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『針灸資生經』에 기재된 頭面部 병증 치료경혈의 특성에 대한 고찰
금유정(KEUM Yujeong),이봉효(LEE Bonghyo),여인금(YEO Inkeum),엄동명(EOM Dongmyung),송지청(SONG Jichung) 대한한의학원전학회 2021 대한한의학원전학회지 Vol.34 No.3
Objectives : To organize the acupoints used to treat disorders of the head and face in the Zhenjiuzishengjing, and examine their characteristics in application. Methods :1. The head and face area was divided into 8 parts according to the textbook of meridians and acupoints. Channels belonging to each part were marked. 2. Disorders as mentioned in the Zhenjiuzishengjing were categorized into 8 groups, accordingly. 3. Acupoints used to treat each disorder were organized according to the channels each belonged to. 4. The points were divided according to their proximity, and their application frequency was organized. 5. Based on the organized contents, the characteristics of using proximal and distal points, together with the interrelationship between the channel belonging to the afflicted area and the points locations were examined. Results : In treating disorders in the head and face area, various distal points along with proximal points were suggested in the Zhenjiuzishengjing. In some cases, points belonging to a channel that was irrelevant to the afflicted area were used widely; for proximal points, the Governor/Conception/Triple Energizer/Gallbladder channels were used. For distal points, channels that were related to the Five Zhang were used. Conclusion : Based on the contents of the Zhenjiuzishengjing, the following could be concluded: 1. When treating disorders of the head and face caused by heat, distal points were mostly used. 2. In cases where points which are not part of channels that pass the head or face were used, Zhang disfunction was likely behind such points selection.
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김희영(Kim Hee Young),박정빈(Park Jeongbin),금유정(Keum Yujeong),여인금(Yeo Inkeum),엄동명(Eom Dongmyung),송지청(Song Jichung) 대한한의학원전학회 2021 대한한의학원전학회지 Vol.34 No.2
Objective : 脈診은 한의학의 전형적인 진단방법 중 하나로써 환자의 맥 변화을 확인하고 이를 바탕으로 환자의 상태와 질병을 파악하는 방법이다. 한의사는 손끝의 감각을 이용하여 환자의 맥의 빠르기, 맥의 세기, 맥의 형태 등을 구별하고 이를 바탕으로 진단을 하는데, 이를 ‘脈象’이라는 표현을 통해 문헌에 묘사하였다. 그러나 脈象에 대한 문헌의 설명은 손끝의 감각을 글로 표현한 것이기 때문에 그 실체를 파악하기가 쉽지 않다. 일반인들도 ‘한의사의 진단은 脈診’이라고 여기는 것처럼 脈診은 한의학의 가장 일반적인 진단 방법임과 동시에 주요한 술기이지만 脈診 자체가 한의사의 손끝 감각에 있고, 또 이를 지식화한 것도 문헌의 표현에 국한되어 있기 때문에 진단방법으로써 맥진은 파악하기 힘들다. 인체의 긴장이 요골동맥에 미치는 영향을 초음파기기를 활용하여 파악하고 이렇게 파악된 요골동맥의 변화는 맥상으로 어떻게 표현할 수 있는지 살펴보고자 하였다. 즉 인위적으로 인체의 긴장을 유발하고 이 결과로 나타나는 요골동맥의 변화를 살펴보며 그 결과값을 어떻게 해석할 수 있는지에 대해 논의하였다. Methods : 1) 초음파[LOGIQ 5 Basic, GE, USA]의 5cm 길이 linear probe를 이용하여 지원자의 요골동맥의 두께를 측정한다. 2) 악력측정기[Gripmeter ks-301, Lavisen, Korea]를 이용하여 1분간 자극을 가해 인위적으로 피로도를 높인다. 3) 긴장을 발생시킨 후 요골동맥의 두께를 측정한다. 4) 사후검정 (Post Hoc Test)으로 Tukey test 또는 paired t-test로 분석하였다. Results : 모든 시험 대상자는 악력측정기를 이용한 악력 가압 이전과 이후를 비교하였을 때 요골동맥의 두께가 줄어들었다(Fig. 24; p<0.001). Conclusion : 인체에 가해진 인위적 긴장을 통해 나타난 요골동맥의 수축은 寒邪에 의해 나타난 緊脈과 같이 직경이 줄어든 형태를 의미한다. Objectives : Pulse diagnosis is one of the main diagnostic methods of Korean Medicine that understands the patient s condition and illness by reading changes in the patient s pulse, which is described in terms of pulse condition While they are described in detail in medical texts, it is difficult to grasp their true nature, as the written descriptions fail to do justice to the experience of pulse taking it tries to convey. As a way to approach pulse condition the effect of the body s tension on the radial vein was measured using an ultrasonic device, after which the measured changes and how they could be reflected in pulse condition were studied. In other words, changes in the radial vein following induced tension were analyzed. Methods : 1) The thickness of the subject s radial vein was measured using a linear probe of an ultrasonic device[LOGIQ 5 Basic, GE, USA]. 2) Fatigue level was increased through artificial stimulation using the Gripmeter[ks-301, Lavisen, Korea]. 3) Thickness of the radial vein post tension induction was measured. 4) The results were analyzed with the Tukey test or paired t-test as post hoc tests. Results : Thickness of the radial vein of the subject pre- and post- Gripmeter stimulation decreased with significance. Conclusions : Constriction of the radial vein that happened after tension induction could be linked to the Tight Pulse[緊脈] that is related to patterns of contraction and pulling.
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