한국 저널에 게재된 기공관련 대조군 임상연구 현황 분석

한창현(Chang Hyun Han),권영규(Young Kyu Kwon),이상남(Sang Nam Lee),박지하(Ji Ha Park),안상우(Sang Woo Ahn) 한의병리학회 2009 동의생리병리학회지 Vol.23 No.2

구설순치(口舌脣齒)질환에 대한 한국 침구서적의 치료법 비교 연구

한창현,안상영,권오민,박상영,이정현,안상우,Han, Chang-Hyun,Ahn, Sang-Young,Kwon, Oh-Min,Park, Sang-Young,Lee, Jeong-Hyeon,Ahn, Sang-Woo 대한한방안이비인후피부과학회 2010 한방안이비인후피부과학회지 Vol.23 No.1

Background : The varieties of manifestations referred to oral, glottal, labial and dental diseases has been long complicated physicians in the efficient diagnosis and treatment of these diseases. Acupuncture has been widely used in Korea throughout the history and provides an efficient method in the treatment of them Objectives : Establish a distinctive and efficient acupuncture method for the treatment of oral, glottal, labial and dental diseases based in literature research Method : We reviewed four Korean medical literature, "Guide to Swollen Sore Treatment", "Treasured Mirror of Eastern Medicine", "Experiential Prescriptions of Acupuncture and Moxibustion", and "Essential Rhymes on Acupuncture and Moxibustion by Master Sa-am", and analyzed the therapeutic characteristics in the treatment of oral, glottal, labial and dental diseases Result : 1. According to "Guide to Swollen Sore Treatment", we could noted frequent application of blood letting methods in the affected area, then rinse ones mouth with salty water and further application of taro plaster. Also found acupuncture methods utilizing heated mole cricket or silkworm in the sublingual region. Regarding herbal method, Realgar was rubbed in the affected area. Mainly used acupuncture points in the treatment of oral, glottal, labial and dental diseases were GV20, GB20, LU5, and auricular anterior hairline 2. In "Treasured Mirror of Eastern Medicine", blood letting method in the sublingual region and burning needle searing method were the most frequently applied in the treatment of oral, glottal, labial and dental diseases. Moxibustion was also applied in the treatment of labial and dental diseases. Particularly, said to apply 3 moxa cones in ear zones of both sides, when no medicine is effective. This demonstrates how emphasized the importance of moxibustion in this kind of disease. Mainly used acupuncture points were GV16, CV24, LI4, EX-HN12, and EX-HN13 3. In "Experiential Prescriptions of Acupuncture and Moxibustion", no other methods beside wrist. Superstitious methods like applying moxibustion on the tooth picture drawn on the roofing tile need further confirmation. Mainly used acupuncture points were LI4, ST36, and HT7. 4. "Essential Rhymes on Acupuncture and Moxibustion by Master Sa-am", identified the cause of diseases according to visceral pattern identification. Stomach and Spleen in charge of vocal, lingual, and labial disease, Kidney for dental disease, and further scrutinizing identification according to Liver, Heart, Stomach, Lung, and Kidney manifestations. Used supplementation and draining needling methods of self meridians and other correlating meridians. Conclusions : After previous study on stroke and eye diseases, we could also find various efficient methods according to oral, glottal, labial and dental diseases, through literature research of korean medical classics. This study will concurrently result in establishing distinctive therapeutic method characteristic of Korea.

한의 신의료기술 행위 동향 분석

한창현 ( Chang Hyun Han ),박황진 ( Hwang Jin Park ),이봉효 ( Bong Hyo Lee ),이영준 ( Young Joon Lee ),권오민 ( Oh Min Kwon ) 경락경혈학회 2012 Korean Journal of Acupuncture Vol.29 No.2

Objectives: The new health technology assessment system was introduced in April 2007. The purpose of new health technology assessment is assessing safety and efficacy in deciding a behavior of new health technology according to the Health Insurance Act. This study aims to understand the present status of new health technologies of Korean medicine. Methods: This research introduces new health technologies and their present status, and searches for a development direction for the new health technology of Korean medicine in the future. Results: Thirty seven cases (3%) of Korean medicine doctors who utilized new health technologies application were found. In the status about new health technologies application by technologies assortment, diagnostic test techniques were used more often than treatment skills, New medical technology that included korean medicine doctor as actual user was only one item, i e, HCV antibody test, Conclusions: In order for the new health technology of korean medicine to settle down well, continuous interest and efforts of both government and medical community are necessary.

국내 봉독 관련 연구에 대한 고찰

한창현 ( Chang Hyun Han ),이용석 ( Yong Seok Lee ),권오민 ( Oh Min Kwon ),이영준 ( Young Joon Lee ) 경락경혈학회 2013 Korean Journal of Acupuncture Vol.30 No.1

Objectives: The focus of the analysis was laid on changes in research pertaining to bee venom in regards to time progression. Methods: We collected 365 articles on Bee venom study result from OASIS system using the Keyword ``bee venom, apitoxin, apitherapy, bee sting``. We figured out number and percentage of theses according to year, study method, journal, subject. Results: Bee venom papers published in the journal of korean medicine from 1976. The classification of papers associated with bee venom, clinical studies outnumbered the other study types by a ratio of 1.3 to 1, followed by 138 for experimental papers, and 22 for literature studies. Proportion of Experimental Papers Classified According to the Theme, 16 for pain-killing, 14 papers concentrated on apoptosis, anticancer, 13 for anti inflammatory, 11 for arthritis, and other disorders were followed. Type analysis of papers associated with bee venom in clinical trials, lumbar disorders comprised 38 out of 205 papers, 35 papers concentrated on upper limb disorders, 34 papers concentrated on systemic disease, followed by the effect on body. Conclusions: Bee venom is a treatment method based on the unique theory of Korean traditional medicine. Its effort and academical approach on bee venom are expected to receive positive evaluation through numerous research works.

고혈압 환자에서 곡운침법의 혈압강하 효과

한창현 ( Chang Hyun Han ),송태원 ( Ttae Won Song ),신미숙 ( Mi Suk Shin ),신선화 ( Seon Hwa Shin ),최선미 ( Sun Mi Choi ) 경락경혈학회 2007 Korean Journal of Acupuncture Vol.24 No.1

Objectives: The aim of this study was to investigate the antihypertensive effect of Korean Gogoon Acupuncture in hypertensive patients. Methods: We measured the blood pressure of 17 patients who were admitted in the Oriental Medical Clinic of Gogoon Institute from 14th April 2006 to 29th August 2006. Eligible participants had systolic blood pressure ≥120 mmHg or diastolic blood pressure≥80 mmHg. Blood pressure and pulse rate measurements were after the patient had been in bed rest for at least 30 min. Six sessions of Gogoon Acupuncture treatment over three weeks were performed in the patients. Blood pressure and pulse rate were measured twice before and after each acupuncture treatment. Results: After 3 weeks, there were significant decreases in systolic blood pressure (p=0.0028), diastolic blood pressure (p=0.0111) and pulse rate (p=0.0150). The effects of Gogoon Acupuncture by measuring time on blood pressure were as follows: In a sy stolic blood pressure (p<.0001) and diastolic blood pressure (p=0.0028) was gradually deceased significantly from 1st to 6th but pulse rate was not significantly decreased. Conclusions: Controlled trials investigating the efficacy of Gogoon acupuncture for lowering blood pressure are warranted.

황구침법(黃丘鍼法)을 이용한 고혈압 환자의 혈압강하 효과에 대한 증례보고

한창현 ( Chang Hyun Han ),황치원 ( Chi Won Hwang ),신미숙 ( Min Suk Shin ),신선화 ( Seon Hwa Shin ),최선미 ( Sun Mi Choi ) 경락경혈학회 2006 Korean Journal of Acupuncture Vol.23 No.3

Objectives: The aim of the study was to investigate the antihypertensive effect of Hwang-gu Acupuncture in hypertensive patients. Methods: We measured the blood pressure of the patients who were admitted in the Oriental Medical Clinic of Brother from 25th November 2005 to 27th March 2006. We included the patients only in case of the systolic blood pressure was over 140mmHg or diastolic blood pressure was over 90mmHg, Twenty two patients were treated by Hwang-gu Acupuncture. In order to evaluate the effect of the Hwang-gu Acupuncture, the blood pressure was measured before and after Acupuncture procedure total 4 times, 10times. Results: There were a significant decrease in the systolic blood pressure and significant decrease in the diastolic blood pressure by Hwang-gu Acupuncture 4 times. The effect of Hwang-gu Acupuncture by measurement time on blood pressure were follows: In a systolic blood pressure was gradually deceased significantly from 1st to 4th but diastolic blood pressure was significantly decreased after 2nd and 4th only. Conclusions: These results suggest that Hwang-gu Acupuncture is effective in decreasing the systolic and diastolic blood pressure.

국내침구서적의 중풍치료에 관한 문헌 연구 -≪치종지남(治腫指南)≫≪동의보감(東醫寶鑑)≫≪침구경험방(鍼灸經驗方)≫≪교감(校勘) 사암도인침법(舍岩道人鍼法)≫의 비교연구-

한창현 ( Chang Hyun Han ),박상영 ( Sang Young Park ),안상영 ( Sang Young Ahn ),권오민 ( Oh Min Kwon ),안상우 ( Sang Woo Ahn ) 경락경혈학회 2009 Korean Journal of Acupuncture Vol.26 No.2

Background: Stroke occurrences are prevalent and require intensive care for its treatment and rehabilitation. Acupuncture has been widely used in Korea throughout the history and provides an efficient method in the treatment of it. Objectives: To establish a distinctive and efficient acupuncture method for the treatment of stroke based in literature research. Method: We reviewed four Korean medical literature, ≪治腫指南Guide to Swollen Sore Treatment≫, ≪東醫寶鑑Treasured Mirror of Eastern Medicine≫, ≪鍼灸經驗方Experiential Prescriptions of Acupuncture and Moxibustion≫, and ≪舍岩鍼法Essential Rhymes on Acupuncture and Moxibustion by Master Sa-am≫, and analyzed the therapeutic characteristics in the treatment of stroke. Result: 1. In ≪治腫指南Guide to Swollen Sore Treatment≫, various types of treatment can be found. Besides acupuncture, cupping, moxibustion with moxa tube, and bath therapy using Duchesneae Indicae Herba and Sal was applied. Needling in sublingual and vocal region, and also points like GB20, GB31, LI15, BL60, GV20, GV20, TE4, GB39, LU5, ST36, GB30 were frequently inserted. 2. In ≪東醫寶鑑Treasured Mirror of Eastern Medicine≫, moxibustion treatment were in top priority. Points like GV20, LI15, LI11, GB31, ST36, GB39, LI4, GB20 pertinent to Governor, Conception, Gallbladder, Large Intestine, and Stomach meridian were most frequently needled. Selection of adjacent point was widely applied. 3. ≪鍼灸經驗方Experiential Prescriptions of Acupuncture and Moxibustion≫ has some similarity compared to ≪東醫寶鑑Treasured Mirror of Eastern Medicine≫ in considering the moxa in top priority. But selected points far from the disease site. Main points were LI4, ST36, GB39, PC5, GV20, LI11, LR3, BL40, HT7. 4. ≪校勘 舍岩道人鍼法Essential Rhymes on Acupuncture and Moxibustion by Master Sa-am≫ having the same content orders with ≪鍼灸經驗方Experiential Prescriptions of Acupuncture and Moxibustion≫, it may had some influence from it. But the differences are also apparent. It emphasized in using mother-supplementing child-draining method, experiential prescriptions and visceral pattern identification. Conclusions: We could find various efficient methods through literature research of medical classics. This will not be limited in stroke alone but also will be applied in other diseases. This study will concurrently result in establishing distinctive therapeutic method characteristic of Korea.

국내 뜸 요법 임상 실태 파악을 위한 면접조사

한창현 ( Chang Hyun Han ),신미숙 ( Mi Suk Shin ),강경원 ( Kyung Won Kang ),강병갑 ( Byoung Kab Kang ),박선희 ( Sun Hee Park ),최선미 ( Sun Mi Choi ) 경락경혈학회 2008 Korean Journal of Acupuncture Vol.25 No.1

Objectives: Moxibustion therapy is one of the most popular oriental treatments in Korea. In this study, we operate the in-depth interview for use of moxibustion therapy in Korea. Methods: Survey questions were developed based on consensus of acupuncture professors. The List of the Korean medical doctors with experiences more than 10 years is provided by the Association of the Korean Oriental Medicine. The in-depth interview was conducted in 30 Korean medical doctors who answered in the previous telephone survey that they use moxibustion therapy for more than 30 % of patients everyday. Interview survey with them were conducted by the well-trained interviewers of Korea Institute of Oriental Medicine in medical researcher from 22th May to 28th June 2007. Results: Korean medical doctors prefer to use the moxibustion with moxa stick (83.9%). The most common treatment disease was musculo-skeletal disorder (28.9%), gynecology (14.1%), digestive disorder (28.6%). The most common treatment area was the abdomen (35.3%), back (22.5%), Lower extremity (15.8%) and upper extremity (16.9%). Indirect moxibustion`s was as frequent as 73.5% of moxibustion method. The most common instrument for treating was mini-moxa of manufactured goods (39.3%). Most Korean medical doctors (48.8%) took up the position that bring symptom relief following good treatment area. `High preferences of patients` (32.7%) was one of moxibustion strong points but `Lots of smell and smoke` (54.7%)` was a weak points. The most common side effects was the `slight burn` (34.9%), `skin rash` (22.5%), `skin pruritus` (23.8%) Conclusions: This survey provides unique insight into the perception of the Korea medical doctor at moxibustion therapy. Future research needs to provide more in-depth insight into doctor views of the experience.

국내 뜸 요법 임상 실태 파악을 위한 전화조사

한창현 ( Chang Hyun Han ),신미숙 ( Mi Suk Shin ),신선화 ( Seon Hwa Shin ),강경원 ( Kyung Won Kang ),박선희 ( Sun Hee Park ),최선미 ( Sun Mi Choi ) 경락경혈학회 2007 Korean Journal of Acupuncture Vol.24 No.3

Objectives: Moxibustion therapeutics is one of the most popular oriental treatments in Korea. In this study, we operate the Telephone Survey for grasping clinical actual state moxibustion therapeutics in Korea. Methods: Survey questions were developed based on consensus of acupuncture professors. The list of the Korean medical doctors with experiences more than 10 years is provided by the Association of the Korean Oriental Medicine. A stratified random sample of Korean medical doctors is drawn for the telephone interviews. We choose a bound on the error of estimation equal to 6.5 percentage, and the sample size is 260 for the national sample. Telephone interviews with them were conducted by the well-trained interviewers of Korea Institute of Oriental Medicine in Medical researcher from 26th March 2007 to 6th April 2007. Results: Ninty -four percents of Korean oriental medical doctors were male and most commonly, clinical experience of doctors were 20-29 years(47.3%). Sixty-seven percent of Korean oriental medical doctors used moxibustion therapeutics. The most common treatment disease was Musculo-skeletal disorder(38.3%), Digestive disorder(28.6%), Gynecology(14.1%). Indirect moxibustion were as frequent as 65.5% of moxibustion method. The most common reason of unused respondents was `Lots of smell and smoke`(28.3%), `The wound left a scar`(20.8%), `Less effects`(20%), etc. Eighty-three percents Korean oriental medical doctors were against that moxibustion therapy used without doctor`s examination Conclusions: This survey provides unique insight into the perception of the Korea medical doctor at moxibustion therapeutics. Future research need to provide more in-depth insight into doctor views of the experience.

국내 기공관련 무작위 임상연구에 대한 현황 검토

한창현 ( Chang Hyun Han ),이상남 ( Sang Nam Lee ),박지하 ( Ji Ha Park ),안상우 ( Sang Woo Ahn ) 경락경혈학회 2009 Korean Journal of Acupuncture Vol.26 No.1

Background: Qigong is an energy-healing intervention used to prevent and cure ailments and to improve health through regular practice. Although qigong-neither itself nor its postulated mechanism of action-are within the paradigm of modern Western medical science, its effects on the human body could be possible. Objectives: This study aims to review the bibliography, biological responses and therapeutic effects of Qigong. In the process, this review will grasp trends in this field of studies and will direct further researches into the right direction. Method: The computerized Korean databases were searched from their respective inceptions up to January 2008. The search terms used were `qi`, `qigong`, `doin`, `training`, `bioenergy`, `life nurturing` and random or Korean language terms related to qigong. Several specialized journals were also manually searched for relevant articles. Result: Since the 1990s, Qigong papers in the Korean Literature are increased. The articles on Korean traditional medicine had been published more than those on physical education or nursing etc. However, since the majority of the trials determine questionnaire, it was difficult to determine the efficacy of a specific intervention. The methodological quality of the trials was generally low (Jadad score: mean, 1.3; range, 1 to 4), questioning their reliability. Conclusions: More profound studies for Qigong are needed. Further rigorous clinical trials with more objective outcome measures that include sham procedures should be performed. Specifically, we think it should be clinical studies and qualitative research methods for evaluation are needed.