교통사고로 인한 편타성 손상 환자 37예에 대한 임상연구

강재희,장석근,이현,이병렬 대한침구학회 2002 대한침구의학회지 Vol.19 No.3

Objective : This study was performed to evaluate the effect of oriental medical treatment in whiplash injury patients which caused by traffic accident Methods : The clinical study was carried out 37 cases of whiplash injury patients which had been admitted in Daejon university Cheon-an oriental hospital from June, 2001 to December, 2001. Results : l. In the distribution of sex distinction was female much more than male in the ratio of 3:2 and thirties was most in age distribution. 2. In situation of traffic accident, The most case was rear-ending(70.27%). 3. Except cervical pain or it's reffered pain, there were whole body symptoms as fallow, insomnia in 11cases(29.73%), night pain in 10 cases(27.03%), general body pain in 8cases(21.62), dizziness in 6cases(16.22%). 4. According to Meridian Muscle theory, a injured parts of patient were devided as fallows. There were 22cases(59.46%) which have injury in Bladder, Small Intestine Meridian Muscle, 10cases(27.03%) in Gallblader, Triple Energizer Meridian Muscle, 5cases(13.51%) in Stomach, Large Intestine Meridian Muscle. 5. There were 6cases(16.22%) of the grade of complete recovery, 10cases(27.03%) of the grade of excellent, 12cases(32.43%) of the grade of improvement, 6cases(16.22%) of the grade of disimprovement and 3cases(8.11%) of the grade of poor. So 28cases(75.68%) were efficacious. 6. Generally Herb-meds that have efficacy of Geo-Eohyeol were most used(27cases, 72.97%) in early stage. Secondly Herb-med that have efficacy of Yiqi-sunqi were used(20case, 54,05%) in middle stage and Herb-med of Bo-Qiheol were used(l0cases, 27.03%) in latter term. The most used Herb-med was Hoisu-san, Oyaksungi-san(22cases, 54.96%). 7. In l5cases which have Aqua-Acupuncture treatment, There were 3cases of Complete recovery, 5cases of Excellent, 4cases of Improvement, 2cases of Disimprovement, 1cases of Poor. 8cases(53.33%) were above Excellent grade, so it is more efficatious Than simple treatment without Aqua-Acupuncture(36.37%). 8. The improvement of Bladder, Small Intestine Meridian Muscle was 77.27%, Gallblader, Triple Energizer Meridian Muscle was 70% and Stomach, Large Intestine Meridian Muscle was 80%. Additional Aqua-Acupuncture treatment improved to be effective in Bladder, Small Intestine Meridian Muscle(77.78%), in Gallblader, Triple Energizer Meridian Muscle(75%), in Stomach, Large Intestine Meridian Muscle(100%). Conclusions : In this study, Oriental treatment especially Aqua-Acupuncture was effective in whiplash injury patients which caused by traffic accident.

오행침구의 정립과정에 대한 사적연구

김재홍,조명래,신동훈 대한침구학회 2002 대한침구의학회지 Vol.19 No.4

Objective : The purpose of this study is to research for the formation of Ohaeng-acupuncture. Methods : I refered to 《Classic on Difficulty》(難經), 《Ling Shu》(靈樞), 《Zhen Jiu Ju Ying》(針灸聚英), 《Yi Xue Ru Men》(醫學入門) and annotations were excerpted and record that notied the Ohaeng-acupuncture. Results : The results obtained as follows. 1. 《Ling Shu》·<Jing Mai> "Sheng Ze Xie Zhi, Xu Ze Bu Zhi"(盛則瀉之 虛則補之) united with "Ying Sui Bu Xie"(迎隨補瀉), developed the principle of "Qu Xue" in 《Classic on Difficulty》. 2. 《Classic on Difficulty》·<The fiftieth Difficulty> explained the interdependent relations, interrestraining relations, the relations of subjugation and reverse restriction in illness condition between the five viscera according to the theory of generation, restriction, subjugation and reverse restriction in five elements. 《Classic on Difficulty》 · <The sixty fourth Difficulty> united five shu points (五兪穴) with five elements. 3. Zi jing Bu xie according to Xiang Sheng theory is develped from 《Classic on Difficulty》 · <The sixty ninth Difficulty> "Xu Ze Bu Qu Mu, Shi Ze Xie Qi Zi"(虛則補其母 實則瀉其子) to 《Classic on Difficulty》· <The seventy ninth Difficulty> , 《Zhen Jiu Ju Ying》. 4. Ta jing Bu xie according to Xiang Sheng theory is develped from 《Tu Zhu Nan Jing》 to 《Yi Xue Ru Men》. 5. The principle of treatment according to Zi-Ta jing Bu xie based Xiang Ke is develped from 《The seventy fifth Difficulty·Classic on Difficulty》 to Sa Am Do In(舍岩道人).

온도 측정을 통한 상용 쑥뜸의 자극효과에 대한 실험적 연구

이건목,양유선,이건휘 대한침구학회 2002 대한침구의학회지 Vol.19 No.2

Objective : The purpose of this study is to investigate the mechanism and effect of moxibustion objectively and to be used as the quantitative data for developing the new thermal stimulating treatment by observing the combustion time and temperature of commercial moxaes. Methods : We have selected two types(large-size moxa A(LMA), large-size moxa B (LMB)) among large moxaes used widely in the clinic. We examined combustion times, temperatures in each period during a combustion of moxa. Results : 1. The combustion time in the preheating period was about 30sec in both moxaes on the non-contact heated surface. 2. The combustion time in the heating period was about 345sec in LMA and about 1391 sec in LMB, about 4 times longer in LMB on the non-contact surface. 3. The maximum temperature in the heating period was 44.5℃ in LMA and 45.4℃ in LMB respectively, higher by 0.9℃ in LMB. The average temperature in the heating period was 35.5∼37.6℃ in LMA and 36.0∼39.8℃ in LMB, a little higher in LMB. 4. The combustion time in the retaining period in LMA was 45.4sec and 13% of that in the heating period, and in LMB 594.7sec and 43% of that in the heating period on the non-contact surface. 5. On the point(PH) measured maximum temperature, the average temperature during the retaining period was 44.0℃, 42.9℃ respectively and the temperature at an end of the retaining period was 43. 0℃, 40.2℃ respectively. 6. The time at a beginning of the cooling period was about 418 sec from ignition in LMA and 2021sec in LMB, and the temperature at that time was 36.9-39.1℃ on the non-contact surface. Conclusion : It was thought that not only the figure of moxicombustion device, but also the form and size of moxa had influence on the combustion characteristics deciding the performance of stimulus seriously.

정상인의 경락전위측정 실험에 대한 연구(4) : 측정방법에 따른 정상인의 경락전위 비교를 중심으로 Comparing electrical potentials of healthy volunteers between two measurements

남봉현,최환수 대한침구학회 2001 대한침구의학회지 Vol.18 No.6

Objective : Assuming that the characteristic of meridian system has been similar to this of electric potentials in human body and that measurements of electric potential at well(井穴) and sea(合穴) points in branches of the twelve meridians will be representative of measurements of the twelve meridians, to measure the electric potentials in twenty aged and fifty aged healthy volunteers groups at sleeping(SG) and awakening(AG), and then to find out the characteristic of meridian system among 2 groups. Methods : We selected who thirty healthy volunteers were diagnosed by a blood test, urine examination and differentiation of syndromes by five viscera(五臟辨證) among volunteers. Their electric potential of well and sea points in the meridians were simultaneously measured by physiograph. Results : Measurements were analyzed by statistical factor analysis, we obtained that the both left and right side electric potential of well and sea points in branches of the twelves meridians were unclearly divided into four factors according to age and whether sleeping or not, which were the three Yin meridians of the hand, the three Yang channels of the hand, the three Yin meridians of the foot, and the three Yin meridians of the foot. Conclusion : In conclusion, using the sequently measuring method, we obtained that electrical potentials of well and sea points in branches of the twelves meridians were divided into two factors, but the simultaneously measuring method, those were divided into four factors. The latter result means that the electrical potentials of twelve meridians were reflected by the function of the viscera and bowels.

말기 위암환자 11례에 대한 증례보고

최성권,서원희,임희정,오수진,김숙경,문익렬,박종태 대한침구학회 2002 대한침구의학회지 Vol.19 No.4

Objective : Gastic cancer has become major cancers which cause nausea, vomiting. Especially patients with terminal stage of gastric cancer may suffer from nausea, vomiting and other symptoms that can keep patients from taking medicine or food. In those cases, there may be no use of taking herbal medicine to treat or palliate symptoms.So we wanted to know the potential efficiency of Acupuncture and Moxibustion whether they could control the symptoms of terminal stage of Gastric cancer without herbal medicine. Methods : Under the assumption that Acupuncture and Moxibustion may be effective for palliating nausea, vomiting on terminal stage of Gastric cancer, the following points were administrated SaGwan(Hapkok(LI_4), Taechung(LR_3)), Chok-Samli(ST_36), Kongson(SP_4), Naegwan(PC_6) for Acupuncture, Chungwan(CV_12)for Moxibustion. This observation was carried out on 11 patients with terminal stage of Gastric cancer. We reviewed medical records, specifically intake/output check with vomiting, nausea. Results : After therapy of Acupunture and Moxibustion, there were 22% of complete responses, 46% of major responses and 32% of failures. Therapy resulted in 2 cases of goodness, 4 cases of fairness, 5 cases of badness as satisfaction degree. Unfortunately 2 cases of badness expired. Conclusion : We have concluded that Acupunture and Moxibusiton therapy were effective to palliate the nasea, vomiting of terminal Gastric cancer.So if Gastric cancer develop difficulties of taking medicine with patients, to consider using the methods of Acupunture and Moxibution is worthy to palliate the nausea, vomiting and so on.

Modulation of Bone Mass, Strength and Turnover by a Cervi Pantotrichum Cornu Herbal Acupuncture in adjuvant-Induced Arthritic Rats

Kim, Min Jeong,Park, Sang Dong,Lee, A Ram,Kim, Kyung Ho,Jang, Jun Hyouk,Choi, Byeong Joon 대한침구학회 2002 대한침구의학회지 Vol.19 No.5

면역억제활성이 알려진 Cerves korean TEMMINCK var. manchur-icus Swinhoe(Nokyong) 약침(CPH)은 다모 뿔의 녹용을 열수추출한 용액이다. 본 연구에서는 녹용 약침의 효과를 adjuvant 유발 관절염 실험용쥐를 이용하여 골체, 골강도 및 골대체율의 감소를 평가하였다. 위의 골 대사 관련 검정실험을 위하여 6주령의 암컷 실험용쥐에 20일간 약물투여를 실시하였다. 실험적인 관절염유발은 실험용쥐의 뒤쪽 다리에 Adjuvant를 주사하여 유발시킨 결과, 요부의 골 무기질함량과 밀도(BMC, BMD) 그리고 압축강도는 관절염 실험용쥐에서 감소되었다. 10일 경과 후 골형성도(BFR/BS, BFR/BV)의 조직형태학적 기준척도인 혈청 osteocalcin 수가 정상대조군과 비교해 볼 때 현저하게 감소되었다. 그러나, 몸무게로 나눈 BMC치는 관절염 유발군과 정상군 사이에 큰 차이가 보이지 않았다. 그리고 골무기질 함량은 정상군에 비해 감소하지 않았다. 20일 경과후 몸무게로 나누거나 나누지 않은 BMC치 모두, 관절염 군에서 요부 몸체의 골무기질 함량과 강도가 정상군과 비교해 볼 때 현저하게 감소되었다. 잔존 소주(小柱)의 무기질 침착 표면은 현저하게 감소하였으며 파골 세포의 수는 증가하였다. 초기부터 매일 Shinsu(B23)에 CPH 약침 투여(10, 20, 50㎍/㎏)는 20일 경과후 만성적인 다리 부종을 현저하게 방지하였으며, 골 무기질함량, 골강도 및 소주골 형성등의 감소와 파골세포수 증가도 완화하였다. Adjuvant주사로 장애를 받았던 연령대비 요부 길이 증가도 유지되었다. 이러한 결과는 Adjuvant에 의한 관절염 실험용쥐의 2차적인 골관절염에서 충분히 요추 몸체뼈와 강도 감소를 나타내기 위해서는 적어도 20일이 필요하다는 것을 제시하였다. 본 결과로부터 CPH가 실험용쥐의 관절염에 대한 골체, 골강도 및 골대체율을 조절하는데 유효하게 작용하고 있음을 알 수 있었다.

소아 침구의 연구 동향에 대한 문헌적 고찰

류은경,박동석,이재동 대한침구학회 2002 대한침구의학회지 Vol.19 No.4

Objective : In order to review the studies related to the treatment of children by aupuncture or mo ibustion Methods : We referred to a Pubmed site by using searching word of "the terms of pediatrics(for e ample child children infant baby pediatrics etc and acupuncture" Results : 40 journals with 63 papers were searched 50 papers were reported Conclusion : 1 We found 63 articles in 40 journals which were Pediatrics J Tradit chin Med Am Fam Physician Anaesthesia linical research was the most of these studies and the pattern of the rest were review or clinical conferences 3 We analy ed articles and found many articles of nocturnal enuresis asthma bronchitis postoperative vomitting constipation etc 4 The result of clinical studies represented the significant cure rate owever the cases of sensorineural hearing loss vomitting after tonsillectomy e ercise induced asthma were not 5 It was ta en to research for laser acupressure bloodletting ear acupuncture etc as well as body acupuncture in the area of pediatric acupuncture treatment as alternative therapy which was composed of the lower stimulation than adult.

동씨침법이 요각통 환자의 족지신근력에 미치는 영향에 대한 임상적 고찰

양기영,김영화,임윤경,이현,이병렬 대한침구학회 2002 대한침구의학회지 Vol.19 No.4

Objective : The purpose of this study is to find out the effects of Dorsiflexion of foot & great toe of Dong-si acupuncture therapy for the patients with lumbago. Methods : A retrospective study has been carried out for 20 cases of lumbago patients who visited Cheongju Oriental Medical Hospital from January 1, 2002 to June 30, 2002. We have treated tem with acupuncture treatment of Dong-si acupuncture points(Yeong-gol and Dae-baek) and taken measurements with a Hand Grip Meter. Results : 1. There was no siginificance difference between the average values of the whole group and each groups divided by age before and after Dong-si acupuncture therapy. 2. The correlation of measured values before and after Dong-si acupuncture therapy was as much as 0.849, which suggests that the patients with higher value before the therapy also had higher value after the therapy. 3. The average value after Dong-si acupuncture therapy was higher than the average value before the therapy by 1.9625±8440, which suggests the therapeutic significance. Conclusion : The Dong-si acupuncture therapy is effective therapy of Dorsiflexion of foot & great toe.

구법에 대한 문헌적 고찰 및 최근 연구 동향

우현수,이윤호,김창환 대한침구학회 2002 대한침구의학회지 Vol.19 No.4

Objective : To observe the biological responses and therapeutic effects of moxibustion and review the trend of related study. Methods : We searched and investigated the journals supplied by Pubmed online site and Je-Han Oriental Medical Academy homepage with the key word "moxibustion". Results : 1. The biological responses of moxibustion reveal on skelectal, digestive, urinary systems, especially blood, angiological systems. 2. The therapeutic effect of moxibustion are analgesic action, controls of excitation or inhibitation of nerve system, improvement of blood circulation, nutrition in organs, increase of absorption of pathlogical product, controls of secreting glands, care of tuberculosis, increase of natural healing power etc. 3. Moxibustions effects on diarrhea, edema, diabetus mellitus, hyperlipiemia, tinnitus, osteoporosis, facial palsy, myopia, pimple etc. 4. Most of moxibustion studys related on immunofunctional actions and renal functional actions. 5. To elevated quality of studies, we needs well-designed epeerimental methods, efficient secure of experimental groups, appropriate statistical verification, accumulations of knowledges about data research. Conclusions : We find out moxibustion is remakble on clinincal therapeutic effects, from now on much more studies are needed to develop this therapy.

Kyphotic cervical curvature로 인한 항통 4 예에 대한 임상적 고찰

조현열,배은정,이경민,이정훈,서정철,한상원 대한침구학회 2002 대한침구의학회지 Vol.19 No.3

Kyphotic cervical curvature, straghtening is commonly caused by trauma, muscle spasm without trauma and wrong posture, etc. Objective : This study is performed to evaluate the clinical effect of neck pain associated with Kyphotic cervical curvatre on cervical x-ray lateral view. Methods : One of the many causes, We examined the patients with neck pain & upper back pain who visited to Department of Acupuncture & Moxibustion, Gumi Oriental Hospital of Kyung-San University from 16th June 1999 to 22th June 2000. Pre and post treatment, We evaluated the cervical angle, Jochumsen's method, VAS(visual analogue scale) and effective score of treatment. Results & Conclusion : I. Kyphotic cervical curvature is mainly caused by wrong posture during long term, sudden trauma, etc. therfore, postcervical muscles and tendon are injuryed by strong stress. So, muscle imbalance and pain is occured. 2. On these cases, The improvement index for pre/post treatment showed 28/42, 10/15, 9/30, 28/42 degree in cervical angle. Jochumsen's method showed -1/+2, -9/-3, -5/-2, -1/+2㎜. Afer treatment VAS is 2, 1, l, 1 and effective score of treatment is above good. The results suggest that treatments of Oriental Medicine(Acupuncture & Moxibustion, Chu-Na, Cupping and Physical therapy) are effective methods for neck pain with kyphotic cervical curvature on cervical x-ray lateral view.