Journal of Pharmacopuncture (대한약침학회지)

KOREAN PHARMACOPUNCTURE INSTITUTE (대한약침학회)
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Oriental Medical Treatment of Lumbar Spinal Stenosis

요추관협착증(腰椎管狹窄症)(Lumbar Spinal Stenosis) 환자 치험례

  • Lee, Hae-Yeon (Department of Internal Medicine, College of Oriental Medicine, Sangji University) ;
  • Lee, Tae-Hun (Department of Internal Medicine, College of Oriental Medicine, Sangji University) ;
  • Park, Jung-Han (Department of Internal Medicine, College of Oriental Medicine, Sangji University) ;
  • Cho, Hyun-Seok (Department of Internal Medicine, College of Oriental Medicine, Sangji University) ;
  • Lee, Jae-Jun (Department of Internal Medicine, College of Oriental Medicine, Sangji University) ;
  • Bae, Dong-Joo (Department of Internal Medicine, College of Oriental Medicine, Sangji University) ;
  • Kong, Kyung-Hwan (Department of Internal Medicine, College of Oriental Medicine, Sangji University) ;
  • Baik, Tae-Hyun (Department of Internal Medicine, College of Oriental Medicine, Sangji University)
  • 이해연 (상지대학교 한의과대학 내과교실) ;
  • 이태훈 (상지대학교 한의과대학 내과교실) ;
  • 박정한 (상지대학교 한의과대학 내과교실) ;
  • 조현석 (상지대학교 한의과대학 내과교실) ;
  • 이재준 (상지대학교 한의과대학 내과교실) ;
  • 배동주 (상지대학교 한의과대학 내과교실) ;
  • 공경환 (상지대학교 한의과대학 내과교실) ;
  • 백태현 (상지대학교 한의과대학 내과교실)
  • Published : 2003.12.30
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Abstract

Lumbar spinal stenosis results from the progressive combined narrowing of the central spinal canal, the neurorecesses, and the neuroforaminal canals. In the absence of prior surgery, tumor, or infection, the spinal canal may become narrowed by bulging or protrusion of the intervertebral disc annulus, herniation of the nucleus pulposis posteriorly, thickening of the posterior longitudinal ligament, hypertrophy of the ligamentum flavum, epidural fat deposition, spondylosis of the intervertebral disc margins, or a combination of two or more of the above factors. Patients with spinal stenosis become symptomatic when pain, motor weakness, paresthesia, or other neurologic compromise causes distress. In one case, we administrated oriental medical treatment with acupuncture treatment and herb-medicine. Oriental medical treatment showed desirable effect on lumbar spinal stenosis.

Keywords

References

  1. Kirkaldy-Willis WH, Wedge JH and Yong-Hing K. Pathology and pathogenesis of lumbar spondylolisthesis and stenosis. Spine. 1978 ; 3 : 319–328
  2. 石世一 外7人. 정형외과학. 서울. 대한정형외과학회. 1996 : 385
  3. 許浚. 東醫寶鑑. 서울. 南山堂. 1991 : 280
  4. 陳貴延, 楊思澍. 實用中西醫學結合診斷治療學. 初版. 北京. 中國科學技術出版社. 1991 : 1603
  5. 具本泓, 朴鎬湜, 尹泰汝, 金東圭, 崔栖塋. 東醫內科學. 初版. 서울. 書苑堂. 1989 : 224
  6. 김남현 외 3인. 요추척추관 협착증 환자에 대한 임상적 고찰. 대한정형외과학회지. 서울. 1985 ; 20(4) : 574,581
  7. 韓相源. 退行性 變化로 인한 腰椎管狹窄症에 대한 임상적 고찰. 대한침구학회지. 1995 ; 12(2) : 351–359
  8. 이은용, 이병렬. 요추간판탈출증이 동반된 요추척추관협착증 환자 2례에 대한 임상적 고찰. 혜화의학. 998 ; 7(1) : 32–51
  9. 김미려, 허수영, 이정훈. 脊椎管狹窄症 치험1례 보고. 경산대학교 한의과대학 附設濟韓東醫學術院 논문집 ; 4(1) : 634–643
  10. Sachs B and Fraenkel J. Progressive ankylotic rigidity of the spine. J nerv Ment Dis. 1900 ; 27 :1–12 https://doi.org/10.1097/00005053-190002000-00008
  11. Arnoldi CC, Brodsky AE and Cauchoix J. Lumbar spine stenosis and nerve root entrapment syndrome. Definition and Classification. Clin. Orthop. 1976 ; 115 : 4–5
  12. Cox JM, Low Bsck Pain. 서울. 푸른솔. 1997 : 264-317
  13. 대한정형외과학회. 정형외과학. 서울. 최신의학사. 1999 : 460-462
  14. 민경옥, 이태용. 요통. 서울. 현문사. 1989 : 127-133
  15. Adams RD. 신경과학. 서울. 정담출판사. 1998 : 196
  16. Martnelli TA and Wisel SW. Epidemiology of spinal stenosis. Instructionl Course lectures. 1992 ; XLI : 179–181
  17. Getty C.J.M., Dixon A.K., Young H.A., Sherry R.G. and Lockwood R.C., Computed Tomography in degenerative lumbar spine disease Aprospective trial. J.Bone and Joint Surg. 1981 ; 63(B) : 632
  18. McAfee. P.C., Ullrich. C.G., Yuan. H.A., Sherry. R.G. and Lockwood. R.C., Computed Tomography in degenerative spinal stenosis. Clin. Orthop. 1981 ; 161 : 22–30
  19. 張安楨, 武春發. 中國骨傷科學. 6版. 北京. 人民衛生出版社. 1996 : 564-571
  20. 洪元植. 校監直譯黃帝內經靈樞. 서울. 傳統文化硏究會. 1995 : 98-102
  21. 楊維傑. 黃帝內經素問譯解. 서울. 成輔社. 1980 : 42-61, 81-103, 131-144, 206-211, 455-468, 529-548, 624-669
  22. 巢元方. 諸病源候論校釋. 北京. 人民衛生出版社. 1983 : 141-147
  23. 孫思邈. 備急千金要方(中國醫學大系 3권). 서울. 여강출판사. 1987 : 605-608
  24. 南相環, 芮鏡旭. 痺症의 分類 및 症狀에 대한 文獻的 考察. 대구. 동서의학. 1992 : 17(3) : 36-56