• 제목/요약/키워드: oriental pathology and treatment

검색결과 1,240건 처리시간 0.024초

안면부(顔面部) 침술(鍼術) 자극 후 가감자운액(加減紫雲液) 도포가 혈류량 및 피부 온도에 미치는 영향 (Changes of Facial Blood Flow Rates and Skin Temperature by Application of Gagam-Jawoonaek after Facial Acupuncture)

  • 김태연;황동석;김희택;김용민
    • 동의생리병리학회지
    • /
    • 제27권5호
    • /
    • pp.650-659
    • /
    • 2013
  • To investigate the effects of facial blood flow rates(FBFR) and facial skin temperature(FST) generated by Gagam-Jawoonaek(GJ) application(appl.) after Miso Facial Rejuvenation Acupuncture(MFRA). Ten people in their twenties to fifties with no skin diseases were recruited. We randomly divided subjects two groups(A, B) and set the GJ appl. site(group A - right side, group B - left side). MFRA was performed on both sides of their face. Immediately after acupuncture treatment(AT treat.), GJ was applied only half of the face. We measured their FBFR using Laser Doppler Perfusion Imaging(LDPI) and FST using Digital Infrared Thermal Imaging(DITI) at pre-AT treat., immediately after AT treat., twenty and sixty minutes after GJ appl.. We analyzed data using Mann-Whitney test and Wilcoxon test(p < 0.05). After MFRA treat., FBFR on both sides increased. Twenty minutes after JW appl., the changes of FBFR on GJ appl. side($122.9{\pm}43.1PU$) were bigger than GJ non-appl. side($80.9{\pm}38.4PU$), a statistically significant decrease. Sixty minutes after application, FBFR on both sides were recovered almost at the same level as that of pre-AT treat. After MFRA treat., FST on both sides increased. Twenty minutes after GJ appl., the changes of FST on GJ appl. side($1.1{\pm}0.6^{\circ}C$) were comparable to that of GJ non-appl. side($1.2{\pm}0.5^{\circ}C$). Sixty minutes after application, FST on both sides were recovered almost at the same level as that of pre-AT treat.. Gagam-Jawoonaek could decrease facial blood flow rates.

Effects of ID-CBT5101 in Preventing and Alleviating Osteoarthritis Symptoms in a Monosodium Iodoacetate-Induced Rat Model

  • Sim, Boo-Yong;Choi, Hak-Joo;Kim, Min-Goo;Jeong, Dong-Gu;Lee, Don-Gil;Yoon, Jong-Min;Kang, Dae-Jung;Park, Soobong;Ji, Joong-Gu;Joo, In-Hwan;Kim, Dong-Hee
    • Journal of Microbiology and Biotechnology
    • /
    • 제28권7호
    • /
    • pp.1199-1208
    • /
    • 2018
  • Osteoarthritis is a disease that affects the articular cartilage and osseous tissue, and can be worsened by aging, overweight status, and post-traumatic arthritis. The present study aimed to evaluate the effect of ID-CBT5101 (tyndallized Clostridium butyricum) on bone metabolism and the inflammatory response in a monosodium iodoacetate-induced rat model of osteoarthritis. ID-CBT5101 was administered orally at doses of $10^8$ or $10^{10}CFU/day$ for 2 weeks before direct injection of monosodium iodoacetate ($3mg/50{\mu}l$ of 0.9% saline) into the intra-articular space of the rats' right knees. The rats subsequently received the same doses of oral ID-CBT5101 for another 4 weeks. We evaluated the treatment effects based on serum biomarkers, mRNA expression, morphological and histopathological analyses of the knee joints, and weight-bearing distribution analysis. Compared with those in control rats, the ID-CBT5101 treatments significantly reduced the serum concentration of inflammation and bone metabolism markers (i.e., COX-2, IL-6, $LTB_4$, and COMP), and significantly increased the concentration of $IFN-{\gamma}$ and glycosaminoglycans. In addition, the ID-CBT5101 treatments inhibited the mRNA expression of matrix metalloproteinases and tissue inhibitors of metalloproteinases (i.e., MMP-2, MMP-3, MMP-9, MMP-13, TIMP-1, and TIMP-2). Furthermore, the ID-CBT5101 treatments effectively preserved the knee cartilage and synovial membrane, and significantly decreased the amount of fibrous tissue. Moreover, compared with that of the negative control group, the ID-CBT5101 treatments increased the weight-bearing distribution by ${\geq}20%$. The results indicate that ID-CBT5101 prevented and alleviated osteoarthritis symptoms. Thus, ID-CBT5101 may be a novel therapeutic option for the management of osteoarthritis.

Antioxidant activity and anti-tumor immunity by Propolis in mice

  • Choi, In-Sook;Itokawa, Yuka;Maenaka, Toshihiro;Yamashita, Takenori;Mitsumoto, Morihide;Tano, Kaoru;Kondo, Hiroyo;Ishida, Torao;Nakamura, Takashi;Saito, Kiyoto;Terai, Kaoru;Monzen, Hajime;Oshima, Masami;Takeuchi, Tetsuo;Mituhana, Yuicti;Bamen, Kenichi;Ahn, Kyoo-Seok;Gu, Yeun-Hwa
    • Advances in Traditional Medicine
    • /
    • 제5권2호
    • /
    • pp.100-109
    • /
    • 2005
  • In South America, natural products with unknown drug effects are used as folk remedies and for preventive medicine. Among South American natural products, we directed our attention to Propolis, which have been known as medicinal plants, and examined the mechanisms by which these substances affect antioxidant activity, anti-tumor activity and immunoresponse. When the antioxidant activities of Propolis were examined by the DPPH and Rhoudan iron methods, since Propolis contains high levels of flavonoids, it is thought that flavonoids may be responsible for the antioxidant activity in this study. In the examination of immunoenhancement activity, we measured lymphocyte versus polymorphonuclear leukocyte ratios (L/P activity). The number of lymphocytes was significantly increased in groups treated with Proplolis. Specifically, slightly high levels of $IFN-{\gamma}$ were measured in mice bearing the S-180 carcinoma, after administration of Propolis. This strongly suggests that cellular immunity is especially activated by treatment with Propolis, because production of $IFN-{\alpha}$ is limited to the T cells and NK cells stimulated by mitogen and sensitized antigen. $TNF-{\alpha}$ shows a different extent and mechanism of action depending on the target cells. When $TNF-{\alpha}$ was measured in mice bearing the S-180 carcinoma, mice treated with Propolis showed slightly higher $TNF-{\alpha}$ levels as compared to the control group. This suggests that activated macrophages produce $TNF-{\alpha}$ in mice treated with Prapolis, since activated macrophages and lymphocytes are the source of most $TNF-{\alpha}$. When anti-tumor action was examined using two kinds of sarcoma (Ehrlich solid carcinoma and Sarcoma-180 carcinoma), tumor-suppressive ratios after treatment with Propolis was 29.1%. When Sarcoma-180 solid carcinoma was used, tumor-suppressive ratios were 62%. Thus, Propolis showed strong anti-tumor activity against two kinds of solid carcinoma. Taken altogether, this strongly suggests that Propolis enhances original functions of macrophages and NK cells, and as a result, secondarily enhances the immune reaction and suppresses tumor growth.

수출용 오리엔탈 백합 품종 잎마름병 방제를 위한 감마선 및 화학 대체제 융복합 처리 효과 (Application of Gamma Irradiation and Its Convergent Treatments on Several Varieties of Oriental Hybrid Lily to Control Leaf Blight)

  • 김지훈;구태훈;홍성준;윤성철
    • 식물병연구
    • /
    • 제20권2호
    • /
    • pp.79-86
    • /
    • 2014
  • 화훼 수출 검역에서 기존 메틸브로마이드 훈증보다 경제적이고 친환경적이며 안전한 대안으로서 감마선 융복합 처리 기술을 백합 잎마름병 방제에 적용하였다. 감마선 융복합 처리는 200 Gy 감마선과 이염화이소시안산나트륨(NaDCC) 은나노 입자(NSS)의 화학대체제를 시베리아, 르네부, 소르본느 품종의 절화 백합이 담긴 수출포장용 종이상자에 총 6회로 실시하였다. 감마선 조사 8일 후 백합 잎과 꽃잎에서 측정한 발병율(disease incidence)과 발병도(disease severity)로 분석 결과, 감마선은 소르본느 잎에서 발병도를 약 13-25% 감소시킨 반면, 르네부 잎에서는 발병도를 2-5% 증가시켰다. 화학대체제 처리와 무처리를 비교한 결과 절화 백합 수출현장에서 화학대체제의 잎마름병 발병 억제 효과를 기대할 수 없었다. 한편, 조사 12일 후 감마선 처리 유무에 따른 백합 잎의 엽록소 함량 비교 결과 감마선에 의해 통계적으로 유의하게 감소하였고, 시베리아와 소르본느 꽃의 만개 기간을 0.4-1.2일 연장시켰다. 또한 감마선이 조사된 절화는 화병에서 무처리에 비해 마름이 발생하여 생중량 감소가 뚜렷하였다. 한편, 1과 2 kGy 고선량 감마선은 백합 꽃봉오리 끝 부분을 짙은 갈색으로 변색시키거나 꽃봉오리 목 부분의 꺽임, 봉오리가 개화하지 못하게 하는 등 마름 이외에도 감마선 과도에 의한 품질저해 피해가 나타났다.

현곡(玄谷) 보간탕(補肝湯)의 구성한약과 그 기미배오(氣味配伍) 분석 (Hyeongok's Bogan-tang was Combined according to the Theory for Properties and Tastes of Herbal Medicines)

  • 신순식
    • 동의생리병리학회지
    • /
    • 제21권3호
    • /
    • pp.591-595
    • /
    • 2007
  • There are eight kinds of formulas for invigorating the liver to cure its asthenic syndrome based on the types of preparation formulas Began-tang, Boganhwan, Bogansan, Bogandan, Boganeum, Boganjoo, Boganjeon and Bogango. Another formula called Bocheonghwan is to invigorate the green colour of liver. There are 22 kinds of Bogan-tang, 12 kinds of Boganhwan, 25 kinds of Bogansan, one kind of Bogandan, one kind of Boganeum, one kind of Boganjoo, one kind of Boganjeon, one kind of Bogango, and two kinds of Bocheonghwan. Combination of herbal medicines, carried out in formulas for invigorating the liver, consists of various kinds depending on medical scientists' personal experience in medical treatment without any general principles, which makes it difficult to apply it to clinical use. The objectives of this study lie in theoretical establishment of Bogan-tang for curing the asthenic syndrome of liver through analyzing the component medicines and combination principles of Hyeongok's Bogan-tang, and furthermore, maximizing the clinical use of Began-tang. This study analyzed the component medicines and combination principles of Hyeongok's Bogan-tang based on the theory for properties and tastes of herbal medicines from the ${\ulcorner}$yellow Emperor's Canon of Internal Medicine${\lrcorner}$ , the theory for principal herbal medicine, assistant herbal medicine, adjuvant herbal medicine, dispatcher herbal medicine, and the five elements doctrine. Hyeongok's Began-tang is an odd prescription, composed of 7 kinds of ingredients No.1 Radix Angelicas Sinensis (2don;7.5g), No.2 Rhizoma Chuanxiong (1don;3.75g), No.3 Radii Polygoni Multiflori (1don), No.4 Fructus Lycii (1don), No.5 Cortex Cinnamomi (1don), No.6 Rhizoma Gastrodiae (1don), and No.7 Radix Glycyrrhizae (1don). There are three methods for curing the asthenic syndrome of liver according to the five elements doctrine invigorating the liver, invigorating the kidney and purging the lung. First, if you suffer from the asthenic syndrome of the liver, you need to invigorate your liver. There are two available methods, including taste and property invigoration according to the theory for properties and tastes of herbal medicines. They each imply the pungent taste and the warm property invigorate the liver. In the case of taste invigoration, two herbal medicines with pungent taste, Radix Angelicas Sinensis and Rhizoma Chuanxiong, are combined into the principal and assistant herbal medicine, respectively. For property invigoration, two herDal medicines with the warm property, Cortex Cinnamomi and Rhizoma Gastrodiae, are combined into adjuvant herbal medicines. Secondly, if you suffer from the asthenic syndrome of the liver, you need to invigorate your kidney which is mother in the mother-child relationship in inter-promotion among the five elements. There are two methods to invigorate the kidney, including taste and property invigoration according to the theory for properties and tastes of herbal medicines. They each mean the bitter taste and the cold property invigorate the kidney. Therefore, it is important to use bitter herbal medicines for taste invigoration and cold ones for property invigoration. Both Differ and cold herbal medicines, Radix Polygoni Multiflori and Fructus Lycii, are combined into adjuvant herbal medicines. Lastly, if you suffer from the asthenic syndrome of the liver, you need to purge your lung which is an element being surpassed in the relationship between the elements surpassed and ones not surpassed in inter-restraint among the five elements. There are two methods to purge the lung, which include taste and property invigoration according to the theory for properties and tastes of herbal medicines. Taste invigoration means to purge the lung with pungent taste and property invigoration to purge the lung with warm property. Therefore, it is important to use pungent herbal medicines for taste invigoration and warm ones for property invigoration. Both pungent and warm herbal medicines, Radix Angelicas Sinensis and Rhizoma Chuanxiong, were combined to invigorate and purge the lung. In addition, Radix Glycyrrhizae are combined as dispatcher herbal medicine, harmonizing all the herbal medicines composing the formula. First, to cure the asthenic syndrome of the liver, the methods of invigorating the liver and the kidney, and purging the lung should be used according to the five elements doctrine. Secondly, herbal medicines appropriate for those treatment methods should be chosen according to the theory for properties and tastes of herDal medicine and thirdly, the combination of those herbal medicines should be carried out according to the theory for principal herbal medicine, assistant herbal medicine, adjuvant herbal medicine, dispatcher herbal medicine. As a good example, Hyeongok's Bogan-tangon is combined according to the above theories. In conclusion, this formula was created by applying to the theory for properties and tastes of herbal medicines.

"제병원후론(諸病源候論)" 중(中) "해수병제후(咳嗽病諸候)"에 대(對)한 연구(硏究) (Study on Literatures of Symptoms and Signs of Tussiculaltion on Treatise on the Pathogenesis and Manifestations of All Diseases)

  • 이남구;최한백;김정완;송민아
    • 대한한의학원전학회지
    • /
    • 제23권5호
    • /
    • pp.11-22
    • /
    • 2010
  • Treatise on the Pathogenesis and Manifestations of All Diseases(諸病源候論)was written by Chao Yuanfang that was most active during the Sui Dynasty at A.D. 610. It classified clinical medicine by some departments of internal medicine, surgery, obstetrics and gynecology, pediatrics, and otorhinolaryngology and within each specific department, categorizes etiology and pathology according to characteristics of various diseases. It was the total disease classification book that based on the bibles of the Oriental medicine, (Huangdi''s) Internal Classic(黃帝內經), Classic of Difficult Issues(難經) and Treatise on Cold Damage and Miscellaneous Diseases(傷寒雜病論), A-B Classic of Acupuncture and Moxibustion(鍼灸甲乙經), Essential Prescriptions Worth a Thousand Gold for Emergencies(備急千金要方) and Medical Secrets of an Official(外臺秘要). It was arranged tussive causes, classes, diagnosis, prognosis and stretching for treatment by Volume 13, all symptoms of tussiculation. Dialectic part was divided into cough(咳嗽), cough with dyspnea(咳逆上氣), cough with pus and blood(咳嗽吐膿血), cough with duck crying sound(?嗽), sudden cough(暴氣咳嗽), cough with dyspnea(咳逆), cough with dyspnea and vomiting(咳逆上氣嘔吐). Disease situation part was divided into the new cough(新咳) and old cough(舊咳), deficiency syndrome(虛證) and excess syndrome(實證), visceral cough(藏府咳), etc. Out of these, cough with counterflow(咳嗽上氣), cough with dyspnea(咳逆上氣), cough with dyspnea and vomiting(咳逆上氣嘔吐), cough with shortness of breath(咳逆短氣) have a close connection with dyspnea(上氣), counterflow of qi(逆氣), dyspnea and vomiting(上氣嘔吐) and shortness of breath(短氣) in the Pathogenesis and Manifestations of All qi(氣病諸候) of vol 13. So two parts may be refer to each other. However, the content on the original book has been addition and subtraction on the original context along with many reprints. Therefore, this paper, with regard to the prints of former editions, tried to help in better comprehension of the original context through readings and Korean translation.

가미미후등식장탕이 DNCB 유도 아토피 피부염 동물모델에 미치는 효과 (Effects of KMS on the DNCB induced animal Model of Atopic Dermartitis)

  • 송대욱;민가율;홍수연;임서은;허정;손영주;정혁상
    • 대한한의학회지
    • /
    • 제40권1호
    • /
    • pp.63-77
    • /
    • 2019
  • Objectives: The purpose of this study is to examine the effect of water and fermentation extracts of KMS (Kami-Mihudeongsikjang-tang) on AD (atopic dermatitis). Additionally, by applying the fermentation extracts of KMS at the first sensitization and latency period, I investgated whether it could prevent AD. Methods: In this study, to test the effect and preventive efficacy of KMSs on AD. DNCB-induced BALB/c mice of AD model was used. Through histological observation, epidermis and dermis thickness, the infiltration of eoshiphils and mast cells in epidermis and dermis were examined. We measured the serum level of IgE and IL-6, TNF-alpha, and the expressions of $NF-{\kappa}B$ and MAPK protein. In order to examine the effect of KMSs on keratinocyte, HaCaT cells were treated TNF-alpha and IFN-gamma to induce an inflammatory response. The KMSs were applied at various concentration in the experimental group. We investigated TARC expression. Results: The treatment groups were reduced epidermis and dermis thickness, inhibited the infiltration of eosinophils and mast cells, reduced the serum level of IL-6. Moreover, sfKMS group reduced serum level of TNF-alpha, inhibited the protein expressions of $NF-{\kappa}B$ and the phosphoryllation of ERK, JNK and p38. Especially sfKMS-pre group were reduced the serum level of IgE, show significant inhibition on the protein expression of $NF-{\kappa}B$ and the phosphoryllation of ERK, JNK and p38. In the experiment on HaCaT cells, sfKMS group were reduced expression of TARC. Conclusions: These result suggest that wKMS and sfKMS was effective in the treament on AD, and sfKMS would prevent AD.

Fisetin Protects C2C12 Mouse Myoblasts from Oxidative Stress-Induced Cytotoxicity through Regulation of the Nrf2/HO-1 Signaling

  • Cheol Park;Hee-Jae Cha;Da Hye Kim;Chan-Young Kwon;Shin-Hyung Park;Su Hyun Hong;EunJin Bang;Jaehun Cheong;Gi-Young Kim;Yung Hyun Choi
    • Journal of Microbiology and Biotechnology
    • /
    • 제33권5호
    • /
    • pp.591-599
    • /
    • 2023
  • Fisetin is a bioactive flavonol molecule and has been shown to have antioxidant potential, but its efficacy has not been fully validated. The aim of the present study was to investigate the protective efficacy of fisetin on C2C12 murine myoblastjdusts under hydrogen peroxide (H2O2)-induced oxidative damage. The results revealed that fisetin significantly weakened H2O2-induced cell viability inhibition and DNA damage while blocking reactive oxygen species (ROS) generation. Fisetin also significantly alleviated cell cycle arrest by H2O2 treatment through by reversing the upregulation of p21WAF1/CIP1 expression and the downregulation of cyclin A and B levels. In addition, fisetin significantly blocked apoptosis induced by H2O2 through increasing the Bcl-2/Bax ratio and attenuating mitochondrial damage, which was accompanied by inactivation of caspase-3 and suppression of poly(ADP-ribose) polymerase cleavage. Furthermore, fisetin-induced nuclear translocation and phosphorylation of Nrf2 were related to the increased expression and activation of heme oxygenase-1 (HO-1) in H2O2-stimulated C2C12 myoblasts. However, the protective efficacy of fisetin on H2O2-mediated cytotoxicity, including cell cycle arrest, apoptosis and mitochondrial dysfunction, were greatly offset when HO-1 activity was artificially inhibited. Therefore, our results indicate that fisetin as an Nrf2 activator effectively abrogated oxidative stress-mediated damage in C2C12 myoblasts.

바실러스균 발효황금약침액이 Lipopolysaccharide로 활성화된 마우스 대식세포의 인터루킨 생성에 미치는 영향 (The Effect of Bacillus-Fermented Scutellariae Radix Acupuncture Solution on Interleukin Production in Mouse Macrophage Stimulated by Lipopolysaccharide)

  • 박완수
    • Korean Journal of Acupuncture
    • /
    • 제27권2호
    • /
    • pp.95-105
    • /
    • 2010
  • Objectives : The purpose of this study is to investigate the effect of Bacillus-fermented Scutellariae Radix acupuncture solution (SB) on interleukin(IL) production in mouse macrophage stimulatedby lipopolysaccaride(LPS). Methods : Productions of interleukins were measured y High-throughput Multiplex Bead based Assay with Bio-plex Suspension Array System based on $xMAP^{(R)}$(multi-analyte profiling beads) technology. To begin with, cell culture supernatant was obtained after treatment with LPS(1 ${\mu}g/mL$) and SB for 24 hour. Then, it was incubated with the antibody-conj${\mu}g$ated beads for 30 minutes. And detection antibody was added and incubated for 30 minutes. After incubating for 30 minutes, Strepavidin-conjugated Phycoerythrin(SAPE) was then added. Incubating for another 30 minutes, the level of SAPE fluorescence was analyzed on Bio-plex Suspension Array System. Results : The results of the experiment are as follows. SB significantly inhibited the LPS-induced production of IL-3($9.15{\pm}0.35$ pg/mL) by $6.92{\pm}0.05,\;7.21{\pm}0.11,\;6.96{\pm}0.33,\;and\;7.45{\pm}0.74$ pg/mL at the concentration of 25, 50, 100, and 200 ${\mu}g/mL$ in mouse macrophage RAW 264.7 cells (p<0.05). SB significantly inhibited the LPS-induced production of IL-5($7.30{\pm}0.48$ pg/mL) by $6.50{\pm}0.29,\;6.30{\pm}0.25,\;6.30{\pm}0.25,\;and\;5.80{\pm}0.25$ pg/mL at the concentration of 25, 50 100, and 200 ${\mg}g/mL$ in RAW 264.7 cells (p<0.05). SB significantly inhibited the LPS-induced productiion of IL-9($17.26{\pm}0.19$ pg/mL) by $15.01{\pm}0.43$ pg/mL at the concentration of 25 ${\mu}g/mL$ in RAW 264.7 cells(p<0.05). SB significantly inhibited the LPS-induced productioh of IL-13($187.80{\pm}2.90$ pg/mL) by $152.80{\pm}4.25,\;172.80{\pm}3.97,\;162.10{\pm}6.67,\;and\;165.30{\pm}11.80$ pg/mL at the concentration fo 25, 50, 100, and 200 ${\mu}g/mL$ in RAW 264.7 cells(p<0.05). SB significantly inhibited the LPS-induced production of IL-17($18.30{\pm}0.95$ pg/mL) by $13.30{\pm}1.25,\;13.80{\pm}1.11,\;13.30{\pm}0.75,\;and\;14.00{\pm}1.08$ pg/mL at the concentration of 25, 50 100, and 200 ${\mu}g/mL$ in RAW 264.7 cells(p<0.05). SB significantly inhibited the LPS-induced production of IL-23($43.90{\pm}0.83$ pg/mL by $39.50{\pm}1.26,\;38.00{\pm}1.78,\;and\;39.60{\pm}2.49$ pg/mL at the concentration of 25, 100, and 200 ${\mu}g/mL$ in RAW 264.7 cells(p<0.05). Conclusions : These results suggest that SB has anti-inflammatory activity related with its inhibition of IL-3, IL-5, IL-13, IL-17, and IL-23 production in macrophages.

체통환자(體痛患者)의 사상의학적(四象醫學的) 사초(四焦)와 이목구비(耳目口鼻)를 중심(中心)으로 한 체열(體熱) 분석(分析) (Sasang Herb medicine, IRCT (InfraRed Computer Thermography), Yakchim (Korean herb-acupuncture) remedy)

  • 김수범;송일병
    • 사상체질의학회지
    • /
    • 제8권1호
    • /
    • pp.377-393
    • /
    • 1996
  • 요통(腰痛)은 다른 어느 질병(疾病)보다도 많은 사람이 경험(經驗)을 하였던 질환(疾患)중의 하나로써 요통(腰痛)의 治療法(치료법)에는 전통적으로 침요법(鍼療法), 구요법(灸療法), 한약요법(韓藥療法)이 주(主)가 되어 왔으며, 최근에는 물리치료(物理治療), 약침요법(藥鍼療法), 추나요법(推拏療法) 등이 쓰이고 있다. 여기서는 1994년 9월 14일부터 1996년 5월 25일까지 "우리한의원"에서 고통(顧痛)으로 진료 받은 73명의 환자들을 중심으로 이름, 성별, 나이, 발병원인, 주증(主證), X-ray, CT, MRI 등의 소견, IRCT(InfraRed Computer Thermography) 소견(所見), 체질(體質), 사상처방(四象處方), 약침요법(樂鍼療法), 치료기간(治療期間), 경과(經過) 등을 분석(分析)하고 이것을 바탕으로 기존의 증치의학(證治醫學)과는 다른 사상의학적(四象醫學的)인 방법으로 요통(腰痛)을 접근하는 방법을 알아보고자 하였으며 아울러 X-ray, CT, MRI 등의 소견(所見)과 한의학적(韓醫學的)으로 이용할 수 있는 적외선체열진단(赤外線體熱診斷)과 비교하여 보며, 또 악침(樂鍼)에서의 사상의학적(四象醫學的)인 접근 방법도 알아보았다. 조사방법(調査方法)은 체질별(體質別) 분포, 사상처방(四象處方)의 사용, 치료경과(治療經過), 치료기간(治療期間)을 중심으로 하였으며, 체질(體質) 감별(鑑別)의 방법은 체형기상(體形氣像), 용모사기(容貌詞氣), 성질재간(性質材幹), 체질증(體質證), 체질병증(體質病證), 음식물의 반응 등을 중심으로 하여 임상적인 감별을 하였고, X-ray는 추나요법(推拿療法)을 위하여 Open mouth, C-spine AP&Lat, TH-spine AP&Lat, L-spine AP&Lat을 의뢰하였으며, 적외선체열진단(赤外線體熱診斷)은 피판(皮板)(Dermatomes)을 중심으로하여 각각의 디스크가 피판(皮板)에 미치는 부분을 관찰하여 양쪽의 체열(體熱)의 차이가 섭씨 1도 이상 차이가 나는 것으로 진단을 하여 다음과 같은 결론을 얻었다. 1. 전체 환자 73명중 태음인(太陰人)이 47명(66.4%)으로 가장 많았고 다음은 소음인(少陰人)이 16명(21.9%)이었고, 소양인(少陽人)은 10명(13.7%)으로 가장 적었으며 이것은 동의수세보원(東醫壽世保元)에서의 태음인(太陰人) 오천인(五千人), 소양인(少陽人) 사천인(三千人), 소음인(少陰人) 이천인(二千人), 태양인(太陽人)은 드물다는 구성 비율과는 달리 소양인(少陽人)과 소음인(少陰人)의 구성 비율이 바뀌었으며, 전체적으로는 소양인(少陽人)이 적게 나오고 태음인(太陰人)이 많이 나왔음을 알 수 있다. 2. 각 체질별(體質別) 치료의 경과에 대한 만족도는 전체적으로 60.3%였으며 태음인(太陰人)에서 만족도(66.0%)가 높았고 소음인(少陰人)에서 만족도(56.3%)가 가장 낮았으며 소양인(少陽人)의 만족도 (60%)는 평균과 비슷하였다. 3. 각 체질별(體質別) 치료에 만족하는 환자(患者)에게 보인 사상처방(四象處方)을 분석하여 보면 소양인(少陽人)에 있어서는 표병약형방지황탕(表病藥荊防地黃湯)과 리병약(裡病藥)인 육미지황탕(六味地黃湯)이 고르게 썼으며, 소음인(少陰人)은 리병약(裡病藥)인 십이미관중탕(十二味寬中湯)이 가장 많이 쓰였으며, 태음인(太陰人)은 리병약(裡病藥)인 청심연자탕(淸心蓮子湯), 청폐사간탕(淸肺瀉肝湯), 열다한소탕(熱多寒少湯)이 많이 쓰였음을 알 수 있었다. 따라서 소음인(少陰人)과 태음인(太陰人)은 리병약(裡病藥)이 치료 경과가 좋았으며 소양인(少陽人)은 표병약(表病藥)과 리병약(裡病藥)에서 고르게 쓰였음을 알 수 있다. 4. 치료에 만족하는 환자의 평균 치료기간은 약 6주였으며, 각 체질별(體質別)로는 소양인(少陽人)에서 4.2주로 가장 낮았고, 다음은 태음인(太陰人)이 5.7주 였으며, 소음인(少陰人)에서 6.8주로 가장 오래 걸림을 알 수 있다. 5. 사상의학(四象醫學)적인 요통(腰痛)의 치료방법은 외상성에 의한 요통(腰痛) 따른 치료와 그 외의 체질적(體質的) 소인에 따라 소음인(少陰人)의 표병(表病)온 승양익기(升陽益氣)를 하고, 리병(裡病)은 이음강기(裡陰降氣)를 하며, 소양인(少陽人)의 표병(表病)은 표음강기(表陰降氣)를 하고, 리병(裡病)은 청양상승(淸陽上升)을 시키며, 태음인(太陰人)의 표병(表病)은 폐양승기(肺陽升氣)시키고 리병(裡病)은 청간조열(淸肝操熱)을 하며, 태양인(太陽人)은 보간생음(補肝生陰)의 치법(治法)을을 쓸 수 있다. 6. 사상처방(四象處方)외의 방법으로 약침요법(藥鍼療法)은 체질적(體質的)으로 적용하는 방법은 약침(藥鍼)의 선별 방법과 약침(藥鍼)을 치료하는 부위의 선별방법으로 나눌 수 있다. 약침(藥鍼)의 선별에서 소음인(少陰人)은 蜂藥鍼(B.V.)을, 소양인(少陽人)은 홍화(紅花)(H.O)를 태음인(太陰人)은 호도(胡挑)(I), 웅담(熊膽), 우황(牛黃), 사향(麝香)(V,O.K.) 등을 써 볼 수 있고, 팔망약침법(八網樂鍼法)도 기존에 쓰는 체질별(體質別) 사상처방(四象處方)을 그대로 약침(藥鍼)으로 만들어 쓸 수 있다. 약침(藥鍼)을 치료하는 부위의 선별방법은 사상의학(四象意學)의 체질증(體質證), 체질병증(體質病證)을 충분히 응용할 수 있는 태극침법(太極鍼法)의 혈위(穴位)와 사초부위(四焦部位)에 따라 생리(生理), 병리(病理)를 적용시켜 쓰는 방법올 활용하여 볼 수 있다.

  • PDF