자가면역질환의 봉독요법에 대한 Pubmed 검색을 통한 고찰

고형균,이윤호,이웅경 대한침구학회 2001 대한침구의학회지 Vol.18 No.6

Objective & Method : To identify current state of bee venom therapy(BVT) research as a treatment of autoimmune diseases, we reviewed the PubMed electronic database. 9 articles with clinical implications were discussed. Results : BVT is reported as effective in the treatment of such autoimmune related diseases as rheumatoid arthritis and insulin dependent diabetes mellitus in animal experiment, The lack of evidence on BVT as a treatment of multiple sclerosis deters us from reaching any determination. There also lacks firm evidences of immune response regulative or anti inflammatory mechanism of BVT. No clinicla trial was found. Conculsion : This review raises the urgent need of study to provide scientific and clinical evidences.

Septic Arthritis 후유증 환자 1례에 대한 치험례 보고

김용석,전형준,이주형,남상수 대한침구학회 2001 대한침구의학회지 Vol.18 No.5

Objective : Septic arthritis is a disease of when bacterial infection causes inflammatory reactions to occur in the body's joints. Following damage, stiffness, and disformity may occur in the joints. Initially antibiotic treatment is used. Later treatment is the preservation and rehabilitation of the joints. Here we report a case of sequelae of septic arthritis, which is treated and managed by ways of oriental medicine. Methods : We considered that symptoms like fever, arthralgia and ankylosis were similar to Yeol-bi (熱痺) and the patient's constitution was Soyang-in(少陽人). So Yangguksanhwa-tang(凉구膈散化湯) was used as medication, and acupuncture, TENS, rehabilitation treatment was carried out. Also Kinesio & Cross(Geok-ja(격자)) taping therapy was done after the contact test. Results : After 4-7 days from the end of antibiotic treatment, the patient regained movement in the joints. After 3 weeks, the patient was able to support his own weight, and one week later joints were restored to nearly normal range. Therefore sequelae of Septic arthritis is thought to be treated earlier when the above treatment is used, compared to western treatment, which mainly consist of antibiotic treatment. Conclusion : This case was managed by herbal medicine, acupuncture, TENS, rehabilitation treatment, and Kinesio & Cross(Geok-ja) taping therapy on sequelae of Septic arthritis. Earlier improvement was gained comparatively to western treatment, which mainly consist of antibiotic treatment.

오행침법의 운용에 대한 《난경》〈육십구난〉과 〈칠십오난〉의 비교 고찰

박은주,조명래 대한침구학회 2001 대한침구의학회지 Vol.18 No.6

Objective : I refered to oriental medical records to study on the use Ohaeng-acupuncture through compared 《Classic on Difficulty》 <The Sixty ninth Difficulty> with <The seventy fifth Difficulty>. Methods : The original text about 《Classic on Difficulty》 was used 《Nan Jing Ben YI》 , annotations were excerpted and record that were necessary for this study. The structural formula was composed together to compare 《Classic on Difficulty》 <Sixty nineth Difficulty> with <The seventy fifth Difficulty> . Results : 《Classic on Difficulty》 deals with fundamental medical theories and gives differentiation of syndromes of some diseases in the form of questions and answers. 《The Sixty nineth Difficulty, Classic on Difficulty》 "Xu Ze Bu Qi Mu(虛者補其母), Shi Ze Xie Qi Zi (實者瀉其子)" that united 《Ling Shu(靈樞) - Jing Mai(經脈篇)》 "Sheng Ze Xie Zhi(盛則瀉之) Xu Ze Bu Zhi(虛則補之)" with Ohaeng-xiangsheng theory is the base of the "Bu Xie (補瀉)". 《The seventy fifth Difficulty, Classic on Difficulty》 "Xie Nan Huo (瀉南方火) Bu Bei Shui (補北方火)" that based Ohaeng-xiangke theory and the "Qu Xue(取穴)" takes the form of the "Bu Mu Xie Zi (補母瀉子)" in standard of internal organs which are etiologic al cause named "Shi(實)".

편두통 환자의 뇌혈류에 대한 침치료의 효과

이시섭,김동원,안교필,엄효진,남영 대한침구학회 2001 대한침구의학회지 Vol.18 No.6

Objective : To investigate the effects of Acupuncture therapy on the migraineur by way of the change of the Cerebral blood flow. Methods : 6 migraineurs were inserted in acupoints on GV16, G20, S8 during 2 weeks. and, Mean Velocity (MV) and Pulsatility Index (PI) of MCA, PCA, ACA, BA were measured before and after treatments of 2 weeks, respectively. Results : MV of MCA of the migraineurs was decreased very much by 13.3%, and P1 was decreased much by 10.4%. However, MV and PI of BA changed little. Conclusion : It is observed that Acupuncture therapy reduces pains of migraineur through decreasing Cerebral blood flow like MCA.

상용 소형 쑥뜸의 열역학적 특성에 대한 실험적 연구

이건휘,이건목,황유진 대한침구학회 2001 대한침구의학회지 Vol.18 No.6

Objective : Moxibustion has been proved efficacious for many diseases, but isn't widespread in the clinics due to a danger of skin burning, the smoke produced while burning a moxa combustion and so on. Therefore, another type of moxa that can be resolved these troubles is required. To improve the effect of moxibustion and develop the new thermal stimulating treatment, the performance of commercial moxibustion widely used are studied systematically and found out quantitatively. Methods : We have selected two types (small-size moxa A(sMA), small-size moxa B (sMB)) among small-size moxaes used widely in the clinic. We examined combustion time, various temperatures, temperature gradient in each period during a combustion of moxa. Results : 1. The combustion time in the preheating period appeared somewhat longer in sMA than in sMB. 2, The combustion time in the heating period appeared longer in sMA by 26% than in sMB. 3. The average temperature in the heating period was 37.6∼37.8℃ in sMA and 36.2∼36.8℃ in sMB and the maximum temperature measured at a center of contact surface in sMA was 48.6℃, higher by over 2.8℃ than that of sMB moxibustion. 4. The average ascending temperature gradient in the heating period was 0.08∼0.1℃/sec in both moxaes, and the average ascending temperature gradient of heating period in sMB appeared larger. The maximum ascending temperature gradient appeared higher in sMB, and the time reaching maximum ascending temperature gradient appeared much earlier in sMA than in sMB. 5. The combustion time in the retaining period was around 100 sec in sMA and around 275 sec in sMB, 6. The average temperature in the retaining period was 42.2∼46.0℃ in sMA and 39.3∼41.4℃ in sMB. The minimum temperature in the retaining period was over 38.80 in sMA but just 34.7℃ in sMB. 7. The average descending temperature gradient in sMA was -0.050∼0.067℃/sec and in sMB was-0.030∼0.037℃/sec. 8. The combustion time in the cooling period appeared longer over two times in sMA than in sMB, and the time which the cooling period (minimum temperature) finished at appeared later in sMB by 55 sec. 9. We classified the combustion process that the measured temperature rose over body heat(37℃) into the effective combustion period. The effective combustion time was 233.3 sec in sMA and 300.4 sec in sMB respectively, and was longer by about 29% in sMB. The average temperature and maximum temperature in the effective combustion time appeared higher in sMA. The time taken until the maximum temperature was reached was 225.1 sec in sMA and 244.5 sec in sMB, faster by about 20 sec in sMA. The maximum ascending temperature gradient during the effective combustion period appeared larger about 1.4 times in sMB, but the time when the maximum ascending temperature gradient happened was faster in sMA. Conclusion : It appears that sMB, compared with sMA, is proper if necessary to apply the long time and weak stimulus, because of the gentle stimulus during the relatively longer time. In contrast, sMA that the symmetrical combustion happened is proper if necessary to apply the short time and strong stimulus.

요추 추간판 탈출증 환자 30例의 요추신연법 倂用에 대한 臨床的 考察

김재홍,조명래,채우석 大韓鍼灸學會 2003 대한침구의학회지 Vol.20 No.3

Objective : The purpose of this report is to usee more Chuna treatment clinically by comparing the improvement of Back pain and Sciatica between Common treatment Group and Common treatment with Chuna treatment Group. Methods : This study was carried out on 30 patients with Back pain and Sciatica who ere hospitalized in Dongshin Univ. Oriental Hospital form April 2001 to December, 2002. Group A of 15 patients wer taken both common treatment and Chuna treatment. And Group B of 15 patients were only taken common treatment. And after 10 days of admission, we checked and compared VAS(Visual Analogue Scale) and improvement index out of these two groups. Results : The result of the VAS(Visual Analogue Scale) and improvement index of comparison analysis between two groups after 10 days, shows that the improvement of Back pain and Sciatica in Common treatment with Chuna treatment Group is more effective than that in Common treatment Group.

추적조사를 중심으로 한 腰椎間板脫出症에 대한 蜈蚣藥鍼의 臨床的 硏究

최회강,소기숙,고강훈,박소영,김성남,이종덕,원경숙,문형철,김성철 大韓鍼灸學會 2003 대한침구의학회지 Vol.20 No.3

Objective : This study is performed for the purpose of examining the efficacy of the scolopendrid(Scolopendra morsitans L) which has been to low back pain as a folk remedy. Methods & Results : Seventy patints with H.I.V.D. treated with the scolopendrid aquacupuncture and examined 4 tests; D.I.T.I., physical test, Oswestry disability index, and self-conscious pain rate were studied. And we follow up after discharge, we evaluated the present state and recovery period. Or we evaluated by herniated type and duration of onset. There was 58~97% of efficacy rate in each tests. Moreover, statistically valuable change in all 7D.I.T.I. points and in disability index and in self-conscious pain rate was showed. Conclusion : The scolopendrid aquacupuncture is possible to be effective terating the H.I.V.D patients. so we suggest the possibility using this new remedy to the H.I.V.D. patients.

변비에 대한 천추혈 침구치료의 임상적 연구

강석일,임춘우,박원태,소웅룡,송민주,김연섭 대한침구학회 2001 대한침구의학회지 Vol.18 No.6

Objective : Clinical study of acupuncture and moxibustion therapy on ch'oˇnch'u(ST25) for treatment of constipation Methods : Comparison study after the acupuncture and the moxibustion treatment to the 41 people who were visiting patients of Kwangdong Oriental Medicine Hospital between 10/1/2000 and 4/17/2001. Results : 21 patients turned out to be in the defecation group and 9 patients in the non-defecation group out of 30 patients who were treated by acupuncture among 41 patients(Defecation effect 70%). 7 patients turned out to be in the defecation group and 4 patients in the non-defecation group out of 11 patients who were treated by moxibustion among 41 patents(Defecation effect 63,64%). In the states of defecation in the group performed the acupuncture, the good excrements like soft and watery-soft consist in 30.4%. In the group performed moxibustion therapy occupied 45.5%. Comparatively the good excrements was shown. Conclusion : The patients who are excessive were more effective than those who are deficient in defecation by acupuncture treatment and the patients who are deficient were more effective than those who are excessive in defecation by moxibustion treatment.

대학교 신입생의 침구치료 선호에 관한 연구

김경호,장준혁 대한침구학회 2001 대한침구의학회지 Vol.18 No.6

Objective : The purpose of this study is to examine the reason of choosing acupuncture and moxibustion at first and the change of preference along with the improvement of the causes of avoiding acupuncture and moxibustion. Methods : As for the methodology of the research, we had a questionnaire survey of the freshmen at Dongguk University in 2000. Out of 3095 freshmen, 2158 students (1170 males and 988 females) replied to the questionnaire and statistical analysis was carried out mainly on the items answered by the respondents. Comparison between groups concerning acupuncture and moxibustion treatment utilized χ2test. Results : The results of the research are as follows: 1. The most frequent reason of choosing acupuncture and moxibustion initially was that it seemed to be effective, and the second reason was that they were encouraged by acquaintances. 2. The most frequent reason of revisiting acupuncture and moxibustion was that it was proved effective, and the second reason was that it did not induce pains. 3. The most frequent reason of not revisiting acupuncture and moxibustion was it was proved ineffective, and the second reason was that it induced pains. A large part of the respondents who did not revisit said they would do if the reasons of not revisiting were improved. Conclusion : The reasons of choosing acupuncture and moxibustion initially and revisiting appear to be closely related to the efficacy of acupuncture. It was shown that whether it was painful was also a crucial factor in the decisions. Based on the results, we consider that it is required to develop acupuncture manipulations that enhance the efficacy and reduce pains, as well as to invent various innovative acupuncture and moxibustion techniques and instruments.

합곡 침자가 뇌혈류에 미치는 영향에 대한 핵의학적 고찰

이건목,황유진,양유선,김성진,유동수,김민자,조은희,김현중,양명복,이인,이병철 대한침구학회 2001 대한침구의학회지 Vol.18 No.6

Objective : To localize and compare the cerebral regions- activated by the the stimulation of traditional and burning acupunctures in right Hap-Kok (LI4) acupoints. Methods : Thirty-four healthy normal volunteers (19 males, 15 females, age 31±11 years) were studies by rest/acupuncture Tc-99m HMPAO SPECT using same-dose sequential injection method using right Hap-Kok(LI4), traditional and burning acupunctures. All images were spatially normalized and the differences between rest and acupuncture activation state were statistically analyzed using SPM 96. Results : Statistical analysis of the effect by the stimulation using traditional acupuncture in right L14 showed regional cerebral perfusion increase in right inferior frontal lobe, right straight gyrus, left anterolateral frontal lobe, left anteroinferor temporal lobe, left posterior temporal lobe, and left cerebellum. In the stimulation using burning acupuncture in right L14, regional cerebral perfusion increased in right posterior prefrontal lobe, right precental gyrus, right postcentral gyrus, right poteroinferior temporal lobe, left precentral gyrus, left Broca's area, left anterior parietal lobe, left posterior prefrontal lobe, and left cerebellum. In right LA, diffuse perfusion increase were noted in the both inferior frontal lobe by traditional acupuncture compared to burning acupuncture. Conclusion : The results localized the cerebral areas showed the effect of the acupuncture on cerebral blood flow. The effects of traditional and burning acupunctures on cerebral blood flow were similar in right Hap-Kok (L14) acupoints. But the effects of traditional acupunctures on cerebral blood flow are stronger than those of burning acupunctures on cerebral blood flow.