• 동의신경정신과학회지
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• 제35권1호
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• pp.15-26
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• 2024

Objectives: The objective of this study is to develop a specialized clinical research protocol for acupuncture treatment specifically designed for disaster survivors based on insights from an expert survey. Methods: An expert panel comprising specialists in neuropsychiatry, acupuncture, and clinical research methodology was assembled. Initial data to inform the clinical research protocol design was collected utilizing open-ended responses, multiple-choice questions, and a 5-point Likert scale to gauge agreement levels. Next, this data was disseminated to a panel of experts. A cohesive clinical research protocol was then formulated during a core panel meeting by integrating insights from a panel of 10 experts. Results: The protocol developed herein entails a non-randomized controlled study involving participants aged 19~64 years old who have been identified as high-risk or cautious according to the National Trauma Center screening test. The study design includes the establishment of an active control group, which allows for the assessment of an additional effect through comparison with conventional therapy. The selected acupuncture approach involves a combination of manual acupuncture and ear acupuncture. For clinical outcome assessment, the Clinician-Administered Posttraumatic Stress Disorder Scale for DSM-5 was proposed to gauge trauma symptoms. Representative scales for various domains such as depression, anxiety, anger, insomnia, pain, and quality of life were also provided for reference. Conclusions: The developed protocol is anticipated to streamline the swift design and initiation of clinical trials during disaster scenarios. It is also designed to be scalable, thereby enabling its application in both non-randomized control group studies and single-group before-and-after comparisons.

• 한방재활의학과학회지
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• 제34권1호
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• pp.83-95
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• 2024

Objectives This review was conducted to evaluate the therapeutic effects of manual acupuncture (MA) for shoulder impingement syndrome (SIS). Methods We searched 12 electronic databases (DBpia, Korean studies Information Service System [KISS], Oriental Medicine Advanced Searching Integrated System [OASIS], Research Information Sharing Service [RISS], China National Knowledge Infrastructure [CNKI], CINAHL, Clinical Key, Cochrane Library, Embase, JAMA, PubMed, Web of Science) to find randomized-controlled clinical trials (RCTs) investigating therapeutic effects of MA for treating SIS. Shoulder Pain and Disability Index scores and numeric pain rating scale or visual analogue scale were analyzed as the main evaluation criteria. Results Among 181 studies, 169 were screened and only 12 RCTs were eligible in our review. Finally, 11 RCTs could be statistically analyzed. MA was more effective than sham treatment and physical therapy in terms of reducing pain (p=0.003, p=0.0007 each). Electroacupuncture (EA) showed more significant effect than physical therapy (PT) for improving shoulder pain (p<0.00001) and shoulder functionality (p<0.00001). Conclusions These results suggest that MA and EA could be superior option for treating SIS than sham treatment or PT. However this review has its limitations due to the small sample size and lack of well-designed RCTs that were included in the study. Further well-designed RCTs are necessary to provide high-level evidence.

• 대한한방부인과학회지
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• 제37권3호
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• pp.49-62
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• 2024

Objects: This study was conducted to examine the effect of acupuncture on hot flashes symptoms that occurred after adjuvant endocrine therapy in breast cancer patients. Methods: A total of 7 electronic databases, including Pubmed, Cochrane Central, Embase, and CNKI, were used to search for randomized controlled trials studies on acupuncture treatment for hot flashes that occurred after adjuvant endocrine therapy in breast cancer patients. Studies published from January 2014 to March 2024 were targeted, and Breast Cancer, Hot Flashes, Acupuncture, and Electroacupuncture were used as search keywords. The intervention method, treatment period and follow-up period, results, side effects, and acupuncture points were analyzed. Results: According to the inclusion criteria, 7 studies were finally selected. Acupuncture, electroacupuncture, acupuncture and enhanced self-care were combined as intervention methods of the treatment group, and the most common control group was the use of sham acupuncture. The selected study was evaluated by the symptoms of hot flashes, quality of life, depression, and quality of sleep. In terms of hot flashes, quality of life, and depression, a significant number of treatment groups showed improvement results than control group. The most commonly used acupuncture points in the study were 百會 (GV20), 關元 (CV4), 氣海 (CV6) each of which was used twice. Conclusions: According to this study, the improvement of symptoms was confirmed when acupuncture and electroacupuncture treatment were used for hot flashes that occurred during breast cancer adjuvant endocrine therapy.

• 대한한의학회지
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• 제18권1호
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• pp.40-57
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• 1997

연구배경(硏究背景) 및 목적(目的) 최근(最近) 한방공중보건사업(韓方公衆保健事業)에 대(對)한 연구(硏究)와 제도개선(制度改善)이 이루어지면서, 한방의료시혜(韓方醫療施惠)를 통(通)해 국민(國民)들의 보건지도(保健指導) 및 건강증진(健康增進) 향상(向上)에 많은 영향(影響)을 끼칠 것으로 보인다. 1995년(年)부터 1년여(年餘)에 걸쳐 한방병원(韓方病院)과 보건소(保健所)가 함께 보건소내(保健所內) 한방의료(韓方醫療)를 실시(實施)하면서 주민(住民)들로부터 많은 호응(呼應)을 받았다. 이에 보건소(保健所)에 내원(來院)하여 한방진료(韓方診療)를 받은 환자(患者)들의 일반적(一般的)인 특징(特徵)과 질환(疾患)의 특성(特性) 및 치료효과(治療效果) 등(等)에 대(對)하여 조사(調査)하였다. 대상(對象) 및 방법(方法) 1996년(年) 1월(月) 4일(日)부터 1996년(年) 12월(月) 26일(日)까지 1년간(年間) 전라북도(全羅北道) 전주시(全州市) 완산구(完山區) 보건소(保健所)에서 주(週) 1회(回) 또는 3회(回)에 걸쳐 총(總) 60회(回)동안 실시(實施)한 한방진료(韓方診療)를 받은 환자(患者) 234명(名)의 질환(疾患) 234건(件)을 대상(對象)으로 통계연구(統計硏究)하였다. 결과(結果) 및 결론(結論) 1. 환자(患者)의 남녀비율(男女比率)은 1 : 6.8로 여성(女性)이 월등(越等)히 많았다. 2. 환자중(患者中) 51세이상(歲以上)이 88.89%로 고령환자(高齡患者)가 대부분(大部分)을 차지했다. 3. 총질환(總疾患) 238건중(件中) 근골격계(筋骨格系) 및 결합조직질환(結合組織疾患)이 82.77%로 대부분(大部分)을 차지했다. 4. 병력기간(病歷期間)은 1년(年)에서 5년(年)사이가 32.35%로 가장 높아 관련질환(關聯疾患)이 만성화(慢性化)상태임을 알려준다. 5. 초진시(初診時) 증상(症狀)은 심(甚)한 자각증상(自覺症狀)을 갖고 생활(生活)에 많은 지장을 초래(招來)하는 경우(境遇)(Grade III)가 55.88%로 가장 많았다. 6. 양호이상(良好以上)의 치료효과(治療效果)를 보인 경우(境遇)는 62.18%였고, 저효이상(抵效以上)의 효과(效果)는 78.99%로 나타났다. 7. 치료기간(治療期間)을 2회(回)에서 5회(回) 내원(來院)하여 치료(治療)받은 경우(境遇)가 34.03%로 가장 높았고, 1회(回)만 내원(來院)한 경우(境遇)에 비(比)하여 2회(回)에서 10회(回) 내원(來院)하여 치료(治療)받은 환자(患者)들이 4배정도(倍定度)의 높은 치료율(治療率)을 보였다. 8. 처방(處方)은 오적산(五積散), 팔미환(八味丸), 향사평위산(香砂平胃散), 소경활혈탕(疎經活血湯), 육미지황탕(六味地黃湯) 등(等)의 순(順)으로 많이 사용(使用)되었다. 9. 침(針)은 1일평균(日平均) 22.58명(名)을 시술(施術)하였고, 구(灸)(뜸)는 1일평균(日平均) 0.58명(名)을, 사혈(瀉血)은 1일평균(日平均) 2.28명(名)을 시술(施術)하였다. 10. 한양방향시치료시(韓洋方同時治療時) 양호이상(良好以上)의 효과(效果)를 보인 경우(境遇)가 30건중(件中) 21건(件)으로 70%의 치료효과(治療效果)를 보여 한방단일진료시(韓方單一診療時)보다 다소 높은 치료효과(治療效果)를 나타냈다. 11. 1일평균(日平均) 한방진료건수(韓方診療件數)는 26.95명(名)이었고, 1일평균(日平均) 한방초진환자수(韓方初診患者數)는 3.9명(名)으로 나타났으며, 한방진료(韓方診療)가 양한방(洋韓方) 총진료(總診療)의 23.20%를 차지했고, 1일(日) 평균(平均) 한양방(韓洋方) 총진료건수(總診療件數)에 대(對)해 1일(日) 평균(平均) 한방초진건수(韓方初診件數)가 21.51%를 차지하는 것으로 나타났다.

• Journal of Acupuncture Research
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• 제25권2호
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• pp.59-74
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• 2008

목적 : 이 연구는 봉약침의 봉독과 그 주요성분인 멜리틴이 $NF-{\kappa}B$의 활성억제와 세포자멸사 관련 단백질의 발현 조절을 통하여 세포자멸사를 유도하고 전립선 암세포주인 LNCaP 세포의 성장을 억제하는지를 확인하고 해당 기전을 살펴보고자 하였다. 방법 : 봉독이나 멜리틴을 처리한 후 LNCaP의 성장억제를 관찰하기 위해 WST-1 assay, CCK-8 assay를 시행하였고, 세포자멸사의 관찰에는 DAPI, TUNEL staining assay를 시행하였으며, 세포자멸사 조절단백질의 변동 관찰에는 western blot analysis를 시행하였고, 세포자멸사와 연관된 $NF-{\kappa}B$의 활성 변화를 관찰하기 위해 EMSA를 시행하였으며, LNCaP에서 봉독이나 멜리틴과 $NF-{\kappa}B$의 상호작용을 관찰하기 위해 transient transfection assay를 시행 시 세포생존율과 $NF-{\kappa}B$의 활성 변동을 측정하였다. 결과 : LNCaP 세포에 봉독이나 멜리틴을 처리한 후, 전립선암세포의 성장, 세포자멸사의 유발, 세포자멸사 관련 단백질의 발현, $NF-{\kappa}B$의 활성, $NF-{\kappa}B$의 p50 치환 후 $NF-{\kappa}B$의 활성과 LNCaP 세포 증식에 미치는 영향을 관찰하여 다음과 같은 결과를 얻었다. 1. LNCaP 세포에서 봉독이나 멜리틴을 처리한 후 세포자멸사가 유도되어 세포성장이 억제되었고, 세포자멸사 관련 단백질 중 분리된 PARP, caspase-9, Bax는 유의한 증가를, Bcl-2, p-Akt, MMP 13, XIAP, cXIAP는 유의한 감소를 나타내었다. 2. LNCaP 세포에서 봉독이나 멜리틴을 처리한 후 $NF-{\kappa}B$의 활성의 유의한 감소를 나타내었다. 3. LNCaP 세포에서 $NF-{\kappa}B$ p50를 치환하여 작용기를 없애고 봉독이나 멜리틴을 처리하였을 경우에도 $NF-{\kappa}B$의 활성의 유의한 감소를 나타내었다. 결론 : 이상의 결과는 봉독이나 멜리틴이 $NF-{\kappa}B$의 활성 억제를 통하여 인간 전립선암세포주인 LNCaP의 세포자멸사를 유발함으로써 증식억제 효과가 있음을 입증한 것으로 전립선암의 예방과 치료에 대한 효과적인 치료제 개발에 도움이 될 것으로 기대된다. 다만 그 기전에서 봉독이나 멜리틴은 기존연구와 달리 $NF-{\kappa}B$ p50의 작용기와 직접적으로 상호작용을 하지는 않는 것으로 보이므로 심화 연구를 요한다.

• Journal of Acupuncture Research
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• 제28권6호
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• pp.149-157
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• 2011

Objectives : The purpose of this study is to investigate the effect of mixed pharmacopuncture of $Jungsongouhyul$ and $Cervi$ $Pantotrichum$ $Cornu$ on low back pain patients. Methods : 83 patients with Low back pain who were treated in Dept. of Acupuncture and Moxibusion, Dongshin University Hospital in Suncheon from Sep. 1st, 2010 to August 31th, 2011, were divided into two groups. One group (52 patients) was treated with conservative treatments (acupuncture, herb med, cupping therapy and physical therapy) and mixed pharmacopuncture of $Jungsongouhyul$ and $Cervi$ $Pantotrichum$ $Cornu$ theraphy (PG) and the other group (31 patients) was treated with conservative treatments alone(NPG). To estimate the effects of treatments, visual analog scale(VAS) and Oswestry disability index(ODI) were checked. Results : 1. In VAS, both of PG and NPG shows statistically significant improvement rate after 3rd treatment and 5th treatment. 2. In ODI, both of PG and NPG shows statistically significant improvement rate after 3rd treatment and 5th treatment. 3. In comparing VAS of PG and NPG, there was more significant improvement in PG than NPG after 3rd treatment and 5th treatment. 4. In comparing ODI of PG and NPG, there was more significant improvement in PG than NPG after 3rd treatment but no significant improvement between PG and NPG after 5th treatment. Conclusions : According to the study, it is thought that mixed pharmacopuncture of $Jungsongouhyul$ and $Cervi$ $Pantotrichum$ $Cornu$ theraphy is effective to low back pain patients, and further study is needed for the confirmation of the effect of mixed pharmacopuncture of $Jungsongouhyul$ and $Cervi$ $Pantotrichum$ $Cornu$.

• 산업진흥연구
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• 제5권3호
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• pp.89-96
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• 2020

본 연구는 아들러의 개인심리학을 연구하여 거기에서 도출된 상담이론을 토대로 상담과정과 상담기법을 연구하고자 하였다. 아들러의 상담과정의 진행은 첫째, 관계형성단계는 상담자와 내담자 상호 간의 합의된 목표를 향해 적극적인 파트너로서 일하는 평등하고 상호 협력적인 관계를 추구하는 단계이다. 둘째, 생활양식 탐색단계는 생활양식을 이해하고 생활양식이 삶의 과업에 어떠한 영향을 미치는지를 이해하는 것을 중요한 목표로 하는 단계이다. 셋째, 통찰단계는 통찰력을 가지는 단계이다. 넷째, 재정향(행동 전환)단계로 진행된다. 아들러의 상담기법은 일반적기법과 특수기법이 있는데, 일반적 기법으로는 즉시성, 충고하기, 격려하기, 역설적 의도, 시법보이기, 역할놀이 등이 있다. 특수기법으로는 초인종 누르기, 내담자의 수프에 침 뱉기, 마이더스 기법, 타인을 즐겁게 하기, 저질의 아이 피하기, 스스로 억제하기 등이 있다. 결론적으로 개인심리상담은 의학적 모델이 아니라 성장모델에 기초하며, 치료한다는 측면보다는 건강한 개인과 사회를 재교육하고 재조명하는 데 더 많은 관심을 가지고 있다. 그러므로 아동지도센터, 부모-아동상담, 부부상담, 가족상담, 집단상담과 치료, 아동과 청소년의 개인상담, 문화적 갈등, 정신건강 운동 등 다양한 영역에 적용된다.

• Journal of Acupuncture Research
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• 제28권1호
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• pp.65-75
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• 2011

Objectives : The purpose of this study was to evaluate the clinical effect of indirect moxibustion treatment for HIVD patients. Methods : From March 2010 to December 2010, 32 HIVD patients who admitted to Semyung oriental medical hospital were divided into two groups. Group I was treated by indirect moxibustion and general acupuncture, group II by general acupuncture. We evaluated the treatment effect of each group with the visual analog scale(VAS) and Oswestry disability index(ODI) by dividing three period(from admission day to third day after admission, from third day to sixth day after admission and from sixth day to ninth day after admission). Results : 1. Group I was more effective than group II in VAS score reducing rate at sixth day after admission and ninth day after admission but there was no statistical significance between two groups at third day after admission 2. Group I was more effective than group II in VAS improvement rate from third day to sixth day after admission but there was no statistical significance between two groups from admission day to third day after admission and sixth day to ninth day after admission. 3. Group I was more effective than group II in ODI score reducing rate at sixth day after admission and ninth day after admission but there was no statistical significance between two groups at third day after admission. 4. In ODI improvement rate group I was higher than group II, but there was no statistical significance. Conclusions : Through this research, Indirect moxibustion treatment is considered to be effective reducing pain for HIVD(Herniated intervertebral disc) patients.

• Tuberculosis and Respiratory Diseases
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• 제61권4호
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• pp.339-346
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• 2006

연구배경: 우리나라에서 대체-보완의료가 기관지천식의 환자에서 광범위하게 사용되어지리라고 추측되고 있다. 그러나 우리나라 성인천식환자에서의 대체-보완의료의 실태는 아직 보고된 바가 없다. 이 연구는 우리나라의 성인천식환자에 있어서 대체-보완의료의 사용실태와 경향을 알아보고자 시행하였다. 방 법: 2000년 1월부터 2003년 12월까지 경희대병원에 1회 이상 입원한 병력이 있는 천식 환자를 대상으로 하였으며 설문조사 연구에 동의하는 환자 100명에게 직접면담 하거나 전화를 통해 설문조사를 시행했다. 환자들의 병력은 병록지를 참고로 조사하였다. 결 과: 조사환자 100명 중 53명이 대체-보완 의료를 경험하였다. 환자가 치료받은 병원 수가 많을수록 대체-보완의료를 경험한 횟수가 많았으며, 연령 별로는 50대가 가장 많이 대체-보완의료를 경험하였다. 흔히 사용한 대체-보완의료의 종류는 음식 및 건강식품이 35명으로 가장 많았다. 그 다음으로 약초가 28명, 침 요법이 9명, 쑥뜸요법이 6명, 그리고 호흡운동이 1명이었다. 결 론: 연구에 참여한 천식환자의 절반이상(53%)에서 대체-보완의료를 경험하였다. 향후 천식치료에 있어 한방 및 대체-보완의료에 대한 실태와 임상적 유용성에 대한 추가적인 연구가 필요할 것으로 보인다.

• Journal of Acupuncture Research
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• 제29권5호
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• pp.87-95
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• 2012

Objectives : This study was aimed at comparing clinical effectiveness among pharmacopuncture treatment, Chuna treatment, pharmacopuncture-Chuna cooperative treatment for neck pain caused by traffic accidents. Methods : This study was carried out on the 87 patients with neck pain caused by traffic accidents. The patients were divided into 3 groups ; group A was treated with pharmacopuncture. group B was treated with Chuna treatment. group C was treated with pharmacopuncture and Chuna cooperative treatment one at a time. Also all groups were treated with general acupuncture and herb-medicine treatment. We measured visual analog scale(VAS) and neck disability index(NDI) before the treatment and 2, 4 weeks later. Results : In result each group had significant decrease in VAS and NDI after 4 weeks later. group C showed significant difference as compared to group A and B in NDI and VAS scores. In the first period(from pre to 2 weeks treatment) group C showed significant difference as compared to group A and B in VAS scores. Conclusions : According to the results of this study, it was suggested that chuna treatment and pharmacopuncture are effective in reducing neck pain caused by traffic accidents. Pharmacopuncture and Chuna cooperative treatment was more effective in reducing neck pain caused by traffic accidents. Especially in the first period(from pre to 2 weeks treatment) pharmacopuncture-Chuna cooperative treatment was more effective than pharmacopuncture treatment, Chuna treatment for neck pain caused by traffic accidents.