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요통 치방에 대한 문헌적 고찰 (The Literatural Study on Prescription about Low Back Pain)

  • 이성환;김영일;양기영;김정호;허윤경;이현
    • 혜화의학회지
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    • 제16권1호
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    • pp.41-59
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    • 2007
  • From the study of prescription on low back pain, the following conclusions are obtained. 1. Among classified cause of low back pain, ShinHur(腎虛) lowback pain and its prescription was most mentioned. 2. Prescriptions such as ChungAWhan(靑娥丸), KookBangAnShinWhan(局方安腎丸) BoSooDan(補髓丹) BaekBaeWhan(百倍丸) DooChungWhan(杜沖丸) JangBonDan(壯本丹) NokKakWhan(鹿角丸) were used in ShinHur(腎虛) type low back pain. 3. Prescription such as TaekRanTang(澤蘭湯) JiRyongSan(地龍散) YoeShinSan(如神散) ShinKookJoo(神麴酒) SoeGuenSan(舒筋散) were used in JwaSumJilBak(閃挫跌撲) type low back pain. 4. Prescription such as ChangChulTang(蒼朮湯) JumTongTang(拈痛湯) ChulBuTang(朮附湯) YiChoChangBaekSan(二炒蒼栢散) were used in SeupYoel(濕熱) type low back pain. 5. Prescription such as ChunGoongYookGaeTang(川芎肉桂湯) GaMiSaMulTang(加味四物湯) PaHoelSanDongTang(破血散疼湯) JiRyongSan(地龍散) were used in UhHoel(瘀血) type low back pain. 6. Prescription such as (蒼術復煎散) (五積散) (摩腰丹) (滲濕湯) were used in HanSeup(寒濕) type low back pain. 7. Prescription such as GaMiYiJinTang(加味二陳湯) GongYeonDan(控涎丹) SaMoolTangHapYiJinTangGaMi(四物湯合二陳湯加味) were used in DamUem(痰飮) type low back pain. 8. Prescription such as OhJukSanGaMi(五積散加味) OhYakSoonGiSanGaMi(烏藥順氣散加味) GaMiYongHoSan(加味龍虎散) SoSokMyoungTang(小續命湯) were used in Poong(風) type low back pain. 9. Prescription such as (四物湯合二陳湯) (仰腰湯) were used in SikJuk(食積) type low back pain and (五積散) (煨腎散) (三花神祐丸) in Seup(濕) type low back pain. 10. Prescription such as ChilKiTang(七氣湯) ChimHyangGangKiTang(沈香降氣湯) ChoKiSan(調氣散) InSamSoonKiSan(人參順氣散) were used in Ki(氣) type low back pain.

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요통 치료의 빈용 경혈과 자가 운동 요법에 대한 체계적 문헌 고찰 (Systematic Review of High Frequency of Acupuncture Point and Self Exercise Therapy for Lower Back Pain)

  • 남대진;허건;이형은;최보미;이정민;이은정;오민석
    • 한방재활의학과학회지
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    • 제23권4호
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    • pp.59-71
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    • 2013
  • Objectives The aim of this review is to figure out which acupoints are frequently used to treat low back pain and which exercises are effective to low back pain. Methods We searched the three electronic database (RISS, KISS, KTKP) and manually checked related Korean journals and reference lists up to June 2013. We investigated the frequency of acupoints for using treatment of low back pain. We Introduce exercise therapies we can do easily at home without professional skills for treatment low back pain. Results We included 72 articles in this study. The most frequently adopted acupoints were BL25, BL23, BL24, GB30, BL40, BL26, BL60, GB34, BL52, BL57, GB39. The most frequently adopted meridian pathways were BL, GB, GV, ST. The most frequently adopted disease causing low back pain were HIVD (Herniated intervertebral disc), Lumbar sprain, Spinal stenosis, Compression fracture, Cauda equina syndrome, Spondylolisthesis, Ankylosing spondylitis. There are many exercise therapies (Lumbar stabilizing exercise, Resistance exercise, Bareunmom physical exercise, Mckenzie exercise, Williams exercise, Emblass exercise, Swiss ball exercise, Thera band exercise, Yoga) for treatment low back pain. Conclusions These results suggest that most frequently adopted acupoints were foot taeyang urinary bladder channel acupoints. Beacuse foot taeyang urinary bladder channel is passes through the waist, it will be effective for treatment of low back pain. Also exercise therapy is effective for enhance Muscular strength. In order to treatment of low back pain, Acupuncture treatment is also important, as well as exercise therapy.

급성(急性) 요부(腰部) 염좌(捻挫) 환자 30례(例)의 두부(頭部) 독맥경(督脈經), 족태양방광경(足太陽膀胱經) 경혈(經穴) 도마침법(倒馬鍼法) 치료효능에 대한 임상적(臨床的) 고찰(考察) (Therapeutic Effect of 30 Cases of Scalp and Do-ma Acupuncture Related with Governor Vessel(Dok) and Bladder Meridian(Chok-taeyang) on Acute Low Back Pain)

  • 강민완;김성래;최가원;송형근;김정호;양기영;임윤경;홍권의;이현;김영일
    • Journal of Acupuncture Research
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    • 제23권3호
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    • pp.207-214
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    • 2006
  • Objectives : This study is designed in order to evaluate the therapeutic effect of Scalp Acupuncture and Do-ma Acupuncture related with Governer Vessel(Dok) and Bladder Meridian(Chok-taeyang) on acute low back pain Methods : We investigated 30 patients suffering from acute low back pain were admitted to Dunsan O.M.hospital from March. 1st 2005 to December. 30th 2005. We divided into two groups: one group was treated with Scalp acupunture, another group was treated with common acupuncture. 30 patients, were diagnosed only straightened curvature on lateral view of lumbar spine X -ray. Scalp acupunture related with Governer Vessel(Dok) and Bladder Meridian(Chok-taeyang) and Do-ma acupuncture. To estimate the efficacy of treatment that applied for two groups, we compared the visual analog scale(VAS), Oswestry disabiliby index(ODI) and Straight Leg Raising Test(SLRT) score of two groups statistically. Results : Both Scalp acupuncture related with Governer Vessel(Dok) and Bladder Meridian (Chok-taeyang) and Do-ma acupuncture therapy showed good effect on acute low back pain. It was proved by the difference between VAS, ODI and SLRT score checked before treatment and what checked after treatment on each groups. Conclusion: The therapeutic effect of Scalp Acupuncture and Do-ma Acupuncture on acute low back pain can be recommended as a useful therapy to treat acute low back pain.

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요통(腰痛) 환자(患者)의 한방단독치료와 한양방협진치료의 효과 비교 (Comparison of Treatment Effect between Oriental Medicine Theraphy and Oriental and Western Medicine Combination Theraphy on Low Back Pain Patients)

  • 서보명;윤종석;김성웅;이세연;이경민;배은정;서정철;임성철;정태영;한상원
    • Journal of Acupuncture Research
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    • 제20권6호
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    • pp.140-147
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    • 2003
  • Objective: This study was designed to investigate the difference of treatment effect between Oriental Medicine theraphy and Oriental and Western Medicine combination theraphy on low back pain patients. Methods: We divided 40 low back pain patients into 2 groups. The Group I was treated with Oriental Medicine theraphy and the Group II was treated with Oriental and Western Medicine combination theraphy. We evaluated visual analogue scale(VAS) score before and after 3, 5, 7 days of each treatment. Results: The VAS score of Group I and Group II after 3, 5, 7 days of each treatment was significantly lower than before treatment. But there was no significant difference between two groups after 3, 5, 7 days of each treatment. Conclusions: In this study, there was no significant difference between the two groups after 3, 5, 7 days of each treatment on low back pain patients. Further studies are needed for the comparison of Oriental Medicine theraphy and Oriental and Western Medicine combination theraphy.

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5주간의 온천요법 전후 요통의 통증변화에 관한 임상연구 (A Clinical Study: Pain Intensity Before and After Balneotherapy in Participants with Low Back Pain)

  • 신재화;이옥진;최보미;안택원;이정민
    • 한방재활의학과학회지
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    • 제23권3호
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    • pp.133-140
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    • 2013
  • Objectives The aim of this clinical study was to find out the changes of self-reported pain intensity before and after balneothrapy in participants with low back pain. Methods In this study 20 participants with low back pain went through 5 weeks of balneothrapy course, once in a week. Each week visual analogue scale (VAS) and pain threshold were measured before and after balneothrapy, which consisted of 30 minutes of high pressure underwater shower ($32{\sim}36^{\circ}C$) and another 30 minutes of whole body bathing ($32{\sim}40^{\circ}C$). Results 1. The average of VAS significantly decreased from $64.00{\pm}16.35$ to $34.00{\pm}15.69$ after 5 weeks of balneothreapy (p<0.001). 2. The average of pain threshold significantly increased from $8.31{\pm}2.52$ lbf to $9.53{\pm}3.11$ lbf after 5 weeks of balneothreapy (p<0.05). Conclusions The results showed that 5 weeks of balneotherapy had significant effect on alleviating pain in low back pain participants, which means balneothreapy may be used as a complementary treatment on musculoskeletal diseases and other chronic diseases. Further studies are anticipated in the future to find out other various effects of balneothrapy.

배수혈의 내장기 치료 기전에 관한 연구 (Study on the Treatment Mechanism of Back-Shu Points for Organ Dysfunction)

  • 황만석
    • Korean Journal of Acupuncture
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    • 제33권3호
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    • pp.95-101
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    • 2016
  • Objectives : This study aims to overview the therapeutic mechanism of back-shu points in terms of sympathetic visceral motor nervous system. Methods : Studies about autonomic nervous system, and studies and ancient texts about back-shu points were reviewed. We interpreted possible mechanism of back-shu points considering similarities of anatomical and physiological characteristics of back-shu points and visceral motor nervous system. Results : Afferent signals for organ lesions that can develop the symptoms of autonomic neurological symptoms, pain, hyperalgesia through the skin segment. Through a physical examination of the myotome and dermatome, it is possible to diagnose segmental disorders. Treatment stimulation of the thick fibers of the disorder segment skin can reduce abnormal autonomic influence over the sympathetic reflex mechanism. In addition, if spinal muscles are relaxed, the pressure on the nerve roots could be reduced and consequently the hyperactivity of the sympathetic visceral motor signal would be suppressed. Conclusions : The back-shu points treatments work through the mechanism of the sympathetic nervous reflex. Moreover, segmental acupuncture can reduce tension of the spinal muscles, thereby improving pathological conditions of the sympathetic nervous system.

Clear Cell Sarcoma of the Upper Thoracic Back Muscle

  • Kim, Dae-Hyun;Choi, Ki-Hwan;Cho, Young-Dae
    • Journal of Korean Neurosurgical Society
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    • 제45권2호
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    • pp.112-114
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    • 2009
  • Clear cell sarcoma (CCS), also called malignant melanoma of soft parts, is a rare malignant soft tissue tumor and is often associated with tendons or aponeuroses. Most of CCS involve extremities, especially lower extremities, but a tumor occurring in the trunk is rare. We report an extremely rare case of CCS originated in the upper thoracic back muscle. To our knowledge, this case is the second report of CCS of the back muscle.

시호소간산(柴胡疏肝散)이 투여(投與)된 중풍(中風) 이후(以後) 병발(倂發)한 협통환자(脇痛患者)의 임상경과보고(臨床經過報告) (A Clinical Process Report on the Patient Suffered from Flank Pain after CVA Treated with Shihosogansna)

  • 박미연;김대준;최해윤;김종대
    • 대한한방내과학회지
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    • 제24권1호
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    • pp.144-150
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    • 2003
  • Back pains include pain in one or both side costa portion and lateral abdomen. There are different kinds of flank-related disease such as intercostal nerve pain, chronic gastritis, duodenitis, herpes zoster, pepticulcer, cholecystitis, cholelithiasis and so on. Back pain arises from pathological abnormal activities. On the other hand psychogenic pains are caused by psychogenic factors without pathological abnormal activities. This is similar to KiWol back pain, which resulted from psychogenic factors like stress, anxiety, anger and etc. In oriental medicine, KiWol is the state of depression of Ki, and Shihosogansan used to treat the back pain diagnosed as stagnation of the liver Ki. So, we decided to apply Shihosogansan to a patient who suffered from back pain diagnosed as stagnation of the liver Ki. Therefore the patient treated with Shihosogansan and improved in consciousness symptoms, so we report it for the better treatment.

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한방복합치료를 병행한 도인운동요법이 요통환자의 통증 및 기능 개선에 미치는 영향 : 후향적 관찰 연구 (Effect of The Daoyin Exercise Therapy Combined with Complex Korean Medicine Treatment on Pain and Function Improvement of Low Back Pain Patients : A Retrospective Observational Study)

  • 최봉석;이은정;이옥진;이정민;김은석;송광찬;정인철;오민석
    • 동의생리병리학회지
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    • 제32권1호
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    • pp.88-97
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    • 2018
  • This study was designed to prove the effect of the Daoyin exercise therapy combined with complex korean medicine treatment on pain and function improvement of low back pain patients. A retrospective observational study. 30 low back pain patients, checked numeric rating scale(NRS) over 5, were treated with the Daoyin exercise therapy combined with complex korean medicine treatment. NRS, roland & morris disability questionnaire(RMDQ), range of motion(ROM), isokinetic muscle strength, and euroqol five demension questionnaire(EQ-5D) were checked to evaluate patients. The Daoyin exercise therapy combined with complex korean medicine treatment reduced NRS $5.67{\pm}1.40$ to $3.73{\pm}1.72$, improved RMDQ $10.33{\pm}4.91$ to $8.17{\pm}5.40$, strengthened lumbar muscle's peak torque and improved EQ-5D $0.56{\pm}0.20$ to $0.63{\pm}0.15$ and euroqol visual analogue scale(EQVAS) $46.80{\pm}19.95$ to $57.50{\pm}19.93$ but had no effect on ROM. NRS decreased significantly as the number of trials increased. No one had serious adverse reactions. As described above, the Daoyin exercise therapy combined with complex korean medicine treatment can help reducing low back pain, improving lumbar function, strengthening lumbar muscle power and stamina and improving quality of life of low back pain patients.