• 제목/요약/키워드: bee-venom

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한방병원의 봉약침 시술 동의서의 사용 현황과 표준 시술 동의서 개발에 대한 제안 (Usage of informed consent form for Bee-venom pharmacopuncture Therapy at korean medicine hospitals and Proposal for development of a standard informed consent form.)

  • 김민정
    • 대한한의학회지
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    • 제41권3호
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    • pp.66-80
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    • 2020
  • Objectives: We investigated the current status of the consent form for bee-venom pharmacopuncture therapy, which is using in Korean medicine hospitals. We suggest the development of a standard informed consent form. Method: Through the questionnaire survey, status of using informed consent form was identified at 24 Korean medicine hospitals. We analyze different types of informed consent form, which was developed by each hospitals. We investigated the types of informed consent forms for various medical procedures through electronic searches. A standard informed consent form for bee-venom pharmacopuncture therapy was developed based on the medical law and the standard informed consent form for medical procedures developed by Korea Fair Trade Mediation Agency. Result: In our survey, 65% of the hospitals do not use consent well, only 35% of the hospitals use informed consent form, and the most hospitals use self-developed informed consent form. As a result of analyzing the contents of informed consent form used in each hospitals, the explanation of diagnosis, treatment precautions, suggestions for other treatments, consequences of not performing the scheduled procedure, possibility of treatment change was insufficient. 48% of hospitals manage consent in recording on a chart, 39% in scanned documents, and 13% in digital electronic consent form. Conclusion: A standard informed consent form for Bee-venom pharmacopuncture therapy include diagnosis, effectivness, necessity, indications, method, skin reaction test, hypersensitivity questionnaire, treatment precautions, possible hypersensitivity reactions and countermeasures, suggestions for other treatments, consequences of not performing the scheduled procedure, possibility of treatment change and the name of doctor.

요각통(腰脚痛)에 대한 단침치료군(單鍼治療群), 봉약침(蜂藥鍼) 병행치료군(竝行治療群), 중성어혈약침(中性瘀血藥鍼) 병행치료군(竝行治療群)의 비교연구 (Effectiveness of Bee-venom Acpuncture and Ouhyul Herbal Acpuncture in Herniation of Nucleus Pulposus-comparison with Acpuncture Therapy Only)

  • 이성환;강민완;이현;이소열
    • Journal of Acupuncture Research
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    • 제24권5호
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    • pp.197-205
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    • 2007
  • Objectives : Herniation of Nucleus Pulposus(HNP) of Lumbar is the most important that causes low back pain. The aim of this study is to compare several therapies about Lumbar spine Hearniated Nucleus Pulposus in oriental Medecine which are Bee-venom Acpuncture and Ouhyul Herbal Acpuncture. Methods: Subjects of this research were 60 inpatients complaining Herniation of Nucleus Pulposus, and who were diagnosed as bulging disc, disc protrusion or extrusion with CT & MRI. 20 patients in each, 3 groups; Acpuncture therapy only, Bee-venom Acpuncture, and Ouhyul Herbal Acpuncture, were divided and the conclusions for treatment are as follows. Results : 1. Regarding alleviation of pain by VAS, Ouhyul Herbal Acpuncture Group III showed significant decrease of VAS in the early period of admission(5days), while Bee-venom Acpuncture Group II showed higher score of VAS compared to Acpuncture therapy only Group I. 2. On contrary, in the latter period of admission($5{\sim}9days$), Bee-venom Acpuncture Group II showed significantly higher rate of improvement than the other groups. 3. On the 9th admission day, Bee-venom Acpuncture Group II and Ouhyul Herbal Acpuncture Group III showed higher improvement than Acpuncture therapy only Group I. Between group II and III, Group II showed higher improvement rate. Conclusions : In this study, there were different effects among three groups according to period of treatment. Further study on various traatment for Herniation of Nucleus Pulposus required.

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무릎 골관절염의 봉독 약침 치료에 대한 체계적 문헌 고찰 (A Systematic Review of Bee Venom Acupuncture for Knee Osteoarthritis)

  • 구지향;김은석;박양춘;정인철;이은정
    • 한방재활의학과학회지
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    • 제27권3호
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    • pp.47-60
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    • 2017
  • Objectives The aim of this research is to assess the effects of bee venom acupuncture for knee osteoarthritis. Methods For a systematic review, we constructed a key question as the effect of bee venom acupuncture for knee osteoarthritis and selected RCTs and nRCTs. We searched the following 15 databases without a language restriction: Pubmed, EMBASE, Cochrane CENTRAL (CENTRAL), CINAHL, AMED, seven Korean medical databases (KoreaMed, Kmbase, KISS, NDSL, KISTI, Koreantk, OASIS) and three Chinese databases including CNKI, Wanfang and VIP database. Results A total of 300 potentially relevant studies were identified; only 13 studies were selected for systematic review. Almost studies showed that bee venom acupuncture has significant effect on knee osteoarthritis. 5 studies comparing bee venom acupuncture with acupuncture were included in the meta-analysis. The effect size of standardized mean difference (SMD) was analyzed as 'small effect' with 0.47 (95% CI: 0.10~0.83, Z=2.49, p=0.01). Conclusions The research showed that bee venom acupuncture can significantly reduce pain, stiffness and improve the quality of life of patients with knee osteoarthritis. However, most of the studies included in the analysis were evaluated as methodologically high risk of bias. This suggests that there is limitation applying this study. In the future, more Randomized Controlled trial should be actively conducted.

전열침 시술에 호전되지 않는 요통환자에 대한 봉독약침 치료 증례보고 2례 (The Two Cases Report of Bee Venom Injection on Patient with Low Back Pain Maintaining after Heating-Conduction Acupuncture Therapy)

  • 연창호;박현건;이운섭;김종연;정석희
    • 척추신경추나의학회지
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    • 제7권2호
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    • pp.75-81
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    • 2012
  • 장요인대 염좌 환자 2명에게 전열침 치료를 시행하여 통증 강도가 증가하였지만 봉독약침 치료를 시행한 후 통증 강도와 요추 가동범위 및 이학적 검진상에서 호전되었음을 보고한다. 이와 같이 봉독약침에 의해 호전 될 수 있는, 염증성 병변을 내재하였거나 진행 될 가능성이 있는 환자에 대한 사전의 감별 진단에 대한 연구 및 전열침 치료의 효과 및 부작용에 대한 체계적인 연구가 추후에 필요할 것으로 사료된다.

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스테로이드 주사요법 합병증이 동반된 방아쇠 수지 환자 봉약침 치험례 (A Case Study of the Bee Venom Acupuncture Effect for Trigger Finger with Side Effects by Steroid Injection)

  • 이슬지;남지환;김기원;이민정;전재윤;임수진;이종환;송주현
    • Journal of Acupuncture Research
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    • 제30권4호
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    • pp.189-196
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    • 2013
  • Objectives : The aim of this study was to find out the therapeutic effect of bee venom acupuncture in the treatment of patient with trigger finger accompany side effects by steroid injection. Methods : As the effect of bee venom acupuncture about various articulation diseases observed, we tried to treat a case that was diagnosed trigger finger with side effects by steroid injection by using bee venom acupuncture. Result : After three times bee venom acupuncture treatments, 'VAS' score and triggering grade decreased quite noticeably, and other symptoms as have improved as well. Conclusions : Bee venom acupuncture have shown fairly effective to trigger finger accompany side effects by steroid injection.

봉약침 시술 후 발생한 Anaphylaxis 환자의 증례보고 (The Case Report of Anaphylaxis after Treated with Bee-Venom Acupuncture)

  • 김진희;김민수;이지영;염승룡;권영달;김동웅
    • 한방재활의학과학회지
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    • 제25권4호
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    • pp.175-182
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    • 2015
  • The purpose of this study was to report an anaphylaxis after treated with Bee-venom acupuncture. Anaphylaxis is a clinical syndrome characterized by the acute system reaction of multiple organ systems to an IgE-mediated immunologic mediator release in previously sensitized individuals. We investigated the patients who had injected with Bee-venom in our clinic from March 2, 2014 to May 30, 2015. and two patients of anaphylaxis treated by Bee-Venom acupuncture were observed. One case of anaphylaxis was expressed clinically hypotension drowsy mentality, dyspnea, vomiting and so on. The other case was expressed itching sensation, urticaria, breathlessness, abdominal pain and so on. Based on this case, Bee venom-induced anaphylaxis can occur although preceding reactions are local or mild systemic ones. So, Korean medical doctor using Bee-Venom acupuncture must be prepare the system consider a countermeasure by anaphylaxis.

Bee Venom 및 Melittin 약침액(藥鍼液)이 신경마비물질(神經麻痺物質)을 처치(處置)한 신경아세포종(神經芽細胞腫)의 세포사(細胞死)에 미치는 영향(影響) (The Effect of Bee Venom & melittin Herbal acupuncture solution to Apoptosis in NG pretreated neuroblastoma cell line)

  • 이정훈;진재도;이승우;한상원;김상태;신준식
    • Journal of Acupuncture Research
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    • 제19권1호
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    • pp.189-202
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    • 2002
  • Objective : This study is designed to investigate the effects of bee venom and melittin on cell death in neuroblastoma cell line after pretreatment with NG(nerve growth inhibitory substance) Methods : It was evaluated by using MTT assay, morphological method, DNA fragmenation, flow cytometry, immunocytochemistry analysis, RT-PCR and Western blot. Results : The MTT assay demonstrated that neuroblastoma cell viability was significantly inhibited dose-dependently by treatment with bee venom and melittin after pretreatment with NG in comparison awith control. The morphological study and fow cytometry demonstrated that neuroblastoma cell showed apoptosis. DNA fragmenation showed DNA ladder below 1 Kbp. Immunocytochemistry assay demonstrated that Fos and MAPK were down-regulated. RT-PCR analysis demonstrated that Fos and MAPK was down-regulated. Western blot demonstrated that Fos and MAPK were down-regulated from $1{\mu}g/ml$ bee venom in neuroblastoma cell pretreated with NG. Conclusion : These result suggests that bee venom and melittin after NG treatment have significant anti-cancer effect and further study is needed in vivo.

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봉독의 급수투여가 육계의 생산성에 미치는 영향 (Effects of honeybee (Apis mellifera L.) venom by water supply on the performance of broiler chicken)

  • 한상미;이광길;여주홍;오백영;김봉순;이웅;김순태
    • 한국동물위생학회지
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    • 제33권2호
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    • pp.177-183
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    • 2010
  • This study was conducted to investigate the antibiotic effects of bee venom (Apis mellifera) on the growth performance and blood characteristics in broiler chicken. 1-day-old broiler chicks were randomly divided into 3 groups with 3 replicates of 5,000 birds each. The treatments were control without antibiotic and bee venom, 0.5ppm or 1ppm bee venom. The final body weight and body weight gain were significantly higher in bee venom than control (P<0.05). The feed conversion ratio in all treated groups were significantly improved as compared to that of control (P<0.05). No significant differences among the groups were observed in the contents of total cholesterol, aspartate aminotransferase (AST), alanine aminotransferase (ALT), total protein, albumin and globulin in blood serum. The white blood cell, red blood cell, heterophil, lymphocyte, and stress indicator (heterophil:lymphocyte rate) were not significantly different among the groups. The superoxide dismutase-like activities in the groups that were water containing bee venom were significantly increased compared to those in the control group (P<0.05). It has been suggested that bee venom promotes the growth of broilers without any negative effect when added in broiler water.

봉약침 시술 후에 발생한 Pain Shock 환자에 대한 임상보고 (A Clinical Study on the cases of The Pain Shock Patients after Korean Bee-Venom Therapy)

  • 안창석;권기록;이진선
    • 대한약침학회지
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    • 제4권3호
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    • pp.109-117
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    • 2001
  • Objective : There has been no known report on the pain shock after administering Korean bee-venom therapy. Three accounts of pain shock were observed at the Sangji university affiliated Oriental medicine clinic from July 2001 through September 2001. This thesis will inform clinical progression and cautions on administering Korean bee-venom therapy. Methods: We were able to witness different patterns of pain shock during the treatment of degenerative knee joint, progressive oral paralysis, and A.L.S. In order to reduce heat toxicity of the bee venom, needling points were first massaged with the ice for 10 minutes before injecting $0.1{\sim}0.2cc$ of the bee venom. Points of injection were ST36, LI11, LI4 and others. Pain shock occurred after injecting on inner xi-an, outer xi-an and LI4. The phenomena associated with pain shock was recorded in chronological order and local changes were examined. Results: Through examining 3 patients with the pain shock, we managed to observe clinical progression, duration, and time linked changes on specific regions. We also managed to determine sensitive needling points for the pain shock. Conclution: Following results were obtained from 3 patients with the pain shock caused by Korean bee-venom therapy from July 2001 to September 2001. 1. Either positive or negative responses were shown after the pain shock. For case 1, extreme pain was accompanied with muscular convulsion and tremble, ocular hyperemia, delirium, stiffening of extremities, and hyper ventilation which all suggest positive responses. For case 2 and 3, extreme pain was accompanied with facial sweating, asthenia of extremities, pallor face, dizziness, weak voice, and sleepiness which are the signs of negative responses. 2. The time required to recover to stable state took nearly an hour (including sleeping time) and there was no side effect. 3. Precautions required to prevent the pain shock includes full concentration from the practitioner, accurate point location, precise amount of injection, physiological condition and psychological stability of the patient 4. Coping with the pain shock should be similar with a needle shock, and since extreme pain is accompanied, sufficient psychological rest must be provided. 5. Pain shock occurs because the patient cannot tolerate stimulation on the needling point. Thus, symptoms were similar to the needle shock in addition to excruciating pain. Further investigation and research must be done to have better understanding of an immune response and the pain shock associated with Korean bee-venom therapy.

족근통(足根通)에 봉약침료법(蜂藥針療法)이 미치는 영향(影響) (The Effect of Bee-venom Acupuncture on Heel Pain)

  • 안광현;김기현;황현서;송호섭;권순정;이성노;변임정;강미숙
    • Journal of Acupuncture Research
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    • 제19권5호
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    • pp.149-160
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    • 2002
  • Objetive : To evaluate the effect of treatment for Heel Pain by using Bee-venom Acupuncture that is well known for anti-inflamatory effect and function of activating immunine system. Methods : We investigated 32 cases of patient with Heel Pain. From 1th November 2001 to 30th June 2002, 32 cases of patient with Heel Pain treated at the Department of Acupuncture & Moxibustion of Kyung-won University Oriental Hospital were selected for two group. One group was treated by Bee-venom Acupuncture therapy (Bee-venom Acupuncture Group : BAG), the other group was treated by Common Acupuncture therapy (None Bee-venom Acupuncture Group : NBAG). Both group were composed of 16 patients. After treatment, we evaluated the effects per each group. Results : 1. In the distribution by sex & age : 5 cases were male, 11 cases were female in BAG. 10 cases were male, 6 cases were female in NBGA. Forty aged cases were the most in BAG. Thirty aged cases were the most in NBAG. 2. Assessment of treatment by therapeutic frequency : 14 cases(87.5%) were above "Fair" within 6 times in BAG, 7 cases(43.8%) were above "Fair" beyond 10 times. 3. Assessment of treatment : Excellent were 9 cases, Good 5 cases, Fair 2 cases in BAG, Excellent were 2 cases, Good 7 cases, Fair 2 cases, Poor 5 cases in NBAG. Therapeutic effect above "Fair" were 16 cases(100%) in BAG, 11 cases(68.8%) in NBAG. 4. Comparing BAG with NBAG by therapeutic frequency and assessment in Grade II state : 11 cases(91.7%) were above "Good" within 6 times in BGA, 3 cases (57.1%) above "Fair" beyond 10 times. 5. About average frequency of treatment in the distribution of Grade : Grade III was 5.3 times, Grade II 4.0 times in BGA, whereas Grade III 16.0 times, Grade II 8.4 times in NBGA. Conclusions : In the treatment of Heel Pain, the Bee-venom Acupuncture can be regarded as more useful method in the clinical practice, because it has comparatively shorter duration of treatment and is more effective.

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