사상체질의학회지 (Journal of Sasang Constitutional Medicine)

  • 제12권1호
  • /
  • Pages.201-215
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  • 2000
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  • 1226-4075(pISSN)
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  • 2287-786X(eISSN)
사상체질의학회 (The Society Of Sasang Constitutional Medicine)
권호 표지

열다한소탕(熱多寒少湯)이 태음인(太陰人) 뇌경색증(腦硬塞症) 환자(患者)의 세포활성물질생성조절(細胞活性物質生成調節)에 미치는 영향(影響)

Studies on the Regulatory Effect of Cytokine Production in Patients with Cerebral Infarction by Yuldahansotang

  • 최의권 (원광대학교 한의과대학 사상의학교실) ;
  • 김경요 (원광대학교 한의과대학 사상의학교실)
  • Choi, Yei-kwen (Department of Sasang Constitutional Medicine, College of Oriental Medicine, Wonkwang University) ;
  • Kim, Kyung-yo (Department of Sasang Constitutional Medicine, College of Oriental Medicine, Wonkwang University)
  • 발행 : 2000.06.30
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초록

1. 연구배경 및 목적 사상의학(四象醫學)에서 열다한소탕(熱多寒少湯)은 태음인(太陰人)의 뇌경색증 급성기에 매우 빈번하게 사용되는 처방 중 하나이다. 그래서 저자는 열다한소탕(熱多寒少湯) 투여에 따른 뇌경색증 환자의 면역계 특히 세포활성문질만계의 변화에 대해 연구하기로 하였다. 2. 방법 원광대학교 광주한방병원 사상의학과에 입원한 뇌경색증 한자 8인(남자 3명, 여자 5명)을 대상으로 하여, 내원 당시와 2-4주간의 열다한소탕 투여 후의 세포활설물질망계의 변화를 추적하였다. 또한 정상태음인의 말초혈액단핵구를 채취하여 리포다당체 처리시의 변화를 열다한소탕(熱多寒少湯) 전처리 유무에 따라 비교 분석하였다. 3. 결과 IL-2 혈장 농도는 정상 대조군보다 환자군에서 더 낮았다. $IFN-{\gamma}$의 경우 역시 정상 대조군보다 약간 낮았으나 통계학적 유의성은 없었다. IL-4, IL-6, IgE의 혈장중 수준은 정상 대조군에 비해 환자군에서 현저히 상승되어 있었다. 그러나, 2-4주간의 열다한소탕(熱多寒少湯) 투여후 $IFN-{\gamma}$, IL-2의 혈장 중 수준은 현저히 상승되었고, IL-4, IL-6, Ig E 수준은 현저히 억제되었다. 한편 정상 태음인의 말초혈액단핵구에 리포다당체 처리를 한 후 $IFN-{\gamma}$, IL-2, IL-6가 상승되었으나, 열다한소탕(熱多寒少湯) 전처리를 한 경우에서는 이들 물질의 생성이 유의하게 억제되었다.

1. Background and Purpose According to Sasang constitutional medicine, Yuldahansotang(YHT) is a useful prescription for Teaumin patients with a variety of neurologic disorders. Then, I investigated about certain relationships between the effect of YHT and the changes of immune system, especially cytokine network. 2. Methods We studied 8 Taeumin patients with Cerbral infarction. They were treated with YHT in constitutional clinic of Wonkwang Kwagnju Oriental Hospital. We investigated the changes of cytokine network of them. We also investigated cytokine release by lipopolysaccharide- activated peripheral blood mononuclear cells from healthy Taeumin controls. 3. Results The mean interleukin (IL)-2 plasma levels were slightly lower in the plasma of patients than in normal group, whereas the mean IL-4, IL-6 and IgE levels were significantly higher. But there were no significant differences in $interferon-{\gamma}$($IFN-{\gamma}$) levels between each group. After administration of YHT for two to four weeks, plasma levels of $IFN-{\gamma}$ and IL-2 derived from T helper (Th) 1 cells were elevated significantly, whereas plasma levels of IL-4 and IL-6 derived from Th2 cells were reduced significantly. Plasma levels of IgE were reduced significantly, too. During the period of YHT administration, other adverse effects are not shown. It is increased significantly to Cytokine release by lipopolysaccharide -activated peripheral blood mononuclear cells from healthy Taeumin controls. And the release of $IFN-{\gamma}$, IL-2 and IL-6 was progressively decreased in the plasma treated with YHT. It shows regulatory effects of YHT to cytokine production.

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