• Title/Summary/Keyword: 말초신경

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Effects of Bogijetong-Tang on Diabetic-peripheral Neuropathy Induced by Streptozotocin in the Mouse (보기제통탕(補氣除痛湯)이 Streptozotocin으로 유발된 당뇨병성 말초신경병증 동물 모델에 미치는 영향)

  • Lee, Jong Bin;Kim, Chul Jung;Cho, Chung Sik
    • The Journal of Korean Medicine
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    • v.34 no.3
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    • pp.126-142
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    • 2013
  • Objectives: Previous reports have shown that Bogijetong-Tang (BJT) is effective in peripheral neuropathy induced by taxol and crush injury. In this study, we researched the effects of BJT on diabetic neuropathy induced by STZ in the mouse. Methods: We performed both in vitro and in vivo experiments to verify the effects of BJT on diabetic neuropathy induced by STZ in mice. Changes in axonal recovery were observed with immunofluorescence staining using NF-200, Hoechst33258, $S100{\beta}$, caspase 3 and anti-cdc2. Proliferation and degeneration of Schwann cells were investigated by immunofluorescence staining and western blot analyses. Results: BJT showed considerable effects on neurite outgrowth and axonal regeneration in diabetic neuropathy. BJT contributed to the creation of NF-200, GAP-43, Cdc2, phospho-vimentin, ${\beta}1$, active ${\beta}1$, ${\beta}3$ integrin, phospho-Erk1/2 protein. Conclusions: Through this study, we found that BJT is effective for enhanced axonal regeneration via dynamic regulation of regeneration-associated proteins. Therefore, BJT had a pharmaceutical property enhancing recovery of peripheral nerves induced by diabetic neuropathy and could be a candidate for drug development after more research.

Effect of Bee Venom Pharmacopuncture Complex Therapy at Yepung on Peripheral Facial Paralysis (말초성안면신경마비에 대한 예풍혈 봉약침 복합치료 효과)

  • Oh, Hyun-Jun;Song, Ho-Sueb
    • Journal of Acupuncture Research
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    • v.27 no.4
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    • pp.179-185
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    • 2010
  • Objectives : This study was to investigate the effectiveness of Bee Venom Pharmacopuncture therapy at Yepung($TE_{17}$) on peripheral facial paralysis. Methods : We investigated 36cases of patients with Peripheral Facial Paralysis, and devided patients into two groups : We treated one group by complex oriental medical treatment with Bee Venom Pharmacopuncture therapy at local point with Yepung(VY), and did the other group by complex oriental medical treatment with Bee Venom pharmacopuncture therapy at local point without Yepung(VL). To evaluate the effectiveness of treatment applied for two groups, we used Gross Grading System of House-Brackmann(HB score), Yanagihara's Unweighed Grading System(Y score) at baseline and final. Results : 1. In VY and VL, compared with baseline, at final, HB score was significantly decreased and Y score was significantly increased. 2. At final, VY showed significant decrease on HB score and significant increase on Y score compared with VL. Conclusions : Bee Venom Pharmacopuncture therapy at Yepung can be available for relieving symptoms related with peripheral facial paralysis.

Case reports: Effect of Korean Medicine Including Pharmacopuncture on Chemotherapy Induced Peripheral Neuropathy (항암제 유발 말초신경병증 한의 치험 2례)

  • Hong, Sang Hoon;Jung, Yu-jin
    • Journal of Korean Traditional Oncology
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    • v.24 no.2
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    • pp.23-31
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    • 2019
  • Objective : Peripheral neuropathy refers to the symptoms caused by damage to peripheral fibers, inflammation and degeneration. This study reports the effects of moxibustion, electric moxibustion, and pharmacopuncture including GeonChil(Rhus verniciflua stokes, 乾漆)and Whalhyul(活血) pharmacopuncture on patients with peripheral neuropathy induced by anti-cancer drugs and chemotherapy. Method : We administered moxibustion, electric moxibustion, GeonChil and Whalhyul pharmacopuncture to two patients who showed peripheral neuropathy induced by anti-cancer drugs and chemotherapy. The symtoms were evaluated using Visual Analog Scale (VAS) and chemotherapy induced peripheral neuropathy assessment tool (CIPNAT). Results : Following observations were made after treatments. Case 1 : After nine procedures, the score of VAS was decreased. Feeling of cold and numbness were improved, and as rotation movement of ankle was also possible, gait disturbance were improved. Case 2 : After, seven procedures symptoms of both shoulder pain were improved, and the symptoms of peripheral neuropathy were eliminated. Conclusion : We found the possibility of symptom improvement after moxibustion, electric moxibustion, and pharmacopuncture treatment on peripheral neuropathy caused by anti-cancer drugs. Clinical studies of pilot study and control settings will need to be carried out later.

Effects of sodium molybdate on myo-inositol phospholipid metabolism-related enzymes in peripheral nerves of lead-intoxicated rats. (Sodium molybdate가 납중독 랫드의 말초신경내 myo-inositol 인지질 대사 관련 효소에 미치는 영향)

  • 박성환;정명규;조해용;최창하;김명녀
    • Journal of environmental and Sanitary engineering
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    • v.16 no.4
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    • pp.1-8
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    • 2001
  • We have previously demonstrated that sodium molybdate(Mo) improved lead-intoxicated status by enhancing the metabolism of mao-inositol-related phospholipids in sciatic nerves isolated from rats. In this study, in order to address the reduction mechanism of Mo for lead toxicity, effects of Mo on cystidine-diglyceride transferase, phosphatidylinositol kinase, and phosphatidyl inositol-4-phosphate kinase, involved in mao-inositol metabolism of nerve, were investigated in vivo and in vitro. Mo significantly increased the activities of cystidine- diglyceride transferase and phosphatidylinositol kinase in lead-intoxicated rat, and the pattern of increase was dose-dependent manner. However, Mo did not affect the activity of phosp- hatidylinositiol-4-phosphate kinase in normal and lead-intoxicated rats. We also found that Mo affected the activities of phopholipid metabolism-related enzymes not by the indirect manner such as activation of another metabolic pathway but by the direct manner. These results suggest that the improvement mechanism of Mo for lead-intoxicated status might be a normalization of the activities of phospholipid metabolism-related enzymes in sciatic nerve.

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Effects of molybdenum on myo-inositol uptake system in peripheral nerve isolated from lead-intoxicated rat. (Molybdenum이 납 중독 랫드의 말초신경내 myo-inositol uptake 시스템에 미치는 영향)

  • 송진호;정명규
    • Journal of environmental and Sanitary engineering
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    • v.18 no.2
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    • pp.60-66
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    • 2003
  • This study was carried out to elucidate the preventive mechanism of molybdenum on lead-induced neuropathy, An animal model of lead neuropathy was induced by feeding diet containing lead to Sprague-Dawley rat for three weeks. Four weeks aged Sprague-Dawley rats were divided into four groups : normal control group, 10ppm-lead treated group, 1mg/kg-molybdenum treated group, 10ppm-lead and 1mg/kg-molybdenum treated group. The parameters on neuropathy were examined by measuring concentration of myo-inositol and myo-inosito uptake in sciatic nerve. In the lead-treated rats, myo-inositol concentration and myo-inositol uptake rate were reduced by from 54% to 33% respectively. This deficit results from that myo-inositol uptake system which is carrier mediated and sodium-potassium dependent was inhibited by the lead treatment. However, the molybdenum administration significantly eliminated the impairment and maintained myo-inositol concentration to about 82% of normal level. These results suggest that lead-induced neurotoxicity was significantly reduced by administration of molybdenum and the mechanism might be partly normalization of myo-inositol uptake system in sciatic nerve.

The influence of complex traditional Korean medical treatment on the Peripheral Facial Paralysis induced stress (한방복합치료(韓方複合治療)가 STRESS로 유발된 말초성안면신경마비(末梢性顔面神經麻痺)에 미치는 영향)

  • Kim, Kyung-tae;Song, Ho-sueb
    • Journal of Acupuncture Research
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    • v.21 no.4
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    • pp.53-64
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    • 2004
  • Objective: This study was to evaluate the influence of stress on Peripheral Facial Paralysis during the complex traditional korean medical treatment. Methods: We investigated 41 cases of patients with Peripheral Facial Paralysis who were given the complex traditional korean medical treatment. one group had stress as main factor, the other group didn't it. we evaluated the treatment effect of each group by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System. Results : 1. In age, sex, lesion, duration of disease, frequency of treatment, duration of treatment, we found that two groups have no significant differences. 2. Pain back of the ear showed the highest frequency in symptoms at onset. 3. Boyangwhanotang showed the highest frequency in oriental herb medicine treatment. 4. As a result of evaluation by using Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System, treatment score after 2weeks was marked more higher than score before treatment and treatment score after final treatment was more higher than treatment score after 2weeks on each groups. 5. After final treatment, Non-stress group had signficant result on Gross Grading System of House-Brackmann, Yanagihara's Unweighed Grading System compared with stress group. Conclusion : These results suggested that patient with Non-stress group should be get better than stress group.

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Pyridoxine in the Treatment of Peripheral Nerve Related Foot Pain (족부의 말초 신경 병변으로 인한 통증에서 피리독신의 사용)

  • Bae, Su-Young;Jung, Eui Yub;Oh, Su Chan
    • Journal of Korean Foot and Ankle Society
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    • v.17 no.3
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    • pp.203-208
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    • 2013
  • Purpose: We analyzed retrospectively the effect of pyridoxine in the treatment of peripheral nerve related foot pain because we have seen favorable clinical results from it as a monotherapy. Materials and Methods: We analyzed the clinical results of 200 cases of peripheral nerve related foot pain, treated with pyridoxine from March 2009 to February 2012. We devided them into three groups, peripheral neuritis, Morton's neuroma and posttraumatic neuralgia and recorded percentage of improvement of pain, compared to initial pain level at 2 weeks and 6 weeks. Results: There were 127 peripheral neuritis cases, 22 Morton's neuroma and 51 posttraumatic neuralgia. At 2 weeks after treatment, 135 cases(67.5%) showed pain relief. At 6 weeks, 36 cases(21%) showed complete improvement of pain, 81 cases(47%) showed more than 50 % of improvement, 22 cases(13%) showed less than 50% of improvement and 33 cases(19%) showed no improvement. There are 4 cases of gastrointestinal discomfort and 2 cases of aggravation of nervy pain. Conclusion: Pyridoxine was effective drug in the treatment of peripheral neuropathic pain in terms of pain relief, safety and cost effectiveness. So it can be an available first line drug before adding other drugs.

One Case of Diabetic Peripheral Polyneuropathy Improved by Binsosan-gamibang (빈소산가미방(檳蘇散加味方)으로 호전된 당뇨병성 말초신경병증 치험1례)

  • Kwon, Eun-Hee;Shin, Hyeon-Cheol;Kang, Seok-Bong;Park, Song-Kee
    • The Journal of Internal Korean Medicine
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    • v.26 no.4
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    • pp.935-940
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    • 2005
  • Objectives : This study it designed to evaluate the effects of an oriental medicine therapy, namely Binsosan-gamibang, on diabetic peripheral polyneuropathy. Methods : The clinical data was analyzed on a patient with diabetic peripheral polyneuropathy due to subyeolongsung(濕熱壅盛), gihyeoloeche(氣血瘀滯) whose main symptoms were pain and numbness in both legs. The patient was admitted at the internal medicine department of Dae-Gu Hanny University Dae-Gu Oriental Medicine Hospital on December 22, 2003, and was treated with herbal medicine(Binsosan-gamibang), acupuncture and physical therapy. Results : After treatment, improvement in pain and numbness in both legs was seen in the subsection of the pain rating score(PRS) and the visual analogue scale(VAS). Conclusions : This study suggests that Binsosan-gamibang is significantly effective in treatment of diabetic peripheral polyneuropathy.

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Review of the Application of Acupuncture for the HIV-associated Distal Sensory Neuropathy (HIV/AIDS 연관 말초신경병증에의 침 치료 활용가능성에 대한 고찰)

  • Kim, Tae-Hoon;Shin, Seon-Ho;Na, Juno;Jeong, Min-Jeong;Jang, In-Soo
    • The Journal of Internal Korean Medicine
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    • v.35 no.3
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    • pp.343-353
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    • 2014
  • Objectives: To discuss the application of the acupuncture therapy for the HIV-associated distal sensory neuropathy. Methods: We searched papers using KTKP, Oasis, CNKI, PubMed, Science Direct, CINAHL, J-STAGE, and CiNii with the keywords "HIV", "Peripheral neuropathy" and "acupuncture". The search range included randomized controlled trials (RCTs) and clinical case series. Reviews and animal experiments were not included. Not matched with inclusion criteria were excluded. Results: A total 675 studies were found. 670 were excluded by scanning titles and abstracts and finally 5 articles were selected. One of the five articles noted that acupuncture was not effective in HIV-SN, but two articles reanalyzing the former, pointed out the statistical errors and noted acupuncture significantly reduced pain, attrition and mortality. Other RCT and the other case series concluded acupuncture had a beneficial effect in HIV-SN. Conclusions: Acupuncture seems to be effective to improve HIV-SN symptoms, however further large-scale RCTs are warranted.

Electromyographical Studies on Experimental Hypocalcemia in Goats (산양(山羊)의 저(低)Ca 혈증(血症)에 관한 근전도학적연구(筋電圖學的硏究))

  • Kang, Chung Boo
    • Korean Journal of Veterinary Research
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    • v.19 no.2
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    • pp.161-167
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    • 1979
  • 저(低)Ca혈증(血症)의 주징(主徵)인 기립불능(起立不能)의 발현원인(發現原因)의 추구를 위해 실험적(實驗的) 저(低) Ca혈증(血症)에서 기립불능(起立不能) 나아가 심장운동정지(心臟運動停止)에 이르기까지의 과정을 근전도학적(筋電圖學的)으로 실시한 결과의 내용을 요약하면 다음과 같다. EDTA 주입전(注入前)의 정상기립시(正常起立時)에는 항중력근(抗重力筋)에만 tonic discharge가 얻어졌으나 혈정(血中) Ca 농도(濃度)의 저하정도에 따라 근방전(筋放電)이 달라져 6mg/100ml 전후에서 항중력근(抗重力筋) 및 그의 길항근(拮抗筋)에도 phasic discharge를 수반한 tonic discharge가 동기적(同期的)으로 나타나 이의 현상은 후구탈력(後軀脫力)에 의해 주저앉을 때에도 마찬가지였다. 기립불능(起立不能)의 상태에선 clonic convulsion양(樣)의 근방전(筋放電)이 폐사시까지 계속되었다. 경막외마취(硬膜外痲醉)에 의한 근전도(筋電圖)에선 근방전(筋放電)은 항시 상반적(相反的)이었고 후구마비(後軀痲痺)에 의한 횡와위(橫臥位) 상태에선 어떤 근방전(筋放電)도 얻어지지 않아 EDTA 주입(注入)에 의한 저(低) Ca혈증시(血症時)와 경막외마취시(硬膜外痲醉時)의 기립불능(起立不能)의 본질(本質)은 상위(相違)한 것으로 판명되었다. 또한 저(低)Ca혈증시(血症時)에 수반되는 각종 반사 및 임상증상의 추이(推移)로 저(低)Ca혈증시(血症時)에 수반되는 기립불능은 말초신경계 및 신경일근접합부(神經一筋接合部) 및 근(筋) 자체의 기능저하보다는 중추신경계의 기능저하에 의한 가능성을 크게 시사하는 것으로 보아진다.

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