자침(刺針)이 주관절(?關節) 동통(疼痛) 환자(患者)의 악력(握力)에 미치는 영향

윤유석,정석희,신현대,이상학,Youn, You-Suk,Chung, Seok-Hee,Shin, Hyun-Dae,Lee, Sang-Hak 척추신경추나의학회 2004 대한추나의학회지 Vol.5 No.1

Objective : Acupuncture therapy is known as a effective method to pain control including elbow area pain. To make clear about effectiveness of acupuncture affecting to recovery of grip power for the patient with elbow area pain, we compare the patients recieved acupuncture treatment to people with elbow pain unrecieved acupuncture treatment. Material and Methods : This clinical study has been carried out with 30 cases of patients with elbow area pain. 20 patients divides into two groups were treated by acupuncture in MPS with elbow area. Two groups were radial area pain group and ulnar area pain group. The other 10 people with elbow area pain working a resturant in Ilsan were no treatment. The study was applicated and estimated grip power before 1 st treatment and after each treatment for 4 days. Results : 1. In the radial area pain group, the acupuncture treatment is more effective than no treatment (p<0.007). 2. In the ulnar area group, the acupuncture treatment is more effective than no treatment (p<0.037). 3. The effectiveness of acupunctrue treatment is no differnce between radial area pain and ulnar area pain(P<0.529) 4. In the elbow area pain group, the acupuncture treatment is more effective than no treatment (p<0.001). Conclusion : These results shows that acupuncture treatment is effective in elbow area pain.

추나요법 후 악화된 요추 추간판 탈출증 1례

윤유석(You-Suk Youn),조재흥(Jae-Heung Cho),류한진(Han-Jin Ryu),이종수(Jong-Soo Lee) 척추신경추나의학회 2004 대한추나의학회지 Vol.5 No.1

The occurrence of neurologic symptom, for example cauda equina syndrome or disc rupture after Chuna treatment seems to be an uncommon event considering the large number of Chuna treatment performed. We experienced a woman who developed sudden complication after lumbar Chuna treatment. Patients in spinal hernation undergone Chuna treatment can be the causative factor in neurological symptom and must be considered in each case. Therefore, physicans and patients should be aware that neurological complication may occur as a result of lumba Chuna treatment.

중풍 하지마비의 재활에 건측 상지 운동요법이 미치는 효과

윤유석 ( You Suk Youn ),정석희 ( Seok Hee Chung ),이종수 ( Jong Soo Lee ) 한방재활의학과학회 2004 한방재활의학과학회지 Vol.14 No.2

Objective: The muscle pattern excercise(MPE) is freqeuntly usde to enhance stroke rehabilitation. and the electroacupunture(EA) is also used to facililitate stroke rehabilitation. Although many studies have indicated that each MPE and EA might improve the motor and functional recovery, there is no study about using MPE and EA simultaneously for effective treating for stroke rehabilitation especially lower extremity function. So we compare the effect between electroacupuncture on affected lower extremity and simultaneously elbow exercise on unaffected upper extremity and only electroacupuncture on affected lower extremity. Methods: 53 stroke patients with hemiplegic stroke were randomized into two groups. 28 patients were treated by electroacupuncture on affected lower extremity and simultaneously elbow exercise on unaffected upper extremity. The other 25 patients were treated by only electroacupuncture on affected lower extremity. The study was applicated a day for 20 days. The frequency of stimulation was 2Hz and intensity was set at a level sufficient to include muscle contraction. The elbow exercise was elbow flexion and extension. Outcome were assessed by weight difference of both leg, Fugl-Meyer score, Medical research council scale, modified Ashworth sclae, modified Barthel index and NIH. Results: By the end of treatment, the sample group showed significantly more improvement than the control group in the section of weight difference of both leg, Fugl-Meyer score, Motor Power, modified Barthel index. Conclusion: These results support that electroacupuncture on affected lower extremity and simultaneously unaffected elbow exercise is more effective than only electroacupuncture on affected lower extremity for Stroke rehabilitation.

중풍환자의 보행회복에 대한 대칭패턴운동을 겸한 전침의 효과

윤유석 ( You Suk Youn ),심우진 ( Woo Jin Shim ),이종수 ( Jong Soo Lee ),김성수 ( Sung Soo Kim ) 한방재활의학과학회 2004 한방재활의학과학회지 Vol.14 No.1

Objectives: Not only but also the muscle pattern excercise(MPE) is freqeuntly used to enhance gait rehabilitation after stroke. Although many studies have indicated that each EA and MPE might improve the gait and functional recovery, there is no study about using EA and MPE stimulateously for effectively treating for gait rehabilitation and funtional recovery after stroke. So we compare the effectiveness between electroacupuncture on affected lower extremity and stimulateously muscle pattern exercise on unaffected upper extremity and only electroacupuncture on affected lower extremity. Methods: 33 stroke patients with hemiplegic stroke were randomized into two groups. 18 patients were treated by electroacupuncture on affected lower extremity and stimulateously muscle pattern exercise on unaffected upper extremity. The other 15 patients were treated by only electroacupuncture on affected lower extremity. The study was applicated a day for 20 days. The frequency of stimulation was 2Hz and intensity was set at a level sufficient to include muscle contraction. The muscle pattern exercise was elbow extension. Outcome were assessed by weight difference of both leg, modified Barthel index and temporal distant gait analysis, for example gait velocity, cadence, stride length, steps length, based of support. Results: By the end of treatment, the sample group showed significantly more improvement than the control group in the section of weight difference of both leg, cadence, stride length, steps length. Conclusions: These results support that electroacupuncture on affected lower extremity and stimulateously muscle pattern exercise is more effective than only electroacupuncture on affected lower extremity for gait rehabilitation.

천마가 중대뇌동맥 폐쇄 흰쥐의 신경세포 자연사에 미치는 영향

윤유석 ( You Suk Youn ),이종수 ( Jong Soo Lee ) 한방재활의학과학회 2009 한방재활의학과학회지 Vol.19 No.3

Objectives: This study evaluates neuroprotective effect of Gastrodiae Rhizoma on apoptosis in the cerebral infarct. Methods: Cerebral infarct was induced by the middle cerebral artery occlusion (MCAO) for 2 hours with intraluminal thread method in Sprague-Dawley rats. Then ethanol extract of Gastrodiae Rhizoma was administered orally for 3 days. Infarct area and volume were evaluated with TTC staining. Neuronal apoptosis was identified with TUNEL labeling. Apoptosis modulatory effect was observed with immunohistochemical Bax, Bcl-2, iNOS, and MMP-9 expressions in penumbra. Results: 1. Ethanol extract of Gastrodiae Rhizoma reduced infarct size partly and volume significantly of in the MCAO rat brain. 2. Ethanol extract of Gastrodiae Rhizoma reduced TUNEL positive cell ratio in the penumbra of MCAO rat brain significantly. 3. Ethanol extract of Gastrodiae Rhizoma suppressed Bax, iNOS and MMP-9 expression in the penumbra of MCAO rat brain significantly. 4. Ethanol extract of Gastrodiae Rhizoma did not change Bcl-2 expression in the penumbra of MCAO rat brain. But expression ratio of Bcl-2 against Bax was increased in the Gastrodiae Rhizoma group. Conclusions: These results suggest that Gastrodiae Rhizoma plays an anti-apoptotic neuroprotective effect through suppression of Bax, iNOS, and MMP-9 expressions and relative up-regulation of Bcl-2 in the ischemic brain tissue.

요추 추간판탈출증 환자의 발병시기에 따른 보존적 치료 결과 비교 연구

윤유석 ( You Suk Youn ),이종수 ( Jong Soo Lee ),하인혁 ( In Hyuk Ha ),김주원 ( Joo Won Kim ),권혁준 ( Hyeok Joon Kwon ) 한방재활의학과학회 2008 한방재활의학과학회지 Vol.18 No.4

Objectives : To investigate therapeutic outcomes of back pain modalities in patients with disc herniation according to the duration by treated with herbal medicine, chuna, acupuncture, bee-venom acupuncture. Methods : We separated 36 patients with disc herniation into three group according to duration; acute patients within 4 week, subacute patients within 5-12 week, and chronic group within 13-24 week. 36 patients with lumbar disc herniation were treated with chuna therapy, acupuncture, bee-venom acupuncture one times a week and took herbal medicine after a meal two times daily. The patients` symptoms were assessed 1 week, 2 week, 4 week, 8 week by Visual analogue scale(VAS), Oswestry disability index(ODI), 36-Item short-form health survey(SF-36). Results : 1. ODI of disability of daily activities showed significantly decreased in acute stage group compared to subacute and chronic stage groups(P<0.05). 2. Physical functioning(PF), bodily pain(BP), social functioning(SF) score of SF-36 showed significantly increased in acute stage group compared to subacute and chronic stage groups(P<0.05). Conclusions : This study suggests that acute stage group compared to subacute and chronic stage groups in patients with lumbar disc herniation is the more effective to improve symptoms treated with herbal medicine, chuna therapy, acupuncture, bee-venom acupuncture.

요추 추간판탈출증 환자에 대한 한약, 봉독약침, 침, 추나요법의 유효성 평가

윤유석 ( You Suk Youn ),박원상 ( Won Sang Park ),하인혁 ( In Hyuk Ha ),이종수 ( Jong Soo Lee ),신현대 ( Hyun Dae Shin ) 한방재활의학과학회 2008 한방재활의학과학회지 Vol.18 No.1

Objectives : To investigate therapeutic outcomes of back pain modalities in patients with disc herniation; Korean medical treatments(Herbal medicine, chuna therapy, acupuncture, bee-venom acupuncture.). Methods : Operation(OP) recommended 20 patients with lumbar disc herniation were treated with chuna therapy, acupuncture, bee-venom acupuncture one times a week and took herbal medicine after a meal two times daily. The patients` symptoms were assessed 1 week, 2 week, 4 week, 6 week, 8 week by Visual analogue scale(VAS), Oswestry disability index(ODI), 36-Item short-form health survey(SF-36). Results : 1. VAS(LBP and Sciatica) score was significantly improved after 8 weeks (P<0.05). 2. ODI, SF-36 score was significantly improved after 8 weeks (P<0.05). 3. There were significant changes in physical functioning(PF), bodily pain(BP), social functioning(SF), role emotinal(RE), mental health(MH) score of SF-36 after 8 weeks (P<0.05). Conclusions : This study suggests that Korean medical treatment(Herbal medicine, chuna therapy, acupuncture, bee-venom acupuncture) can be applicable to improve symptoms in patients with lumbar disc herniation.

척추측만증 환자의 척추만곡도에 관한 고찰

이상호,윤유석,우인,하인혁,Lee, Sang-Ho,Youn, You-Suk,Woo, In,Ha, In-Hyuck 척추신경추나의학회 2006 척추신경추나의학회지 Vol.1 No.2

Objectives: To invesgate correlation between the scoliotic curve and BMI, cervical lordosis, lumbar lordosis and Ferguson angle in spinal scoliotic patient. Methods: The study was composed of 14 scoliosis patients beyond cobb'a angle $10^{\circ}$ (sample I group) and 15 scoliosis patients over cobb'a angle $10^{\circ}$ (sample II group). The patients were evaluated with X-ray findings of full spine AP and lateral views and statistically analyzed. Results: 1. Sample II group showed a significant decrease in BMI as compared with Sample I group(P<0.05). 2. Scoliotic curve had s negative relationship with $BMI({\gamma}=0.406)$ 3. Scolotic patients had a lower cervical angle than normal man. Conclusion: 1. The larger the scoliotic angle, the lower BMI 2. There are no concemed scoliotic curve and cervical lordosis, lumbar lordosis and Ferguson angle.

관절강내 Steroid injection에 호전되지 않은 DM을 가진 OA환자에 대한 봉독요법 치험1례

한순현,윤유석,김성수,정원석,Han, Soon-Hyun,Youn, You-Suk,Kim, Sung-Soo,Chung, Won-Suk 척추신경추나의학회 2003 대한추나의학회지 Vol.4 No.1

관절염에 대한 스테로이드의 관절강내 주사는 전신적인 부작용 등의 위험성이 적으면서 간편하고 경제적이며 비교적 양호한 항염효과를 얻을 수 있어 단일관절의 RA 또는 퇴행성 관절염에서 활액막의 염증증상이 있을 때 또는 보존적 치료에 반응하지 않는 경우 비교적 많이 사용된다. 하지만 이러한 스테로이드요법은 여러가지 만성 질환에서 과도한 염증이나 면역반응 자체를 치료하는 것이 아니라 부수되는 이차적 증상만을 완화시켜 주기 때문에 장기간의 스테로이드제 투여는 절병의 경과를 교정 하거나 변화시키지 못하고 예후에 악영향을 미칠 수도 있다. 또한 심각한 여러 부작용들을 야기할 수도 있다. 저자는 스테로이드 관절강내 주사에 호전되지 않은 부종과 통증을 주소로 하는 슬관절염 환자에 대해, 피하 봉독요법으로 양호한 효과를 얻었으며, 또한 기존에 알려져 있는 것처럼 당뇨병환자에게서 봉독요법이 혈당치를 지속적으로 높인다는 주장에 대해 다른 결과를 경험하였으므로 문헌조사와 함께 보고하는 바이다. We experienced a patient(53-year-old female) with knee joint effusion, pain and stiffness who had not responded to steroid injection therapy, significantly improved by bee venom acupuncture in clinical symptom. And for a opinion that prohibited bee venom acupuncture on DM because of increasing serum glucose level by increasing serum cortisol level, we also experienced that serum glucose level of DM patient stabilized by bee Venom acupuncture treatments, so we report this case with literature review of articles.

刺針이 肘關節 疼痛 患者의 握力에 미치는 영향

이상학(Sang-Hak Lee),윤유석(You-Suk Youn),정석희(Seok-Hee Chung),신현대(Hyun-Dae Shin) 척추신경추나의학회 2004 대한추나의학회지 Vol.5 No.1

Objective : Acupuncture therapy is known as a effective method to pain control including elbow area pain. To make clear about effectiveness of acupuncture affecting to recovery of grip power for the patient with elbow area pain, we compare the patients recieved acupuncture treatment to people with elbow pain unrecieved acupuncture trearment. Material and Methods : This clinical study has been carried out with 30 cases of patients with elbow area pain. 20 patients divides into two groups were treated by acupuncture in MPS with elbow area. Two groups were radial area pain group and ulnar area pain group. The other 10 people with elbow area pain working a resturant in Ilsan were no treatment. The study was applicated and estimated grip power before 1st treatment and after each treatment for 4 days. Results : 1. In the radial area pain group, the acupuncture treatment is more effective than no treatment (p<0.007). 2. In the ulnar area group, the acupuncture treatment is more effective than no treatment (p<0.037). 3. The effectiveness of acupunctrue teartment is no differnce between radial area pain and ulnar area pain(P<0.529) 4. In the elbow area pain group, the acupuncture treatment is more effective than no treatment (p<0.001). Conclusion : These results shows that acupuncture treatment is effective in elbow area pain.