• 제목/요약/키워드: acupuncture and moxibustion(鍼灸)

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전기침이 급만성 결박스트레스로 유도된 스트레스호르몬 반응에 미치는 영향 (Effects of Electroacupuncture on Plasma Stress Hormone Responses to Acute and Chronic Immobilization Stress)

  • 정은우;김현식;이상관;김민수;조장희;성강경
    • Journal of Acupuncture Research
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    • 제27권5호
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    • pp.105-115
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    • 2010
  • 목적 : 침은 다양한 질환의 치료에 보편적으로 쓰이고 있으며 고혈압, 당뇨, 정신질환 등을 포함한 스트레스성 질환에도 활용되고 있다. 결박 스트레스는 스트레스 호르몬(코르티코스테론, 멜라토닌)의 혈장 농도를 크게 증가시키는 간단하고 효과적인 스트레스 요인이다. 본 연구는 결박 스트레스를 시행한 백서의 스트레스 호르몬의 혈중 농도에 대한 전기침의 효과를 조사하였다. 방법 : 결박 그룹은 2시간의 결박 스트레스를 받았으며 결박 스트레스 및 고주파수 전침그룹과 결박 스트레스 및 저주파수 전침그룹은 결박 스트레스와 고주파수 전침, 또는 결박 스트레스와 저주파수 전침을 동시에 각각 시행하였다. 급성 스트레스 유발 시에는 결박 스트레스를 1차례, 만성 스트레스 유발 시에는 7차례 시행하였다. 전기침 자극에는 우측 족삼리($ST_{36}$)를 사용하였다. 결박 스트레스 및 전기침으로 유도된 코르티코스테론과 멜라토닌의 농도를 측정하기 위해서 결박 스트레스 및 전기침 자극이 시작된 30분, 60분, 90분, 120분 후에 백서를 단두하여 혈액 샘플을 채취하였다. 결과 : 급성 스트레스 유발 시에는 고주파수 전침그룹의 코르티코스테론 혈장 농도가 증가하였고 멜라토닌 농도의 시간적 패턴을 변화시켰으나 저주파수 전침그룹에서는 유의한 변화가 없었다. 만성 스트레스 유발 시에는 고주파수 전침그룹의 혈장 코르티코스테론과 멜라토닌 농도가 유의하게 감소되었으나 저주파수 전침그룹에서는 변화가 없었다. 결론 : 이러한 결과는 전침이 결박 스트레스로 유도된 스트레스 호르몬의 혈장 농도 및 시간적 분비패턴을 변화시키는 효과가 있으나 스트레스 호르몬 반응을 변화시키는 데 있어서 주파수에 따른 유의한 차이가 있다는 것을 의미한다.

알레르기비염의 삶의 질 평가를 통한 최신 한방치료의 효과 (The Effectiveness of Recent Traditional Korean Medical Therapy on Treating Allergic Rhinitis Examined by Quality of Life Questionnaires)

  • 염승철;이건목;조남근;이건휘
    • Journal of Acupuncture Research
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    • 제24권1호
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    • pp.79-98
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    • 2007
  • Objectives : The study of Traditional Korean medical therapy has recently become a popular academic field as proven to be an great alternative to the limitation of Western medical treatment. However, there has been little study examining the Quality of life to investigate the Effectiveness of Recent Traditional Korean Medical Therapy on Treating Allergic Rhinitis. Thus, this study aims to reveal the characteristics of Allergic Rhinitis patients, their clinical symptoms, and other accompanying diseases. Moreover, it attempts to investigate the sense of improvement and satisfaction from the Allergic Rhinitis patients treated with Traditional Korean Medical therapy by examining Quality of Life Questionnaires. Subject and Method : A total of 380 subjects that consists of allergic rhinitis patients and non patients were participated in this study. 330 allergic rhinitis patients were divided into two groups; the experimental group (230 subjects) was treated with Traditional Korean Medical therapy, and the control group (100 subjects) was not treated with any other therapy. Also, the normal control group (50 subjects) who had no symptoms of the allergic rhinitis was participated in this study as well. All the subjects were asked to answer to the questionaries that consist of two parts such as recalling the symptoms that they had 3 month ago, and describing the current symptoms that they had the present. The experimental group also was asked to answer the quality of life questionnaire before and after the therapy. Results: The results of investigating recent Traditional Korean therapy are as follows: 1. The reservoir rate of other disease was 39.0% in the control group and 34.8% in the experimental group. These were higher than the rate of the normal control (10.0%), which reveals the clinical characteristics of allergic rhinitis patients. 2. The symptoms of Allergic Rhinitis showed improvement after Traditional Korean medical therapy, which can be shown by its statistical significance. (p=.000<.001). 3. 97.0% of the Allergic Rhinitis patients treated with the Korean Therapy answered the improvement of symptom within 4 weeks, and 88.3% of the patients were satisfied with the Traditional Korean medical therapy. 4. The Nasal symptoms had prominently positive effect at the most as the symptoms significantly affect sleep disturbances, ocular symptoms, activity limitation, and emotional problems.

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경추 신경근증 환자에 있어서 봉약침 치료의 효과에 대한 임상적 고찰 (A clinical study on the patient of Cervical radiculopathy by Bee-venom threapy)

  • 이길숭;이건목;염승철
    • Journal of Acupuncture Research
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    • 제22권3호
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    • pp.201-213
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    • 2005
  • 봉약침(蜂藥鍼)을 위주로한 한의학적 치료로 경추 신경근 병변의 3증상(일측의 경부 동통과 상완부의 방사통, 수부나 수지의 지각이상)을 호소하는 환자(患者)들을 치료하면서 시각적상사척도(Visual Analogue Scale, VAS), JOA score 및 Odom의 평가기준에 따른 호전 양상을 측정한 결과 다음과 같은 결론을 얻었다. 1. 객관적 치료 성적을 살펴보면 Excellent인 경우가 7예(50%)로 가장 많았으며, Good이 4례 (28.57%), Fair가 3예(21.43%)의 순이며, 불량으로 평가된 경우는 하나도 없었다. 2. 시술 전 pain rate의 평균 8.82(${\pm}1.27$)에서 시술 후 평균 3.25(${\pm}2.21$)로 평균 차이가 5.57로 매우 유의성 있는 차이를 보였으며(p=0.000), 이는 객관적인 호전율과도 일치하였다. 3. 시술 전 JOA score의 평균이 11.00(${\pm}1.57$)에 서 시술 후 평균 12.79(${\pm}0.58$)로 평균 차이가 1.79로 매우 유의성 있는 차이를 보였다 (p=0.000). 4. 시술 전후의 성별, 나이, 수지비증유무, Disc Type에 따른 pain rate에는 유의한 차이가 없다. (P<0.05) 5. 시술 전후의 성별, 연령별, Disc Type 에 따른 JOA score는 유의한 차이가 없으나 (p<0.05), 수지비증유무에 따른 JOA는 유의한 차이가 있었다(p=.025). 수지비증이 있는 경우 가 좀더 유의하게 증가하였다. 이상의 결과로 보아 봉약침(蜂藥鍼) 위주로 한 한의학적 치료가 경추 신경근 병변을 호소하는 환자에게 유의한 효과가 있었으며 다른 한방적 보존적 요법과 더불어 시행시키면 전반적인 경추의 퇴행성 변화에 대한 치료(治療)에 더욱 더 유익하리라 판단된다.

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중풍 후 운동 장애에 대한 『의부집성(醫部集成)』의 침구치료 고찰 (A literatual study on the acupuncture and moxibustion for hemiparesis of stroke in Euibujipsung)

  • 정동원;민인규;문상관;박성욱;정우상;박정미;고창남;조기호;배형섭;김영석
    • 대한중풍순환신경학회지
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    • 제7권1호
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    • pp.34-39
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    • 2006
  • Objectives and methods : The Euibujipsung is the one of the huge-scale encyclopedias about Oriental Medicine. To investigate the most frequently used acupoints for hemiparesis after stroke, we used Euibujipsung CR-ROM database with several key words concerned with motor weakness (半身不遂 不遂不隨 癱瘓 中臟 中腑 風痱, etc.). Results : In the result, we found five popular acupoints (GV20, LI11, LI15, ST36 and GB39), and four meridians (Stomach, Gall bladder, Large intestine and Small intestine). We also found that the Yang meridians were cited more frequently than the Yin. Conclusion : Therefore we think that these findings can give further ideas to clinical practice and research fields for stroke rehabilitation in Oriental medicine.

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중풍 후 언어 장애에 대한 ☐☐의부집성(醫部集成)☐☐의 침구치료 고찰 (A Literatual Study on the Acupuncture and Moxibustion for Dysarthria of Stroke in Euibujipsung)

  • 정동원;민인규;문상관;나병조;홍진우;박성욱;정우상;박정미;고창남;조기호;배형섭;김영석
    • 대한중풍순환신경학회지
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    • 제8권1호
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    • pp.28-33
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    • 2007
  • Objectives and methods : The Euibujipsung is one of the huge-scale encyclopedias about Oriental Medicine. To search the most frequently used aupoints for dysarthria after stroke, we used Euibujipsung CD-ROM database with several chinese character keyword concerned with vernal function(語, 言, 音, 啞, 瘖, etc). Results : We found four popular acupoints(PC5, GV20, GV16, TE6), and five meridians (Governor vessel, Gall Bladder, Heart, Large Intestine and Triple Energizer). We also found that the extra meridians were used more frequently than other type of meridians. Conclusion : We think that these findings can give further ideas to clinical practice and research fields for stroke rehabilitation in Oriental medicine.

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온도 측정을 통한 상용 쑥뜸의 자극효과에 대한 실험적 연구 -연소시간 및 연소온도를 중심으로- (Experimental Study on the Stimulating Effect of Commercial Moxa Combustion through the Measurement of Temperature -Focused on Combustion time and temperature-)

  • 이건목;양유선;이건휘
    • Journal of Acupuncture Research
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    • 제19권2호
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    • pp.114-127
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    • 2002
  • Objective : The purpose of this study is to investigate the mechanism and effect of moxibustion objectively and to be used as the quantitative data for developing the new thermal stimulating treatment by observing the combustion time and temperature of commercial moxaes. Methods : We have selected two types(large-size moxa A(LMA), large-size moxa B (LMB)) among large moxaes used widely in the clinic. We examined combustion times, temperatures in each period during a combustion of moxa. Results : 1. The combustion time in the preheating period was about 30sec in both moxaes on the non-contact heated surface. 2. The combustion time in the heating period was about 345sec in LMA and about 1391 sec in LMB, about 4 times longer in LMB on the non-contact surface. 3. The maximum temperature in the heating period was $44.5^{\circ}C$ in LMA and $45.4^{\circ}C$ in LMB respectively, higher by $0.9^{\circ}C$ in LMB. The average temperature in the heating period was $35.5{\sim}37.6^{\circ}C$ in LMA and $36.0{\sim}39.8^{\circ}C$ in LMB, a little higher in LMB. 4. The combustion time in the retaining period in LMA was 45.4sec and 13% of that in the heating period, and in LMB 594.7sec and 43% of that in the heating period on the non-contact surface. 5. On the point(PH) measured maximum temperature, the average temperature during the retaining period was $44.0^{\circ}C$, $42.9^{\circ}C$ respectively and the temperature at an end of the retaining period was $43.0^{\circ}C$, $40.2^{\circ}C$ respectively. 6. The time at a beginning of the cooling period was about 418 sec from ignition in LMA and 2021sec in LMB, and the temperature at that time was $36.9{\sim}39.1^{\circ}C$ on the non-contact surface. Conclusion : It was thought that not only the figure of moxicombustion device, but also the form and size of moxa had influence on the combustion characteristics deciding the performance of stimulus seriously.

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위중(委中), 후계(後谿), 위중배후계(委中配後谿) 전침(電鍼) 및 침자(鍼刺)가 백서(白鼠)의 신경병리성(神經病理性) 동통(疼痛) 억제(抑制)에 미치는 영향(影響) (Inhibitory effects of Electroacupuncture & Acupuncture at Hu-gye(SI03), Wijung(BL40),Hu-gye(SI03)ㆍWijung(BL40) on Neuropathic Pain in Rats)

  • 오창록;나창수;유충렬;조명래
    • Journal of Acupuncture Research
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    • 제22권1호
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    • pp.77-90
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    • 2005
  • 신경병리성 동통이 유발된 백서에 대하여 위중(委中), 후계(後谿), 위중배후계(委中配後谿) 전월(電鉞) 및 침자(鍼刺)가 물리적 이질통, 냉각 이질통, c-Fos 단백발현과 AchE 발 현 등에 미치는 영향을 측정한 결과 다음과 같은 결론을 얻었다. 1. 물리적 이질통 반응에 있어서는 Control군에 비해 전침(電鍼)군에서는 EA-BL40 +SI03군이, 침자(鍼刺)군에서는 AC-SI03군이 모두 6일째에 유의하게 감소하였다. 2. 냉각 이질통 반응에 있어서는 Control군에 비해 전침(電鍼)군에서는 EA-Sl03군과 EA-BI40+ SI03군이, 침자(鍼刺)군에서는 AC-Sl03군이 모두 6 일째에 유의하게 감소하였다. 3. Periaqeductal gray(PAG) 부위의 c-Fos 단백 발현에 있어서는 Control군에 비해 전침(電鍼)군에서는 EA-BL40+SI03군이, 침자(鍼刺)군에서는 AC-SI03군이 유의한 감소를 보였다. 4. Periaqeductal gray(PAG) 부위의 AchE 발현에 있어서는 Control군에 비해 전침(電鍼)군에서는 EA-BL40+SI03군이, 침자(鍼刺)군에서는 AC-SI03 군이 유의한 감소를 보였다.

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경맥진단(經脈診斷)의 맥진법(脈診法)이 기구맥(氣口脈)의 촌관척(寸關尺) 육부정위맥진법(六部定位脈診法)으로 연변(演變)된 연유(緣由)에 관(關)한 연구(硏究) -경맥학설(經脈學說) 및 맥진법(脈診法)의 상관성(相關性)- (A study on the reason that pulse-feeling method of meridians diagnosis flows into diagnostic method by taking pulse of setting six region for Chon(寸), Gwan(關) and Cheok(尺), i.e. the Chon[寸] spot pulse -A study on the transition of pulse-feeling method-)

  • 임한제;윤종화
    • Journal of Acupuncture Research
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    • 제21권1호
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    • pp.1-20
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    • 2004
  • Pulse-feeling took its origin from making a diagnosis along meridians in the course of discovering and forming meridians and for a long time its meaning was mixed with meridians in the course of recognizing "The Pulse" then was separated from meridians in the early days of Western Han Dynasty. Ancient pulse-feeling methods are pulse-feeling method by the twelve regular meridians, pulse-feeling method by three regions and nine modes, pulse-feeling method by Inyeong(人迎) and Chon-gu(寸口), etc. Pulse-feeling was changed in proportion to diagnostic purpose and method of treating and if method and region of pulse-feeling is arranged, we will infer correlation between meridians and pulse-feeling and will infer transitional system of past pulse-feeling and will forecast transition of future pulse-feeling. As the result that I study the transition of the above three pulse-feeling methods of meridians diagnosis: 1. Three pulse-feeling methods of meridians diagnosis flowed into diagnostic method by taking pulse of setting six region for Chon(寸), Gwan(關) and Cheok(尺), i.e. the Chon[寸] spot pulse of $\ll$Nan-gyeong$\gg$ and were changed into diagnostic method being fit for use of five Su points, The Front-Mo points and Back-Su points that grasp the pathology of mutual internal organs and treat the disease. 2. Today it is suggesting the transition of another pulse-feeling method that do not apply diagnostic method by taking pulse of setting six region for Chon(寸), Gwan(關) and Cheok(尺), i.e. the Chon[寸] spot pulse of $\ll$Nan-gyeong$\gg$ to 19C Sasang(四象) Constitutional Medicine or 20C Eight Constitutional Medicine.

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온도 측정을 통한 상용 쑥뜸의 자극효과에 대한 실험적 연구 - 승온속도 및 유효자극기를 중심으로 - (Experimental Study on the Stimulating Effect of Commercial Moxa Combustion through the Measurement of Temperature - Focused on ascending temperature gradient and effective stimulating period -)

  • 이건목;이건휘;이승훈;양명복;고기덕;서은미;장종덕;황병찬
    • Journal of Acupuncture Research
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    • 제19권3호
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    • pp.64-76
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    • 2002
  • Objective : The purpose of this study is to investigate the mechanism and effect of moxibustion objectively and to be used as the quantitative data for developing the new thermal stimulating treatment by observing the combustion characteristics of commercial moxaes. Methods : We have selected two types(large-size moxa A(LMA), large-size moxa B(LMB)) among large moxaes used widely in the clinic. We examined combustion times, temperatures, temperature gradients in each period during a combustion of moxa. Results : 1. The ascending temperature gradient measured in the central point of non-contacted surface was fastest, the average ascending temperature gradient of both moxaes was $0.0384^{\circ}C/sec$, $0.0123^{\circ}C/sec$ respectively, 3.1 times faster in LMA. The maximum ascending temperature gradient was also about 2.9 times faster in LMA. The time required for the maximum ascending temperature gradient from ignition was 254sec, 411sec respectively. 2. The minimum descending temperature gradient in the retaining period was $-0.0250^{\circ}C/sec$, $-0.0090^{\circ}C/sec$ respectively and the average descending temperature gradient was $-0.0160^{\circ}C/sec$, $-0.0037^{\circ}C/sec$ respectively on the non-contact surface. 3. On the basis of the non-contact surface($A_I$), the time at which the effective stimulus period began to occur was about 264sec, 796sec respectively after an ignition, the time at which the maximum temperature began to occur was about 373sec, 1323sec respectively after an ignition, and the maximum temperature was $0.9^{\circ}C$ higher in LMA. The maximum ascending temperature gradient was also about 4.2 times faster in LMA. Conclusion : It was thought that not only the figure of moxicombustion device, but also the form and size of moxa had influence on the combustion characteristics deciding the performance of stimulus seriously.

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봉약침액(蜂藥鍼液)과 Melittin 약침액(藥鍼液)이 RAW 264.7 세포의 PGE2, COX-2 및 NF-kB에 미치는 영향(影響) (The Effects of Bee Venom and Melittin Solution on PGE2, COX-2, and NF-kB Dependent Luciferase Activity in RAW 264.7 Cells)

  • 정일국;송호섭
    • Journal of Acupuncture Research
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    • 제21권6호
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    • pp.19-36
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    • 2004
  • Objective : The purpose of this study was to investigate the effect of Bee Venom and Melittin Solution on the lipopolysaccharide(LPS) and sodium nitroprusside(SNP)-induced expression of prostaglandin $E_2(PGE_2)$, cyclooxygenase-2(COX-2), nuclear factor kappa B($NF-{\kappa}B$) and nuclear factor kappa B($NF-{\kappa}B$) dependent luciferase activity in RAW 264.7 cells, a murine macrophage cell line. Methods : The expression of PGE2 was determined by determination of $PEG_2$, COX-2 was by western blotting with corresponding antibodies, $NF-{\kappa}B$ was by gel mobility shift assay method and $NF-{\kappa}B$ dependent luciferase activity was investigated by luciferase assay in RAW 264.7 cells. Results : 1. LPS and SNP-induced expression of $PEG_2$ was significant after 24hour. 2. The 0.5, 1 and $5{\mu}g/mL$ of bee venom and the 5 and $10{\mu}g/mL$ of melittin solution inhibited significantly LPS-induced expression of $PEG_2$ and, the $5{\mu}g/mL$ of bee venom and the 5 and $10{\mu}g/mL$ of melittin solution inhibited significantly SNP-induced expression of $PEG_2$ compared with control, respectively. The 0.5 and $1{\mu}g/mL$ of bee venom could not significantly inhibit SNP-induced expression of $PEG_2$ compared with control. 3. The $5{\mu}g/mL$ of bee venom and the 5 and $10{\mu}g/mL$ of melittin solution inhibited significantly LPS and SNP-induced expression of COX-2 compared with control, respectively. The 0.5 and $1{\mu}g/mL$ of bee venom inclined to decrease LPS and SNP-induced expression of COX-2 compared with control. 4. The 0.5, 1 and $5{\mu}g/mL$ of bee venom and the 5 and $10{\mu}g/mL$ of melittin solution inhibited significantly LPS and SNP-induced expression of $NF-{\kappa}B$ compared with control, respectively. 5. The 0.5, 1 and $5{\mu}g/mL$ of bee venom and the 5 and $10{\mu}g/mL$ of melittin solution inhibited significantly LPS-induced expression of $NF-{\kappa}B$ dependent luciferase activity and the 1 and $5{\mu}g/mL$ of bee venom and the 5 and $10{\mu}g/mL$ of melittin solution inhibited significantly SNP-induced expression of $NF-{\kappa}B$ dependent luciferase activity compared with control, respectively. The $NF-{\kappa}B$ inhibitor also inhibited significantly LPS and SNP-induced expression of $NF-{\kappa}B$ dependent luciferase activity compared with control. 6. The 0.5, 1 and $5{\mu}g/mL$ of bee venom and the 5 and $10{\mu}g/mL$ of melittin solution inhibited significantly LPS + IFN-${\gamma}$, TNF-${\alpha}$ and LPS + TNF-${\alpha}$-induced expression of $NF-{\kappa}B$ dependent luciferase activity compared with control, respectively. The $NF-{\kappa}B$ inhibitor also inhibited significantly LPS and SNP-induced expression of $NF-{\kappa}B$ dependent luciferase activity compared with control. Conclusions : These results suggest the inhibitory action of bee venom and melittin solution on the inflammatory mediators such as $PEG_2$, COX-2 and $NF-{\kappa}B$.

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