• Title/Summary/Keyword: acupuncture research

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Study on Portions and Layers of the Skin - based on "Naejing(內經)" - (피(皮)의 분(分)과 부(部)에 대한 연구 - "황제내경(黃帝內經)"을 중심으로 -)

  • Kang, Jung-Soo
    • Journal of Haehwa Medicine
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    • v.20 no.1
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    • pp.1-10
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    • 2011
  • By studying the portions and layers(分部), left and right, superior and inferior, location of yin and yang, and beginning and end of diseases of skin, which is the core point of the theory of cutaneous region(皮部論) in "Naejing(內經)", in the physiological and pathological perspective, based on opinion of historic memorial doctors, arrived to the conclusion as below. Cutaneous region means not only the distribution of three yin and three yang(三陰三陽) of the surface, but also inside and outside, shallowness and depth, and it is the system which unites meridians, networks, and vessels. It is divided into portions and layers. The origin and beginning of diseases and the rule of favorable pattern and unfavorable pattern can be known through it. The portion of skin is not only the area that meridian vessels belongs to skin, but also the area that activation of twelve meridian vessels are expressed in the surface. The layer of skin is consisted in order of skin-tertiary collateral vessel-collateral vessel-meridian vessel-bone. In "Naejing", there are two preconditions to divide three yin and three yang into yin and yang. The first is standing while looking the south, and second is the quotation "outside is side of yang(外者爲陽 內者爲陰)." According to this preconditions, yang of outside of yang brightness, lesser yang, and greater yang is the whole body, except inside of hand and foot which yin of lesser yin, pericardium, and greater yin. Superior and inferior of the portions and the layers is designated as hand and foot, theological basis of which superior and inferior work in same diagnostic method can be found in the root and the basis(標本) and the origin and the insertion(根結). In conclusion, cutaneous region not only manages layer of the skin, but also it is divided into layers and portions, so it has close relations between meridian vessels and collateral vessels. The in-depth study of cutaneous region and meridians should be progress, in order to practice of diagnosis and acupuncture and moxibustion more.

Laser Photobiostimulation-Induced Hypoalgesia in Rats (쥐에 대한 레이저 자극시 진통효과)

  • Kwak, Hyun-Ho;Kim, Do-Hyung;Choi, Hyun-Hee;Yi, Chung-Hwi
    • Physical Therapy Korea
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    • v.5 no.2
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    • pp.15-22
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    • 1998
  • Laser photobiostimulation (LPBS) is one of the recent additions to therapeutic procedures used in chronic pain management. Though widely used, a clear understanding of its mechanism of action was not disclosed. In addition, the energy density that produces maximal benefit has not yet been established. The purposes of this study were to determine the effects of LPBS on pain relief in rat and to determine treatment dosage. Eight, 8-week old female, Sprague-Dawley rats were employed. All subjects were assigned to one of four groups: a sham laser group, a 0.4 $J/cm^2$ laser group, a 2.0 $J/cm^2$ laser group, and a 6.0 $J/cm^2$ laser group. Ga-As laser (904 nm wavelength) of three different energy densities (0.4, 2.0, 6.0 $J/cm^2$) was applied on a tail acupuncture point and tail-flick latencies were measured five times pre-and post-treatment as following schedules: 30 minutes, 1 hour. 24 hours. 48 hours, and 7 days later. An increase in pain threshold was demonstrated following LPBS, employing rat tail-flick test. LPBS of 2.0 $J/cm^2$ produced hypoalgesia of rapid onset and short duration (1 hour, 24 hours) while the response to 6.0 $J/cm^2$ was delayed and lasted longer (48 hours, 7 days). LPBS of 0.4 $J/cm^2$ did not produce any hypoalgesia.

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A Review of Recent Studies for Treatment of TMD Using CNKI Database (CNKI 검색을 통한 턱관절 장애 치료의 최신 연구 동향)

  • Kim, Jung-Sup;Kim, Dong-Eun;Jung, Dong-Hoon;Yu, Sun-Ae;Cho, Sung-Woo
    • Journal of Korean Medicine Rehabilitation
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    • v.26 no.2
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    • pp.61-74
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    • 2016
  • Objectives The purpose of this research is to investigate recent clinical studies of Temporomandibular Joint Disorder in China. Methods We investigated recent clinical studies of Oriental Medicine therapies in traditional Chinese medical journals for Temporomandibular Joint Disorder through CNKI search. 20 clinical articles published from 2010 to 2015 were analyzed. This study examined the authors, published years, types of study designs, criteria for diagnosis and evaluation, periods, purposes of study and classified articles by techniques of treatment. Results Most of articles were classified as RCT. TMD was diagnosed by symptoms in a high proportion of articles. The criteria for evaluation that most frequently used were grading scale, but there was a lack of objectivity. The techniques of treatment were Tuina, acupuncture, herb medicine, electrotherapy, splint, PNF, congnitive behavior therapy, laser therapy, magnetic therapy. Conclusions In order to develop treatment of TMD in the Korean medicine, clinical studies for various therapies on a high level and cooperative studies between medical communities are needed.

The Effectiveness of Korean Medical Rehabilitation Treatment after Musculoskeletal Surgery: A Retrospective Observational Study (근골격계 수술 후 한방재활치료의 효과: 후향적 관찰연구)

  • Woo, Hyeon-Jun;Geum, Ji-Hye;Lee, Jung-Han
    • Journal of Korean Medicine Rehabilitation
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    • v.30 no.3
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    • pp.151-162
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    • 2020
  • Objectives This study aimed to evaluate the effectiveness of postoperative Korean rehabilitation treatment for patients with musculoskeletal disorders. Methods The medical records of patients undergoing Korean medical rehabilitation after a musculoskeletal surgery, from January 1, 2016, to December 31, 2019, were analyzed retrospectively. The effect of treatment was evaluated by using a numeric rating scale (NRS) and questionnaire for each surgical site. When the same patient was re-admitted after discharge, it was treated as the same case if it was within 7 days from the discharge date; otherwise, it was treated separately. If the period of hospitalization was within 7 days or the chief complaint was not related to musculoskeletal surgeries, the case was excluded. Results In total, 480 cases were included in this study. Acupuncture (99.8%), moxibustion (95.6%), cupping (97.5%), Chuna manual therapy (81.5%), Korean medical physiotherapy (61.0%), Daoyin exercise therapy (26.3%), and herbal medicine (87.7%) were used as the Korean medical rehabilitation treatments. A significant improvement was noted when comparing the NRS and questionnaire results for each surgical site at the time of admission and discharge. Conclusions Korean medical rehabilitation can be effectively used for patients who have undergone musculoskeletal surgeries, to relieve pain and enable returning to daily activities. However, further research with a high level of evidence is necessary to support this finding.

An Analysis of the Study Tendency on Meridian Muscle (국내의 경근(經筋) 연구동향에 대한 고찰)

  • Lee, Sang-Min;Lee, Jong-Soo
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.4 no.2
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    • pp.211-223
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    • 2009
  • Objectives : The aim of this research is to analyze the current trend of the studies about eridian muscle and to provide background for further studies. Methods : Reviewing 33 domestic oriental medical studies about meridian muscle, and comparative analysis was made. These studies were classified by method, theme and subtitle. Results : 1. According to the classification by study method, number of literary studies are 22(67%), which is more than half, number of experimental studies are 5(15%) and clinical studies are 6(18%). 2. According to the classification by study theme in literary study, percentage of 'Structure amp; Movement of Meridian Muscle' took 64%, Theory study of Meridian Muscle' took 14%, 'Application of Concept of Meridian Muscle' took 14%, 'Treatment of Meridian Muscle disorder' took 9% arranged in order. 3. In 'Theory study of Meridian Muscle', there were not only literary approaches but also Deficiency-Excessiveness(虛實) and historical approaches. Study about 'Structure & Movement of Meridian Muscle' includes analysis of muscle and Myofascial pain syndrome. On this background, it is necessary to recognize the linkage and motion analysis of Meridian Muscle. Therefore, studies were changed into interpretation about Anatomy trains, analysis of motion. The study about 'Treatment of Meridian Muscle disorder' provided the various treatment method-Acupuncture, Manual therapy, Ashi(阿是)-point therapy, CHUNA therapy etc.- in literary study. The study about the 'Application of Concept of Meridian Muscle' has been performed in relation to Embedding Therapy, Kyungkuen chuna, Ki-gong therapy. 4. Experimental Studies were all Anatomical Studies. Studies were done in trial of discovering the actual existence, but revealed problem in interpretating the meaning of Meridian Muscle. 5. Clinical Studies based on Ashi(阿是)-point therapy CHUNA Muscles Along Meridians Release Therapy etc, were performed. Experimental studies about Meridian Muscle were assessed as low grade according to Jadad Scale. There were no studies which were based on well-organized Meridian Muscle theory. Conclusions : There needs to be more discussion about concept of Meridian Muscle and proceed more reliable experimental studies with organized Meridian Muscle theory. Further objective studies about treatment of Meridian Muscle should be done.

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Korean Medicine Interventions for Benign Paroxysmal Positional Vertigo: A Systematic Review of Clinical Studies Published in Korea (양성 돌발성 체위성 현훈(Benign Paroxysmal Positional Vertigo)에 관한 임상 문헌 고찰 - 국내에 출판된 한의약 임상 논문을 중심으로 -)

  • Jung, Jun-su;Jung, Sung-heon;Kim, Min-joo;Park, Jang-kyung;Bae, Kwang-ho;Kong, Kyung-hwan;Ko, Ho-yeon
    • The Journal of Internal Korean Medicine
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    • v.38 no.4
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    • pp.479-490
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    • 2017
  • Objectives: This study provides evidence for clinical practices by analyzing present clinical Korean medicine articles about benign paroxysmal positional vertigo (BPPV). Methods: Articles published up to July, 2017 were found by searching "BPPV", "Benign positions", and "Vertigo" as keywords in three domestic electric databases (i.e., OASIS, NDSL, RISS). Results: The initial search resulted in 228 articles; however, only 20 articles satisfied the selection criteria and were analyzed. Of these, 40% were published in the Journal of Korean Oriental Internal Medicine, and 35% were published in 2003. When diagnosing BPPV patients, VAS scores are primarily used for clinical assessments rather than objective diagnostic tools. Banhabaekchulcheonmatang was the most frequent herbal medicine used to treat BPPV, and the most commonly used therapeutic acupuncture point was Jok-samni (ST36). The most common diagnosis of BPPV was dam-eum according to nine studies. Conclusions: Systematic and large-scale research for the standardization of BPPV treatment is needed.

Efficency of Simultaneous Administration of Herb Medicine and NSAIDs in Herniated Lumbar Intervertebral Disc (한.양약의 병행투여가 요추간판탈출증의 보전적치료에 미치는 영향)

  • Song, Bong-Keun;Jeong, In-Seok;Kim, Joong-Kil
    • The Journal of Internal Korean Medicine
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    • v.21 no.1
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    • pp.1-6
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    • 2000
  • Objectives : Herniated lumbar intervertebral disc (HIVD) is one of the cause of low back pain and radiculopathy. To evaluate the efficiency of simultaneous administration of herb medicine and non-steroid-anti-inflamatory drugs (NSAIDs), we investigated 48 HIVD patients confirmed by CT or MRI and treated with acupuncture, bed rest, herb medicine, physical therapy and NSAIDs. Methods : The patients were divided into four groups as follows : The A group were 11 cases treated with only herb medicine A. The A+W group were 14 cases treated with herb medicine A and NSAIDs. The B group were 11 cases treated with herb medicine B. The B+W group were 12 cases treated with herb medicine Band NSAIDs. We evaluated the pain degree by visual analog scale (VAS). Results : The mean VAS was reduced to $4.89{\pm}2.62$ after 2 weeks therapy and pain decrease was the most prominent in the group having within a week duration ($3.25{\pm}2.49$). Pain scale was decreased to $4.57{\pm}2.95$ in A+W group, $4.91{\pm}1.97$ in A group, $4.72{\pm}2.68$ in B group, and $5.41{\pm}2.67$ in B+W group after 2 weeks therapy. Conclusions : These results indicate that oriental medical theraphy is useful enough to treat the HIVD patients and herb medicine decrease the pain of the HIVD effectively. Therefore, the more research about herb medicine for pain killing drugs should be done.

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A Drug-Induced Liver Injury by Western Medication (양약으로 유발된 약인성 간손상 환자 임상보고)

  • Son, Chang-gue
    • The Journal of Internal Korean Medicine
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    • v.36 no.1
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    • pp.69-75
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    • 2015
  • Objectives : To investigate the clinical features of drug-induced liver injury (DILI) and traditional Korean medicine (TKM) -based management. Methods : A female patient diagnosed with DILI caused by Western drugs had been treated with Oriental therapies, then the subjective clinical outcome and biochemical parameters were monitored. Results : A 73-year-old female had taken Western drugs (nonsteroidal anti-inflammatory and skeletal muscle relaxants) for about 3 months, and complained of severe abdominal discomfort and tiredness. Her RUCAM score was 9, which met the criteria for DILI (AST 90 IU/L, ALT 100 IU/L, ALP 191 IU/L, and GGT 614 IU/L). She was treated with herbal drugs, moxibustion, and acupuncture, and her symptoms completely resolved, with normalized hepatic enzymes within two weeks. Conclusions : This case report provides a clinical characteristic for a typical DILI caused by Western medicine, and shows an example of a TKM-based application.

A Case Report of Injury of Other Nerves at the Wrist and Hand Level After Repetitive Work (상지 반복 작업 후 발생한 손목 및 손 부위의 기타 신경손상 치험 1례)

  • Kim, Young-ji;Park, Jeong-su;Sung, Hyun-kyung;Lee, Ju-ah;Kong, Kyung-hwan;Go, Ho-yeon
    • The Journal of Internal Korean Medicine
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    • v.37 no.5
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    • pp.847-854
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    • 2016
  • Background and Objective: The Korean agricultural population is now rapidly aging. Older people in rural areas are weak due to work-related musculoskeletal disorders. The aim of this case is to report treatment of injuries to the nerves at the wrist and hand level by Korean medicine. Methods: The patient in this case was a 74-year-old male. He had injured nerves at the right wrist and hand level due to agriculture work. We treated him with acupuncture, herbal medicine, etc. Results: The patient showed the first sign of recovery of his wrist after 13 days treatment. After 37 days of treatment, his wrist movement was restored to a nearly normal range. He showed the first sign of recovery in a finger after 19 days of treatment and his grasping power increased from 0% to 60%. The cold sensation in his hand and arm also disappeared. Conclusions: We cannot generalize based only on this one case study. Nevertheless, this report suggests that Korean medicine may be an effective treatment for injury of nerves at the wrist and hand level.

A Case Report of Gastroesophageal Reflux Disease and Dysphagia Caused by Ingestion of Detergent (세정제 음독후 발생한 역류성 식도질환 및 연하곤란 환자 치험 1례)

  • Kim, Young-ji;Park, Jeong-su;Sung, Hyun-kyung;Lee, Ju-ah;Kim, Dam-hui;Go, Ho-yeon;Kong, Kyung-hwan
    • The Journal of Internal Korean Medicine
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    • v.37 no.5
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    • pp.855-862
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    • 2016
  • The recent increased interest in hygiene has led to the use of a variety of detergents everyday life. Accordingly, accidents occur frequently, but proper precautions or treatments have not yet been established for these occasions. The patient in this case had accidentally ingested basic detergent, after mistaking it for a drink. This had caused acid reflux swallowing distress. Treatment in a western medical hospital had resulted in improvement in inflammation, as observed with an esophageal endoscopy test, but the patient still found it almost impossible to drink or eat. Following treatment with herbal medicine and acupuncture, the patient’s food intake increased and the pain and dysphagia were diminished. We cannot generalize based only on this one case study, so further studies are needed.