불면증에 대한 약침 치료 현황 조사 연구 = Study on Current Usage Status of Pharmacopuncture for Insomnia among Korean Medicine Doctors

다국어 초록 (Multilingual Abstract)

Objectives: Pharmacopuncture is a Korean medicine treatment that combines acupuncture and herbal medicines. The aim of this study was to investigate the current usage status of pharmacopuncture for insomnia among Korean medicine doctors (KMDs).
Methods: We conducted a self-reporting online survey targeting KMDs from February 23 to March 15, 2021 with cooperation of the Association of Korean Medicine. Responses of 957 KMDs were analyzed.
Results: Types of pharmacopuncture mainly used in treatment for insomnia were placenta pharmacopuncture and Hwangryunhaedok-tang pharmacopuncture. Cephalic and facial region were preferred as the treatment site. For one treatment, total usage of pharmacopuncture was more than 0.5 cc but less than 1 cc. Among respondents, the largest number of respondents thought that clinical experience and patient symptoms were important as selection criteria of acupoints using Pharmacopuncture for insomnia. Average treatment duration of using Pharmacopuncture for insmonia was more than 4 weeks. Most KMDs preferred treatment for one to four times a week regarding the treatment cycle. The use of Pharmacopuncture for insomnia was recognized as having a good effect, although other KMDs were concerned about the insufficient evidence and the high cost due to non-reimbursement of pharmacopuncture therapy.
Conclusions: In order to activate pharmacopuncture treatment for insomnia, it is necessary to secure effectiveness and safety through basic research, create evidence through clinical research, and reduce costs for patients.

참고문헌 (Reference)

1 김병우, "한의과대학의 약침학 교육현황 조사 연구" 대한약침학회 13 (13): 81-90, 2010

2 김미경, "한의 중풍 진료 현황 파악 및 활성화 방안 모색을 위한 전자우편 설문조사" 대한한의학회 38 (38): 143-159, 2017

3 김미경, "한의 의료행위 급여 항목 확대 방안 모색을 위한 전자우편 설문조사" 대한한의학회 39 (39): 51-60, 2018

4 박장경, "한의 의료기관 비급여 진료 실태조사" 대한예방한의학회 21 (21): 43-50, 2017

5 윤정민, "약침 관련 국내 연구 동향분석" 대한예방한의학회 22 (22): 55-63, 2018

6 김주희, "암 환자에 대한 봉독 약침요법의 임상문헌 고찰 및 연구동향 분석" 대한한의학회 41 (41): 247-259, 2020

7 박종민, "암 환자 22예에 대한 한방병원 내원동기 및 한방치료 만족도 조사" 대한한방신경정신과학회 26 (26): 23-38, 2015

8 김형준, "수컷 생쥐의 골다공증과 근위축에 대한 益智仁의 효과" 대한한방내과학회 40 (40): 1-12, 2019

9 이유환, "삼기활력약침이 불면, 피로에 미치는 효과" 대한침구의학회 29 (29): 101-113, 2012

10 서동균, "蟾酥약침이 수면장애 환자의 불면 및 우울 증상에 미치는 영향에 대한 임상적 고찰" 대한침구의학회 32 (32): 175-183, 2015

11 윤형선, "不眠환자에 대한 紫河車 藥針 효능의 관한 연구" 대한침구의학회 21 (21): 99-106, 2004

12 Park JE, "Usage status and satisfaction with pharmacopuncture in Korea: A survey among Korean medicine doctors" 27 : 121-130, 2019

13 Park JE, "Usage status and satisfaction with pharmacopuncture in Korea : A survey among Korean medicine doctors" 27 : 121-130, 2019

14 TD Ha, "The study on the constitution discrimination in Immuno-Yakchim" 3 (3): 1-9, 2014

15 Antic NA, "The effect of CPAP in normalizing daytime sleepiness, quality of life, and neurocognitive function in patients with moderate to severe OSA" 34 : 111-119, 2011

16 The Textbook Compilation Committee of Neuropsychiatry of Oriental Schools in Nation, "The Neuropsychiatry of Oriental Medicine" Jipmoon-Dang 238-240, 2016

17 HH Jang, "The Case of regulation of Insomnia with Jahageo Herbal acupuncture" 14 (14): 155-160, 2003

18 Korean Neuropsychiatry Association, "Textbook of neuropsychiatry" imis company 439-460, 2017

19 Korea Institute of Oriental Medicine, "Suvey on Korean medical doctors' awareness of Korean health insurance policy" KIOM 2017

20 AR Kim, "Survey on ear acupuncture usage by clinical traditional korean medicine doctors" 5 (5): 138-, 2012

21 National Statistical Office, "Survey of outpatients on Korean medicine use and herbal medicine consumption"

22 National Development Institute of Korean Medicine, "Standardization Project of Korean Medicine Pharmacopuncture"

23 Kryger MH, "Principles and practice of sleep medicine" Elsevier 2017

24 HJ Lee, "Principle of Herbal Acupuncture and Clinical Application" Iljoongsa 1999

25 Korean Pharmacopuncture Institute, "Pharmacopuncturology:Principles and Clinical Applications" Elsevier Korea LLC 2012

26 Korean pharmacopuncture institute science committee, pharmacopuncturology institute, "Pharmacopuncturology" Elsevier Korea 2011

27 Health insurance review & assessment service, "Medical expenses statistics index"

28 Korea health industry development institution, "Healthcare workforce-number of licensed Korean medical doctors"

29 National Development Institute of Korean Medicine, "Final report of the study for expanding the basic benefit package of Korean medicine in Korea national health insurance" NIKOM 2016

30 Ohayon MM, "Epidemiology of insomnia : what we know and what we still need to learn" 6 (6): 97-111, 2002

31 조용원, "Epidemiology of Insomnia in Korean Adults: Prevalence and Associated Factors" 대한신경과학회 5 (5): 20-23, 2009

32 American Psychiatric Association, "Diagnostic and statistical manual of mental disorders" Hakjisa 391-459, 2016

33 The Textbook Compilation Committee of Korean Acupuncture & Moxibustion Society, "Acupuncture Medicine" Hanmi Medical Publishing Co 784-786, 2020

34 Y Shin, "A survey among Korea Medicine doctors (KMDs) in Korea on patterns of integrative Korean Medicine practice for lumbar intervertebral disc displacement: preliminary research for clinical practice guidelines" 15 : 432-, 2015

35 JH Lee, "A clinical study of Sanjoincho-induced injection on insomia patients" 11 (11): 79-86, 2000

36 C Jung, "A Case Report on Patient with Insiomnia Treated with CM Immuno-Pharmacopuncture" 6 (6): 49-59, 2017

37 Publication Committee on the Yearbook of Traditional Korean Medicine, "2016 Yearbook of Traditional Korean Medicine" Korea Institute of Oriental Medicine, E- Publishing Inc 59-94, 2018