배뇨장애(排尿障碍)에 대한 침구치료(鍼灸治療)의 연구동향(硏究動向)

김경태,고영진,김용석,김창환,Kim, Kyung-tai,Ko, Young-jin,Kim, Yong-suk,Kim, Chang-hwan 대한침구의학회 2005 대한침구의학회지 Vol.22 No.3

국내외 학술지중 배뇨장애에 대한 침치료의 연구 동향을 문헌고찰 연구, 생리적 기전 연구, 임상효과 연구로 나누어 분석한 결과 다음과 같은 결과를 얻었다. 1. 23 편의 논문 중 review study가 3편, experimental study 6편, clinical study가 14 편이었다. 다양한 Journal에 발표되고 있었는데, review study는 모두 국내 학술지에 게재 된 논문이었고, 2000년 이후로 점차 연구의 양과 관심이 증대되고 있는 추세였다. 2. 배뇨장애는 하부요로증상의 다양한 증상을 포괄하는 것으로 한의학적인 측면에서는 융폐, 소편부금(小便不禁), 빈요(頻尿), 급박요(急迫尿), 요실금(尿失禁), 림증(淋證), 야뇨(夜尿), 난요(難尿), 점적요(點滴尿), 지연요(遲延尿)등에 해당하는데, 그 대부분의 유발 원인은 신기부족(腎氣不足)등의 하초허한(下焦虛寒)에 기인하는 것으로 판단되며, 간기울결(肝氣鬱結)등의 정서적 자극과 습열(濕熱) 및 어혈(瘀血)등의 원인에 의해서도 발생할 수 있다. 3. 배뇨장애에 대한 침구치료의 생리적 기전을 대략적으로 요약한다면 침자극에 의해 부교감 신경, 대뇌의 수면-각성 체계, 뇌교 및 척추 배뇨 센타, 음부신경/골반신경을 통해 방광에 영향을 주어 방광용량의 확장 또는 배뇨 수축의 억제작용을 하는 한편, 척추 환상 회로 나 신경연접부의 지속성 흥분을 통하여 요도주의 근육에 영향을 주는 것으로 생각되어 진다. 4. 배뇨장애에 대한 침구치료의 임상효과를 요약 한다면, 융폐, 소편부통(小便不通)에 속하는 신경인성 방광(Neurogenic Bladder), 소편부금(小便不禁), 빈요(頻尿), 급박뇨(急迫尿)에 해당하는 요실금(尿失禁)(Incontinence), 림증(淋證)에 해당하는 방광염(Cycitis), 액요(液尿) (Nocturnal Enuresis), 잡요(雜尿), 점적요(點滴尿), 지연요(遲延尿)에 해당하는 전립선염/골반통 증후군 (Prostatitis/Pelvic Pain Syndrom)등의 하부 요로증상에 침구치료는 유의미한 효과가 있다. 이상으로 국내 및 해외 연구는 최근들어 더욱 활발히 연구되고 있는데, 특히 해외연구는 배뇨 장애의 침구치료의 생리적 기전 분야에서 다양 하게 시도되고 있었다. 향후 고령화 사회로 진입 하는등 사회여건상 이와같은 다양한 배뇨장애 환자의 증가는 물론 치료욕구의 증대가 예상되는 바 이러한 생리적 치료기전의 연구 및 다양한 질환에 대한 임상연구를 시도함으로써 표준적인 치료기술의 개발이 필요할 것으로 사료된다. Objective : The aim of this study was to rivew systemically literature and clinical trials in the treatment of urinary incontinence or lower urinary tract syndrome(LUTS). Methods : Computerized literature searches were carried out on two electronic database, and computerized searching on some korea oriental medicine journals in library of Kyung-Hee Medical center. Results : 1. Three reports of review study, six reports of experimental study and fourteen reports of clinical trials were collected and reviewed. Three reports of review study were all printed in the korea oriental medicine journal. From 2000, researches and studies have been increased in quantity and improved in quality. 2. Urinary disturbance include variable symptoms of lower urinary tract symptoms, urinary incontinence, in theaspect of Oriental medicine these symptoms are anurin, dysuria, urinary incontinence, nochumal enuresis, uracratia and so on. 3. Roughly physiological procedure of Acupuncture in Treatment of Urianry Disturbance may be that effect of acupuncture stimulation for parasympathetic nerve, sleep-arousal system in cerebrum, pontine/spinal urination center and pudendal/pelvic nerve affect bladder in expansion of bladder capacity, inhibition of urinary contraction and affection in periurethral muscle by continuous excitement of spinal annular circuit and synapse of neuron. 4. Clinical result for acupuncture treatment in urinary disturbance is summarized that acupuncture treatment in urianation disturbance of Neurogenic Bladder, Incontinence, Cycitis, Nocturnal Enuresis, Prostatitis/Pelvic Pain Syndrom and so on is significant clinical trials and technique. Conclusion : Hereafter, in the old age society these variable urinary disturbance patients are increased and desire of treatment may be also increased. So study of various and formal treatment and tecnnique is needed.

류마티스성 슬관절염(膝關節炎)의 침구치료(鍼灸治療)에 관한 문헌고찰

김무진,윤종화,김경호,이승덕,김갑성,Kim, Moo-jin,Yoon, Jong-hwa,Kim, Kyung-ho,Lee, Seung-deok,Kim, Kap-sung 대한침구의학회 2005 대한침구의학회지 Vol.22 No.1

1. 역절풍(歷節風) 침구치료(鍼灸治療)에 사용된 경락(經絡)은 족소양담경(足少陽膽經)이 가장 많고, 족양명위경(足陽明胃經), 족태양방광경(足太陽膀胱經), 수(手) 양명대장경(陽明大腸經)의 순으로 나타났으며 음경(陰經)에 비해 양경(陽經)이 훨씬 많이 나타났다. 2. 역절풍(歷節風) 침구치료(鍼灸治療)에 사용된 경락별(經絡別) 경혈수(經穴數)는 족태양방광경(足太陽膀胱經)이 가장 많고, 족궐음담경(足厥陰膽經), 족양명위경(足陽明胃經), 족태음비경(足太陰脾經)의 순으로 나타났다. 3. 역절풍(歷節風) 치료에 사용된 각 경락(經絡)별로 빈도수가 높은 경혈을 살펴보면 폐경(肺經)은 척택(尺澤), 심경(心經)은 소해(少海), 심포경(心包經)은 대릉(大陵), 각경(脚經)은 삼음교(三陰交)과 음릉천(陰陵泉), 신경(腎經)은 태계(太谿), 간경(肝經)은 슬관(膝關), 대장경(大腸經)은 곡지(曲池), 소장경(小腸經)은 후계(後谿), 삼초경(三焦經)은 천정(天井), 위경(胃經)은 족삼리(足三里), 방광경(膀胱經)은 위중(委中), 담경(膽經)은 환도(環跳)와 양릉천(陽陵泉), 임맥(任脈)은 관원(關元), 독맥(督脈)은 대추(大椎), 경외기혈(經外奇穴)에는 슬안(膝眼)의 사용빈도가 높았다. 4. 전체 경혈(經穴) 중 사용빈도가 가장 높은 경혈(經穴)은 환도(環跳)와 양릉천(陽陵泉)으로 각각 37회로 나타났고, 그 다음으로 足三里(32), 곡지(曲池)(창)(漲), 위중(委中)(23), 절골(絶骨)(17), 양보(陽輔), 합곡(合谷)이 각 15회등의 순으로 나타났다. 5. 다용(多用)된 경혈(經穴)들의 주치효능(主治效能)에 따라 거풍습(祛風濕)하며 청혈열(淸血熱) 화습담(化濕痰)등의 작용으로 경맥(經脈)을 소통시키고 기혈(氣血)을 조화시킴으로써 류마티스성(性) 슬관절(膝關節) 염을(炎) 치료할 수 있다. Objective : The purpose of this study is to arrange the literature about a acupuncture therapy on the knee rheumatoid arthritis. Methods : We arrange fifty kinds of literature about a acupuncture therapy of knee joint, knee arthritis, Results : Acupucture point at G30, G34, S36, LI11, B4O, G39, G38, LI4 used frequently for the acupuncture therapy Conclusion : B, G, S, Sp of merdians used frequently for the acupuncture therapy.

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.

음곡에 시술한 목통약침이 흰쥐의 급성 신장염에 미치는 영향

조은,강재희,이현 대한침구의학회 2012 대한침구의학회지 Vol.29 No.3

Objectives : This study was designed to evaluate the effects of Akebiae Lignum herbal acupuncture(AL-HA) at KI10 in acute nephritis induced by lipopolysaccharide(LPS) in rat. Methods : Rats were divided into 5 groups and 4 groups were injected LPS to induce acute nephritis. Normal group was normal SD rat, LPS group was injected LPS, AL-HA group was treated with AL-HA at KI10 three times for a week, needle prick(NP) group with 26 gauge needle and saline group with normal saline. To evaluate the effects of AL-HA at KI10 on acute nephritis in rats, WBC, neutrophil in blood, BUN, TNF-α, CINC-1 in serum and urinary volume, total protein in urine, renal MPO were measured and renal tissue was analyzed. Results : AL-HA group significantly reduced WBC, neutrophil in blood, BUN in serum, total protein in urine and renal MPO. And AL-HA group reduced concentration of neutrophil on glomerulus than LPS group in histological analysis. Conclusions : AL-HA at KI10 has a therapeutic effect on acute nephritis in LPS stimulated rat. Therefore, it is suggested that AL-HA at KI10 may be an useful therapeutics for acute nephritis in clinical field after further researches.

복부 혈위 뜸 자극 위치의 차이가 체표 온도 변화에 미치는 영향

김유리,노승희,양기영,육태한,김종욱 대한침구의학회 2013 대한침구의학회지 Vol.30 No.1

Objectives : This study aimed to investigate the difference of abdominal skin temperature responses following moxibustion comparing stimulation method. Methods : Moxibustion was applied on the acupuncture points of CV4, CV6, CV12. Thirty healthy men were randomly divided into two groups, one receiving a single moxibustion stimulation in three locations ‘CV4ㆍCV6ㆍCV12’(n=15) and the other receiving triple moxibustion stimulations in one location ‘CV12’(n=15) for 30 min. To obtain the skin temperature on abdominal region, a thermograph was used. Three arbitrary frames(the upper abdominal, lower abdominal, whole abdominal regions) were made to analyse skin temperature. Thermographic images were obtained at before and after the procedure of indirect moxibustion and 5, 10, 15, 20, 25, 30 min afterwards. Results : An increase in skin temperature on the three abdominal regions was observed following both one point and three points moxibustion administrations. Significant increase in skin temperature of the whole abdominal region was observed at 30 min after the procedure of three points moxibustion compared with one point moxibustion stimulation. A tendency of skin temperature changes over time was observed. Conclusions : In this study, skin temperature of lower abdominal region does not increase after triple moxibustion stimulations on CV12. Administration of single moxibustion on CV4, CV6, CV12 makes greater changes in skin temperature on the whole abdominal region than triple moxibustion on CV12.

마라톤 후 발생한 스포츠 손상환자 199례의 응급 침 치료에 대한 증례분석

김건형,노승희,김유리,이병렬,김재규,양기영 대한침구의학회 2013 대한침구의학회지 Vol.30 No.1

Objectives : This study aimed to perform descriptive analysis on demographic characteristics and symptom distribution of 199 marathon participants in Pusan, Korea. Methods : Brief medical charts of 199 marathon participants in 11 marathon rallies who had visited the emergency medical support team of Korean Medicine Hospital, Pusan National University were collected. Participants’ demographic and clinical characteristics were descriptively analyzed. Results : More than two third of participants who have visited the support team was male(71.9 %) and their mean age was 44.0(years). The main intervention was manual acupuncture with vigorous stimulation techniques. Most of treated symptoms were lower extremity pain(77.0 %). Knee pain was the most frequently recorded symptoms, following the ankle pain. No information on the safety of acupuncture treatments were reported in the records. Conclusions : Symptom distribution of marathon participants who have visited the emergency medical support team of Korean Medicine Hospital was similar to previous literatures of acute injuries of marathon athletes and runners. The role of acupuncture for emergency support care of acute injuries in marathon participants should be further explored in well-designed clinical studies.

골연골종을 동반한 퇴행성 슬관절염에 灸法이 미치는 영향

오명진,송호섭 대한침구의학회 2012 대한침구의학회지 Vol.29 No.6

Objectives : This study was done for reporting effect of moxibustion therapy on the degenerative arthritis of knee joint with osteochondroma. Methods : Two patient with degenerative arthritis of knee joint with osteochondroma was treated by moxibustion therapy. We applied moxibustion therapy three times a day for 12 days(three days per week). To investigate effectiveness of treatment we used visual analogue scale, Korean Western Ontario and McMaster Universities. Results : 1. The moxibustion therapy deceased knee joint pain. 2. As a result of evaluation by visual analogue scale, Korean Western Ontario and McMaster Universities the score marked lower than before treatment and after treatment. Conclusion : Moxibustion therapy decreased knee joint pain that patient have degenerative arthritis of knee joint with osteochondroma.