중풍환자의 혈압 상승에 대한 대추혈 사혈의 혈압 강하 효과

Decreasing Effect of Wet-Cupping at Daechu (대추, Dazhui:GVl4)-point on the Increase of Blood Pressure in Patients with Stroke

  • 신정애 (우석대학교 한의과대학 심계내과학교실) ;
  • 이영구 (우석대학교 한의과대학 심계내과학교실)
  • 발행 : 2002.09.01

초록

Objectives : Daechu (Dazhui:GV14 (Governor Vessel 14))-point is located between the spinous process of the 7th cervical vertebra and that of the 1st thoracic vertebra. GV14 has been used to treat hypertension, high fever, neck pain, common cold, headache and so on. Hypertension often negatively affects the improvement of stroke patients. We investigated whether wet-cupping at GV14 had any effect of decreasing blood pressure (BP). Methods : In this study, 81 stroke patients were studied, from Oct. 2000 to Sept. 2001. They were composed of a Sample group (n=36) and Control group (n=45). The Sample group (n=36) was divided into Sample-Normal (n=9), Sample-Mild (n=7), Sample-Moderate (n=l1), and Sample-Severe group (n=9). The Control group (n=45) was divided into Control-Moderate (n=34) and Control-Severe group (n=ll). We checked blood pressure 5 times (just before treatment, then after 30,60, 90, and 120min. (2hrs.)) in each sample group and 3 times (baseline, after 30, and after 120min. (2hrs)) in the control group. Results : In a comparison of before-treatment BP and after-treatment BP in the sample group, SBP significantly decreased as time passed, while DBP slightly decreased but not significantly. In comparison of BP differences in each sample subgroup, BP slightly increased in the Sample-Normal group, but significantly decreased in the Sample-Mild, Sample-Moderate, and Sample-Severe groups. In comparison of BP differences between the sample and control groups, SBP and DBP of the sample group definitely decreased more than those of the control group, but not significantly. Conclusions : This study suggests that wet-cupping at GV14 has significant decreasing effectson blood pressure in stroke patients. Accordingly, we hope that this measure will be used more widely as an emergent treatment for increased blood pressure.

키워드

참고문헌

  1. 대한침구학회지 v.16 no.2 고혈압 치료에 상용되는 체간부 경혈에 대한 형태학적 연구. 이창현;이상룡;변덕시
  2. Chen Tzu Yen Chiu. v.20 no.3 Influence of acupuncture on blood pressre, contents of NE, DA and 5-HT of SHR and the interrelation between blood pressure and whole blood viscosity. Zhou Y;Wang Y;Fang Z;Xia C;Liu B;Chen Q;Zhang F.
  3. Chung Kuo Chung Hsi I Chieh Ho Tsa Chih. v.14 no.12 Effects of acupuncture on blood pressure, SOD, LPO and five kinds of trace elements to stenosis of renal artery caused hypertension in rats. Feng GM;Xing DJ;Sun QX.
  4. J Tradit Chin Med. v.13 no.4 Experimental research on treatment of hypertension with acupuncture. Zhou Y;Chen Q;Hou Z;Chen Y.
  5. Am J Chin Med. v.25 no.1 Effects of moxibustion on blood pressure and renal function in spontaneously hypertensive rats. Lee HS;Yu YC;Kim ST;Kim KS.
  6. 대한한의학회지 v.20 no.4 경증 고혈압에 대한 이침요법의 강압효과. 안초흥;배형섭;노진환;문상관;고창남;조기호;김영석;이경섭
  7. 대한한의학회지 v.21 no.1 중풍환자에 있어 십선혈사혈이 혈압 및 체온에 미치는 영향. 김영석;이경진;정은정;구본수;강중권
  8. 대한한의학회지 v.22 no.3 중풍환자의 발열에 대한 대추혈 사혈의 효과. 손동혁;이영구;김영석;배형섭;이경섭;조기호
  9. CLIN. AND EXPER. HYPERTENSI0N. v.21 no.5&6 1999 WHO-ISH(World Health Organization-International Society of Hypertension) GUIDELINES for the management of hypertension. Guidelines Sub-Committee.
  10. 최신지견 내과학 서울대학교 의과대학 내과학교실
  11. 國醫論壇 v.13 no.1 刺絡拔罐法臨床治驗擧隅 上官國强
  12. Ann R CollSurg Engl. v.65 no.2 Bleeding and cupping. Turk JL;Allen E.
  13. Soc Sci Med. v.16 no.21 Cupping as an indigenous treatment of pain syndromes in the Finnish culture and social context. Vashlampi T;Hanninen O.
  14. Probl Vet Med. v.4 no.1 Techniques and instrumentation. Altman S.
  15. Pediatrics. v.105 no.4 On pins and needles? Pediatricpain patients' experience with acupuncture. Kemper KJ;Sarah R;Silver-Highfield E;Xiarhos E;Barnes L;Berde C.
  16. J Tradit Chin Med. v.17 no.4 Observation on therapeutic effects of blood-letting puncture with cupping in acute trigeminal neuralgia. Zhang Z.
  17. 대한침구학회지 v.15 no.2 용천혈의 자침 및 애구 시술이 혈압과 국소 뇌혈류량에 미치는 영향. 조남근
  18. 대한침구학회지 v.15 no.2 심수. 소장수 애구가 자연발증 고혈압 백서의 혈압에 미치는 영향. 김성태;김경식;유윤조;이호섭
  19. 대한침구학회지 v.15 no.1 간수. 심수. 신수에 애구 시술과 Laser 광선침이 혈압과 뇌혈류량에 미치는 영향. 조남근;김경식
  20. 대한침구학회지 v.15 no.2 신수 위수 애구가 자발성 고혈압백서의 신기능에 미치는 영향. 박인규;임종국
  21. 대한침구학회지 v.15 no.2 애구가 실험적 신성 고혈압 백서의 혈압 및 신장 기능에 미치는 영향. 박희수;김경식;관원수
  22. 대한침구학회지 v.15 no.2 명문 애구 및 Laser자극이 실험적 고혈압 백서의 혈압 및 혈장 Renin활성도에 미치는 영향. 윤여충;유윤조;이호섭;김경식
  23. 대한침구학회지 v.13 no.2 약침이 자발성 고혈압 백서의 혈압 및 신장기능에 미치는 영향. 변재환;유윤조;이호섭;김경식
  24. Hua Hsi I Ko Ta Hsueh Hsueh Pao. v.22 no.2 Role of nucleusparabrachialis medialis in the "renzhong" induced pressor response in rabbits. Chen Z;Qing D;Zheng Y;Xie B.
  25. Acupunct Electrother Res. v.8 no.1 The effect of acupuncture on blood pressure the interrelation of sympathetic activity and endogenous opioid peptides. Li P;Sun FY;Zhang AZ.
  26. Phys Ther. v.71 no.7 Effect of acupuncture-point stimulation on diastolic blood pressure in hypertensive subjects : a preliminary study. Williams T;Mueller K;Cornwall MW.
  27. 애구가 자발성 고혈압 백서의 혈압에 미치는 영향. 장하정
  28. 대한침구학회지 v.12 no.2 대추·신도 애구가 자연발증 고혈압 백서의 혈압 및 혈장 Hormone 농도에 미치는 영향. 안수기;이호섭;김경식
  29. 新疆中醫藥 v.15 no.3 鍼刺治療流行性感冒體會 葉虹
  30. 北京中醫藥大學學報 v.19 no.5 外感高熱的中醫綜合治療 焦揚
  31. 新中醫 v.29 no.10 梅花針加拔罐的臨床擧隅 章東萍
  32. J Tradit Cihin Med. v.12 no.4 Treatment of fever due to exopathic wind-cold by rapid acupuncture. Tan D.
  33. J Tradit Chin Med. v.20 no.3 Comparison o pharmacological treatment versus acupuncture treatment for migraine without aura-analysis of socio-medical parameters. Liguori A;Petti F;Bangrazi A;Camaioni D;Guccione G;Pitari GM;Bianchi A, Nicoletti WE.
  34. J Tradit Chin Med. v.5 no.2 50 cases of acne treated by puncturing acupoint "dazhui" in combination with cupping. Ding LN.
  35. 福建中醫藥 v.28 no.4 大椎拿療法治療腰椎間盤突出症的護理體會 羅福琴;羅啓坤
  36. 北京中醫 v.3 針刺大椎穴治療落枕62例. 孫學東