만성통증환자의 심박변이도(Heart Rate Variability) 분석을 통한 자율신경계 특징에 관한 연구

하선윤,김동민,조성연,임인환,남상수,김용석 대한침구의학회 2008 대한침구의학회지 Vol.25 No.6

Objectives : Chronic pain affects and is affected by physical and psychosocial factors. It also has a complicated and indefinite mechanism. This research is for clarifying relations with chronic pain, stress, and autonomic nerve system by comparing HRV and Stress Reaction Index(SRI) of chronic pain patients with those of acute pain patients. Methods : The subjects were 32 patients who visited Kangnam Kyunghee Hospital for nuchal pain or low back pain treatment from March 2008 to September 2008. Among them, 16 patients who suffered over 6 months are classified chronic pain group and 16 patients who suffered under 6 months as acute pain group. All subjects had their HRV(SA-2000E: Medicore Co..Ltd. Korea) and SRI measured at first visit. We studied the difference of HRV between two groups.(Statistics by Student t-test, p<0.05) Results : R-MSSD, TP, VLF, LF, HF and LF/HF ratio of the chronic pain group were significantly lower than those of the acute pain group. Compared with those of the acute pain group, total SRI of the chronic pain group were low but it’s not significant except frustration. Conclusion : The results of HRV of the chronic pain group patients show that chronic pain is related to psychosocial factor and autonomic disturbance.

심박 변이도 분석을 통한 膻中穴 壓診과 자율신경실조의 상관성 연구

하선윤,조성연,장진영,김용석,남상수 대한침구의학회 2009 대한침구의학회지 Vol.26 No.5

Objectives : Since the Front Points are treated as response zone, it can be used for the diagnosis and treatment of disease in viscera and bowels. Jeonjung(CV17) is the Front Point of SIMPO, it is related with cardiovascular, neuro-psychiatrical disease in aspect of Oriental Medicine. This research is for clarifying relations with palpation of the Jeonjung(CV17) and autonomic nerve system by comparing HRV and SRI(Stress Reaction Index). Methods : This study was proceeded for three months, from June 2009 to September 2009. Among 31 healthy volunteers, 13 subjects who complained the pressure pain around Jeonjung(CV17) are classified pressure pain group and 18 subjects who had no pain around Jeonjung(CV17) as normal group. All subjects had their HRV(SA-2000E: Medicore Co..Ltd. Korea) and SRI measured at visit. We studied the difference of HRV between two groups.(Statistics by Student t-test, p<0.05) Results : LF normalization of the pressure pain group were significantly higher than those of the normal group. HF normalization of the pressure pain group were significantly lower than those of the normal group. Compared with those of the normal group, total SRI of the pressure pain group were low but it’s not significant. Conclusions : The results of HRV of the pressure pain group show that pressure pain around Jeonjung(CV17) is related to mental stress and autonomic disturbance.

경추의 전만 감소와 경항통의 상관관계 연구

김동민,하선윤,조성연,김용석,남상수 대한침구의학회 2008 대한침구의학회지 Vol.25 No.5

Objectives : The objective of this study was to observe the correlation between Cervical hypolordosis and Neck pain. Methods : Cervical lordosis(Cobb method[C1-C7], Cobb method[C2-C7], Ishihara index) was measured using the sagittal radiograph of the cervical spine and Neck pain(VAS scale, Neck Disability Index) was evaluated. Based on Cobb method[C1-C7], 48 subjects(Cobb method[C1-C7]≤45°) were divided into Hypolordosis group and Normal group. Window version SPSS 12K was used for statistical analysis about correlation between Cervical lordosis and Neck pain, also about difference of the Neck pain between Normal and Hypolordosis group. Results : It was as follows, 1. Cobb method[C1-C7] and Neck pain(VAS scale, NDI) showed a significant correlation coefficient (p<0.05). Ishihara Index and NDI also showed a significant correlation coefficient of -0.297(p=0.040). 2. The VAS scale in the hypolordosis group was 5.62±2.34 and that of the normal group was 3.41± 2.01 (p=0.001). The NDI in the hypolordosis group was 2.30±0.66 and that of the normal group was 1.81±0.51(p=0.007). There was no significant difference in Age, Sex between both group. Conclusions : There was a significant correlation between Cervical hypolordosis and Neck pain. Hypolordosis group complained a severe neck pain.

膻中(CV17) 黃連解毒湯藥鍼이 정신적 스트레스를 가한 성인의 심박 변이도에 미치는 영향

조성연,하선윤,장진영,남상수,김용석 대한침구의학회 2009 대한침구의학회지 Vol.26 No.5

Objectives : The purpose of this study was to assess the effect of Hwangryunhaedok-tang pharmacopuncture at CV17 for reducing mental stress using power spectrum analysis of the heart rate variability(HRV). Methods : 30 healthy volunteers(control group: 15, experimental group: 15) participated in this study. After instrumentation and 5-minutes rest period, mental stress by operation was provided for 5-minutes. HRV was recorded before and after the mental stress. And then the control group rested for 15-minutes. The experimental group was injected Hwangryunhaedok-tang pharmacopuncture at CV17 and rested for 15-minutes. And then HRV was recorded. Results : In simple rest group, LF norm and HF norm showed a significant change after mental stress. In pharmacopuncture group, LF norm, HF norm and LF/HF showed a significant change after mental stress. But there were no significant difference between two groups(p>0.05). In pharmacopuncture group, LF norm, HF norm and LF/HF showed a significant change after pharmacopuncture injection. There were significant difference between two groups(p<0.01). Conclusions : The result suggests that Hwangryunhaedok-tang pharmacopuncture at CV17(Jeonjung) can regulate and prevent the alteration of autonomic nerve system due to mental stress.

Bell's Palsy 환자에서 두면부 경혈의 적외선 체열촬영의 활용

김회권,김동민,하선윤,고형균,남상수,김용석,Kim, Hyee-Kwon,Kim, Dong-Min,Ha, Seon-Yoon,Koh, Hyeong-Gyun,Nam, Sang-Soo,Kim, Yong-Suk 대한침구의학회 2007 대한침구의학회지 Vol.24 No.6

Objectives : The aims of this study are to find out proper methods to assess Bell's palsy with DITI and to validate the correlation between DITI of acupoints and the H-B scale. Methods : 36 Bell's palsy patients and 10 healthy people were measured. We checked thermal differences between abnormal and normal acupoint sites measured by using DITI and the H-B scale. Results : There was no significant thermal difference between abnormal and normal sites. The H-B scale was significantly correlated with thermal differences between $ST_6$ and $TE_{17}$. Conclusions : DITI was useful for evaluating the severity of Bell's palsy.

Bell’s Palsy 환자에서 두면부 경혈의 적외선 체열촬영의 활용

김회권,김동민,하선윤,고형균,남상수,김용석 대한침구의학회 2007 대한침구의학회지 Vol.24 No.6

Objectives : The aims of this study are to find out proper methods to assess Bell’s palsy with DITI and to validate the correlation between DITI of acupoints and the H-B scale. Methods : 36 Bell’s palsy patients and 10 healthy people were measured. We checked thermal differences between abnormal and normal acupoint sites measured by using DITI and the H-B scale. Results : There was no significant thermal difference between abnormal and normal sites. The H-B scale was significantly correlated with thermal differences between ST6 and TE17. Conclusions : DITI was useful for evaluating the severity of Bell’s palsy.

Bell's palsy 환자에서 두면부 경혈의 적외선 체열촬영의 활용

김회권,김동민,하선윤,남상수,김용석,Kim, Hyee-Kwon,Kim, Dong-Min,Ha, Seon-Yoon,Nam, Sang-Soo,Kim, Yong-Suk 대한한방체열의학회 2008 대한한방체열의학회지 Vol.6 No.1

Objective: The aims of this study are to find out proper methods to assess Bell's palsy with DITI and to validate the correlation between DITI of acupoints and H-B scale. Methods: 36 Bell's palsy patients and 10 health people were measured. We checked thermal differences between abnormal and normal acupoints sites measured by using DITI and H-B scale. Results: There was no significant thermal difference between abnormal and normal sites. The H-B scale was significantly correlated with thermal differences of ST6 and TE17. Conclusion: DITI was useful for evaluating the severity of Bell's palsy.

한방병원에 입원한 중풍 환자에 대한 임상적 관찰

김동민,김회권,하선윤,김용석,남상수 대한침구의학회 2007 대한침구의학회지 Vol.24 No.5

Objective : The purpose of this study is to present the epidemiological data on stroke patients admit- ted to Department of Acupuncture & Moxibustion, Kang-Nam Korean Medicine Hospital Kyunghee Uni- versity and comparison to past stroke patient studies. Methods : Research was conducted by surveys and charting of patients with a stroke admitted to Department of Acupuncture & Moxibustion Gang-Nam Korean Medicine Hospital Kyunghee University from Jan. 1. 2005 to Dec. 31. 2006. Results : There was 2.3 times more cerebral infarction than cerebral hemorrhage and 1.5 times more female patients. Older patients showed more infarction than hemorrhage. Patient range was mostly in the 70year old range. Preceding diseases were hypertension>diabetes>hyperlipidemia. Gait condition improved during hospitalization. Most patients were admitted after 61 days of stroke onset and hospitalization period exceeded 71days. 76% of patients received treatment from other medical facilities before admit- tance. Most patients came from western medicine hospitals. Triglyceride levels were high at 32.3% at the time of admittance. The most common symptom in admission time was headache. Conclusion : Acute stroke patients decreased, long term patients increased, and patients who came from other medical facilities increased. Objective : The purpose of this study is to present the epidemiological data on stroke patients admit- ted to Department of Acupuncture & Moxibustion, Kang-Nam Korean Medicine Hospital Kyunghee Uni- versity and comparison to past stroke patient studies. Methods : Research was conducted by surveys and charting of patients with a stroke admitted to Department of Acupuncture & Moxibustion Gang-Nam Korean Medicine Hospital Kyunghee University from Jan. 1. 2005 to Dec. 31. 2006. Results : There was 2.3 times more cerebral infarction than cerebral hemorrhage and 1.5 times more female patients. Older patients showed more infarction than hemorrhage. Patient range was mostly in the 70year old range. Preceding diseases were hypertension>diabetes>hyperlipidemia. Gait condition improved during hospitalization. Most patients were admitted after 61 days of stroke onset and hospitalization period exceeded 71days. 76% of patients received treatment from other medical facilities before admit- tance. Most patients came from western medicine hospitals. Triglyceride levels were high at 32.3% at the time of admittance. The most common symptom in admission time was headache. Conclusion : Acute stroke patients decreased, long term patients increased, and patients who came from other medical facilities increased.

중풍 후 나타난 언어장애 환자 증례보고

김동민 ( Dong Min Kim ),김회권 ( Hyee Kwon Kim ),하선윤 ( Seon Yun Ha ),남상수 ( Sang Soo Nam ),김용석 ( Yong Suk Kim ) 대한경락경혈학회 2007 Korean Journal of Acupuncture Vol.24 No.3

A Case Report of Communication disorder associated with Post-stroke. Objectives: The Objective Is the Report of Improvement in Communication Disorder Associated with Post-Stroke. Methods: Acupuncture And Medicinal Treatments Were Performed from 17th March 2006 until 8th April 2006. The Medicines Bangpungtongsung-san and Chungpesagan-tang Were Used to Improve Patient Bowel Movement. The Sa-Am Acupuncture Method Was Used to Improve Patient Communication Disorders. Every 5 Days Articulation Accuracy, Vowel Accuracy, Alternation and Speed of Reading Sentences Were Evaluated. Results: After 23 Days of Treatment There was Improvement of Articulation Accuracy, Alternation and Speed of Reading Sentences.