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A Study on the Exploration of Treatment Area of Visceral Chuna Manual Therapy Using Ultrasound Image Data

초음파 영상 데이터를 활용한 내장기 추나요법 시술 부위 탐색 연구

  • Lee, Sang-Jin (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Gachon University) ;
  • Ki, Sung-Hoon (Nuridam Korean Medicine Clinic) ;
  • Koh, Dong-Kyun (Jayeonsaeng Korean Medicine Clinic) ;
  • Lee, Sang-Hun (Korea Institute of Oriental Medicine) ;
  • Lim, Hyoung-Ho (Department of Diagnostics, College of Korean Medicine, Gachon University) ;
  • Song, Yun-Kyung (Department of Korean Medicine Rehabilitation, College of Korean Medicine, Gachon University)
  • 이상진 (가천대학교 한의과대학 한방재활의학교실) ;
  • 기성훈 (누리담한의원) ;
  • 고동균 (자연생한의원) ;
  • 이상훈 (한국한의학연구원) ;
  • 임형호 (가천대학교 한의과대학 진단학교실) ;
  • 송윤경 (가천대학교 한의과대학 한방재활의학교실)
  • Received : 2022.02.17
  • Accepted : 2022.03.03
  • Published : 2022.04.30

Abstract

Objectives This study was conducted to confirm anatomical information near the treatment areas of visceral chuna manual therapy and to secure stability and effectiveness during the treatment. Methods For 50 healthy adult men and women, a total of 13 ultrasound images were taken of the 7 treatment areas which are the representative treatment areas of visceral Chuna manual therapy. Results The treatment area of the bottom of the liver can be palpated around the right side ST19 and CV14. The treatment area of the gallbladder and the common bile duct can be palpated around the right side SP16 and ST20. The treatment area of the cardia and the pylorus can be palpated around the left side KI21, right side ST20, ST21, KI19, KI20, CV12, and CV13. The origin point of the mesentery root can be moved to the left and lower left from CV12 and can be palpated. The treatment area of the ileocecal valve and the cecum can be palpated around the right side SP14. The treatment area for the colic flexure can be palpated around the both side LR13. The treatment support point for the kidneys can be palpated around both side BL51. Conclusions It is thought that if the ultrasound image data from the meridians around the treatment site is used as an auxiliary, it will be more effective in terms of safety and effectiveness during the treatment of visceral Chuna manual therapy.

Keywords

References

  1. Korean Society of Chuna Manual Medicine for Spine & Nerves. Chuna manual medicine. 2.5th ed. Seoul:Korean Society of Chuna Manual Medicine for Spine & Nerves Publishing. 2019:4-39, 104, 392-403.
  2. Barral JP, Mercier P. Visceral manipulation. Rev. ed. Texas: Eastland Pr. 2007:1-28, 74-9, 96-9, 113-5, 130-5, 150-5.
  3. Hong WS. Hwangjenaegyeong Yeongchu. Seoul:Traditional Culture Research Society. 2011:256-7, 322-33.
  4. Wang CI. Urimgaechak. Gyeonggido:Bubinbooks. 2016: 5-48.
  5. Heo J. Dongeuibogam. Seoul:Namsandang. 2009:136-55.
  6. Hebgen EU. Visceral manipulation in osteopathy. New York:Thieme. 2011:3-27, 41-5, 53-6, 72-7, 84-6, 91-3, 100, 107-9, 116-9, 128-35, 144-7.
  7. Eguaras N, Rodriguez-Lopez ES, Lopez-Dicastillo O, Franco-Sierra MA, Ricard F, Oliva-Pascual-Vaca A. Effects of osteopathic visceral treatment in patients with gastroesophageal reflux: a randomized controlled trial. J Clin Med. 2019;8(10):1738. https://doi.org/10.3390/jcm8101738
  8. Attali TV, Bouchoucha M, Enamouzig R. Treatment of refractory irritable bowel syndrome with visceral osteopathy: short-term and long-term results of a randomized trial. J Dig Dis. 2013;14(12):654-61. https://doi.org/10.1111/1751-2980.12098
  9. Barassi G, Bellomo RG, Porreca A, Felice PAD, Prosperi L, Saggini R. Somato-visceral effects in the treatment of dysmenorrhea: neuromuscular manual therapy and standard pharmacological treatment. J Altern Complement Med. 2018;24(3):291-9. https://doi.org/10.1089/acm.2017.0182
  10. Yang XY, Shen CM. Observation on the curative effect of visceral tu ina in the treatment of tic disorders in children. Zhejiang Journal of Integrated Traditional Chinese and Western Medicine. 2020;30(12):1018-20.
  11. Silva ACO, Biasotto-Gonzalez DA, Oliveira FHM, Andrade AO, Gomes CAFP, Lanza FC, Amorim CF, Politti F. Effect of osteopathic visceral manipulation on pain, cervical range of motion, and upper trapezius muscle activity in patients with chronic nonspecific neck pain and functional dyspepsia: a randomized, double-blind, placebo-controlled pilot study. Evid Based Complement Alternat Med. 2018;2018:4929271.
  12. Tamer S, Oz M, Ulger O. The effect of visceral osteopathic manual therapy applications on pain, quality of life and function in patients with chronic nonspecific low back pain. J Back Musculoskelet Rehabil. 2017;30(3): 419-25. https://doi.org/10.3233/bmr-150424
  13. Lee SC. Clinical analysis of emergent intra-abdominal conditions due to abdominal trauma. Journal of the Korean Association of Traumatology. 2000;13(2):98-104.
  14. Baik TH. Using ultrasonography in Korean medicine to observe organs and diseases, and evidence of its use. J Korean Med. 2014;35(3):70-92. https://doi.org/10.13048/jkm.14032
  15. Lee SH, Kim JH, Chu HM. Ultrasou nd gu ided acu - puncture handbook for high-risk areas. Daejeon:Korea Institute of Oriental Medicine. 2018:6-22, 28-39, 90-3, 102-3.
  16. Seol SY. Abdominal ultrasonography. Seoul:Medbook. 2011:36-43, 127-35, 165-72.
  17. Schleip R, Findley TW, Chaitow L, Huijing PA. The tensional network of the human body. Seoul:Elsevier Korea. 2014:267-80, 485-509.
  18. Hammes M, Kuschick N, Christoph KH. Handbook of acupuncture by WHO standard meridians. Seoul:Hansol Medibook. 2010:50-1, 78-9, 136-7, 160-3, 230-1, 260-5.
  19. Destefano LA. Greenman's principles of manual medicine. 5th ed. Seoul:Korean Society of Chuna Manual Medicine for Spine & Nerves. 2019:90-101, 104-6.
  20. Myers T. Anatomy trains (Myofascial meridians). 1st ed. Seoul:Hyunmoonsa. 2005:32-81.
  21. Aubin AAA. Motility in osteopathy from embryology to clinical practice. Scotland:Handspring Publishing. 2017:24-5, 53-5, 69-70, 83-108.
  22. Kim JH, Park JH, Kim KH. Review of research topics on abdominal examination. J Korean Med. 2016;37(3): 1-12.
  23. Lee BK, Park YB, Kim TH. Korean medicine dianostics. Seoul:Seongbosa. 2009;280-1.
  24. Kwon SJ. Uimunchweeon. Gangwondo:Uibang Book Publishing. 2009;573-8.
  25. Walther D. Applied kinesiology. 2nd ed. Seoul:DaeSeongmedi book. 2002:650-7, 762-5.