• 제목/요약/키워드: quality of acupuncture

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뇌졸중을 동반한 천식 환자 자하거 약침 투여 2례 (The Clinical report of Asthmatic Patients with CVA by treatment of Homins Placenta Aqua-Acupuncture)

  • 김성균;한종현;심윤섭;이정희;김은곤
    • 대한약침학회지
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    • 제7권3호
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    • pp.123-129
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    • 2004
  • Nowadays Asthma is considered to be an inflamatory disease characterized by airway hyperresponsiveness and pulmonary eosinophilia. Hominis Placenta is the dried placenta of a healthy women. It has correspondence to the meridians of lung and kindey. Hominis Placenta acupuncture therapy has effect on invigoration of vital energy nourishing blood and tonifying the essence. It can be applied to the disease as Asthma, pulmonary tuberculosis, chronic hepatitis, liver cirrhosis, degenerative change and cerebrovascular disease. We treated two patients of Asthma with CVA by Homins Placenta Aqua-Acupuncture. The effect of Homins Placenta Aqua-Acupuncture was assessed by analyzing the pulmonary function test(PFT) and Quality of Life Questionnaire for adult Korean Asthmatics(QLQAKA) in patients before and after treatment. Total score was increased. The patients are satisfied our treatment. But further research concerning this is still necessary.

삼차신경통에 대한 추나와 침 복합치료의 효과: 체계적 문헌고찰 (Chuna Manual Therapy Combined Acupuncture for Trigeminal Neuralgia: A Systematic Review)

  • 김찬영;허인;황의형
    • 한방재활의학과학회지
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    • 제26권4호
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    • pp.37-44
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    • 2016
  • Objectives To determine the effectiveness of Chuna manual therapy combined acupuncture for trigeminal neuralgia. Methods We searched 6 electronic databases (Pubmed, CAJ, Oasis, RISS, DBPIA, KoreanTK) and 2 journals up to August 2016. We included randomized controlled trials (RCTs) using Chuna manual therapy combined acupuncture for trigeminal neuralgia. The methodological quality of each RCT was assessed by the Cochrane risk of bias tool. Results 3 RCT studies were eligible in our review. The meta-analysis of 3 studies showed favorable results for the use of Chuna manual therapy combined acupuncture. High risk of bias were observed in all studies. Conclusions Although there are favorable results with meta-analysis, our systematic review are highly dependent on the single source of Chinese electrical database, CAJ. Now limited evidence is available to support Chuna manual therapy combined acupuncture for trigeminal neuralgia and further well-designed RCTs should be encouraged.

『침구경험방』을 통해 본 17세기 조선 의료와 침구기법 (The 17th century Medical Service and Acupuncture & Moxibustion Technique in the period of Joseon Dynasty viewed through 'Chimgugyeongheombang')

  • 오준호
    • 한국의사학회지
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    • 제24권1호
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    • pp.63-71
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    • 2011
  • All this while, 'Chimgugyeongheombang' has been rated as the level of Im Heo's personal writing. However, Huh, m, in his introduction of 'Chimgugyeongheombang' made it clear that his purpose of publishing this book was to criticize the doctors of the day who were tied down by one or two curative methods, and at the same time, ultimately to improve the quality of national medical service by enlightening them. It seems that such incompetent doctors' engagement in medical service at that time was attributable to insufficient medical education system unlike today as against much social demand for acupuncture & moxibustion therapy. Im Heo, in an effort to enlighten the medical practitioners of the day, put emphasis on an eclectic method, and contained the theories on internal organs and meridian on a systematic basis. In addition, he made his updated medical skills known to medical circles by integrating and wrapping up the Acupuncture & Moxibustion techniques at that time. Lastly, he tried to provide the optimized information for clinical trials in his own language by using a preposterous writing style and form. In such a context, 'Chimgugyeongheombang' is not a special medical book gripped with a sentence, or a simple medical formula with an emphasis on empiricism, but rather it might be proper to say that his 'Chimgugyeongheombang' was a serious attempt to embrace all the merits of both parties.

뇌졸중 후 강직에 대한 도침치료: 3 증례보고 (Post-stroke Spasticity Treated by Miniscalpel-Acupuncture: Three Case Report)

  • 윤상훈;조희근;송민영
    • 한방재활의학과학회지
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    • 제28권1호
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    • pp.145-152
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    • 2018
  • Post-stroke spasticity is a common complication that can be deleterious to the daily living function and quality of life of stroke survivor. This case report was conducted to introduce the use of miniscalpel-acupuncture as a novel method for the treatment of post-stroke spasticiy in three patients with chronic stroke. Patients received miniscalpel-acpuncuture treatment for 4~7 session. The flexor digitorum brevis, pronator teres, pronator quadratus, brachioradialis, tibialis posterior, gastrocnemius on the affected side were needled. The main outcome were the Modified Ashworth Scale (MAS) muscle spasticity score and the range of motion. The evaluation indices were measured after the initiation of treatment and after treatment. After miniscalpel-acupuncture session, three patients improved as indicated in the MAS grade and range of motion. This retrospective case report presents miniscalpel-acupuncture as a potentially effective approach in Korean medicine rehabilitation treatment of post-stroke spasticity. Further research is needed to confirm these findings.

신장 이혈 상응점 자극에 따른 얼굴 색상 기반의 신장 기능 상태 분석 (Analysis of Kidney Function States Based on Face Color Observation by Kidney Ear Acupuncture Point Irritation)

  • 김봉현;조동욱
    • 한국통신학회논문지
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    • 제35권12B호
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    • pp.1192-1198
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    • 2010
  • 삶의 질이 향상되면서 현대 사회에서는 건강에 대한 관심도가 높아져 질병이 발생되기 전에 조기에 진단하여 예방하는 대체의학이 건강 패턴의 중심으로 자리잡고 있다. 이러한 대체의학 중 귀에 침을 자입하여 치료를 하는 것이 이침(耳針)요법이다. 따라서 본 논문에서는 신장과 관련된 이(耳)혈 상응점을 자극하여 신장의 기능이 향상되는 것을 얼굴 영역 색상 분석 기반 기술의 적용으로 실험을 수행하였다. 이를 위해 동일한 조건에서 시행되는 신장 이혈 상응점을 자극하기 전과 후의 얼굴 영상을 수집하였다. 수집된 얼굴 영상에서 신장과 관련된 지각 부위에 대해 CMYK 색체계 중 K값과 Lab 색체계 중 L값의 변화율을 추출, 분석하여 신장 기능의 향상 정도를 실험하는 연구를 수행하였다.

불면증 환자에 대한 침치료 전후 정량화 뇌파 분석: Z Scored Absolute Power and sLORETA (Analysis of Quantitative Electroencephalography (QEEG) Following Acupuncture Treatment in Patients with Insomnia: Z Scored Absolute Power and sLORETA)

  • 이고은;문수정;이성익;임정화;위영만;문광수;유영수;강형원
    • 동의신경정신과학회지
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    • 제27권3호
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    • pp.169-184
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    • 2016
  • Objectives: To investigate the neurophysiological effect of acupuncture treatment on insomnia patients using quantitative electroencephalography (QEEG) and standardized Low Resolution Brain Electromagnetic Tomography method (sLORETA).Background: Insomnia is one of the commonly encountered symptoms in primary medical care. Recent studies of acupuncture for insomnia reported that the acupuncture groups showed significant improvements compared with the control groups. However, the neurophysiological mechanism of acupuncture in the treatment of insomnia has not been revealed and a few studies have measured the effect of acupuncture treatment using QEEG.Methods: Participants who had some problems in initiating or maintaining sleep, or had non-restorative sleep for more than 3 days a week and ISI scores above 8 and below 21 were treated by acupuncture for 2 weeks (3 times a week, total 6 times). We assessed the effectiveness of acupuncture for insomnia by the PSQI (Pittsburgh Sleep Quality Index) at baseline and at 2 weeks after the end of treatment (4th week). Also, we performed EEG and analysed the EEG data at baseline and at the end of treatment (2nd week) on the linked ears montage using the Neuroguide software program and sLORETA.Results: Thirty-two participants were enrolled and 2 participants dropped out because of personal reasons. Among the 30 participants, EEGs of 12 participants were included in the analysis of QEEG and sLORETA. Total score on the ISI and PSQI was significantly decreased after acupuncture treatment. The number of electrodes exceeding the range of 90% (±1.65) or 95% (±1.96) in the z scored absolute power of beta was significantly decreased after acupuncture treatment. There was no significant change in brain activation between pre- and post-acupuncture using sLORETA.Conclusions: The deviation of absolute power compared to the normative database was significantly decreased after acupuncture treatment in the alpha and beta ranges. Therefore, we suggest that acupuncture treatment for insomnia might be effective through the central nervous system especially in the brain. There are many limitations to drawing any conclusion. Further studies are needed in the future to overcome these limitations.

수소음심경 오수혈 혈위별 레이저 침자가 고혈압 흰쥐의 혈압에 미치는 영향 (The Effect of Laser Acupuncture of Five-Transport-Points of the Heart Meridian in L-NAME-Induced Hypertensive Rats)

  • 신욱;이유미;김왕인;최동희;김미래;윤대환;나창수
    • Korean Journal of Acupuncture
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    • 제34권1호
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    • pp.56-69
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    • 2017
  • Objectives : The purpose of this study is to compare the effects of laser acupuncture to the 532 nm on the five transport points with the heart meridian for treatment to hypertensive disease in rats with L-NAME induced hypertensive. Methods : Hypertensive was induced by L-NAME for 3 weeks. The laser acupuncture therapy on the five transport points of heart meridian(Laser Well Point-HT9, Laser Brook Point-HT8. Laser Stream Point-HT7, Laser River Point-HT4 and Laser Sea Point-HT3) was treated twice a week for 5 times. The hypertensive was measured using a cardiac hypertrophy, atherogenic index, TG/HDL-cholesterol ratio, TCHO, HDLC, TG, AST, ALT, antioxidative effectiveness and glutathione peroxidase quality of hypertensive rats induced by L-NAME. Results : Blood pressure were decreased significantly after the laser acupuncture of Well, Brook and Sea Point groups. Cardiac hypertrophy were decreased at the laser acupuncture of Brook and Stream Point groups. Athrogenic index was decreased at the laser acupuncture of Well, Stream, River and Sea Point groups. TG/HDL-cholesterol ratio was decreased at the laser acupuncture of all groups. Total cholesterol was decreased significantly at the laser acupuncture of Well Point group. High density lipoprotein cholesterol and total cholesterol were decreased significantly at the laser acupuncture of Well, Stream and River Point groups. Triglyceride was decreased significantly at the laser acupuncture of Stream Point group. Cu/Zn-Superoxide Dismutase (Cu/Zn-SOD) and glutathione peroxidase(GPX) were increased significantly at the laser acupuncture of Well Point group. Conclusions : The laser acupuncture treatment in five transport points of the Heart Meridian was effective for lowering blood pressure, cardiac hypertrophy, Atherogenic index and HTR, and for enhancing antioxidant activity.

파킨슨병의 침구치료 동향에 대한 고찰 (A Review of Acupuncture and Moxibustion for the Treatment of Parkinson's Disease)

  • 이은;강기완;김락형;강세영;선승호;한창호;장인수
    • 대한한방내과학회지
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    • 제35권1호
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    • pp.12-23
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    • 2014
  • Objectives : The purpose of this study was to report possibility of acupuncture or moxibustion for the treatment of Parkinson's disease (PD) by reviewing literature about its effectiveness. Methods : In this review, PubMed, SCOPUS, Science Direct and CINAHL of EBSCOhost were used to search medical journals, using keywords "Parkinson's disease and acupuncture" and "Parkinson's disease and moxibustion". The search range included randomized controlled trials (RCT) about Parkinson's disease combined with another disease and other treatments with acupuncture or moxibustion. Non-randomized controlled trial (nRCT), case study, animal experiment, human experiment, review, survey, essay, letter, and protocol for review were excluded. Results : From 311 studies, 111 were selected during the title and the screening. Finally, 16 RCTs (15 for acupuncture research and one for moxibustion) were included in this review, after scanning and matching the inclusion and exclusion criteria. The number of patients varied between 5 and 88. A total of 12 studies using electroacupuncture (EA) were classified into acupuncture studies. The body acupuncture studies numbered 4, scalp acupuncture 4, body and scarp acupuncture mixed studies 4, and bee venom, ear and abdomen acupuncture were each one study. In evaluation methods, total effective rate method was used in 9 studies, the Unified Parkinson's Disease Rating Scale (UPDRS) was used in 8, and the Webster score in 2. In addition, the Berg balance scale (BBS), 30 m walking time, steps to walk 30 m, PD motor function score, and Motor Performance Series by Schoppe (MLS) method were used for evaluation. In 15 of the 16 studies, the verum acupuncture group showed significant improvement compared with the control. In 9 studies using total effective rate method, the effective rate was reported as 80.0-97.3% in verum acupuncture groups and 52.6-86.4% in controls. Conclusions : Acupuncture may be a plausible alternative method to care for the long term symptoms and treat movement impairment of Parkinson's disease. However, to confirm this result, high quality studies including randomized, placebo-controlled double-blind trials are warranted.

Current Status of Management on Pharmacopuncture in Korea through Introduction of an Accreditation System

  • Sung, Soo-Hyun;Shin, Byung-Cheul;Park, Min-Jung;Kim, Kyeong Han;Kim, Ji-Won;Ryu, Ji-Yeon;Park, Jang-Kyung
    • 대한약침학회지
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    • 제22권2호
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    • pp.75-82
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    • 2019
  • Objectives: Pharmacopuncture is a new form of acupuncture treatment that injects herbal medicine into acupuncture points. This paper introduces the management status of pharmacopuncture through accreditation, and examines the effect of accreditation on pharmacopuncture management. Methods: The Accreditation System of External Herbal Dispensaries (EHDs) of traditional Korean medicine clinics announced by the Ministry of Health and Welfare in September 2018 were investigated. Results: The Accreditation System of EHDs assesses and certifies herbal medicine and pharmacopuncture preparations. Regular components for the 'pharmacopuncture' certification consist of nine standards, 30 categories, and 165 items. The nine standards include: herbal dispensary facilities, clean room management, management and organization operation, employee management, document management, continuous quality control, herbal medicine management, management of preparation, and pavement management. Conclusion: Through EHD accreditation and certification system, traditional Korean medicine clinics and EHDs can now manage pharmacopuncture medicine quality and promise safe pharmacopuncture treatment for the people.

사상의학적 중풍 후유증 치료에 대한 체계적 문헌 고찰 (A Systematic Review on the Treatment of Post-Stroke Patients Based on Sasang Constitutional Medicine)

  • 오현주;이정윤;이혜리;이준희
    • 사상체질의학회지
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    • 제34권2호
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    • pp.48-64
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    • 2022
  • Objectives The purpose of this study was to review and evaluate the clinical evidence of the efficacy and safety of treatment based on Sasang constitutional medicine (SCM) for post-stroke patients by systematic review and meta-analysis. Methods Randomized controlled trials (RCTs), published in 10 electronic databases up to December 2020, were searched. For the included studies, Cochrane's risk of bias assessment was performed to analyze the methodological quality. The strength of evidence was evaluated using the grading of recommendations assessment, development, and evaluation system based on the results of analyses. All review processes were performed by two independent researchers. Results Five RCTs were finally included. All included RCTs were conducted for one month on post-stroke patients in 60-80s, four studies on Tae-Eum patients and one study on So-Yang patients. Four types of constitution-specific herbal medicine (Chungpyesagan-tang, Cheongsimsanyak-tang, Yeoldahanso-tang, and Yangkyuksanhwa-tang) and constitution-specific acupuncture therapy were identified as interventions. More than half of the included studies were evaluated as low quality due to the high-risk of bias in selection, performance, and detection. The combination of constitution-specific herbal medicine, acupuncture, and conventional treatment was more effective in improving the patients' motor impairment, dysphagia, aphasia, and depression than conventional treatment alone. No serious adverse events by SCM treatment were reported. Conclusions SCM treatment may improve the sequelae of post-stroke patients safely in combination with conventional treatment. Since the quality of clinical evidence included in this study was low, higher quality clinical evidence obtained in well-designed clinical studies will be needed.