Clinical evaluation of Acupuncture on Herniated of Cervical Intervertebral Disc by DITI

컴퓨터 적외선(赤外線) 전신체열촬영(全身體熱撮影)으로 본 경추추간판(頸椎椎間板) 탈출증(脫出症)의 침구치료효과(鍼灸治療效果)

  • Lee, Geon-Mok (Dept, of Acupuncture & Moxibustion, College of Oriental Medicine, Wonkwang Univ.)
  • 이건목 (원광대학교 한의과대학 침구학교실)
  • Published : 1995.04.30

Abstract

Object : This study is designed to evaluate the correlation between the data of DITI(Digital Infrared Thermographic Imaging)examination and the changes of clinical symptom after the therapy of acupuncture in the patients with herniated cervical intervertebral disc. Content : The conservative therapy with acupuncture was performed during $4{\sim}5$ weeks, The acupuncture points of SI3, B62, TE3, G34, LI4, S36, GV26, G21, SII5 were used. In the pre- and post therapy, DITI examinations were performed in patients who had HIVD and were treated by acupuncture simultaneously, and then tried to correlate the results of clinical symptoms with the difference of thermographic findings at pre-acupuncture and post-acupuncture. Setting : The standard routine thermoghaphic examinations were performed with thermography(DITI) in the 15 patients with lumbar disc herniations at pre- and post acupuncture. Patient : Thermographic imaging of 15 cases were analyzed. They has disc herniations in X-ray, CT scan and MRI and they were treated by acupuncture theraphy in our hospital from March, 1994 to January, 1995. Result : 1) The causes were trauma(60%), retention of phlegm and fluid(8.7%) and cold & moisture(33.3%) 2) Levels of herniated cervical disc are C2/3(1 case). C3/4(2 cases), C5/6 & C6/7 (2 cases), C6/7(4 cases), Normal(6 cases). 3) Classifications of thermographic pattern are radiculopathy(80%), spot(13.3%), and nonspecific(6.7%) in order. 4) In evaluation Results of clinical symptom are Excellent(80%), Good(6.7%), and Poor(6.7%). Data of DITI are Excellent(80%), Good(6.7%), Fair(6.7%), and Poor(6.7%). Conclusion ; Acupuncture showed good results over 86.7% in clinical evaluation and 86.7% in DITI. Thermographic examination was valuable in the evaluation of therapeutic effect of acupuncture treatment.

Keywords

References

  1. 大韓漢醫師學會誌 v.4 no.8 肩臂痛의 鍼灸治療에 關한 臨床的 硏究 金庚植
  2. 大韓醫學協會誌 v.21 no.3 腰椎椎間板 疾患의 保存的 및 手術的 治療에 對한 臨床的 硏究 金南鉉(外)
  3. 大韓 韓醫學 學會誌 v.2 no.41 頸椎 Disc l例 金秉雲
  4. 대한신경외과학회지 v.19 no.10-12 腰椎椎間板脫出症 患者에서 컴퓨터 赤外線 全身體熱撮影의 意義 김영수
  5. 대한정형외과학회지 v.8 no.1 頸椎 骨棘 形成症에 對한 臨床的 考察 김인(外)
  6. 骨整復學(Ⅱ) 金寅相
  7. 傷寒論譯釋 南京中醫學院
  8. 整形外科學 大韓整形外科學會
  9. 最新醫學 v.14 no.4 Shoulder pain and its Referred Pain 문명삼
  10. 傷寒論條辨 方有執
  11. 推拿學 上海中醫學院(編)
  12. 中醫學基礎 上海中醫學院(編)
  13. 徐靈胎醫書三十三重 徐大春
  14. 경희한의대논문집 v.13 辯證理論의통과 疾病現象의 理解를 爲한 硏究 설규용
  15. 傷寒論講義 成都中醫學院
  16. 컴퓨터赤外線 映像醫學硏修敎育 D.I.T.I의 原理 및 應用疾患 오성훈
  17. 證治準繩(醫部全錄 v.170 王肯堂
  18. 通谷傷寒論 兪根初
  19. 醫學法律 兪嘉言
  20. 대한침구학회지 v.11 no.1 컴퓨터 적외선 전신체열촬영으로 본 요추추간판탈출증의 침구치료효과 이건목
  21. 景岳全書 張介賓
  22. 黃帝內經素門靈樞 張隱庵;馬元臺(合註)
  23. Anterior Cervical Discectomy 조시현
  24. 컴퓨터 赤外線 映像醫學硏修敎育 D.I.T.I 撮影方法 및 室內條件 조용은
  25. 東洋醫學 v.12 no.3 辯證論治에 對하여 주양춘
  26. 大韓醫學協會誌 v.21 no.11 朱正和
  27. J Neurosurg v.62 Thermographic presentation of cutaneous sensory and vasomotor activity in the injuried peripheral nerve Brelsford, K.L.;Uematsu, S.
  28. Thermography v.15 areevaluation Skeletal Radiol Edeiken, I.;Shaber, G.
  29. Thermology v.1 no.4 Temperature and pressure threshold measurements in trigger points Fischer, A.N.;Chang, C.H.