• Journal of Acupuncture Research
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• 제22권3호
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• pp.69-75
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• 2005

2004년 5월부터 2004년 9월까지 동서한방병원에 입원한 환자로 뇌 전산단층조영술이나 자기공명영상에 의해 뇌졸중으로 진단받은 환자들 중 중추성 통증을 가진 20명중 기존의 침구 및 한약 치료, 물리치료를 통해 통증에 있어서 만족할 만 한 개선이 없던 환자들을 대상으로 중풍칠처화(中風七處火) 및 아시혈(阿是穴)을 중심으로 3주에 걸쳐 봉독약침을 시술하고 환자의 주관적 통증을VAS로 객관화하여 비교한 결과 아래와 같은 결론을 얻었다. 1. 대상 환자는 남자 11명(55%), 여자9명(45%)이 고 평균연령은 57.95세였으며, 뇌경색은 12명 (60%), 뇌출혈은 8명(40%)이었다. 2. 발병 후 치료 시작 시점까지 경과 된 기간은 3 개월 이상이 12병(60%)으로 가장 많았고, 15 일 이상 3개월 미만이 7명(35%), 1개월 미만이 7명(5%)명 순으로 나타났다. 3. 통증 부위는 편측 상지가 10명(50%)으로 가장 많았으며, 편측 상하지 7명(35%), 편측 하지 2명(10%), 체간 1명(5%)의 순으로 나타났다. 4. 통증 양상은 복합적으로 나타났고 이를 중복해서 측정한 결과 쑤시는 증상이 14명(70%)으 로 가장 많았으며, 저린감 6명, 욱신거림 5명, 냉감 혹은 열감4명, 이질통 3명의 순으로 나타났다. 5. VAS통증 점수는 치료 전 $7.25{\pm}1.888$에서 1주 치료 후 $6.45{pm}1.932$(P<0.01)에서 2주후에는 $5.45{\pm}1.791$로(P<0.01), 3주 치료 후 에는 $4.45{\pm}1.761$(P<0.01)로 유의성 있게 감소하였다.

• 한국잠사곤충학회지
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• 제46권1호
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• pp.1-5
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• 2004

Rutin은 GABA(γ-aminobutyric acid)와 더불어 콜레스테롤 저하, 혈당상승 억제, 고혈압 치료, 동맥경화 및 중풍 예방 등 다양한 뽕잎의 기능성을 나타내는 생리활성 물질로서 인식되고 있다. 뽕잎과 더불어 기능성 및 천연색소 자원으로서 유망시되고 있는 오디를 뽕나무 계통별로 수확하여 rutin 분석을 실시하고 계통간 특성을 살펴봄으로써 품종육종 효율을 높임은 물론 오디의 기능성 및 이용성을 증대시키고자 하였다. 그 결과를 요약하면 다음과 같다. 1. 공시계통의 평균함량은 0.14±0.050% DW이었으며, '사방소'는 0.29% DW로 가장 높은 함량을 나타낸 반면, '심설'은 가장 낮은 함량인 0.05% DW를 나타냈다. 2. 오디 중의 생육시기에 따른 rutin 함량의 경시적인 변화를 살펴본 결과, 뽕잎의 경우와 마찬가지로 '암뢰상', '청노상', '강선', '만생백피노상' 및 '사방소' 5계통 모두 수확시기가 이른 것의 오디에서 함량이 높았다. 3. Rutin 고함유 계통에 대한 오디로서의 이용가능성을 검토하기 위해 '사방소', '휘카스', '강선', '중호상', '만생백피노상' 및 '팔청시평 ' 6계통의 과실적 특성을 조사한 결과. '휘카스', '강선' 및 '팔청시평 ' 3계통은 수량, 과중, 당도 등 과실적 특성도 양호한 성적을 나타냈으므로 금후 오디생산과 기능성을 동시에 고려한 품종선택시 활용할 가치가 있는 우수계통으로 선발하였다. 4. 건조방법 및 저장방법이 식물체의 rutin 함량에 영향을 미치므로 오디 건조 및 저장시 지나친 고온과 저온을 피해야 하며, 식품으로 가공시에도 이 점에 주의하여 생리활성물질인 rutin의 섭취량을 늘리도록 하여야 할 것이다.

• 사상체질의학회지
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• 제13권1호
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• pp.35-44
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• 2001

The Clinical Study on the Body Weight Loss of Taeumin Inpatients in Stroke by Sasang Constitutional Medicinal Treatment. Purpose: It has been frequently noted that overweight and obesity have a stronger relationship to hypertension and diabetes mellitus than to the risk of stroke. The purpose of this study is to find out whether Sasang Constitutional Medicinal treatment in the stroke patients of Tae-um-in has an effect on local or general weight loss. Methods: Case-control study was applied. The experiment group is the 24 Taeumin stroke inpatients who were in hospital in Kyung-Hee Oriental Hospital from July 1, 2000 to October 1 and received Sasang Constitutional Medicinal treatment. The control group is the 13 Taeumin stroke inpatients who were in the hospital during the same period but didn't receive Sasang Constitutional Medicinal treatment. In the two groups, body weight, BMI, the skin fold(cm) of triceps, suprailiac, abdominal portion, and thigh and the circumference(cm) of wrist, biceps, triceps, and W/H ratio were compared and studied for three weeks. Results: 1. In the experiment group, there were 8 women and 15 men, 23 in total and in the control group, there were 5 women and 9 men, 14 in total. 2. From two weeks later, there was a significant decrease in the experiment group in weight loss, the ratio of loss, and BMI(p<0.05). 3. Concerned with the change in the skin fold of suprailiac portion, there was a significant decrease in each group(p<0.05). 4. Concerned with the change in the skin fold of Chunchu-Hyel portion(天樞穴), thigh and in the circumference of hip, W/H ratio, there was a significant decrease in the experiment group(p<0.05). 5. Concerned with the change in the value of Lipid Profile, GOT, and GPT, only Glucose(GLU) showed a significant decrease(p<0.05) in the experiment group(p<0.05). As Conclusion, Sasang Constitutional Medicinal treatment in the stroke patients of Tae-um-in has an effect on local or general weight loss.

• 대한예방한의학회지
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• 제14권1호
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• pp.111-123
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• 2010

Backgrounds : Stroke is characterized by loss of brain functions due to a disturbance in the blood vessels supplying blood to the brain, and classified into hemorrhage and ischemia. Stroke is known to be affected by genetic factors and other diseases such as hypertension and cardiovascular diseases. However, the distinctive association between stroke and genetic variations has not discovered yet. Objectives : This study investigated the effects of fibrinogen level and genetic variations in FGA (Fibrinogen alpha chain) gene on stroke in Korean stroke patients and controls. Methods : DNA samples from 674 stroke patients diagnosed by Oriental medical hospitals and 267 controls were used in this study. Two common single nucleotide polymorphism(SNP) with high minor allele frequency(MAF), rs2070011G/A of promoter region and nonsynonymous rs6050A/G of exon 5 in FGA gene, were targeted for Taqman genotyping. Because the TOAST classification is important to the factors and symptoms of stroke, ischemic patients were further classified into five subtypes using diagnosis and clinical data. One-way ANOVA and chi-square test were used for clinical data and genetic association, respectively. Haploview v4.1 program was used for linkage disequilibrium(LD), haplotype and haplotype block analysis. Results : The levels of red blood cells and fibrinogen from clinical data were shown to be significant factors for the sub-groups of TOAST classification. No significant associations of stroke, hemorrhage, ischemic and subtypes of TOAST with rs2070011 and rs6050 of FGA gene were found(P > 0.05). However, rs2070011 in promoter region and nonsynonymous rs6050 in exon 5 which produce the amino acid change from threonine to alanine showed a haplotype block and three haplotypes of A-G, G-A, A-A, suggesting that rs2070011 and rs6050 might be co-segregated in generic recombination. Although A-A haplotype of stroke patients showed 64-69% low frequency compared to controls, there was no significant association between stroke and haplotype(P > 0.05). Conclusion : This study showed that there was no significant association between stroke and two SNP of rs2070011G/A and nonsynonymous rs6050A/G in FGA gene. However, these two SNP compose a haplotype block and three haplotypes of A-G, G-A, A-A. This finding suggests that rs2070011 and rs6050 are so close as to be positioned as linkage disequilibrium. Nevertheless, no significant association between haplotypes and stroke was found.

• 동의생리병리학회지
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• 제21권4호
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• pp.1051-1055
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• 2007

The diagnosis of pattern identification in Korean Medicine depend on Korean Medicine doctor's experience and information. So, Pattern identification in Korean Medicine raise a question of objectification. This study is to standard stroke pattern identification in Korean Medicine. Weight of symptoms was given important(1points), very important(2points) by stroke specialist. So weight of symptoms is used two method. One is total sum and the other is total man. One had been compared Pattern identification between diagnosed patients by medical specialists and by applicated weight in case report form. The other had been compared Pattern identification between intersubjectivity by medical specialists and by applicated weight in case report form. It is 38%(total sum) or 40%(total man) concordance rate between diagnosed patients by medical specialists and by applicated weight in case report form. It is 82.4% concordance rate between intersubjectivity by medical specialists and by applicated weight in case report form. To acquire more concrete data on this theme, we need further and large scale of prospective researches.

• 동의생리병리학회지
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• 제21권6호
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• pp.1611-1618
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• 2007

In this study we investigated the effect of medical history on the incidence of stroke in Korean population. 217 stroke patients were enrolled as a case group. 160 non-stroke patients and 146 normal and non-stroke patients were enrolled as a control and a normal group, respectively, from Jul. 2005 to Mar. 2007. Stroke patients were hospitalized within 2 weeks after the onset of stroke. Medical history was gathered by interviewing each patient. Clinical data were analyzed using SAS software (ver 9.1). Hypertension and diabetes mellitus (DM) were statistically significant in a case group when compared with control and normal groups. Other parameters, such as transient ischemic attack, hyperlipidemia, ischemic heart disease, facial palsy, migraine, and hypochondria, did not show any statistical significance. The same association pattern was observed in the ischemic stroke patients of case group. On the other hand, hemorrhagic stroke patients of case group showed a significant difference in DM when compared with other subject groups. More efficient therapeutic strategy should be considered for patients with medical history, especially hypertensin and DM, to reduce the stroke incidence in Korean population.

• 동의생리병리학회지
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• 제21권6호
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• pp.1581-1585
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• 2007

To report Sensitivity and specificity about utility as diagnosis criteria for deficiency of Qi in stroke. Korean medicine doctor surveyed deficiency of Qi of the symptoms for the Stroke case report form in stroke patients within 1 month of onset. We analyzed 643 patients have diagnosed stroke, neurological deficit continued over twenty-four hours and within one month of onset, except traumatic cerebrovascular attack (EDH, SDH) using the result by medical specialist and residents diagnosed differentiation and written CRF(Case Report Forms) which based on 'Korean Standard Differentiation of the Symptoms and Signs II' in twenty multi centers. The sensitivity of "more 1/5 in major sings and 1/5 in helpful signs", "more 1/5 in major signs and 2/5 in helpful signs", "more 2/5 in major signs and 1/5 in helpful signs", "more 2/5 in major signs and 2/5 in helpful signs""more 3/5 in major signs and 1/5 in helpful signs""more 3/5 in major signs and 2/5 in helpful signs" are respectively 83%, 50%, 72%, 46%, 47%, 32%. The specificity are respectively 28%, 59%, 55%, 74%, 80%, 89%. The sensitivity(72%) and specificity(55%) of "more 2/5 in major signs and 1/5 in helpful signs" that to be implanted. Although this values are not high, after values of sensitivity and specificity should be more than current value, and then we should be able to suggest as objective diagnosing criteria.

• 대한한의진단학회지
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• 제13권2호
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• pp.24-33
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• 2009

Objectives : This study was aimed to clarify the relationship between the tongue diagnosis of dampness-phlegm and hyperlipidemia in acute stroke patients. Methods : We analyzed the data of 1405 patients with acute stroke in 10 oriental medical hospitals from November 2006 to December 2008. We classified patients into two groups, dampness-phlegm and non dampness-phlegm by tongue diagnosis such as the white coating of the tongue, thick coating of the tongue, swollen tongue and teeth printed tongue which is oriental medical diagnosis. And We analyzed their characteristics with type of stroke and lipid blood level. Results : 1. There was no significant difference of stroke type between the dampness-phlegm tongue diagnosis group and the non dampness-phlegm tongue diagnosis group. 2. The ratio of SVO was higher in dampness-phlegm tongue diagnosis group (76.06%) than the non dampness-phlegm tongue diagnosis group (61.26%). 3. According to the blood test, the dampness-phlegm tongue diagnosis group showed higher in total cholesterol, HDL cholesterol, LDL cholesterol and triglyceride than the control group. 4. Total cholesterol and HDL cholesterol were significant higher in dampness-phlegm tongue diagnosis than the control group. Conclusion : According to the analysis, the relationship between the tongue diagnosis of dampness-phlegm and hyperlipidemia in acute stroke patients were more clarified. Based on these results, more prospective studies are to be done with more clinical data.

• Korean Journal of Acupuncture
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• 제26권2호
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• pp.145-163
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• 2009

Background : Stroke occurrences are prevalent and require intensive care for its treatment and rehabilitation. Acupuncture has been widely used in Korea throughout the history and provides an efficient method in the treatment of it. Objectives : To establish a distinctive and efficient acupuncture method for the treatment of stroke based in literature research. Method : We reviewed four Korean medical literature, $ll$治腫指南Guide to Swollen Sore Treatment$gg$, $ll$東醫寶鑑Treasured Mirror of Eastern Medicine$gg$, $ll$鍼灸經驗方Experiential Prescriptions of Acupuncture and Moxibustion$gg$, and $ll$舍岩鍼法Essential Rhymes on Acupuncture and Moxibustion by Master Sa-am$gg$, and analyzed the therapeutic characteristics in the treatment of stroke. Result : 1. In $ll$治腫指南Guide to Swollen Sore Treatment$gg$, various types of treatment can be found. Besides acupuncture, cupping, moxibustion with moxa tube, and bath therapy using Duchesneae Indicae Herba and Sal was applied. Needling in sublingual and vocal region, and also points like GB20, GB31, LI15, BL60, GV20, GV20, TE4, GB39, LU5, ST36, GB30 were frequently inserted. 2. In $ll$東醫寶鑑Treasured Mirror of Eastern Medicine$gg$, moxibustion treatment were in top priority. Points like GV20, LI15, LI11, GB31, ST36, GB39, LI4, GB20 pertinent to Governor, Conception, Gallbladder, Large Intestine, and Stomach meridian were most frequently needled. Selection of adjacent point was widely applied. 3. $ll$鍼灸經驗方Experiential Prescriptions of Acupuncture and Moxibustion$gg$ has some similarity compared to $ll$東醫寶鑑 Treasured Mirror of Eastern Medicine$gg$ in considering the moxa in top priority. But selected points far from the disease site. Main points were LI4, ST36, GB39, PC5, GV20, LI11, LR3, BL40, HT7. 4. $ll$校勘 舍岩道人鍼法Essential Rhymes on Acupuncture and Moxibustion by Master Sa-am$gg$ having the same content orders with $ll$鍼灸經驗方Experiential Prescriptions of Acupuncture and Moxibustion$gg$, it may had some influence from it. But the differences are also apparent. It emphasized in using mother-supplementing child-draining method, experiential prescriptions and visceral pattern identification. Conclusions : We could find various efficient methods through literature research of medical classics. This will not be limited in stroke alone but also will be applied in other diseases. This study will concurrently result in establishing distinctive therapeutic method characteristic of Korea.

• 동아시아식생활학회지
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• 제25권5호
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• pp.791-805
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• 2015

1300년대부터 1600년대까지 발간된 10권의 의서 및 식이요법서 문헌에서 조를 이용한 식치방을 조사한 결과 기록 횟수는 총 63회이다. 향약집성방(鄕藥集成方)의 식치 기록은 총 21회로 조사한 문헌 중 횟수가 가장 많았고, 식료찬요(食療纂要)는 두 번째로 식치방 기록은 총 16회이다. 식치의 조리방법별 분류에는 죽(粥) 조리방법이 가장 많았고 탕(湯) 조리방법, 밥(飯) 조리방법, 즙(汁) 조리방법, 환(丸) 조리방법 순으로 기록되었다. 죽과 탕의 조리법이 많은 것은 소화기에 주는 부담이 적고 흡수가 용이하기 때문으로 사료된다. 조와 같이 사용된 식재료는 총백(蔥白), 생강, 계란, 해백, 술, 참새, 수탉간, 시, 붕어, 붉은 팥, 흰 수탉 등이고, 조와 같이 사용된 약재는 인삼(人蔘), 복령(茯笭), 당귀(當歸), 대추(大棗), 맥문동(麥門冬), 백출(白朮), 육계(肉桂), 토사자(免絲子) 등이다. 특히 한국 전통음료로 조를 발효시킨 장수(漿水)를 약 전처리나 법제에 사용하고 약재와 같이 복용하였다. 조를 이용한 식치방의 증상별 분류를 보면 비위(脾胃) 반위(反胃)에 12회, 대소변난(大小便難)에 11회, 곽란에 6회, 허증(虛症) 보익(補益)에 6회 기록되었다. 비위(脾胃) 반위(反胃), 대소변난(大小便難), 곽란, 허증(虛症) 보익(補益) 등의 식치방에 여러 번 기록된 것은 약재가 귀했던 시기에 식치(食治)로 비위(脾胃)를 보(補)하고 대소변(大小便)을 좋게 하여 건강 증진과 질병 예방에 중점을 두었을 것으로 사료된다. 또한 소갈(消渴), 중풍(中風), 산후제질(産後諸疾), 소아제병(小兒諸炳), 기침 해수(咳嗽) 등 증상 치료에도 기록되어 조 식치방은 남녀노소에게 두루 사용되었음을 알 수 있다. 따라서 우리민족의 경험의학이 바탕이 되는 조 식치방을 활용한다면 현대인들에게 좋은 약선 메뉴를 개발할 수 있을 것으로 사료된다.