삼복첩(三伏貼)의 영향 요인 및 임상 효과 판정에 관한 예비 연구 = Pilot Research about Influential Factors and Efficacy Judgement of Acupoint Sticking in Dog-Days

다국어 초록 (Multilingual Abstract)

Backgrounds: Sticking warm and hot herbs to acupoint in Dog-Days where the strongest Yangqi takes place, Acupoint sticking in Dog-Days is one of Oriental medical treatment to cure winter diseases in the summer. This treatment is widespread in China and Taiwan, and is becoming popular in South Korea nowadays. Objectives: The research has been conducted to evaluate the influencial factors and efficacy in Acupoint sticking in Dog-Days. Methods: We visited one kindergarten in Dog-Days of 2010, and attached pills which are made of Sinapis Semen(白芥子), Corydalis Tuber(玄胡索), Asari Herba Cum Radix(細辛), Juice of Zingiber Officinale(薑汁) to BL-13(肺兪), BL-15(心兪), BL-17(膈兪) of 56 children for 4-6 hours(34 boys, 22 girls, $52.64{\pm}16.85$ months, 19-78 months). Exacerbating effect or non-significant changes in respiratory symptoms before and after the treatment were ified.. The influentialfactors of efficacy were analyzed by Pearson's $x^2$-test and Fisher's exact test. In addition, the efficacy and satisfaction among once, twice, and three times treatment groups were verified by ANOVA. Results: 27 children (48.2%) were effective, but efficacy felt by parents is 45 cases (80.4%). Sex, perspiration, stool, urine, sleep, cold of hands and feet, cold sensitivity, and frequency of Acupoint sticking in Dog-Days has no relation to efficacy(p>0.05). However, the efficacy is poor in 1 and 2 age(p=0.030). Difference among efficacy of once, twice, and three times treatment groups is not significant(p=0.069), whereas there are linear association in frequency of Acupoint sticking in Dog-Days and efficacy(p=0.030). 36 parents (64.3%) are satisfied with Acupoint sticking in Dog-Days, and we observed significant difference among once, twice, three times treatment groups(p=0.041). 19 parents (33.9%) had been known about Acupoint sticking in Dog-Days, but 53 parents (94.6%) wanted repetition, and 41 parents (73.2%) intended to recommend it to acquaintance. Side effects are minor itching in two cases. Twenty seven participants showed positive effect, and forty five people (80.4%) felt beneficial. Sex, perspiration, stool, urine, sleep, cold hands and feet, sensitivity in cold, and frequency of Acupoint sticking in Dog-Days has no relation to the efficacy(p>0.05). Though the efficacy was poor in one and two year old infants, it was linearly correlated with the frequency count and responses from the treatment (p=0.030). Thirty six participants (64.3%) satisfied with the treatment, and so did the first, second, and third participant groups (p=0.041). Even though, only nineteen participants (33.9%) were familiar with Acupoint sticking in Dog-Days, fifty three participants (94.6%) preferred to repeat the treatment, and 41 parents were preferable to recommend the treatment to others. Side effects of minor itching has been reported in a couple cases. Conclusions: Acupoint sticking in Dog-Days is effective in children older than three year old. The effect would be greater when going through the treatment three times. Based on significant satisfaction, intention of repetition and recommendation, strong promotion on Dog-Days are needed to make a better use of Acupoint sticking in Dog-Days for the effective treatment.

참고문헌 (Reference)

1 안효섭, "홍창의 소아과학. 9th" 대한교과서 27-1180, 2009

2 이상운, "한의예방의학의 특징에 관한 문헌적 고찰" 1 (1): 85-104, 1997

3 교재편찬위원회, "한방소아청소년의학" 의성당 38-, 2010

4 대한침구학회 교재편찬위원회, "침구학(상)" 집문당 130-133, 2008

5 안덕균, "원색한국본초도감" 교학사 452-657, 2008

6 문우상, "외치요법의 이론과 적응증에 대한 사적 고찰" 10 (10): 1-21, 2004

7 성현경, "삼복첩을 이용한 동병하치법에 관한 임상연구고찰" 대한한방소아과학회 24 (24): 59-74, 2010

8 전국한의과대학 공동교재편찬위원회, "본초학" 영림사 170-493, 2004

9 송호섭, "동병하치 확산을 위한 전략적 방향과 이행방안" 대한침구의학회 27 (27): 147-157, 2010

10 방정균, "단계양생론연구" 14 (14): 94-, 2001

11 박찬국, "黃帝內經素門註繹" 집문당 22-70, 2005

12 姜泉, "風濕病纏身, in 三伏貼解困" 7 : 33-34, 2010

13 鄭沛儀, "辨症配藥在三伏天治療支氣管哮喘 中應用觀察" 5 (5): 56-57, 1999

14 葛洪, "肘後備急方" 의성당 183-, 1993

15 홍원식, "精校黃帝內經素門" 동양의학연구원출판부 14-, 1981

16 王澤娟, "當“冬病”遇上三伏天" 生理健康 48-49, 2010

17 孫必强, "淺論中醫冬病夏治" 4 : 54-, 2008

18 김선형, "小兒 養生論 硏究" 대한한의학원전학회 22 (22): 101-109, 2009

19 邵君, "冬病夏治穴位貼敷療法的護理 與指導" 9 : 1830-, 2006

20 陳燕紅, "冬病夏治穴位敷貼治療哮喘治療觀察及護 理" 9 : 53-, 2008

21 鄂璠, "冬病夏治最佳時機在三伏" 疾病豫防 21-, 2010

22 高雪, "中藥穴位貼敷法治療支氣管哮喘氣理探討" 8 : 14-, 1998

23 豆子, "三伏貼也能治疼痛" 8 : 81-, 2010

24 曹春梅, "三伏穴敷治療過敏性鼻炎連續3年療效觀 察" 21 (21): 282-, 2001

25 鄭沛儀, "三伏天變症配藥治療過敏性鼻炎療 效觀察" 6 (6): 54-55, 2000

26 鄭慧敏, "三伏天藥餠外貼治療慢性支氣管炎 130例" 4 : 33-, 1997

27 唐曉華, "三伏天穴位貼敷配合益氣建 鼻湯治療過敏性鼻炎102例" 40 (40): 52-53, 2006

28 葛儀方, "三伏天穴位貼敷治療過敏性鼻炎60 例" 49 (49): 152-, 2008

29 洪旭初, "三伏天治療支氣管哮喘的 療效評价探討" 19 (19): 48-49, 2009

30 吕斌, "三伏天正好儲陽氣防冬病" 保健醫苑 14-, 2010

31 금경수, "《靈樞, 逆順》에 대한 연구" 1 (1): 79-85, 1997

32 楊珺, "“冬病”“夏治”事半功倍" 59 : 2010