우울증(憂鬱症)의 침구치료(鍼灸治療)에 관(關)한 중의문헌(中醫文獻)의 고찰(考察)

김여진,박동석,이윤호,Kim, Yeo-jin,Park, Dong-suk,Lee, Yun-ho 대한침구의학회 2005 대한침구의학회지 Vol.21 No.2

우울증(憂鬱症)의 철구치료(鐵灸治療)에 관(關)한 중의학(中醫學) 문헌(文獻)을 조사(調査)하여 다음과 같은 결론(結論)을 얻었다. 1. 우울증(憂鬱症)을 통치(通治)하는 혈(穴)에서 다용(多用)된 혈(穴)은 내관(內關), 신문(神門), 족삼리(足三里), 백회(百會), 태충(太衝), 삼음교(三陰交)였다. 2. 우울증(憂鬱症)을 실증(實證)과 허증(虛證)으로 구분했을 때 다용(多用) 된 혈(穴)은 책증(責證)에서는 태충(太衝), 전중, 양릉천(陽陵泉), 풍륭(豊隆), 내관(內關)이었고, 허증(虛證)에서는 내관(內關), 삼음교(三陰交), 신문(神門), 심유(心兪)였다. 실증(實證)에는 사법(瀉法), 허증(虛證)에는 보법(補法)을 사용(使用)하였다. 3. 우울증(憂鬱症)에 다용(多用)된 혈(穴)은 영심안신(寧心安神), 소간해울(疏肝解鬱), 건장화위(健將和胃), 관흉화담(寬胸化痰) 등(等)의 특성(特性)이 있다. 4. 이철료법(耳鐵療法)에서는 다용(多用)된 혈(穴)은 신문(神門), 심(心), 침(枕), 피질하(皮質下)였고, 전침료법(電鍼療法)에서는 족삼리(足三里), 삼음교(三陰交), 신문(神門), 내관(內關), 통리(通里), 용천혈(涌泉穴) 등(等)이 사용(使用)되었으며, 혈위주사료법(穴位注射療法)에서는 심유(心兪), 전유, 족삼리(足三里)가 다용(多用) 되었다. 5. 피부침(皮膚鍼)은 주로 항배부(項背部) 독맥(督脈)과 방광경위주(膀胱經爲主) 혈위(穴位)에 피부(皮膚)가 홍윤(紅潤)해질 정도로 고자(叩刺)하는 방법(方法) 을 사용(使用)하였다. 6. 우울증(憂鬱症)의 치료에는 약물(藥物), 침구치료(鍼灸治療) 외에 정신요법(精神療法), 음악요법(音樂療法), 광선용법(光線療法) 등이 응용(應用)될 수 있다고 사려(思慮)된다. Objective : The objective of this study was to research depression with acupuncture & moxibustion treatment. Methods : We searched Chinese Medical Literature(published from 1985~2002) related to depression and acupuncture. Results : 1) PC6(內關), HT7(神門), ST36(足三里), GV20(百會), LR3(太衝), SP6(三陰交) are much used for the treatment depression. 2. LR3(太衝), CV17(전중), GB34(陽陵泉), ST40(豊隆), PC6(內關) are much used for the excess type of depression and PC6(內關), SP6(三陰交), HT7(神門), BL15(心兪) are much used for deficiency type of depression. 3. ST36(足三里), SP6(三稜交), HT7(神門), PC6(內關), HT5(通里), KI1(通泉) are used for the treatment depression in electroacupuncture therapy. BL15(心兪), BL20(脾兪),ST36(足三里) are used for the treatment depression in acupoint injection therapy. 4. In dermal needle therapy, it is used to tap slightly until the skin becomes congested in the region of Bladder meridian and nape, back of Governor Vessel. 5. It seems that psychotherapy, music therapy and light therapy will be applied for the treatment of depression. Conclusion : We expect that acupuncture treatment of depression will be applied practically in clinical medicine due to further study on depression with acupuncture.

《침구태성(鍼灸大成)》<책(策)>편(篇)의 분석(分析)을 통(通)한 양계주(楊繼洲)의 의학사상(醫學思想)에 관(關)한 연구(硏究)

이수홍,윤종화,김갑성,Lee, Su-Hong,Yoon, Jong-Hwa,Kim, Kap-Sung 대한침구의학회 2000 대한침구의학회지 Vol.17 No.2

We have known that $\ll$Zhen Jiu Da Cheng, 鍼灸大成$\gg$ had been written by Yang Ji Zhou(楊繼洲) in Ming(明) dynasty. And it had been the only textbook of acupuncture & moxibustion for over 300years. This book is composed of 10 chapters dealing almost all the medical theories of that times. This book is so enormous that it is hard to understand essential ideas of the author. But, Yang Ji Zhou revealed his ideas and medical theories in some parts of this book. This part is named <Ce, 策> that composed of 4 small subjects. These are <Zhu Jia De Shi Ce, 諸家得失策>, <Tou Bu Duo Jiu Ce, 頭不多灸策>, <Xue You Ji Zheng Ce, 穴有奇正策> and <Zhen You Shen Jian Ce, 鍼有深淺策> In this study, I analyze the relation of $\ll$Zhen Jiu Da Cheng, 鍼灸大成$\gg$ and $\ll$Wei Sheng Zhen Jiu Xuan Ji Bi Yao, 衛生鍼灸玄機秘要$\gg$ and then I study <Ce, 策> further by comparing with other parts of $\ll$Zhen Jiu Da Cheng, 鍼灸大成$\gg$ and other important oriental medical textbooks.

${\ll}$상한론(傷寒論)${\gg}$ 태양병(太陽病) 제강(提綱)의 침구학적(鍼灸學的) 분경(分經) 및 정증(定證)의 운용(運用) 방법론(方法論)에 관한(關) 연구(硏究)

백성욱,손성철,이준범,황민섭,윤종화,Back, Song-ook,Son, Seong-cheol,Lee, Jun-beom,Hwang, Min-seob,Yoon, Jong-hwa 대한침구의학회 2005 대한침구의학회지 Vol.23 No.6

Objective : The following study was undertaken in order to seek the acupuncture operation method of ${\ll}$Sang Han Lun(傷寒論)${\gg}$ Liu-Jing-Bian-Zheng(六經辨證). Methods : Based on the documents quoted in ${\ll}$Sang Hang Za Bing Lun Xu Wen(傷寒雜病論)${\gg}$ of "Zhang, Zhong-Jing(張仲景)", the relativity of the theory of Jing-Mai(經脈) and Liu-Jing-Bian-Zheng of convalescence, and from the Liu-Jing-Bing(六經病), the origin and implication that caused Tai-Yang-Bing(太陽病) to form was studied on the basis of acupuncture medicine publications and the commentary writing of ${\ll}$Sang Han Lun${\gg}$. Results : 1) ${\ll}$Sang Ham Lun${\gg}$ Liu-Jing-Bian-Zheng has succeeded and was developed based on Liu-Jing-Fen-Zheng(六經分證) of ${\ll}$Su Wen Re Lun(素問 熱論)${\gg}$. In addition the summary of Liu-Jing-Bing became the general principle of Fen-Jing(分經) and Ding-Zheng(定證) that may be applicable to Fenghan(風寒), Wenre(溫熱), Lili(疫疾) and Zabing(雜病). 2) Most commentators of ${\ll}$Sang Han Lun${\gg}$ in the Song, Ming and Ching Dynasties of ${\ll}$Sang Han Lun${\gg}$ interpreted the Tai-Yang-Bing in physiological and pathological aspects of Rong-Wei(榮衛) as the disease of the bladder meridian that oversees the skin of the human body. 3) From the Liu-Jing-Bing of ${\ll}$Sang Han Lun)${\gg}$, the region of acupuncture treatment of Tai-Yang-Bing is treated with the needle from the point of view of Bing-Zheng-Lun-Zhi(辨證論治) with the basis of the important region of acupuncture of the small intestine meridian bladder meridian and governor vessel. ${\ll}$상한론(傷寒論)${\gg}$ 태양병(太陽病) 제강(提綱)의 침구학적(鍼灸學的) 분경(分經) 및 분증(分證)의 운용(運用) 방법(方法)을 연구(硏究)한 결과(結果)는 다음과 같다. 1. ${\ll}$상한론(傷寒論)${\gg}$의 육경변증(六經辨證)은 ${\ll}$소문(素問) 열론(熱論)${\gg}$의 육경분증(六經分證)을 기본(基本)으로 하여 계승(繼承)하여 발전(發展) 되었다. 2. 태양병(太陽病) 제강(提綱)은 풍한(風寒), 온열(溫熱), 역병(疫病) 및 잡병(雜病)으로 인해(因) 태양경(太陽經)으로 이환(罹患)되는 증상(症狀)의 분경(分經) 정증(定證)의 강영(綱領)이 된다. 3. ${\ll}$상한론(傷寒論)${\gg}$ 주석가(注釋家)들은 태양병(太陽病)의 제강(提綱)을 인체(人體)의 피부(皮膚)를 주관(主管)하는 족태양승광경(足太陽勝胱經)의 영,(榮) 위기(衛氣)의 생리(生理) 병리적(病理的) 방면(方面)으로 해석(解釋)하였다. 4. 태양병(太陽病)의 진구(鎭灸) 치료(治療)의 혈위(穴位)는 수 (手) 족태양경(足太陽經)과 독맥(督脈)의 요혈(要穴)을 중심(中心)으로 '관기맥증(觀其脈證) 지범하역(知犯何逆) 수증취혈(隨證取穴)' 하는 변증논치(辨證論治)의 관점(觀點)으로 용침(用鍼)한다.

中風에 대한 舍岩鍼法의 運用에 관한 文獻 연구

이정태,임윤경 대한침구의학회 2006 대한침구의학회지 Vol.23 No.5

Objectives & methods : This study aimed to investigate and compare the traditional acupuncture treatment and Sa-am acupuncture treatment of stroke. We investigated ≪Sa-am chimgujeongjeon(舍岩鍼灸正傳)≫ for Sa-am acupuncture treatment, and ≪Dongeuibogam(東醫寶鑑)≫ and ≪Chimgudaesung (鍼灸大成)≫ for traditional acupuncture treatment. Results & Conclusion : 1. In the traditional acupuncture treatment, acupoints on CV, GV, GB, LI, ST meridians to remove pathogens such as fire, damp, phlegm, blood stagnation and Ashi points (nearby points) are often used rather than acupoints according to the diagnosis of excess & deficiency in organs and meridians. 2. In ≪Sa-am chimgujungjeon(舍岩鍼灸正傳)≫, symptoms of stroke are classified into 21 and each symptoms are analyzed according to the diagnosis of excess & deficiency of organs and meridians, consequently treated using tonification & sedation of corresponding meridians. 3. For the treatment of stroke in ≪Sa-am chimgujungjeon(舍岩鍼灸正傳)≫, tonification & sedation of the acupoints on related meridian is often omitted, using only the acupoints on targeted meridian. 4. In ≪Sa-am chimgujungjeon(舍岩鍼灸正傳)≫, empirical points are preferably used for the treatment of stroke.

쌍보환 추출물의 파골세포 분화 억제와 골 흡수 억제효과

김성중,이정주,김준현,조소현,박민철,조은희 대한침구의학회 2015 대한침구의학회지 Vol.32 No.3

Purpose : The first purpose of this study is to find out whether the water extract of Rehmanniae Radix Preparat(RRP), Cuscutae Semen(CS) and their combination(Ssangbohwan, SBH) have the effect of suppressing Receptor activator of nuclear factor kappa-B ligand(RANKL)-induced osteoclast differentiation. The second purpose of this study is to find out whether the water extract of RRP, CS and SBH have the effect of inhibiting osteoporosis in an osteoporosis model induced by lipopolysaccharide(LPS). Methods : After promoting differentiation of osteoclasts by treating the RANKL, we observed the effect by the administration of RRP, CS and SBH. In addition, by means of Reverse transcription polymerase chain reaction(RT-PCR), we assayed mRNA expression levels of NFATc1, c-Fos, TRAP and GAPDHS(Glyceraldehyde-3-phosphate dehydrogenase, spermatogeni) from bone marrow macrophages(BMMs). Similarly, the protein expression levels of NFATc1 (Nuclear factor of activated T-cells, cytoplasmic1), C-Fos, MAPKs(Mitogen-activated protein kinases) and β-actin in cell lysates were analyzed by means of Western Blotting. Finally, we determined the anti-osteoporotic effects of RRP, CS and SBH, through the use of Lipopolysaccharide-induced bone-loss mouse. Results : RRP, CS and SBH showed remarkable inhibitive effect on RANKL-treated osteoclast differentiation without cytotoxicity. SBH inhibited the phosphorylation of p38, Jun N-terminal kinases(JNK), and I-κB and down-regulated the induction of c-Fos and NFATc1 by RANKL. RRP, CS suppressed degradation of I-κB, but it did not affect c-Fos and NFATc1 by RANKL. Lastly, in vivo data showed that RRP and SBH prevented bone erosion by LPS treatment. Conclusions : These results demonstrate SBH can be effective remedy for bone-loss diseases such as osteoporosis.

근위축성 측삭경화증의 한방치료에 관한 문헌적 고찰연구

김경민,김정호,김영일,전주현 대한침구의학회 2015 대한침구의학회지 Vol.32 No.4

Objectives : There have been many reports that show that Korean Medical Treatment of ALS patients can maintain or improve their major and minor symptoms, but this has not been re- viewed in literature. The aim of this study is to review studies of ALS patients treated with Ko- rean Medicine. Methods : A search was completed of studies containing word ALS in English and in Korean from KIOM OASIS. Results : There were no cases of ALS patients that were fully cured. However with Korean Medical treatment, there were articles that reported improvement or maintenance of major symptoms, recovery of minor symptoms like pain, chest discomfort, insomnia, cough, sputum, etc, and success in the long term care of ALS patients. Conclusions: Although the current study has limitations, our findings support the potential use and effectiveness of Korean Medical Treatment for ALS patients.

경추 전만 정도 및 연령에 따른 경추 추간판 탈출 양상 분석 연구

임지석,윤강현,이승민,조예은,박지민,이상훈,김용석 대한침구의학회 2015 대한침구의학회지 Vol.32 No.3

Objectives : The aim of this study is to investigate the state of cervical disc herniation according to the degree of cervical lordosis and age. Methods : 67 records of inpatients who were diagnosed with herniated intervertebral disc(HIVD) of the cervical spine were analyzed. Cobb’s method, Jochumsen method and the Ishihara index were used to measure the degree of cervical lordosis. The state of the cervical disc was identified using magnetic resonance imaging(MRI) of the cervical spine. Then correlations among cervical lordosis, age and cervical disc herniation were analyzed. Results : Disc bulging was associated with hypolordosis and disc protrusion was associated with hyperlordosis and age. Disc extrusion was not associated with either cervical lordosis or age. The number of disc herniations in the cervical spine was correlated with age significantly, but not with cervical lordosis. Conclusions : Cervical disc herniation had a tendency to correlate with age and cervical lordosis, although this is not definite. Future studies that analyze more radiographic images of patients with HIVD of the cervical spine might be necessary to identify the influence of cervical lordosis on cervical disc herniation.

전기와 자기장 복합 침 자극을 활용한 복부비만 치료 6례에 대한 증례 보고

윤지원,이현,김윤주,강재희 대한침구의학회 2015 대한침구의학회지 Vol.32 No.4

Objectives: This study was aimed to show the effect of electroacupuncture combined with mag- netic acupuncture on abdominal obesity without patient dieting, exercise or use of herbal medication. Methods: Women over 85 cm in waist circumference were treated with electroacupuncture com- bined with magnetic acupuncture. Acupuncture points were located at the abdomen (CV12, CV6, ST25, ST21, SP15, SP14), extremities (LI4, LI11, ST36, ST44) and were stimulated 30 minutes with 2.1~3 Gaus, 500 Hz, tolerable strength. The Interference wave forms were by Whata 153 (Medi Lab, Korea). Two or three treatment sessions per week (five or ten sessions in total) were done. Before treatment, and after the last treatment, we measured waist circumference, hip circum- ference, waist hip ratio, thickness of abdominal subcutaneous fat, body weight, body mass index, body fat ratio, visceral fat area, free fat mass, body fat mass and skeletal muscle mass. We also measured the subcutaneous temperature of the abdomen(CV12, ST25(Rt), ST25(Lt), CV6) by using digital infrared thermal imaging(DITI). Results: In this study, significant reductions were shown in waist circumference, hip circumfer- ence, thickness of abdominal subcutaneous fat, body weight, body mass index, body fat ratio and body fat mass. There were no significant differences in waist hip ratio, free fat mass or skeletal muscle mass. There were also significant increases of the subcutaneous temperature on CV12, ST25(Rt), ST25(Lt). Conclusions: From the above results, electroacupuncture combined with magnetic acupuncture might be an effective treatment for abdominal obesity.

Syringe에 재어 놓은 약침의 시간에 따른 미생물학적 안전성 연구

이종환,이진호,하인혁,김미령,이인희,이재웅,김은지,김해솔,김호선,배영현,김노현,서창용,변장훈,박상원,김민정 대한침구의학회 2015 대한침구의학회지 Vol.32 No.4

Objectives: The main aim of this study is to evaluate changes in the microbiological safety of pharmacopuncture exposed to room temperature for an elapsed period of time. Methods: The four most frequently used pharmacopuncture products were stored in syringes at room temperature at three different hospitals for 24 hours and 48 hours respectively, and they were compared with pharmacopuncture products stored in vials through a sterility and microbial limited test. Results: Storage forms and duration of exposure to room temperature did not show significant difference in bacterial or fungal contamination, which was confirmed by the sterility and mi- crobial limited test. Conclusions: Pharmacopuncture products stored in syringes at room temperature for 24 hours and 48 hours demonstrated their safety in terms of lack of microbiological contamination.

신바로 약침의 한약재 확인시험 및 HPLC-DAD를 통한 표준화 연구

이진호,김민정,이재웅,김미령,이인희,김은지 대한침구의학회 2015 대한침구의학회지 Vol.32 No.2

Objectives : The present study was an evaluation and standardization of herbal components in order to establish the efficacy and safety of Shinbaro pharmacopuncture. Methods : Among the raw materials of Shinbaro pharmacopuncture, the components Cibotii Rhizoma, Eucommiae Cortex, and Ledebouriellae Radix were assessed through ingredient verification experiments using thin-layer chromatography(TLC) and ultraviolet rays(UV) lamps. In addition, we standardized Acanthopanacis Cortex and Achyranthis Radix through validation using high performance liquid chromatograph-diode array detector(HPLC-DAD). Results : As result appeared a blue-white fluorescence under ultraviolet rays; changed to dark green after adding 1 % ferric chloride solution(due to Cibotii Rhizoma), and presented a yellow-green fluorescence when mixed with an ethyl ether under UV lamps by way of the ethyl ether layer, confirming Eucommiae Cortex. Ledebouriellae Radix was confirmed as dark brown spots at Rf values of 0.56 and 0.71 using TLC. Additionally, Acanthopanacis Cortex and Achyranthis Radix HPLC test results showed that linearity was R2≥0.99, and detection limit and quantitation limit were 0.23 to 1.29 μg/mL, and 0.71 to 3.90 μg/mL, respectively. Further- more, precision and accuracy were confirmed to have relative standard deviation(RSD) values of 0.10 to 1.89 % and 96.19 to 103.72 %, respectively. Shinbaro pharmacopuncture did not have any overlapping or interference from other peaks in detection under the above- mentioned analysis conditions. Conclusions : In conclusion, we confirmed that maintenance of Shinbaro pharmacopuncture validity was possible by means of quality control of Cibotii Rhizoma, Eucommiae Cortex, and Ledebouriellae Radix through ingredient identification and Acanthopanacis Cortex and Achyranthis Radix through high performance liquid chromatograph(HPLC) analysis. Further, we hope to contribute to the development strategy of herbal industry acupuncture.