased comparing the control groups in expression Bcl-2. AT-A, AT-B, AT-C, LAT-A, LAT-B and LAT-C groups were significantly decreased comparing the control groups in Bax/Bcl-2 ratio. LAT-B and LAT-C groups were significantly decreased comparing the control groups in expression cytochrome C. Conclusions: The acupuncture with tonify and purge manipulation and laser acupuncture with red and green light could be effective for antiapopotic and neuroprotective effect in focal brain ischemia.

흰쥐에서 carrageenan 유발 급성(急性) 슬관절염(膝關節炎)에 대한 혈위별(穴位別) 온침자극(溫鍼刺戟)의 효과(效果) (Effects of Warm Needling on the Acute Knee Arthritis Induced by Carrageenan in Rats)

  • 장재영;권오상;김영선;김재효;김유리;안성훈;손인철
    • Korean Journal of Acupuncture
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    • 제26권2호
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    • pp.75-89
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    • 2009
  • Objectives: Warm needling combines simultaneously the effects of acupuncture and moxibustion. This study was to investigate whether warm needling could relieve acute knee arthritis induced by carrageenan in rats. Methods: To illuminate the underlying mechanisms of the warm needling-induced antinociception, weight bearing force (WBF) was observed on the acute knee arthritic rat model. Under general anesthesia, ST36, SP9, Hakjung extra point, LI4 were punctured and stimulated with 30 mg moxa ball combustion on top of the needle (${\emptyset}0.18{\times}8mm$). Results: In behavioral test, rats subsequently showed a reduced stepping force of the affected limb 3 hours after the induction of arthritis. Warm needling on the contralateral or ipsilateral ST36 failed to show antinociceptive effect on the acute knee arthritis. Warm needling on the contralateral SP9 or LI4 increased WBF values to normal level in the acute stage of the arthritis. Warm needling on the Hakjung extra-point resulted in the significant antinociceptive effects through acute stage. These effects of warm needling were suppressed by opioids receptor antagonist naltrexone (10 mg/kg, i.p.) and alpha adrenoceptor antagonist phentolamine (5 mg/kg, i.p.). Conclusion: The data suggest that warm needling-induced antinociception is differently mediated by acupoints and accomplished by activating the descending inhibitory systems including endogenous opioids and $\alpha$-adrenoceptors.

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사암침법(舍岩鍼法) 중 육양경(六陽經)의 승격(勝格) 혈위(穴位)에 대한 염전보사(捻轉補瀉) 침자(鍼刺)가 고지방식이(高脂肪食餌)로 유발된 고지혈증(高脂血症) 백서(白鼠)에 미치는 영향(影響) (Effects of five element constitutional acupuncture(Sa-am acupuncture) using needle manipulation to sedate Six Fu-Organ on serum lipid and liver function of hyperlipidemic rats induced by high fat diet)

  • 윤대환;나창수;최태진;윤정영;류연희;최찬헌;최선미
    • Korean Journal of Acupuncture
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    • 제25권4호
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    • pp.73-88
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    • 2008
  • Objective : The aim of this research was to investigate the effect on five element constitutional acupuncture(Sa-am acupuncture) at 4 acupoints by needle manipulation to sedate Six Fu-Organ on hyperlipidemia induced by high fat diet in rats. Method : We recorded data of weight gain, food intake, food efficiency, weight of liver, heart, spleen, lung, kidney, levels of total cholesterol, triglyceride, HDL-cholesterol, AST, ALT in serum of rats fed high fat diet for 5 weeks. Spraque Dawley rats were divided into eight groups(normal; normal diet and non-acupuncture group, control; non-acupuncture group, Acu-LI; acupuncture at $SI_5{\cdot}LI_5{\cdot}BL_{66}{\cdot}LI_2$ group, Acu-ST; acupuncture at $GB_{41}{\cdot}ST_{43}{\cdot}LI_1{\cdot}ST_{45}$, Acu-SI; acupuncture at $BL_{66}{\cdot}SI_2{\cdot}ST_{36}{\cdot}SI_8$, Acu-BL; acupuncture therapy at $ST_{36}{\cdot}BL_{40}{\cdot}GB_{41}{\cdot}BL_{65}$, Acu-TE; acupuncture at $BL_{66}{\cdot}TE_2{\cdot}ST_{36}{\cdot}TE_{10}$, Acu-GB; acupuncture at $LI_1{\cdot}GB_{44}{\cdot}SI_5{\cdot}GB_{38}$. After needles inserted, it was rotated clockwise and anticlockwise 12 times on rats fed high fat diet. Results : The body weight was decreased in Acu-SI, Acu-TE, Acu-GB group, /the food intake was decreased in Acu-TE, / the food efficiency was decreased in Acu-SI, /serum triglyceride was decreased in Acu-LI, Acu-ST, Acu-BL, Acu-GB, /serum total cholesterol was decreased in Acu-LI, Acu-BL, serum ALP was decreased in Acu-LI, Acu-ST, Acu-BL, Acu-TE, Acu-GB. While the relative weight of heart was increased in Acu-LI, Acu-SI, the relative weight of kidney was increased in Acu-SI, Acu-GB. Conclusion : These results suggest that five element constitutional acupuncture(Sa-am acupuncture) may be having an therapeutic influence on hyperlipidemia induced by high fat diet. Further researches of acupuncture manipulation are needed in the future based on our study.

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간승격(肝勝格) 혈위(穴位)에 시술된 침자(鍼刺)와 침습(侵襲) 및 비침습(非侵襲) 레이저침요법(鍼療法)이 간손상(肝損傷) 회복에 미치는 영향 (The effects of manual acupuncture, invasive laser acupuncture and laser skin irradiation at Liver Seunggyeok(肝勝格) on the repair of D-galN-induced Liver Injury in Rats)

  • 신형진;김영선;윤대환;이석희;오광환;정성호;나창수
    • Korean Journal of Acupuncture
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    • 제27권1호
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    • pp.49-62
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    • 2010
  • Objective: This study was performed to investigate the effect of manual acupuncture, invasive laser acupuncture and laser skin irradiation at LU8, LR4, HT8 and LR2(Liver Seunggyeok) on D-galN-induced liver injury in rats. Method: Liver injury was induced with D-galN. The experimental rats were divided four groups(Control group, EXP-1, EXP-2, EXP-3). In the Control group, liver injury-induced and not treated. EXP-1 group was liver injury-induced and carried out manual acupuncture with Young-Su(against the meridian course and following the course of the meridian) & Won-Bang(by twisting and rotating the needle) acupuncture method at Liver Seunggyeok. EXP-2 group was liver injury-induced and carried out invasive laser acupuncture at Liver Seunggyeok. EXP-3 group was liver injury-induced and carried out laser skin irradiation at Liver Seunggyeok. Result: In the change of body weight(in 1 week), EXP-1, EXP-2 and EXP-3 groups were significantly increased as compared with control group. In the change AST & ALT, EXP-1 and EXP-2 groups were significantly decreased as compared with control group. In the change of SOD, EXP-1, EXP-2 and EXP-3 groups were significantly increased as compared with control group. In the change of WBC, EXP-2 group was significantly increased as compared with control group. Conclusion: Manual acupuncture, invasive laser acupuncture and laser skin irradiation at Liver Seunggyeok had hepatotherapeutic effect on the treatment of hepatocytotoxity. Invasive laser acupuncture was as effective as manual acupuncture on the treatment of hepatocytotocity.

수삼음경의 락혈 침자가 백서의 혈위 조직내 nNOS. NO와 조직 및 혈장 Norepinephrine의 변화에 미치는 영향 (The Changes of NO, nNOS, Norepinephrine by Acupucture at LU7, HT5, PC6 Acupoints in Rats)

  • 신욱;이유미;이경인;최동희;김미래;나창수;김선민;표병식;윤대환
    • Korean Journal of Acupuncture
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    • 제33권2호
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    • pp.75-83
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    • 2016
  • Objectives : A previous study demonstrated that the connecting points of three yang meridians attenuated changes of nNOS, and Norepinephrine(NE) in rats. The current study investigated the changes in nNOS, NO and NE upon the needle insertion at varying depths at the connecting point of three yin meridians of the hand. Methods : Needles were inserted into rats, on both left and right sides of the connecting point, including the LU7, HT5 and PC6 acupoints which are three yin meridians of the hand. After insertion, needles were retained for five minutes. Each acupuncture groups were treated acupuncture at each acupoint and at the depths of superficial, middle and deep layer. After the retention, blood was drawn via cardiac puncture, and tissues of each point near meridian vessel was extracted to examine the changes in the expression of nNOS, NO and NE. Results : Compared with the superficial layer group, nNOS production significantly decreased in the middle and deep layer at LU7 acupoint group and in the deep layer at HT5, PC6 acupoint group. The tissue NE decreased in the deep layer on PC6 acupoint and the plasma NE increased at the middle layer at LU7 acupoint group but decreased at the deep layer on at LU7 acupoint group. Conclusions : Acupuncture at connecting points of three yin meridians of the hand can regulate the activities of nNOS, and NE.

복강내침술과 관련 혈위의 자침 깊이에 대한 고찰 (Review on Intraperitoneal Acupuncture and Needling Depth)

  • 김소연
    • Korean Journal of Acupuncture
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    • 제40권3호
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    • pp.55-61
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    • 2023
  • Objectives : To review the needling depth, therapeutic and adverse effects of intraperitoneal acupuncture and related acupoints. Methods : Studies and reports from the literature, Korean medical health insurance data and databases were searched and selected. Results : The depth of needle insertion for acupoints related to intraperitoneal acupuncture has been documented to range from 0.9 to 10.5 cm depending on the acupoints and literature. In studies of safe needling depth, the justice of safe needling depth varied from study to study, but was generally based on the peritoneum, and the depth varies by patient age, sex, body type, and weight. Clinical studies in China have shown good efficacy and no side effects of abdominal long needle acupuncture, but there have been case reports of adverse events following abdominal acupuncture. Conclusions : To ensure both therapeutic effectiveness and safety of intraperitoneal acupuncture, It is necessary to utilize the ultrasound in clinical practice and conduct related research.