• 대한약침학회지
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• 제25권4호
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• pp.396-403
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• 2022

Objectives: Gout is an inflammatory arthritis of the joints and soft tissues occurring due to deposition of monosodium urate (MSU) crystals, which are caused by persistent hyperuricemia. Soyeom pharmacopuncture is one treatment method that has been traditionally used for pain management in Oriental medicine. However, studies on its effect in reducing gout pain have been insufficient. Therefore, we selected Soyeom pharmacopuncture among natural products used in Korea as the new target of our study. Methods: The effects of Soyeom pharmacopuncture were examined in mouse models of acute gout induced by injection of MSU crystals into footpads. IL-1β, IL-6, and TNF-α production were examined by immunoblotting and enzyme-linked immunosorbent assay as hallmarks of NLRP3 inflammasome and cytokine activation. Results: Soyeom pharmacopuncture reduced foot edema in gout-induced mice, as well as IL-1β, nitrite, IL-6, and TNF-α production. Moreover, Soyeom pharmacopuncture also reduced MSU-induced gout inflammatory gene expressions, specifically those in the NF-kB pathway. Conclusion: Pharmacopuncture may serve as a new solution for other inflammatory diseases as well. Through active follow-up studies, we could thoroughly understand the clinical value of Soyeom pharmacopuncture.

• Korean Journal of Acupuncture
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• 제38권1호
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• pp.16-31
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• 2021

Objectives : The purpose of this study was to investigate the current status of clinical practice for gout in Korean Medicine (KM). Methods : On-line survey was adopted for this study, targeted at KM Doctors who were registered in the Association of Korean Medicine. The questionnaire included the general status of treatment, pattern identification and treatment method according to three stages given: acute, chronic and asymptomatic hyperuricemia stage. Results : Data from a total of 384 respondents was analyzed. Participants who responded most were in their 40s, working in KM clinics located in Seoul. Acupuncture and herbal medicines were the top priority treatments in preparing recommendations in clinical practice guidelines for gout, and where clinical trials were considered essential. As of the past year, the average number of first visits per month was 86.7%, and the average treatment duration was less than 1 month, accounting for 72.9%. As for the diagnostic method used for gout patients, the "diagnosed by clinical pattern" response was the highest, and the "blood and urine test" response was the highest as the diagnostic equipment used. As for the evaluation scale being used, the "VAS/NRS" response was the highest. Regardless of the gout stage, acupuncture was the most commonly used treatment method for gout patients, and bee venom pharmacopuncture was the highest for the pharmacopuncture used. In the case of herbal medicine, it was found that a wider variety of herbal medication uninsured in health insurance and herbal prescription were used for the staged treatment of gout than herbal medication in national health insurance coverage. In clinical practice, "acupuncture treatment three times a week" was the most common, and the "acupoints in the limb" were the most frequently used; LR3 and SP3 were the most frequently used acupoints. Conclusions : It is suggested that this survey should be helpful to develop clinical practice guideline for gout that reflects actual clinical practice.

• 대한한방내과학회지
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• 제26권2호
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• pp.431-439
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• 2005

Objective: The aim was to identify the inhibitory effects of Flos Bombacis Malabarici(FBM) on Monosodium Urate (MSU)-induced gout in rats. Materials and Methods: After pretreatment of FBM I (50mg/kg), FBM II (125mg/kg) for seven days followed by injection of MSU solution, the various indicators related to gout were measured, such as hematological and serum levels and including joint inflammation. Also, it was investigated whether FBM directly inhibits the activity of xanthine oxidase in vitro. Results: As a result of this study, FBM didn't show the cytotoxicity in Jurkat cells, but it showed significant inhibition of activity of xanthine oxidase in vitro. FBM slightly inhibited joint inflammation induced by MSU though not with statistical significance. FBM partially decreased MSU-induced AST, ALT, BUN, creatinine, WBC, ESR elevation and significantly decreased MSU-induced uric acid in serum. Conclusion: These results suggest that FBM has therapeutic effects that are applicable to prevention and treatment of gout. and should be further investigated.

• 동의생리병리학회지
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• 제20권2호
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• pp.388-393
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• 2006

The aim was to identify the inhibitory effects of Radix Rosae Laevigatae(RRL) on Monosodium Urate(MSU)-induced gout in rats. After pretreatment of RRL I (125mg/kg), RRL II (50mg/kg) for seven days followed by injection of MSU solution, the various indicators related to gout were measured, such as hematological and serum levels and including joint inflammation. Also, it was investigated whether RRL directly inhibits the activity of xanthine oxidase in vitro. As a result of this study, RRL didn't show the cytotoxicity on cell proliferation, but it showed significant inhibition of activity of xanthine oxidase in vitro. RRL slightly inhibited joint inflammation induced by MSU though not with statistical significance. RRL partially decreased MSU-induced BUN, creatinine, WBC, ESR elevation and significantly decreased MSU-induced AST, ALT, uric acid in serum. These results suggest that RRL has therapeutic effects that are applicable to prevention and treatment of gout, and should be further investigated.

• 대한한방내과학회지
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• 제27권3호
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• pp.715-724
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• 2006

Objective : To identify the inhibitory effects of Commiphora Myrrha (CM) on monosodium urate (MSU)-induced gout model in rats. Materials and Methods: After pretreatment with CM-I (125mg/kg) or CM-II (50mg/kg) for 7 days followed by ones injection of MSU solution. the various indicators related to gout were measured on hematological and serum level including joint inflammation, Also, it was studied whether FBM directly inhibits the activity of xanthine oxidase in vitro. Results : As a result of this study, CM didn't show cytotoxicity in Jurkat cells, but it showed significant inhibition of activity of xanthine oxidase in vitro. CM slightly inhibited joint inflammation induced by MSU though not with statistical significance. CM partially decreased MSU-induced albumin, globulin, AST, ALT, BUN, creatinine. WBC, platelet count and ESR level and significantly decreased MSU-induced uric acid in serum. Conclusion : These results suggest that CM has therapeutic effects that are applicable to prevention and treatment of gout, and should be further investigated.

• 대한족부족관절학회지
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• 제10권1호
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• pp.96-100
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• 2006

Gout in the sesamoid of the great toe is very rare, such that to our best knowledge, there have been only four reports internationally. We present a case of hallucal medial sesamoid gout in the respect of the literature review, clinical, pathological features and surgical outcome.

• 대한족부족관절학회지
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• 제20권2호
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• pp.84-87
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• 2016

Tarsal tunnel syndrome is an entrapment neuropathy of the posterior tibial nerve or its branches in the fibro-osseous tunnel beneath the flexor retinaculum. This pathology is associated with multiple etiologies, including trauma, space-occupying lesions, and impaired biomechanics. We report a case of tarsal tunnel syndrome associated with gout tophi in a patient with untreated gout along with a review of the relevant literature on tarsal tunnel syndrome.

• 한국임상수의학회지
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• 제28권4호
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• pp.449-451
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• 2011

1.28 kg, 수컷, 13살의 붉은귀 거북이(red-eared slider, Trachemys scripta elegans)가 한 달 간의 식욕 부진, 운동성 감소, 전지 부종 및 발적을 주증으로 내원하였다. 고요산혈증과 함께 방사선 앞발가락과 손목 관절의 비투과성 을 동반한 골융해 소견을 보이는 토피성 통풍(tophaceous gout)이 방사선 검사 상에서 확인되었다. Allopurinol (20 mg/kg, 경구, 하루 한 번)과 u/d (Hill's diet)를 처방하였으며 다른 소염제나 항생제는 투여하지 않았다. 내원 한달 후, 거북이의 임상 증상과 방사선 소견은 호전된 양상을 보여주었다. 약물 반응에 따라, 거북이는 관절 통풍으로 추정 진단되었으며 allopurinol은 거북이의 관절 통풍에 효과적임을 보여주었다.

• 대한관절경학회지
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• 제17권1호
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• pp.61-65
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• 2013

결절성 통풍은 활액, 점액낭, 연골 혹은 기타 연부조직에도 발생할 수 있으며, 회전근개 또는 점액낭 내의 결정성 통풍이 발생한 경우 비-출구 충돌(non-outlet impingement)을 일으킬 수 있다. 그러므로 만성 결절성 통풍을 앓고 있는 환자가 견관절 통증을 호소하는 경우, 회전근개 및 그 주위 조직에 발생한 결절성 통풍에 의한 충돌증후군의 가능성을 고려하여야 한다. 저자들은 50세 남자 환자의 충돌증후군을 동반하는 회전근개에 발생한 결절성 통풍을 경험하였고, 이에 대하여 관절경하 변연 절제술 및 견봉하 감압술을 시행한 결과를 보고하고자 한다.

• 한국식품영양과학회지
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• 제45권6호
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• pp.797-804
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• 2016

감국 추출물 0.5~10 g/kg을 투여한 급성독성 실험에서는 고용량인 10 g/kg 경구투여에서도 급성독성을 발생시키지 않은 것으로 나타나 안전성이 높은 물질로 확인되었다. 만성독성 실험에서도 최대 2 g/kg까지 13주간 경구 투여하였으나 간 독성이 없는 것으로 나타났다. 감국 추출물을 2~4 g/kg 투여한 그룹에서는 통풍의 염증 및 부종 억제 효과가 있었으나, 10 g/kg 투여군에서는 다소 염증이 증가되는 경향을 나타내었다. 그러므로 통풍억제 효과가 있으나 염증성 사이토카인을 더 증가시키지 않는 4 g/kg의 농도 이하로 감국 추출물을 투여하는 것이 적당한 농도라고 판단되었다. 따라서 감국 추출물은 고용량에서도 비교적 안전한 물질로 monosodium urate crystal에 의한 염증작용을 억제하므로 통풍예방물질로서의 가치가 있다고 생각되었다.