• 제목/요약/키워드: $CV_{17}$

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우울 경향과 복모혈(腹募穴), 배유혈(背兪穴)압통과의 관계 비교 연구 (Comparative Study of Relationship between the Depressive Tendency and Tenderness of Alarm Points and Transport Points)

  • 서민정;김송이;박영재;정원모;차수진;이향숙;이혜정;박히준
    • Korean Journal of Acupuncture
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    • 제27권4호
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    • pp.97-109
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    • 2010
  • Objective : To examine whether any correlation between tendency towards depression and tenderness at special acupuncture points exists, thus to explore the potential diagnostic property of acupuncture points. Methods : A total 31 subjects were included in this study. They filled out questionnaires about their mental [Beck Depression Inventory (BDI), Stress Response Inventory (SRI), Profile of Mood States (POMS)] and physical (fatigue due to overexertion, and food accumulation) symptoms. Identical weight around Alarm points (CV17, CV12, ST25, CV5, CV4, and LR13) and transport points (BL14, BL20, BL21, BL22, BL25, and BL27) was given using an algometer and the subjects rated their pain on an 11-point numerical rating scale. Heart rate variability (HRV) was also measured. Results : The subjects were divided into two groups, normal and depressive tendency groups with a cut-off point of nine on BDI. The depressive tendency group reported significantly higher values in SRI, POMS, and questionnaire for fatigue due to overexertion. In the pressure pain measurement, depressive tendency group had more pressure pain at CV12, left side of BL20, BL14, BL22 and both sides of BL21, BL25, BL27, significantly (each p<0.05). The data of HRV did not show significant differences between groups. Conclusions : People with a tendency towards depression may be prone to stress, negative mood, and fatigue due to overexertion. In addition, they may be more likely to develop tenderness at alarm points and transport points compared with healthy people. Further research is needed to confirm this finding.

봉독약침(蜂毒藥鍼)이 척수내(脊髓內) 통증관련(痛症關聯) 신경세포(神經細胞)의 활성(活性)에 미치는 영향(影響) (A Study on the Effects of Bee Venom Aqua-Acupuncture on Pain related Neuronal activity in the Spinal Cord)

  • 정선희;이재동;고형균;안병철;최도영;박동석
    • Journal of Acupuncture Research
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    • 제17권2호
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    • pp.153-168
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    • 2000
  • Introduction : In spite of the use of Bee Venom aqua-acupuncture in the clinics, the scientific evaluation on effects is not enough. Bee Venom aqua-acupuncture is used according to the stimulation of acupuncture point and the chemical effects of Bee Venom. The aims of this study is to investigate the analgegic effects of the Bee Venom aqua-acupuncture, through the change of writhing reflex and the change of c-fos in secondary neurons in the spinal cord. Materials and Methods : Pain animal model was used acetic acid method. The changes of writhing reflex of the mice which were derived pain by injecting acetic acid into the abdomen, after stimulating Bee Venom aqua-acupuncture on Chungwan(CV12) were measured. We used Fos immunohistochemical technique to study the neuronal activity in the spinal cord. Results : 1. Expression of c-fos in superficial dorsal horn(SDH), nucleus proprius(NP) and neck of dorsal hom(N) on 6~9th thoracic spine decreased significantly at $2.5{\times}10-4$g/kg Bee Venom aqua-acupuncture, compared with saline-acetic acid group. 2. The numeral change of Fos-LI neurons on the NP, N, and ventral gray(V) on 6-9th thoracic spine, SDH on 9-11th thoracic spine, and SDH and V on 11~13th thoracic spine decreased significantly at Chungwan(CV12) Bee Venom aqua-acupuncture, compared with saline-acetic acid group. 3. The correlation between the numbers of writhing refleax and Fos-LI neurons in T6-13 segment was statistically statistically significant at Chungwan(CV12) Bee Venom aqua-acupuncture. Conclusion : This study shows that the Bee Venom aqua-acupuncture on Chungwan(CV12) decreases the numbers of Fos-LI neurons. As the analgegic effects of Bee Venom aqua-acupuncture is recognized. Bee Venom aqua-acupuncture treatment is expected for pain modulation. In order to use it in many ways, more researches are needed for the dose and stability of Bee Venom aqua-acupuncture.

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골절에 침 치료를 적용한 2013년 이후 증례보고 문헌고찰 (A Review of Case Reports on the Application of Acupuncture as a Treatment for Fracture since 2013)

  • 백승원;남경호;최승관;이정한;한윤희
    • 한방재활의학과학회지
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    • 제31권4호
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    • pp.49-63
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    • 2021
  • Objectives This study aimed to investigate the trend in treating fracture with acupuncture and to evaluate the quality of case reports. Methods All case reports of fractures treated with acupuncture were extracted from four Korean web databases. We classified these studies by five fracture sites and investigated frequently used meridian and acupoint, outcome measurements, treatment period. And we assessed the quality of the case reports by the STandards for Reporting Interventions in Clinical Trials of Acupuncture (STRICTA) guidelines. Results A total of 33 case reports were included. The outcome measurements were divided into six categories, and the outcome measurements used in more than three studies showed improvement in patient symptoms. The mainly used meridians for each fracture site were as follows: chest and abdomen (GB, LR, CV), back (BL, GB), upper limb (LI, TE), lower Limb (GB, ST, BL, SP). The most commonly used acupoints for each fracture site were as follows: chest and abdomen (Ashi points, GB24, GB25, GB26, LR13, LR14, CV16, CV17, CV18, CV19), back (BL23, BL24, BL25, BL26, BL40, BL51, BL52, BL60, GB34), upper limb (LI4, LI10, LI11, TE3), lower limb (GB34, GB40). According to the STRICTA guidelines, more than 54.54% of the reports were found to be 'not reported' or 'not sufficient' in the following categories: 'response sought', 'description of participating acupuncturist', and 'number of needle insertions per subject per session'. Conclusions The meridians and acupuncture points frequently used for acupuncture treatment of fractures were near the fracture site. Future clinical studies involving acupuncture must be reported in accordance with the STRICTA guidelines to improve transparency and uniformity.

폐쇄용적(Closing Volume)이 증가된 만성 폐질환 환자에서 체위에 따른 폐환기량의 변화 (Effect of Posture on the Distribution of Pulmonary Ventilation in Patients with Increased Closing volume)

  • 김용태;김미경;임채만;고윤석;김우성;류진숙;이명혜;김원동
    • Tuberculosis and Respiratory Diseases
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    • 제40권6호
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    • pp.631-637
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    • 1993
  • 연구배경 : 정상 성인에서 폐환기는 균등하지 않아서, 평상호흡(tidal volume breathing)시 폐상부 보다 하부에서 환기가 더 많이 일어나는 것으로 알려져 있다. 한편 유아에서는 흉곽벽이 단단하지 못하여 폐에 대한 견인력이 부족하므로 평상호흡시 폐저부에 기도폐쇄가 일어나, 폐상부의 환기가 하부보다 더 많은 것으로 보고되었다. 또한 성인에서도 폐쇄용적이 증가하면 평상호흡시 폐하부에 기도폐쇄가 일어나 폐하부보다 폐상부에 환기가 더 많이 일어날 수 있을 것으로 예상할 수 있겠다. 방법 : 이에 연구자들은 이를 증명하기 위하여 정상대조군 및 만성 폐질환 환자군을 대상으로 폐활량측정법(spirometry) 및 폐쇄용적(dosing volume)을 측정하고 환기의 불균형은 체위에 따르므로 $^{133}Xe$ 폐환기주사($^{133}Xe$ ventilation scan)를 정와위(supine), 좌와위(left lateral decubitus) 및 우와위(right lateral decubitus)에서 시행하여 좌우 폐의 환기비를 측정하였다. 결과 : 1) 대상 환자는 정상 대조군 7명(평균 연령$62.9{\pm}6.1$세), 환자군중 폐쇄용적 정상인 6명(폐쇄용적 정상군)(연령 $62.8{\pm}8.2$세), 폐쇄용적 증가된 7명(폐쇄용적 증가군)(연령 $63.0{\pm}15.3$세)이었다. 2) 정상대조군에서 FVC는 평균(${\pm}$표준편차) 추정정상치의 $104{\pm}11%,\;FEV_1\;120{\pm}16%,\;FEV_1/FVC\;112{\pm}5%$, 폐쇄용적 $86.9{\pm}12.5%$으로 모두 정상범위 이었으며, 만성 폐질환 환자중 폐쇄용적 정상군에서는 FVC $62{\pm}11%,\;FEV_1\;54{\pm}17%$$FEV_1/FVC\;84{\pm}23%$로서 제한성 환기 장애 소견을 보였고 폐쇄용적 $92.6{\pm}15.5%$이었으며, 폐쇄용적 증가군에서는 FVC $53{\pm}9%,\;FEV_1\;38{\pm}13%,\;FEV_1/FVC\;69{\pm}16%$로서 폐쇄성 환기장애의 소견을 보였고, 폐쇄용적 $176.1{\pm}36.6%$로 환기용적 증가군에서 폐쇄용적이 유의하게 높았다(p<0.02). 3) $^{133}Xe$ 폐환기 주사상 좌측폐의 환기량이 정상대조군에서는 정와위시 총 환기량의 $48.1{\pm}5.3%$, 좌측 하위시 $54.1{\pm}9.8%$, 좌측 상위시 $40.9{\pm}6.5%$, 폐쇄용적 정상 폐질환군에서는 정와위시 $44.6{\pm}2.1%$, 좌측 하위서 $58.7{\pm}5.6%$, 좌측 상위시 $31.7{\pm}8.3%$, 폐쇄용적 증가 만성 폐질환군에서는 정와위시 $48.7{\pm}4.5%$, 좌측 하위시 $41.7{\pm}9.4%$, 좌측상위시 $60.9{\pm}15.7%$로서 정상대조군과 폐쇄용적 정상 만성폐질환 군에서는 좌측하위시 좌측환기량이 정와위시보다 유의하지는 않으나 증가하였고, 좌측상위시 좌측 환기량이 좌측 하위시보다 유의하게 감소하였으며, 폐쇄용적 증가군에서는 좌측 하위시 좌측의 환기량이 정와위시보다 유의하지는 않으나 감소하였고 좌측 상위시 좌측의 환기량이 좌측 하위시보다 유의하게 증가하여 양환자군 사이에 상반된 소견을 보였다. 결론 : 이상의 결과로서 폐쇄용적이 증가한 성인 만성 폐 질환 환자에서 평상호흡시 폐상부의 환기가 폐하부보다 더 많이 일어나는 것을 관찰할 수 있었다.

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화병의 진단 및 변증유형에 관한 연구 (A study for diagnosis and pattern identification of Hwa-Byung)

  • 이희영;박종훈;황의완;김종우
    • 동의신경정신과학회지
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    • 제16권1호
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    • pp.1-17
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    • 2005
  • Objective : This empirical research is performed to recognize diagnostic concept, pattern identification, and clinical features of Hwa-byung. In other words, the aims of this research are to examine the differences of the diagnosis between Hwa-Byung and the other psychiatric disorders, and to find out pattern identification, and clinical characteristics of Hwa-Byung for prescriptions of this syndrome. Method : In the experiment, there were participated 30 patients who were met for our criterions according to HBDIS (Hwa-Byung Diagnostic interview Schedule). These patients were diagnosed as Axis1 according to criterions of DSM-IV with administering SCID-I. OMS-prime was utilized for finding out pattern identification of oriental medicine. Symptom Check List-90-Revision(SCL-90-R), Hemilton rating Scale for Depression(HRSD), Heart Rate Variability(HRV), and Digital Infrared Thermographic imaging(D.I.T.I.) were also utilized to discover clinical characteristics of Hwa-Byung Patients. Results : 1. Regarding Sex-ratio, male subjects were 3(10%), and female subjects are 27(90%). The age of subjects ranged from 22 year old to 75 $(51.87{\pm}11.04;\:Mean{\pm}SD)$ 2. In the results of diagnosis on the basis of DSM-IV, the 17(56.67%) patients were MOD (Major Depressive Disorder), the 5(16.67%) patients were USD (Undifferentiated Somatoform Disorder), the 4(13.33%) patients were Dysthymic Disorder, the 3(10%) patients were GAD (Generalized Anxiety Disorder), and the 1(3.33%) was Panic Disorder. Two of the patients who diagnosed as MOD were diagnosed as Panic Disorder too, and one of them was diagnosed as Pain Disorder too. 3. Regarding pattern identification, Hwa-Byung is positively correlated to deficiency of Heart(心). and then to stagnancy of Liver-Gall bladder. Hwa-Byung is correlated deficiency symptom-complex rather than excessiveness symptom-complex. That is also correlated positively to Pathological heat and fire. 4. In SCL90-R, the mean of PSDI was $(75.3{\pm}10.7;\:Mean{\pm}SD)$. The each mean of the other 11 factors was distributed between50-70. 5. The mean of HRSD was $(17.9{\pm}5.6;\:Mean{\pm}SD)$ in the entire subject's group. Then the group of MDD was $20.9{\pm}4.4$ and the group of USD was $12.0{\pm}4.8$ 6. In the results of HRV. the mean of TP is $972.4{\pm}1174(Mean{\pm}SD)$, this is lower than normal range 1000-200. The other factors were within normal range. Then, there were no significant differences between them (p<0.05). 7. The temperatures of each acupoint have significant differences between HNl(印堂) and PC6(內關), between CV17(顫中) and PC6(內關), between HN1(印堂) and CV8(神闕), between CV17(顫中) and CV8(神闕) in comparison with the average of body temperature in the use of D.I.T.I. (p<0.01) 8. In the analysis of correlation between SCL-90-R, HRSD, HRV. and D.I.T.I. there were no significant results. According to results that the correlation was analyzed with only the MDD group as subjects, there was negative correlation between RMSSD of HRV and HRSD, between LF of HRV and PDSIof SCL-90-R, and between LF/HF of HRV and ANX, PSY, and PDSI of SCL-90-R. Conclusion : In the observation of clinical features of 30 cases of Hwa-Byung patients by using diverse structured tests, there could make diverse diagnosis as depressive disorder, anxiety disorder, and Somatoform Disorder. Particularly. MDD was highly distributed. Considering oriental medicine's pattern identification of Hwa-Byung, this syndrome is related strongly to Heart, and there were demonstrated deficiency symptom-complex, and Pathological heat and fire. One of the limits of this study is lack of control subject's group, therefore, in the future study, it requires reexamination through a comparative research with these data to complete this study.

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Delayed Deproteinization Causes Methodological Errors in Amino Acid Levels in Plasma Stored at Room Temperature or -20℃

  • Li, Junyou;Piao, Chunxiang;Jin, Huazi;Wongpanit, Kannika;Manabe, Noboru
    • Asian-Australasian Journal of Animal Sciences
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    • 제22권12호
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    • pp.1703-1708
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    • 2009
  • Deproteinization has been recognized as a prerequisite for amino acid analysis of plasma samples. For plasma stored at room temperature, delaying deproteinization for 30, 60 or 120 minutes did not result in significant changes in the mean CV (coefficient of variation), which ranged from 4.4 to 5.6%. However the mean CV of aspartic acid, ${\alpha}$-aminoadipic acid, alanine and lysine was about 10%. When the plasma was stored frozen at -20${^{\circ}C}$, the CV was increased at 0 and 120 minutes after thawing, to 12.4% (range, 4.1 to 35.3%) and 8.0% (2.5 to 30.7%), respectively. The concentrations in plasma during storage at room temperature of all the amino acids analyzed showed significant changes. In plasma stored for 30 minutes at room temperature, 17 amino acids increased in concentrations and two decreased. Extending this period to 60 or 120 minutes increased the instability as compare to the reference group. Storing plasma at -20${^{\circ}C}$ for 2 weeks resulted in significantly greater changes in the amino acid concentrations than at room temperature. On extending the storage time at room temperature, after thawing, to 30, 60, and 120 minutes, 21, 20, and all 22 amino acids respectively changed significantly (p<0.01). The present study indicates that methodological errors occur in the concentrations determined for all amino acids when plasma is left at room temperature. The storage of frozen non-deproteinized plasma accompanied more significant changes in most amino acid concentrations and thus should be avoided. Deproteinization should be performed as soon as possible after plasma collection.

사상의학적(四象醫學的) 경혈(經穴) 운용(運用)에 대한 문헌적(文獻的) 연구(硏究) - "황제침구갑을경(黃帝鍼灸甲乙經)"을 중심으로 - (A Study on the Acupoints in the view of Sasang Constitutional Medicine - based on ${\ulcorner}$Chimgugabulgyung(鍼灸甲乙經)${\lrcorner}$ -)

  • 송정모;김정호
    • 사상체질의학회지
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    • 제17권3호
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    • pp.31-54
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    • 2005
  • 1. Objectives This paper was written in order to understand the function of acupoints as Sasang Constitution. 2. Methods Through the concept of ${\ulcorner}$Seung-Gang-Wan-Sok(升降緩束)${\lrcorner}$, we could find out the function of some acupoints as Sasang Constitution. 3. Results and Conclusions 1) Some acupoints could be classified into four groups. These four groups are corresponded with four Sasang Constitutional groups 2) This four groups are supported by the concept of ${\ulcorner}$Seung-Gang-Wan-Sok(升降緩束)${\lrcorner}$. 3) The first group is for Soeumin(少陰人). The acupoints are 'Sangwan(上脘, CV13)', 'Chungwan(中脘, CV12)', 'Hwangsu(?兪, K16)', 'chonchu(天樞, S25)' and 'Wisu(胃兪, B21)'. These acupoints all have Seung(升: elevating Gi(氣))-function in their Oriental medical effects 4) The second group is for Soyangin( 少陽人). The acupoints are 'Kichung(氣衝, S30)', 'Choksamni(足三里, S36)', 'Sangohu(上巨虛, S37)', 'Hagoho(下巨虛, S39)', 'Haegye(解谿, S41) and 'hyonjong(懸鍾, G39)'. These acupoints all have Gang(降: descending Gi(氣))-function in their Oriental medical effects. 5) The third group is for Taeumin(太陰人). The acupoints are 'Oje(魚際, L10)', ' Taeyon(太淵, L9)', 'Taedo(大都, Sp2)', 'Taebeak(太白, Sp3)' and 'Nohoe(?會, TE13)‘. These acupoints all have Wan(緩: efferenting Gi(氣))-function in their Oriental medical effects. 6) The fourth group is for Taeyangin(太陽人). The acupoints are 'Kwanwon(關元, CV4)', 'Hawan(下脘, CVlO)’ and ‘Chungjong(中庭, CVI6)’. These acupoints all have Sok(束: afferenting Gi(氣))-function in their Oriental medical effects.

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남성 불임 환자의 하복부 온도에 관한 임상적 고찰 (A Study on Abdominal Temperature of Male Infertility Patients)

  • 이창훈;조정훈;장준복;이경섭;위효선
    • 대한한방체열의학회지
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    • 제4권1호
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    • pp.23-28
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    • 2005
  • Purpose : To examine the relation between male infertility and cold hypersensitivity on lower abdomen. Methods : From 2004, 4 to 2005, 10, a total 60(infertile male 30, normal male on semen analysis 30) patients who visited the Oriental gynecological department of Conmaul Oriental Medicine hospital was selected, and their medical records were reviewed retrospectively. We compared the temperature of 3 points(CV17, CV12, CV4) of both group by DITI(Dorex, DITI-16UTI and DITI-Spectrum 9000 MB). Results and Conclusion : The general characteristics such as age, weight, height, BMI, amount and frequency of drinking and smoking of both group were not different statistically. The mean ${\Delta}T1$ between upper and lower abdomen in infertile group was higer than in normal group but they were not different statistically. The mean ${\Delta}T2$ between chest and lower abdomen was $0.46{\pm}0.41$ in infertile group, and $0.18{\pm}0.56$ in normal group, and it shows significant difference statistically. There was no significant relationship between sperm motility and ${\Delta}T1$, ${\Delta}T2$ in infertile group. In this study, we suggest that an inclination of cold hypersensitivity of lower abdomen of infertile male, but it is expressed when it is contrasted to chest of the body rather than upper abdomen.

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Hwa-Byung Treated by Using Ascending Kidney Water and Descending Heart Fire Pharmacopuncture: Three Case Studies

  • Jo, NaYoung;Roh, JeongDu
    • 대한약침학회지
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    • 제20권2호
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    • pp.132-138
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    • 2017
  • Objectives: We report the results of three case studies on the clinical efect of ascending kidney water and descending heart fre (AKDH) pharmacopuncture on patients with Hwa-Byung. Methods: Tis study involved three patients, all female, who had been admitted to a hospital of traditional Korean medicine and had been diagnosed as having Hwa-Byung by using the Hwa-Byung Structure Clinical Interview for DSM-IV. AKDH pharmacopuncture is administered by injecting pharmacopuncture at a specifc acupoint to change from a state of water-fre disharmony to one of water-fre harmony. For our three patients, Hwangyeonhaedoktang (黃連解毒湯) pharmacopuncture was injected at GB21 and GB20 on both sides; a total of 0.4 cc was injected, with 0.1 cc being injected at each point. Fel ursi, Bezora bovis and moschus (BUM) pharmacopuncture was injected at CV17, CV12, and CV6; a total of 0.15 cc was injected, with 0.05 cc being injected at each point. Treatment was done daily. Progress was evaluated using the Hwa-Byung diagnostic interview (HBDIS), beck depression inventory (BDI), and numeric rating scale (NRS) scores. Results: For the frst patient (case 1), after treatment, the HBDIS score was reduced from 44 to 30 points, the BDI score from 37 to 14, and the NRS score from 10 to 7. For the second patient (case 2), after treatment, the HBDIS score was reduced from 41 to 27 points, the BDI score from 13 to 7, and the NRS score from 10 to 5. For the third patient (case 3), after treatment, the HBDIS score was reduced from 42 to 28 points, the BDI score from 12 to 9, and the NRS score from 10 to 4. Conclusion: Ascending kidney water and descending heart fre pharmacopuncture treatment can be efective for improving ascending kidney water and descending heart fre energy and can be used to alleviate Hwa-Byung.

리그닌분해(分解)와 리그닌분해효소(分解酵素) 생산(生産)을 위한 목재부후균(木材腐朽菌)의 선발(選拔)과 평가(評價) (II) - 리그닌분해균(分解菌)에 의한 laccase 생산(生産) - (Screening and Evaluating of Wood-Rotting Fungi for Lignin Degradation and Ligninolytic Enzyme Production (II) - Laccase Production by Lignin-Degrading Fungi -)

  • 정현채;박서기;김병수;박종열
    • Journal of the Korean Wood Science and Technology
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    • 제24권4호
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    • pp.74-81
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    • 1996
  • 리그닌분해능(分解能)이 높은 균주(菌株)로 선발(選拔)된 Coriolus versicolor-13 (CV-13), LKY-7 및 LKY-12세 균주(菌株)에 대하여 균체외(菌體外) laccase 생산(生産)을 검토(檢討)하였다. Glucose-peptone broth에서 균체외(菌體外) laccase활성(活性)은 CV-13의 경우 3일 이상배양후(以上培養後)에 나타났고 LKY-7과 LKY-12균주(菌株)의 laccase 활성(活性)은 배양(培養) 2일째에 검출(檢出)되었다. 탄소원(炭素源)으로서는 maltose가 glucose와 비슷한 laccase 생산효과(生産效果)를 나타냈고 질소원(窒素源)으로서는 유기태질소(有機態窒素)가 무기태(無機態) 질소(窒素)보다 효과적(效果的)이었다. Laccase 유도물질(誘導物質)로서는 2,5-Xylidine이 가장 우수하였으며 1mM 이하(以下)의 농도(濃度)에서는 유도효과(誘導效果)가 크게 나타났으나 1.5mM 이상(以上)의 농도(濃度)에서는 laccase생산(生産)이 억제(抑制)되었고, 균사생장(菌絲生長) 초기(初期)에 첨가(添加)하는 것이 효과적(效果的)으로 나타났다. SDS-PAGE 후, CV-13 균주(菌株)의 균체외(菌體外) 단백질(蛋白質)에서는 약 69, 66, 25, 23, 19kDa 크기의 laccase band가 5개 나타났고 LKY-7 균주(菌株)에서는 27kDa과 19kDa 크기의 2개 band가, LKY-12 균주(菌株)에서는 22, 20, 17kDa 크기의 laccase band가 3개 나타났다.

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