• 제목/요약/키워드: regardless of meridian and acupoint

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단일경혈을 이용한 침의 임상효과에 관한 방법론 연구 - 고혈압 환자를 중심으로 - (Study on methodology about clinical effect of single point acupuncture in patients with hypertension)

  • 손양선;여수정;김윤주;박유선;임사비나
    • Korean Journal of Acupuncture
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    • 제29권1호
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    • pp.23-36
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    • 2012
  • Objectives : This study was conducted to investigate effective treatment point selection method using oppressive pain in acupoints as elementary attempt for standard methodology of clinical acupuncture studies. Methods : Twenty seven subjects with hypertension or within prehypertension category - systolic and diastolic blood pressure (BP) over 120/80mmHg - were divided into two groups, oppressive pain point treatment group and oppressive painless point treatment group. In oppressive pain point treatment group, single point acupuncture (SPA) was conducted for 16 sessions during 8 weeks on most oppressive painful point among 6 selected acupuncture points used in previous trials and clinic. As a SPA intervention, 15 minutes with deqi sensation- elevating manipulation was conducted on the treatment acupoint. Same process was conducted in oppressive painless point treatment group on most oppressive painless point with subject blinding. Results : Significant reduction was observed in both systolic and diastolic BP after short time intervention (15.5/8.8 mmHg, 10.7/7.1 mmHg, P<0.05, respectively at 1 week) and maintained for 8 weeks intervention period in all groups (12.8/8.0 mmHg, 19.4/12.6 mmHg, P<0.05, respectively). No significant difference of BP change between oppressive pain point treatment group (N=10) and oppressive painless point treatment group (N=9) was observed during 8 weeks study period. Conclusions : SPA treatment as used in this pilot study was effective for lowering BP in mild hypertensive population, but oppressive pain in acupoint had no effect on treatment. This present result suggests the possibility of SPA for hypertension treatment regardless of oppressive pain.

경근 치료방법 중 지속적 견인요법의 효과에 관한 실험적 연구 (The Experimental Study of the Effects of Continuous Traction Therapy in Meridian Sinews Therapy)

  • 신정훈;황성연;금경수;김재효;손인철;안성훈
    • Korean Journal of Acupuncture
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    • 제29권3호
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    • pp.385-395
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    • 2012
  • Objectives : Meridian sinew theory was introduced in Miraculous Pivot, Huangdi's Internal Classic, to explain in relation with locations of meridian sinews, causes, mechanisms, and treatment of diseases. The meridian sinews are understood to include muscles, tendons and ligaments, or muscles in the superficial body made up with muscles, ligaments, tendons, fascia etc. This theory shows the similarity or organic relationship between the meridian sinews and muscles. From the Hippocrates(460-385 BC) ages, traction therapy was used as a treatment method on muscular diseases such as low back pain, scoliosis, etc in western medicine. The effects of traction therapy, however, were unclear so that this study was purposed to illustrate the effectiveness of continuous traction therapy and to develop meridian sinews treatment. Methods : We made 2 hypotheses to explain the cause of scoliosis occurrence, muscles contraction and relaxation. As the hypothesis, we made the spinal model having 3 joints with wood and rubber bands. Each of the three joints in the spinal model represents the case of normal(NT; control), contraction(AT 1)and relaxation(AT 2) condition, and distance between the vertebrae joints was measured. Results : Under normal circumstance models, the normal type 1(NT 1; muscle relax state) and normal type 2(NT 2; muscle contract state) all joints were being towed equally. But in an unusual contracted situation, regardless of the relationship of joint area, contracted part of joint was not released. And in a relaxed situation, regardless of joint areas, released parts of joint were further released. These observation results mean that the effects of traction might be different from the purpose of traction therapy of Hippocrates. Conclusions : To explain the effect of traction therapy for scoliosis, the spinal cord model and scoliosis model were made. After vertebral bodies were pulled with different tensile forces, we compared the observed length of the each joints pulled. The results suggested that there were no effects of traction in objected parts with traction method from Hippocrates' design, continuous traction method. Moreover, it may worsen the symptom in worst case. Of course, our results are just the result of experimental models and clinical results may be different. More careful studies, therefore, are required.

내상질환(內傷疾患) 치료에 미치는 비등상대침법(比等相對針法)의 효과 (Effect of Correspondent Acupunture in Scale on Internal Disease)

  • 이용태;박성하
    • 동의생리병리학회지
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    • 제21권5호
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    • pp.1332-1336
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    • 2007
  • Correspondent acupunture like Dong's acupunture is widely used clinically upon musculoskeletal diseases chiefly and closely connected meridians theory. But Correspondent acupunture in scale is regardless of meridian pathways and acupoint. It is operated on a part fit for the seat of disease that is one of body for example the left upper limb, right lower limb etc. It is ranked in order of each organ size. Because the ranked part is inclusive of whole body and internal organs in scale, Correspondent acupunture in scale can be applied to every internal disease. As this acupuncture was operated at patients visited to Dong-Gang Oriental Hospital, it was effective in improvement of internal disease clinically and have merits of not operated on a seat of disease directly.

추출 방식의 차이에 따른 주목약침이 Formalin 유도 통증 모델의 진통에 미치는 영향 (Analgesic Effects of Taxus cuspidata Pharmacopuncture Using Different Extraction Methods on the Formalin-Induced Pain Model)

  • 신유빈;이현종;김재수;이윤규
    • Journal of Acupuncture Research
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    • 제33권3호
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    • pp.17-28
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    • 2016
  • Objectives : This study was designed to investigate the analgesic effects of Taxus cuspidata pharmacopuncture(TCP) at KI03 on formalin-induced pain in rats and to evaluate the efficiency of different extraction methods of Taxus cuspidata(TC). Methods : 30 rats were divided into 5 groups, each consisting of 6 rats. Each of the groups was treated two times. The first treatment for its right KI03 was as follows: rats were treated with normal saline(NOR), normal saline(CON), hot-water extraction of TC(W), ethanol extraction of TC(E), and ultrasonification extraction of TC(U). The second treatment was given 35 mins after the first one. Rats in NOR were treated with normal saline at their hind-paw. All groups, except NOR, were treated with formalin(5 %, $40{\mu}{\ell}$) at their hind-paw. To evaluate pain behavior, Ultrasonic vocalization(USV) was examined to be around 18~30 kHz. After analysis of USV, blood samples were taken from the rats for analysis of Substance P, aspartate aminotransferase(AST) and alanine aminotransferase(ALT). Results : In the experimental groups, USV was significantly decreased compared with CON and similar to that of NOR in the early phase. But there were no significant differences among the three extraction methods of TC. In addition, Substance P of W was significantly decreased. AST and ALT activation showed no significant differences among the 5 groups. Conclusion : These results show that regardless of extraction methods of TC, TCP at KI03 has analgesic effects in the early phase on formalin-induced pain in rats. In particular, hot-water extraction of TC significantly reduces Substance P activation.

경혈식별을 위한 파라메터 추출 및 식별시스템의 설계 (Extraction of Parameters for Acupoint Discrimination and Design of discrimination system)

  • 이용흠;박창규
    • 한국정보통신학회논문지
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    • 제5권1호
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    • pp.89-101
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    • 2001
  • 한의학에서 진단과 치료의 기본 대상인 경혈.경락의 혈위 식별을 위한 방법으로 기존의 방식은 직류를 인체 피부에 자극하여 저정항 양도점을 식별하고 있다. 그러나 직류를 인체에 인가하면 시간에 따라 전류가 감소하는 현상이 있어서 반복 측정 시에 식별율 및 재현성이 감소되는 식별데이터의 신뢰성이 충분하지 못한 단점이 있으며 세포에 분극현상을 일으켜서 인체의 생리적 상태에 영향을 준다. 또한 직류방식은 식별계측에 시간이 다소 길게 소요되며 전류감쇠현상으로 낮아진 측정 전류량을 얻기 위해서는 전극의 압력이 증가하게 되며 그 전극누름 압력에 의한 통증을 유발시킨다. 이를 개선하기 위하여 전류의 시간적 감소현상과 인체 영향력을 최소화할 수 있는 경혈자극 패턴의 최적 파라메터를 추출하고, 이를 적용한 SPAC(Single Power Alternative Current) 자극방식을 제안하였다. 이는 주파수를 1.28V의 4kHz로 결정하고, 듀티비가 40%인 구형파에 가까운 파형을 추출하였다. 또한 피부 상태에 관계없이 식별이 어려군 부위에서도 식별이 용이하도록 피부 전류량의 절대값과 상대값을 레벨메터에 동시에 표시하고, 측정 전류량을 그래프로 연속 표시하여 식별에 유리한 알고리즘을 제안하였다. 추출된 최적 파라메터와 알고리즘을 적용한 식별시스템을 구현하여 성능을 기존의 직류방식과 비교 검토한 결과, 식별율(경혈과 비경혈의 상대차)은 19.6%, 재현성은 15.1%, 인체영향력은 11.2%, 고전 경혈점과의 부합율은 18.4% 향상되었음을 확인하였다.

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한의사의 근거중심의학에 대한 인식 및 태도 - 침구요법을 중심으로 (Traditional Korean Medicine Practitioners' Awareness and Attitudes toward Evidence Based Medicine)

  • 백승민;이상훈;김정은;류연;박효주;김보영;최선미
    • Korean Journal of Acupuncture
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    • 제28권3호
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    • pp.99-111
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    • 2011
  • Objectives : The aim of this study is to estimate traditional Korean medicine (TKM) practitioners' awareness and attitudes about acupuncture clinical study toward evidence based medicine (EBM). Methods : We conducted two surveys before and after the workshop. First survey, about the awareness and attitudes toward EBM was carried out with questionnaire. Second survey, about their changes in the attitudes toward EBM after the workshop was carried out with on-line questionnaire. Results : 70.0 % of respondents shows interest in the trends of clinical research. In contrast, 26.0 % of respondents used to search papers by themselves. 30.3 % of respondents reported that they apply the result of researches to their practice. 41.0 % of respondents thought that case study is needed for their practice, whereas 29.5 % responded that randomized controlled trial is most important. In the second survey, the attitudes toward EBM were changes positive. fair number of respondents usually get information from data regardless of EBM for their practice, but 23.5 % of respondents refer to the journals. Conclusions : The awareness and needs for education on the attendees toward EBM is quite high, and the effect of education is possibly influential. We expect the improvement on the refresher and the extension of education course for practitioners, and undergraduate curriculum.

고전경락과의 부합율 향상을 위한 경혈자극방식의 개선 및 식별시스템의 설계 (Improvement of Stimulus Pattern and Design of Discrimination System for Coincident ratio Elevation with Traditional Meridians)

  • 이용흠;고수복;정동명
    • 전기전자학회논문지
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    • 제7권1호
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    • pp.22-31
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    • 2003
  • 한의학에서 진단과 치료의 기본 대상인 경혈?경락의 혈위 식별을 위한 방법으로 기존의 방식은 직류를 인체 피부에 자극하여 양도점을 식별하고 있다. 그러나 직류는 피부의 저항과 용량성으로 인한 시간에 따른 전류 감소현상을 나타내며, 이러한 시간적 감소현상은 경락진단의 변수로는 유의성을 가지나 식별율 및 부합율, 인체영향력, 재현성 등에서 식별데이터의 신뢰성이 충분하지 못한 단점이 있었다. 이를 개선하기 위하여 1.28V의 4kHz, 듀티비 40%의 구형파인 SPAC(Single Power Alternative Current) 자극방식의 최적 파라메터를 추출하였다. 또한 피부 상태에 관계없이 식별이 어려운 부위에서도 식별이 용이하도록 피부 전류량의 절대값과 상대값을 동시에 표시하고, 측정 전류량을 그래프로 연속 표시하여 식별에 유리하도록 하였다. 추출된 최적파라메터와 알고리즘을 적용한 시스템을 구현하여 경혈자극 방식에 따른 식별율, 재현성, 인체영향력 및 고전 경혈점과의 부합율을 비교하여 성능이 우수함을 확인하였다.

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뇌졸중 증상별 경혈 활용에 대한 주제범위 문헌고찰: 전침을 중심으로 (A Scoping Review of Acupuncture Points for Post-Stroke Sequelae: Focusing on the Electroacupuncture)

  • 이화연;김송이;최수현;송호섭
    • Korean Journal of Acupuncture
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    • 제38권4호
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    • pp.197-208
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    • 2021
  • Objectives : The aim of this study was to conduct a scoping review focusing on acupuncture points information applied in experimental studies using electroacupuncture for stroke. Methods : First, we set the research question of this study to identify which acupuncture points were studied for various symptoms of post-stroke sequelae in clinical and animal experiments. For this purpose, among the records searched through EMBASE, experimental studies including acupuncture points used in electroacupuncture treatment for stroke were selected as inclusion criteria for this study. The acupoints information used in each experiment was extracted from the included studies according to the type of study design and symptoms of stroke sequelae, and quantitative analysis was performed. Results : A total of 973 studies using acupuncture treatment, of which 429 papers including electroacupuncture were analyzed. Most of the animal experiments were conducted on general conditions instead of specific symptoms of stroke, and in clinical studies, electroacupuncture studies were conducted on symptoms such as hemiplegia and spasticity, cognitive and mental problems, dysphagia, shoulder problems, and depression that occur after stroke. Acupuncture points such as GV20, ST36, LI11, and LI4 were mainly used regardless of stroke symptoms. Except for these acupuncture points, GV26, GV14, GV16, and GV24 were frequently used in animal experiments, and TE5, LI15, LI10, and LR3 were widely used in clinical studies. Conclusions : Although this study extracted and analyzed only the frequent acupuncture points in the electroacupuncture study for stroke. However, in the future, it is necessary to be able to secure the evidence for acupuncture treatment elements through comparative studies between different acupuncture points or other elements constituting electroacupuncture.

부항자극에 대한 배수혈 어혈평가를 위한 색소침착 변화분석 (Analysis of Hyperpigmentation Change for Extravasated Blood Evaluation by Cupping Stimulation)

  • 김수병;이나라;주예일;이용흠;정병조
    • Korean Journal of Acupuncture
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    • 제28권1호
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    • pp.53-60
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    • 2011
  • Objectives : Cupping therapy has been used as various treatment methods in oriental medicine clinic for a long time. Specially, Cupping stimulation caused skin hyperpigmentation which has been used as diagnosis method for extravasated blood & inner organs functional disease. But it was difficult to quantitatively measure and analyze the interrelation between extravasated blood and skin hyperpigmentation. The aim of this study is to measure the acupoint's RGB and melanin change pattern by stimulating under fixed 80kPa negative pressure and to evaluate the extravasated blood. Methods : To evaluate extravasated blood, 10 acupoints (left/right BL13, BL15, BL18, BL20, BL23) were stimulated by treatment 80kPa negative pressure for 1 minute. And then we measured the acupoints' skin color change patterns using the color meter, followed by RGB analysis and melanin change pattern. Results and Conclusions : We could observe the correlation of the acupoints' skin color condition related with RGB change pattern. All acupoints' color change degree were different. Regardless of acupoints' color degree due to extravasated blood, we observed in common the fact that RGB values decreased after stimulation and steadily increased according to time. We observed that melanin index increased after stimulation and recovered before stimulation-condition after the lapse of time. In other words, we confirmed the correlation between raised color change degree and $L^*a^*$ index change pattern. Therefore we observed the possibility of charting the $L^*a^*$ index following extravasated blood.

단전주선(丹田住禪)에 나타난 심신수행론 (Study on the Theory of Mind and Body Practice in Dan-Jeon-Ju-Seon)

  • 김수인
    • Korean Journal of Acupuncture
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    • 제28권4호
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    • pp.177-198
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    • 2011
  • Objectives : The purpose of this study is to examine the theory of mind and body practice in Dan-Jeon-Ju-Seon from the point of views of Taoism, Buddhism, and Oriental medicine. Methods : An ideological background and development of Dan-Jeon-Ju-Seon was first examined. Then, the definition of, other descriptions of, and various locations of, Dan-Jeon were investigated. In addition, the theory of Qi movement of Shui Sheng Huo Jiang (ascent of water Chi and descent of fire Chi) in Dan-Jeon-Ju-Seon was taken into consideration from perspectives on the thought of Taoist Nei Dan (internal alchemy) and Oriental medicine. Finally, the characteristics of mind and body practice in Dan-Jeon-Ju-Seon. Results & Conclusions : Dan-Jeon in Dan-Jeon-Ju-Seon consists of three parts, upper, middle, and lower Dan-Jeon, which is related to Jing (sperm, essence) Qi (breath, eneregy) Shen (spirit, intellect) of our body. Jing Qi Shen is a crucial part in our mind and body, mind and body are connected by energy, and the energy flow is possible by ascent of water Chi and descent of fire Chi. Ultimately, Dan-Jeon-Ju-Seon is a method of practice to keep one's mind and body healthy, and its purpose is to do timeless meditation in our daily lives regardless of time and place.