• 한방안이비인후피부과학회지
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• 제30권3호
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• pp.119-133
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• 2017

Objectives : This study is designed for analysis of trend and curative effect of Korean medicine for idiopathic external ophthalmoplegia. Methods : Research studies related to objectives were gathered through OASIS and KTKP and analyzed. Results : 21 case reports were selected. 5 korean medicine therapies, Herb, acupuncture, moxibustion, electroacupuncture, and pharmacopuncture, were executed. Restorative herb including Bojungikki-tang was frequently used in herb therapy. Facial and cephalic acupoints and non-facial, non-cephalic acupoints which individually differ were mostly simultaneously executed as acupuncture therapy. Also, moxibustion was partly performed. Electroacupuncture was carried out to affected area with electric stimulation at the strength of 1Hz and 4Hz. Hominis placental pharmacopuncture, 0.1cc or 0.5cc for each acupoint, was injected on disease area. After analyzing number of Korean medicine treatment and period of Korean medicine treatment from 21 case reports, the recovery period of idiopathic external ophthalmoplegia, 36.6 treatment session/36.69 days, was assessed to be more than one month shorter than previously known recovery period. Number of treatment sessions and treatment period for 11 cases when pharmacopuncture or electroacupunture was applied were 10/29, 35/29.96, which was 15 days shorter in terms of treatment period and 10 times less in terms of number of treatment sessions compared to cases when pharmacopuncture or electroacupunture was not applied. Conclusions : Korean medicine treatment can be effective for recovery of idiopathic external ophthalmoplegia.

• Korean Journal of Acupuncture
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• 제22권4호
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• pp.57-65
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• 2005

대계는 전통 한의학에서 약용 물질로 널리 쓰이고 있으므로, 대계의 약침을 조제하여 항산화적 활성을 검증해 보았다. 실험의 재료로 쓰인 대계는 동국대학교 한의과대학 부속 한방 병원에서 구입하여 사용하였고 (경상북도 경주), 이를 약침액으로 조제한 후 동결 건조 방법으로 5.1 %의 분말을 회수 하였다. 대계 약침액의 항산화 능력을 측정하기 위하여 DPPH자유기의 소거능은 Gyamfi et al. 의 방법을 따랐고, superoxide radicals $(O_2^-{\cdot})$ 소거능은 Gotoh et al.의 방법을 일부 수정하여 사용하였다. Hydroxyl radicals의 직접적인 소거능과 iron ions 사이의 관계는 deoxyribose assay를 통하여 검증하였다. 이상의 실험 결과에서 1) Non-site-specific scavenging assay (hydroxyl radicals, OH) 및 2) Site-specific scavenging assay (chelate iron ions) 그리고 3) 전산화 효과에서 모두 대계 약침액은 농도 의존적인 저해 효과를 보였으며, 특히 pro-oxidant 실험에서는 산화를 촉진하지 않는 것으로 나타났다. 끝으로 hydorxyl radical에 의하여 매개되는 DNA의 분절 효과를 적절하게 방어하는 것을 관찰할 수 있었다. 따라서 대계 약침액은 산화적 스트레스를 직접적으로 방어 하고, 다양한 산화적 손상에 의한 병증을 예방할 것으로 사료된다.

• Korean Journal of Acupuncture
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• 제22권3호
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• pp.119-135
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• 2005

Objectives : The aim of this study was to investigate the Asthma-suppressive and Immune-regulatory effect of AF-HA(Aristolochiae Fructus Herbal-acupuncture) at Joksamni(St36) in OVA(ovalbumin) induced asthma mouse model. Methods : C57BL/6 mice were sensitized and challenged with OVA(ovalbumin) for 12 weeks(once a week). The mice in the OVA-AF-HA group were treated with AF-HA at St36 for the later 8weeks(3times/week). The mice in the OVA-Needle-prick group were treated with single prick with an injection needle at St36 for the later 8 weeks(3times/week). Results : 1. The lung weight and the total cells in lung of the mice treated with AF-HA at St36 decreased significantly compared with those of the OVA-control group. 2. Total leukocytes and eosinophils in BALF of the mice group treated with AF-HA at St36 decreased remarkably compared with those of the OVA-control group. 3. The collagen accumulation in lung of OVA-AF-HA group decreased significantly compared with that of the OVA-control group, 4. The concentrations of IL-4, IL-5, IgE in BALF, and IL-4, IL-5, IL-13 in serum of the mice group treated with AF-HA at St36 decreased significantly compared with those of the OVA-control group. 5. The numbers of $Gr-1^+/CD11b^+\;and\;CD11b^+$ cells in lung of the mice group treated with AF-HA at St36 decreased significantly compared with those of the OVA-control group. 6. The numbers of $CCR3^+,\;CD4^+,\;CD8^+\;and \;CD3e^+/CD69^+$ cells in lung of the mice group treated with AF-HA at 5136 decreased significantly compared with those of the OVA-control group. 7. The mRNA expressions of $TNF-{\alpha}$, IL-4, IL-5, IL13 in lung of the mice group treated with AF-HA at St36 decreased significantly compared with those of the OVA-control group. Conclusion : These results suggest that Aristolochiae Fructus Herbal-acupuncture at Joksamni(St36) may be an effictive therapeutic method to treat asthma.

• Korean Journal of Acupuncture
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• 제20권4호
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• pp.77-84
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• 2003

저자는 황련해독탕약침(黃連解毒湯藥鍼)을 응용한 만성결막염(慢性結膜炎) 또는 안구건조증(眼球乾燥症)이라 추정되는 환자(患者) 1례(例)에 대한 임상적 고찰을 통한 결과 다음과 같이 요약(要約)할 수 있다. 1. 만성결막염(慢性結膜炎과 안구건조증(眼球乾燥症)은 한의학적(韓醫學的)으로 '백삽'과 매우 유사하며, 충혈, 소양감, 이물감, 통증, 눈꼽등의 증상을 주소로 하여 악화와 호전을 반복하며 대개 만성의 경과를 보이는 질환이다. 2. 안과 질환은 대부분 화열(火熱)로 인한 것 장부(臟腑)로는 심(心)과 간(肝)이 밀접한 관련이 있다. 3. 본 증례에서도 열(熱)로 인한 것으로 판단하여 황련해독탕(黃連解毒湯) 약침 요법을 심유(心?) 간유혈(肝?穴)에 시술하고 안구(眼球)에 약침액을 점안하여 충혈, 이물감, 껄껄한 느낌, 통증에 있어 현저한 증상의 호전이 있었다. 4. 본 증례(症例)에서 약물치료나 다른 요법을 사용 하지 않고, 황련해독탕(黃連解毒湯) 약침 요법과 약침액의 점안만으로 치료한 결과 유의한 효과를 거둘 수 있었다.

• Korean Journal of Acupuncture
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• 제31권1호
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• pp.33-39
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• 2014

목적 : 본 연구는 복강신경총 차단술을 시행한 상복부 암성통증 환자들을 대상으로 침치료가 암관련 통증을 감소시키는 효과적이고 안전한 치료법임을 증명하기에 적합한지를 알아보기 위한 예비연구이다. 방법 : 본 연구는 3주간 진행되는 무작위배정 대조군 예비임상연구이며, 총14명의 피험자들은 시험군 (복강신경총차단술+침치료)과 대조군 (복강신경총차단술)으로 무작위배정된다. 모든 피험자들은 복강신경총 차단술을 1회 시술 받으며, 오직 시험군의 경우에만 주 3회, 2주간 총 6회의 추가적인 침치료를 시술받을 예정이다. 1차 유효성 평가변수는 통증에 대한 VAS를, 2차 유효성 평가변수는 Painvison과 추가 진통제 소비량을 측정한다. 평가는 시험시작 전, 시험 1주, 2주 및 3주후에 이루어지게 된다. 결론 : 본 연구는 추후 본격적인 무작위배정 대조군 임상시험을 위한 예비연구로서, 본 연구를 통해 상복부 암성 통증치료에 있어서 침치료가 복강신경총차단술과 같이 병행치료 했을 때 임상적으로 유효함을 증명할 수 있는 근거를 마련해 줄 것이라 사료된다.

• Korean Journal of Acupuncture
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• 제31권1호
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• pp.40-47
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• 2014

Objectives : Postural instability and gait difficulty(PIGD) can develop in all Parkinson's disease patients, especially late in the disease course, but does not respond well to conventional dopamine treatment. This study aimed to report three cases of PIGD in Parkinson's disease patients treated with Korean and Western medicine treatment. Methods : We used acupuncture, bee venom acupuncture, herbal medicine and moxibustion to treat patients during hospitalization. They continued Western medication and received rehabilitation treatment. We observed the changes of PIGD using the Unified Parkinson's Disease Rating Scale(UPDRS). Results : After treatment, PIGD symptoms improved and UPDRS scores were decreased. Especially, scores of falling, walking, gait and postural stability subsections related with PIGD were decreased. In addition, general conditions of patients were improved. Conclusions : This study suggests that Korean medicine treatment could be effective in the treatment of PIGD in Parkinson's disease patients.

• Korean Journal of Acupuncture
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• 제32권3호
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• pp.99-107
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• 2015

Objectives : This study was designed to obtain basic data for a further large-scale trial as evaluating the efficacy and safety of Geochangmanryeung-dan(GMD) and acupuncture on patient with spinal stenosis treated by epidural steroid injection. Methods: The study is a randomized controlled pilot clinical trial, conducted over 8 weeks. Twenty participants will be recruited and randomly allocated to 2 groups: an experimental(GMD and acupuncture with epidural steroid injection) group and a control(only epidural steroid injection) group. The epidural steroid injection will be administered once per 2 weeks for 6 weeks(3 times in total). GMD will be administered as a dose of 5 pills, 3 times per day, for 6 weeks. Acupuncture will be performed 2 times per week for 6 weeks(12 times in total). The primary outcome will be measured by visual analogue scale and self-rated walking distance. The secondary outcome will be measured by PainVision, short-form McGill Pain Questionnaire, and Oswestry Disability Index. Both primary and secondary outcomes will be measured at baseline, 2, 4, 6, and 8 weeks. The last assessment(at 8 weeks) will be performed 2 weeks after treatment cessation. Conclusions : This clinical trial, as the pilot study for a future large-scale trial, will provide clinical information for evaluating the efficacy and safety of GMD and acupuncture treatment in combination with epidural steroid injection for the treatment of spinal stenosis.

• Korean Journal of Acupuncture
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• 제30권1호
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• pp.56-63
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• 2013

목적 : 신경병증성 통증 쥐 모델에서 통증 행동과 척수 교세포의 활성화에 대한 반복적 전침의 영향을 실험하였다. 방법 : 21마리 Sprague-Dawley 성체 수컷 쥐를 무작위적으로 대조군, SP6 군, ST36+GB34 군으로 나누었다. 신경병증성 통증은 L5 척수신경을 단단하게 묶는 것으로 유도하였다. 신경병증성 통증이 유도된 뒷발에 기계적 및 열적 민감도를 조사하였다. 모든 군의 L5/6 척수에서 면역조직화학염색법을 수행하였다. 수술 이후 5일째부터 하루에 한번씩 전침을 시행하였다. 결과 : 족삼리(ST36)와 양릉천(GB34)에 적용된 전침은 3번의 처치 이후 실험기간 내내 기계적 및 열적 민감도를 모두 감소시켰다. 삼음교(SP6) 군에서는 진통 효과가 7번의 처치 이후 감소됨을 보였다. 면역조직화학염색법은 ST36+GB34 군에서 L5/6 척수 후각에서 교세포와 성상세포의 활성화가 억제됨을 보였다. 결론 : 이 결과는 반복적인 전침은 신경병증성 통증에 강한 진통 효과를 발휘 하는 것을 시사한다. 신경병증성 통증에서 이 진통 효과는 교세포와 성상세포의 활성화를 억제하는 것과 관련이 있다.

• Korean Journal of Acupuncture
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• 제30권1호
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• pp.37-46
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• 2013

Objectives : The Meridians and acupuncture points are the fundamental theories for acupuncture therapy. They have been associated with nervous system, but It is not well defined. We investigated that the effects of acupuncture at the river points(LU8, HT4, PC5, SP5, KI7, LR4) on the changes in the expression of nNOS, iNOS, eNOS, and NE in rats. Methods : The Male Sprague-Dawley rats were divided into 6 groups each non-acupuncture and acupuncture group. We inserted needle and retained for 5 minutes on both left and right sides of LU8, HT4, PC5, SP5, KI7, LR4 which were the river points of five transport points for 6 yin meridian vessels. After that, blood was drawn via cardiac puncture, and tissues for each point near meridian vessels were extracted to examine the changes in the changes of nNOS, eNOS, iNOS and NE. Results : The LU8 and HT4 group showed a significant decrease on nNOS. In terms of eNOS and iNOS, the LU8 group decreased significantly while the KI7 group increased significantly. However, the experimental groups didn't show any significant changes on the plasma and tissue norepinephrine without plama NE in SP5 group. Conclusions : The effect on the nNOS, iNOS, eNOS of acupuncture at LU8 and KI7 could be observed, and it is considered that the effect of acupuncture related with on nervous system could be studied by additional researches based on this one.

• Korean Journal of Acupuncture
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• 제34권1호
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• pp.47-55
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• 2017

Objectives : The purpose of this study is to evaluate the feasibility of further acupuncture research as an effective alternative and safe treatment for abdominal pain control in patients with pancreatitis. Methods and Results : This study is an open-label, assessment-blind, parallel designed pilot clinical trial. Thirty participants will be assigned to the acupuncture group(n=15) and usual care group(n=15). All patients will receive the conventional standard-of-care(SOC) therapy, but only the experimental group will receive acupuncture therapy six times a week, and the duration of acupuncture therapy will be held up to 12 weeks or until the pains are to be resolved. For the conventional SOC therapy, painkiller will be given. In treatment group, the subjects will receive the identical SOC therapy in combination with electroacupuncture therapy on twelve acupuncture points(LI4, PC6, SP6, GB39, ST36, ST37), and auricular acupuncture therapy on five auricular acupuncture points(Sympathetic, Shen Men, Abdomen, Pancreas gall, and Spleen). The primary outcome will be measured using the visual analogue scale(VAS), and the secondary outcome will be measured using the painkiller demand, quality of life index and severity of pancreatitis by abdominal computed tomography(CT). Assessments will be made at baseline and at week 1, 4, 8 and 12. Results of abdominal CT will be evaluated at baseline and at week 12. Conclusions : The result of this trial will provide a basis for the effectiveness and safety of acupuncture treatment for abdominal pain in patients with pancreatitis.