Objectives The purpose of this study is to find out the effect of various concentrations of Hwangnyeonhaedok-tang (HTT) pharmacopuncture on ST25 (天樞) in rats with dextran sulfate sodium (DSS)-induced colitis.Methods Colitis was experimentally induced by feeding rats with water mixed with 5% (w/v) DSS for 20 days. The rats were divided into 5 groups: the normal group (Nor, n=5), the control group - colitis induced rats with no treatment (Con, n=5), the acupuncture group - colitis induced rats with acupuncture applied on ST25 (Acu, n=5), the pharmacopuncture group 1 - colitis induced rats with 0.729 mg/250 g/40 μl of pharmacopuncture applied on ST25 (PA-1, n=5), the pharmacopuncture group 2 - colitis induced rats with 3.645 mg/250 g/40 μl of pharmacopuncture applied on ST25 (PA-2, n=5). The changes in weight, excrement concentration and hemafecia were observed 5 times every 2 days. The colon lengths were measured from appendix to the end of colon after the experiment. Hematological and serological exams were conducted the day after the last treatment by cardiac puncturing anesthetized rats.Results ST25 is the abdominal front point (募穴) of large intestine meridian and is known to have effect in colitis. Various concentrations of HTT pharmacopuncture (HTTP) applied on ST25, in rats with DSS-induced colitis inhibited decrease in colon lengths and body weight in both PA-1 and PA-2 groups. Hematological and serological exam results also showed that HTTP has significant effect on colitis in both PA-1 and PA-2 groups.Conclusions Colon lengths were significantly increased in the acupuncture group, PA-1 group and PA-2 group, compared to the control group. The body weight was significantly increased (p<0.05) in PA-2 group after the first treatment, compared to the control group. TNF-α, IL-6, AST were significantly decreased in PA-1 and PA-2 groups, compared to the control group.

목 적: 본 연구에서는 한의학에서 다양한 피부질환과 대사질환에 빈번히 사용되고 있는 온청음 물 추출 동결건조물(수율=13.82%)의 피부 노화 개선 효과 평가의 일환으로 세포독성, 피부재생, 주름개선, 미백 및 보습 효과를 각각 평가하였다.방 법: 본 연구에서는 human normal fibroblast(CRL-2076) 및 B16/F10 murine melanoma(CRL-6475) 세포에 대한 온청음의 세포독성을 MTT(3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-tetrazolium Bromide) 방법으로 평가하였으며, 피부 재생 및 주름 개선 효과를 transforming growth factor(TGF)-β1와 비교한 fibroblast의 collagen type I 합성능, phosphoramidon disodium salt(PP)와 비교한 elastase 활성 억제, oleanolic acid(OA)와 비교한 hyaluronidase, collagenase 및 matrix metalloproteinase (MMP)-1 활성 억제를 통해 각각 평가하였고, 미백효과를 B16/F10 murine melanoma cells의 melanin 생성 억제 정도 및 tyrosinase 활성 억제를 통해 arbutin과 비교 평가하였으며, 모든 실험은 OCE의 농도별로 군을 나누어 농도에 따른 효과의 변화를 함께 분석하였다. 보습효과는 흰쥐의 피부 수분함량 변화를 통해 평가하였다.결 과: 본 실험의 결과, 온청음은 human normal fibroblast 및 B16/F10 murine melanoma 세포에 대해 의미 있는 세포독성을 나타내지 않았으며, fibroblast의 collagen type I 합성을 증가시켰고, 세포외 기질의 파괴에 관여한다고 알려진 hyaluronidase, elastase, collagenase 및 MMP-1 활성을 억제하였으며, 피부의 색을 결정하는 melanin 의 생성에 관여하는 tyrosinase의 활성 및 B16/F10 murine melanoma cells의 melanin 생성을 억제하는 것으로 관찰되었다. 이 반응의 효과들은 모두 농도에 비례하여 증가하였고, 이와 함께 정상 매체 대조군에 비해 흰쥐의 피부 수분 함량이 세 용량의 온청음 경구 투여군 모두에서 투여용량 의존적으로 의미 있는 증가를 보였다.결 론: 이상의 결과에서, 온청음은 세포 독성 없이 비교적 우수한 피부 재생, 주름개선, 미백 및 보습 효과를 나타내는 것으로 관찰되어, 차후 피부 노화 억제 개선제 또는 기능성 화장품의 주요 소재로서 그 가치가 매우 높을 것으로 판단되나, 금후 개별 구성 약재 각각에 대한 효능 및 생리활성을 나타내는 화학성분의 검색과 더불어 다양한 방면으로 기전적인 연구와 피부 보호 효과에 대한 in vivo 평가를 체계적으로 수행해야 할 것으로 판단된다.

Objectives :The purpose of this study was to investigate the effect on factors related the expression of aquaporins (AQP) and milk production after administration of Boheotang-gagam in lactating mice. Methods: The SKH-1 mice were randomly allocated to the control group which was administered with distilled water for two weeks after the parturition and the experimental groups such as, lactating+400G group (L400G) which was administered with Boheotang-gagam 400 mg/day, lactating+600G group (L600G) which was administered with 600 mg/day for two weeks after the parturition, and 400G+lactating+400G group (400G-L400G) which was administered with 400 mg/day for 3 weeks starting one week prior to parturition for experiment (n=6 per group). Results: 1. With regard to the immunohistochemical staining reaction for AQP1, AQP3, and AQP5, stronger immune response was also showed in mammary gland in all experimental groups as compared to the control group. AQP1 showed stronger immune response in the capillaries and venules which were located around the interlobular duct, while stronger immune response of AQP3 and AQP5 showed in the secretory alveolar epithelia and intralobular and interlobular ductal epithelial cells. 2. In the western blot, L400G group showed the most increased expression followed by L600G and then 400G-L400G group in AQP1. In AQP3, the order of expression density was observed as L600G, 400G-L400G and L400G group. Lastly, in AQP5, L400G group presented the most increased expression followed by L600G and 400G-L400G group. Conclusions: Boheotang-gagam would have the effect of increasing the lactation of mice after the birth by increasing the prolactin level and adjusting the expression of AQPs and prolactin receptor in the mammary glands.

Objectives: This study is to identify the effect of sex education by school doctor of Korean medicine on elementary school students from fourth to sixth-grade. Methods: Eighty three students who received four sex eduction lectures by school doctor of Korean medicine were assigned as experimental group while 132 students who did not receive any sex education were assigned as control group. This study observed the changes in students’ sexual knowledge and sexual attitude before, after and three months after the sex education program. Results: Experimental group showed positive changes on sexual knowledge (male p=0.000, female p=0.046) and sexual attitude (male⋅female p=0.000). Three months after the conclusion of sex education program, the follow-up evaluation showed decline in effect of education, which suggests a need for continuous sex education. As students showed high level of satisfaction, we expect school doctor of Korean medicine can improve knowledge on health and further increase familiarity in Korean medicine by this kind of sex education Conclusions: Sex education by school doctor of Korean medicine for elementary school students from fourth to sixth grade has effectively changed sexual knowledge and attitude. Further, it is necessary to research the effect of sex education on elementary students over long-term period.

Objectives: The aim of this study is to evaluate the effect and satisfaction measurement of the Korean medicine treatment on the adolescent dysmenorrhea. Methods: The subjects of this study were 24 volunteers, suffering from dysmenorrhea, who were middle and high school students in Jeonbuk province. They were treated by Korean medicine, those were acupuncture, cupping, moxibustion and herbal medicine, for two months from July to December 2015. The results were investigated by the visual analogue scale (VAS) of overall pain, most severe pain and amount of the analgesic taken for menstrual period. The effects of treatment were assessed three times, those were before treatment, after treatment for 1 month and after treatment for 2 months, for two months. Results: The VAS score on dysmenorrhea was decreased significantly. Also, the VAS score on the disturbance in school activity was decreased significantly. The amount of analgesic taken for menstrual period was decreased, but not significantly. Conclusions: This study suggests that the Korean medicine treatment on the adolescent dysmenorrhea is effective.

Objectives: Breast cancer patients in Korea need to care about symptoms with complementary medicine including acupuncture. We reviewed the randomized controlled studies using acupuncture in breast cancer patients to establish a basic knowledge of clinical practice guidelines. Methods: We searched the following databases through July 2015: the Cochrane Central Register of Controlled Trials, Ovid-Medline, Ovid-EMBASE, the Allied and Complementary Medicine Databases and OASIS. The articles of RCTs using acupuncture in breast cancer for all symptoms were selected and analyzed. The acupoints, treatment period, inclusion criteria of participants, follow-up period and effectiveness were extracted. Results: Three hundred fifty five records after duplicate were screened, and 14 RCTs were selected. RCTs of Hot flush, pain, fatigue were reviewed. The adverse symptoms using medical treatment in breast cancer patients were targets of acupuncture in RCTs. The acupuncture treatment was decreased the hot flush, pain and fatigue. However, the effect was not confirmed due to various study design. Conclusions: The analysis of the research would be conjugated to establish a basic knowledge of clinical practice guidelines. Well designed studies in Korea are needed to confirm the efficacy and safety of acupuncture in patients with breast cancer.

Objectives: The purpose of this systematic review was to overview and evaluate the effectiveness of fumigation treatment for women with atrophic vaginitis. Methods: We searched articles from Pubmed, Chinese Academic Journals (CAJ) and Oasis online databases. Searching keywords were ‘fumigation’, ‘atrophic vaginitis’, ‘vaginitis’, ‘阴道炎’, ‘膣炎’, ‘老年性 阴道炎’, ‘坐熏’, ‘熏洗’, ‘熏浴’, ‘좌훈요법’, ‘질염’, ‘위축성질염’. After searching the articles, we performed quality assessment using Cochrane risk of bias (RoB) tool. Results: Among the 142 articles were searched, 5 randomized controlled clinical trials (RCTs) were finally selected. All of 5 studies showed that fumigation treatment has significant effect on atrophic vaginitis in terms of the effectiveness rate, but 3 studies were not statistically significant. Conclusions: Our systematic review found encouraging but limited evidence of fumigation therapy for atrophic vaginitis. We recommend clinical trials which obtain stronger evidence without the demerits of trial design.

Objectives: The purpose of this study is to find out the characteristics of dysmenorrhea patients with the Inbody test results by Sasang constitutions. Methods: The data from the 541 participants were collected using a structured measurement of menstrual pain. Based on the survey responses, we had 329 women with dysmenorrhea as the test group and 212 women without dysmenorrhea as the control group. The clinical trials subjects were asked to respond to another questionnaire for identifying their constitutional types and undergo Inbody test. Results: The result of a comparison of the test and control groups showed that the DSOM test showed that the scores of blood deficiency, qi stagnation, blood stasis and phlegm were significantly higher in dysmenorrhea. The result of the taeumin's test groups showed that the DSOM test showed that the scores of heat were significantly higher. For the Sasang constitution, there is a difference on the cause of the outbreak. Taeumin from blood deficiency, blood stasis, dampness, heart, kidney, phlegm and lung is associated with dysmenorrhea. Soeumin from blood deficiency, qi stagnation, blood stasis, liver, heart, spleen and phlegm is associated with dysmenorrhea. The ratio of overweight of taeumin was low in blood deficiency and yin deficiency. The ratio of lowweight of soeumin was high in heat. Conclusions: The DSOM test showed that the scores of blood deficiency, qi stagnation, blood stasis and phlegm were significantly higher in dysmenorrhea.

Objectives: The purpose of these cases is to report the effects of oriental medicine on two patients with premature ovarian failure. Methods: Two patients who had amenorrhea and hot flashes caused by premature ovarian failure were treated by oriental medicine such as herb medication. We estimated the effects of treatments by follow-up measurements of serum hormone level, menstrual cycle and symptoms. Besides, follicle and endometrium were checked by ultrasonography for academic research.Results After treatments, their symptoms of premature ovarian failure were improved and the menstrual cycle resumed. And the level of serum Follicle Stimulating Hormone decreased and the level of serum E₂ increased.Conclusions Two cases shows that oriental medicine has effects on patients with premature ovarian failure by follow-up measurements of serum hormone level, menstrual cycle and symptoms.

Objectives Arrhythmia can occur frequently when state of pregnancy or after carriage, but it is rare that the symptom continues. We have a case of arrhythmia, which occurred after stillbirth and has lasted for about 4 months, treated by Korean medicine treatment, so we report a case on arrhythmia occurred after stillbirth.Methods Patient, who suffered from arrhythmia after stillbirth, was enrolled in this study. She received Korean medicine therapies such as herbal medicine, acupuncture and negative cupping.Results Discomfort and frequency of arrhythmia was reduced by Korean medicine therapiesConclusions The present study suggests that Korean medicine therapies have a effect on arrhythmia caused by stillbirth.