• Title/Summary/Keyword: Sa-am-acupuncture

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8증례를 통한 사암침법(舍巖鍼法)의 형상의학적(形象醫學的) 운용에 관한 고찰 (A Study of Eight Cases According to Hyeongsang Diagnosis Applying Sa-am Acupuncture Therapy)

  • 최준영;남상수;김용석;이재동
    • Journal of Acupuncture Research
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    • 제29권1호
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    • pp.139-150
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    • 2012
  • 1. 형상의학(形象醫學)에서는 사람을 얼굴형태에 따라 정(精) 기(氣) 신(神) 혈(血)과로 이목구비(耳目口鼻)의 기능에 따라 어(魚) 조(鳥) 주(走) 갑류(甲類)로 분류하며, 이러한 분류에 따른 장부(臟腑)의 특성을 사암침(舍巖鍼) 운용에 활용하면 임상에서 활용도가 높다. 2. 어류(魚類)는 수(水)의 기운(氣運)이 많아 수체(水體)라고도 하며 신장(腎臟)이 발달하여 신장(腎臟)과 관련된 병이 오기 쉽다. 그 본치(本治)가 보정보기(補精補氣)이며 주로 신정격(腎正格)을 운용하고 신양허쇠(腎陽虛衰)인 경우 신열격(腎熱格), 신음허(腎陰虛)인 경우 신한격(腎寒格)을 쓰며 정혈(精血)의 휴손(虧損)이 심한 경우 간정격(肝正格)도 운용할 수 있다. 3. 조류(鳥類)는 화(火)의 기운(氣運)을 많이 받아 화체(火體)라고도 하며 심장(心臟)이 발달하여 심장병(心臟病) 신경성 질환이 잘 온다. 그 본치(本治)가 자음강화(滋陰降火)며 심장(心臟)의 음혈(陰血)을 보(補)하고 화(火)를 내리는 심한격(心寒格)을 위주로 하여, 심화(心火)를 사(瀉)하면서 음혈(陰血)을 보해주고 신지(神志)를 안정시키는 심승격(心勝格), 심기(心氣)가 부족한 경우 심정학(心正格), 심담(心膽)이 모두 허(虛)한 경우 담정격(膽正格)을 운용할 수 있다. 4. 주류(走類)의 목(木)의 기운(氣運)이 많아 목체(木體)라고도 하며 간(肝)이 발달(發達)하여 간(肝)과 관련된 병(病)이 잘 온다. 그 본치(本治)가 청열사습(靑熱瀉濕), 자혈양근(滋血養筋)이므로 간정격(肝正格)을 주로 운용하고, 간화(肝火)가 동(動)하거나 간실증(肝實證)이 나타난 경우 간한격(肝寒格)이나 간승격(肝勝格)을, 간기(肝氣)가 항진(亢進)으로 인해 비기(脾氣)가 허(虛)해져 있는 경우 비정격(脾正格)을, 습열이 너무 성(盛)한 경우 대장정격(大場正格)을 운용할 수 있다. 5. 갑류(甲類)는 금(金)의 기운(氣運)이 많아 금체(金體)라고도 하며 폐(肺)가 발달하여 폐(肺)와 관련된 병이 잘 온다. 그 본치(本治)가 해울소담(解鬱消痰)이므로 폐정격(肺正格)을 통해 보폐순기(補肺順氣)하며 울증(鬱症)이 심한 경우 폐승격(肺勝格)으로 통해 소담(消痰)시켜주고 기울방(氣鬱方)으로 해울(解鬱)하기도 한다. 6. 정과(精科)는 그 특성상 정(精)의 누설(漏泄)에 의한 증상 및 정부족(精不足), 양허증상(陽虛證狀)과 정(精)의 과도한 응집(凝集)에 의한 습열(濕熱)이 기본 병리이며 기본처방은 신기(腎氣)를 강화하는 신정격(腎正格)을 중심으로 하여, 신열격(腎熱格) 신한격(腎寒格) 등을 변증에 따라 운용하며 습열(濕熱)이 성한 경우 대장정격(大腸正格) 비승격(脾勝格) 등 습열(濕熱)을 다스리는 처방과 비정격(脾正格), 습담방(濕痰方) 등 습담(濕痰)을 다스리는 처방이 운용될 수 있다. 7. 기과(氣科)의 기본 병리(病理)는 기울(氣鬱), 기체(氣滯)에 의한 구기(九氣), 칠기(七氣), 중기(中氣), 매핵기(梅核氣), 불면증(不眠症) 등 신경성 질환이 많고 특히 여자의 경우 손발과 하복부가 차고 대소변이 안좋으며 징가(癥痂), 현벽(痃癖) 등의 질환이 많다. 또한 지나친 발산(發散)으로 인하여 기허증(氣虛證)이 나타나기도 한다. 따라서 기본처방은 기울방(氣鬱方), 담음방(痰飮方), 담현방(痰眩方), 기수방(氣嗽方), 폐승격(肺勝格), 삼초정격(三焦正格) 등이며, 기허증(氣虛證)이 나타나는 경우 폐정격(肺正格)을 사용할 수 있다. 8. 신과(神科)의 기본병리는 칠정울결(七情鬱結)이나 담화(痰火), 화성음허(火盛陰虛)이며 대표적인 증상은 경계(驚悸), 정충(怔忡), 건망(健忘), 불면(不眠), 전간(癲癎), 전광(癲狂) 등이다. 따라서 기본처방은 심한격(心寒格), 심승격(心勝格), 심정격(心正格), 담정격(膽正格), 비한격(脾寒格)을 중심으로 열담방(熱痰方), 군화방(君火方), 상화방(相火方), 화울방(火鬱方) 등을 사용할 수 있다. 9. 혈과(血科)의 기본병리는 어혈(瘀血) 및 출혈이며 대표적인 증상은 구규출혈(九竅出血)과 어혈(瘀血), 혈허증(血虛證)이다. 따라서 기본처방은 간정격(肝正格), 손혈방(損血方), 심한격(心寒格) 비한격(脾寒格) 심비한격(心脾寒格), 소장정격(小腸正格), 소장한격(小腸寒格), 어혈방(瘀血方), 뉵혈방(衄血方) 등을 사용할 수 있다.

봉약침을 포함한 한방치료로 호전된 극상근 석회화 건염 3례 (A Case Report of Patients with Calcific Tendinitis Located at Supraspinatus Treated by Oriental Therapy Including Sweet Bee Venom)

  • 이연희;김채원;이광호
    • Journal of Acupuncture Research
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    • 제29권2호
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    • pp.89-97
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    • 2012
  • Objectives : The purpose of this report is to show that oriental medical treatments, chiefly using Sweet bee venom (SBV) are effective on symptom improvements and calcium removal in the patients diagnosed with calcific tendinitis in supraspinatus. Methods : We applied 0.3~0.6cc of SBV on $LI_{15}$ ($Gyeonu$) at a time and 0.1~0.2cc on each surrounding pressure point. In addition, we treated $Hwangryeonhaedok-tang$ pharmacopuncture on both acupoints of $GB_{21}$ ($Gyeonjeong$) with large intestine tonification of $Sa-Am$. Results : The symptoms improved within 3 weeks in case 1, 4 days in case 2, 5 weeks in case 3. The removal of calcium was detected by radiology at all cases. Conclusions : From the above results, it is considered that the oriental medical therapy including SBV is effective on the removal of calcium.

동씨침법(董氏針法)과 십이정경(十二正經)의 상관성(相關性)에 관(觀)한 연구(硏究) (Bibliographic Study on the Interrelation between Dong Shi' Acupuncture and Twelve Regular Channels)

  • 장진요;김경식;손인철
    • Korean Journal of Acupuncture
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    • 제19권1호
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    • pp.107-130
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    • 2002
  • In the clinics of traditional medicine, various acupuncture methods, that is Sa-Am' acupuncture, scalp acupuncture, auricular acupuncture and Dong-Shi' acupuncture, have been introduced and increased gradually to treat the diseases. In this bibliographic study, we examined the interrelation between the Dong Shi' acupuncture and 12 regular channels. The theoretical origination of Dong Shi' acupuncture and 12 regular channels was applied from Yin and Yang, Five Element, State of Viscera and so on. As the treatment using by 12 regular channels have used to 'regulating Qi and Treating Shin (調氣治神)', Dong Shi' acupuncture have used to the itself defense mechanism and relative balance of human beings. Also, these methods have the same rules that was selected to the opposing needling (巨刺) of remote point selection, however, Ah-Shi' points (阿是穴) were not used for the selection. Of Dong-Shi' acu-points, there were many ones which have the same location as the acupoints of regular channels. However, these one was renamed according to the new characteristics and therapeutics found by Dong Shi. Dong Shi' acupuncture has divided human body to the 12 areas but not considered to the concept of a mutual connection of human being body. The needling manipulation methods were vary at the regular channels, but Dong Shi' acupuncture did not use the traditional manipulation method except for supplementary Dong-Qi acupuncture, To-Ma acupuncture and To-In acupuncture. From these study, we found that the Dong-Shi' acupuncture have something in common with 12 regular channels, although the Dong-Shi' acupuncture was not based on the theory of 12 regular channels.

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화병의 핵심증상에 대한 사암침 심정격 치료의 효과 (The Effect of Sa-am Acupuncture Simjeongkyeok Treatment for Major Symptom of Hwa-byung)

  • 정인철;이상룡;박양춘;홍권의;이용구;강위창;최선미;최강욱;오달석;박지은
    • 동의신경정신과학회지
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    • 제19권1호
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    • pp.1-18
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    • 2008
  • The purpose of this research is to examine the effect of Simjeongkyeok Sa-am acupuncture treatment for major symptoms of Hwa-byung. Method : In this randomized, single blind, placebo-controlled study, we compared Simjeongkyeok acupuncture with Sham acupuncture in the treatment for major symptoms of Hwa-byung. Likert scale for major symptom of Hwa-byung was measured as the 1st evaluative instrument, and STAXI-K, STAI-K, BDI-K and HRV were also measured as the 2nd evaluative instrument at the before treatment and after treatment. Results : In comparison of Likert scale for major symptoms, total score of after treatment decreased significantly at each point on both groups, but there was no significant difference between both groups. In comparison of STAXI-K, STAI-K, BDI-K, there was no significant difference in variation of score between both groups. But Simjeongkyeok group showed higher ratio variation of STAXI expression than that of Sham group, Also on subjects whose main complaint symptom were burning sensation and whose pattern identification were Qizhi, Simjeongkyeok group showed higher variation of Likert scale score and BDI-K than that of Sham group. The significance was border line around. Conclusion : We considered that Shimjeongkeok treatment will he likely to he recommended for treating Hwa-byung, especially on subjects in each group whose main complaint symptom were burning sensation or whose pattern identification were Qizhi. Also it may also be effective on the management of anger expression.

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한방부인과질환에 사용되는 치료방법에 대한 조사연구 (A Survey on the Treatments used in Oriental Obsterics & Gynecology)

  • 이인선;배경미
    • 대한한방부인과학회지
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    • 제22권1호
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    • pp.203-230
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    • 2009
  • Purpose: In order to know therapies used in the field of Obsterics & Gynecology of Oriental medicine. Methods: This survey investigated papers about clinical study, literature investigation for therapeutic methods and treatment reports published from 1999. 2${\sim}$2008. 11. Results: In the clinical studies, acupuncture is more frequently used than herbal medicine. But in the treatment reports, herbal medicine is most frequently used except some cases. Besides acupuncture and moxibustion was used frequently. In the treatment reports various acupuncture methods were used except vaginal bleeding or abdominal pain cases. Whole body acupuncture was used mainly. Pharmacopuncture, Sa-am Acupuncture, auricular acupuncture was also used frequently. And Dong's acupuncture, Hwa acupuncture was used sometimes. Moxibustion was tend to be used for dysfunctional uterine bleeding, menopausal disorder, urinary incontinence, vaginal bleeding or abdominal pain during pregnancy period, hyperemesis, recurrent miscarriage, postpartum disease, lochiorrhea. Also other treatment methods was used such as external therapy, aromatherapy, herbal retention enema, fumigation, electric lipolysis acupuncture, Chuna manual medicine, obesity management, acupuncture at uterus cervix, magnetic innervation therapy, exercise, cupping and physical therapy. Conclusion: These results suggests that acupuncture, moxibustion and herbal medicine are most frequent therapy in the field of Obsterics & Gynecology of Oriental medicine. And other therapy are used such as external therapy, aromatherapy, herbal retention enema, fumigation and so on.

Tonic Spasm을 호소하는 Transverse Myelitis 환자 증례보고 (A Case Report of Transverse Myelitis with Tonic Spasm)

  • 김회권;배기태;김동민;남상수;김용석
    • Journal of Acupuncture Research
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    • 제23권6호
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    • pp.221-227
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    • 2006
  • 본원 입원 치료받은 환자 1례의 경과는 다음과 같다. 1. 사물탕 가감방 복용 이후 tonic spasm의 발생빈도와 기타 임상증상의 변화가 없었다. 2. 육미지황탕 복용 이후 tonic spasm의 발생빈도가 1일 30회 이상에서 점차 감소하여 일주일간 복용 이후 10회 이하로 증상 발생되었으며 42일 복용 이후에는 0-1회로 발생빈도가 감소하였다. 3. 육미지황탕과 침구치료를 받는 동안 안혼(眼昏), 안삽(眼澁), 복근경직(腹筋硬直), 흉민(胸悶) 등의 증상이 소실되었다.

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화병 임상진료지침 IV. (약물치료와 침구치료) (Clinical Guidelines for Hwabyung IV. (Medications & Acupuncture and Moxibustion))

  • 강형원;이승기;이재혁;박보라;유영수
    • 동의신경정신과학회지
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    • 제24권spc1호
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    • pp.37-46
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    • 2013
  • Objectives : The Hwabyung Research Center of The Korean Society Of Oriental Neuropsychiatry has attempted to develop the 'Clinical Guidelines for Hwabyung'. Methods : The Hwabyung Research Center constructed a committee of experts and advisory group. Relevant literature was collected and evaluated in order to find out effective Pharmacotherapy (Herbal medicine), acupuncture and moxibustion, and cupping of Hwabyung. Results : We found some evidences that proved the effectiveness of Pharmacotherapy (Herbal medicine), acupuncture and moxibustion, and cupping in the treatment of Hwabyung. 1) We recommend Pharmacotherapy (Herbal medicine), acupuncture and moxibustion, cupping, psychotherapy and management, other therapeutic approaches and education for Hwabyung. 2) Pharmacotherapy (Herbal medicine) should be determined according to the pattern identification of Korean medicine. Further, the prescription should be cost-effective, safe and have no side effects. Also, the interaction between Herbal and Western drugs should be considered carefully. 3) There are general acupuncture, scalp acupuncture, Pharmacopuncture, Sa-am acupuncture as well as acupuncture treatments for Hwabyung. 4) Moxibustion and cupping are useful, relieving various somatic symptoms of Hwabyung. Conclusions : Pharmacotherapy (Herbal medicine), Acupuncture and Moxibustion, Cupping for Hwabyung were studied. We hope that the 'Clinical Guidelines for the Treatment of Hwabyung' are helpful for oriental medical doctors and patients.

간정격과 사관혈 침 치료의 우울 행동 개선 효과 및 뇌신경 반응성 분석 연구 (Antidepressant Effect of Liver Tonification and Four Gate Acupuncture Treatments and Its Brain Neural Activity)

  • 엄근향;류재상;박지연
    • Korean Journal of Acupuncture
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    • 제38권3호
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    • pp.162-174
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    • 2021
  • Objectives : We aimed to identify the antidepressant effect of liver tonification acupuncture treatment (ACU (LT); KI10, LR8, LU8, LR4) and four gate acupuncture treatment (ACU (FG); LI4, LR3) and its brain neural activity in the normal and chronic restraint stress (CRS)-induced mouse model. Methods : Firstly, normal mice were given ACU (LT) or ACU (FG) and the c-Fos expressions in each brain region were analyzed to examine brain neural activity. Secondly, CRS was administered to mice for 4 weeks, then ACU (LT) or ACU (FG) was performed for 2 weeks. The depression-like behavior was evaluated using open field test (OFT) before and after acupuncture treatment. Then, the c-Fos expressions in each brain region were analyzed to examine brain neural activity. Results : In normal mice, ACU (FG) regulated brain neural activities in the hypothalamus, hippocampus, and periaqueductal gray. ACU (LT) changed more brain regions in the prefrontal cortex, insular cortex, striatum, and hippocampus, including those altered by ACU (FG). In CRS-induced model, ACU (LT) alleviated depression-like behavior more than ACU (FG). Also, brain neural activities in the motor cortex area 2 (M2), agranular ventral part and piriform of insular cortex (AIV and Pir), and cornu ammonis (CA) 1 and CA3 of hippocampus were changed by ACU (LT), and those of AIV and CA3 were also changed by ACU (FG). As in normal mice, ACU (LT) resulted in changes in more brain regions, including those altered by ACU (FG) in CRS model. M2, Pir, and CA1 were only changed by ACU (LT) in depression model, suggesting that these brain regions reflect the specific effect of ACU (LT). Conclusions : ACU (LT) relieved depression-like behavior more than ACU (FG), and this acupuncture effect was associated with modulation of brain neural activities in the motor cortex, insular cortex, and hippocampus.

위증(痿證)의 침구 치료에 대한 문헌 고찰 (Acupuncture & Moxibustion Bibliographic Studies on the Wei symptom for Clinical Treatment)

  • 박만용;원진희;김성철
    • 동의생리병리학회지
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    • 제26권6호
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    • pp.842-848
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    • 2012
  • This study was performed to investigate the acupuncture & moxibustion therapy of the Wei symptom(痿證) in order to find out the clinical possibility. We investigated the acupuncture & moxibustion therapy of Wei symptom through six books published after 1993, searched sites as like 'Oasis', 'Pubmed', 'RISS', 'KISS', 'NDSL' and 'Google scholar'. Acupuncture & moxibustion prescriptions recorded in the orietal medicine literatures that were published before and after 1993 had a similar basis. Since 2000, in the clinical papers on the wei symptom searched from domestic journal, sa-am and dong's acupuncture therapy were mainly applied, but papers were confined in a case study. Since the mid-2000s, the clinical effectiveness of bee venom and electroacupuncture therapy on the wei symptom were uncovered, but the researches about the chracteristics in accordance with acupoints are more required. Since 2010, the mechanism of the bee venom and electroacupuncture on the wei symptom was revealed in animal experiments. On this basis, the systematic clinical studies beyond case paer or pilot study is(are) needed. The development of various treatment implements as like electroacupuncture, pharmacopuncture was required to access the incurable disease like wei syptom, and the efforts of providing evidence through systemic clinical trials are needed.

안면견갑상완형(Fascioscapulohumeral:FSH) 근이영양증 1례에 대한 증례보고 (A Clinical Study on the case of Fascioscapulohumeral (FSH) Muscular Dystrophy Treated with Traditional Korean Medicine)

  • 이진선;안창석;권기록
    • Journal of Acupuncture Research
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    • 제18권3호
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    • pp.227-238
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    • 2001
  • Objective : There was no report on the treatment of Fascioscapulohumeral (FSH) Muscular Dystrophy by Oriental medicine. But the treatment conducted on the patient admitted to the Sangji Oriental Medicine Hospital from January 9, 2001 to February 23, 2001, a significant treatment result was yielded and would like to suggest treatment plan for the future treatments. Methods : Under the assumption that Korean Bee-Venom Therapy may be affective for treating FSH Muscular Dystrophy, the following points were administered : SI10(노유), SI11(天宗), BL23(腎兪), BL26(關元兪), ST36(足三里), LI4(合谷), Liv3(太衝), SI9(肩貞). CFC(Carthami Flos;紅花 and Cervi Pantotrichum Cornu;鹿茸) herbal extract was treated on the other acupuncture points. Sa-Am(Four needle technique) Acupuncture (tonifying SI5 and ST42, sedating GB41 and ST43) was done every day. For herbal medicine, TaeEumIn ChoWiSeungChung-Tang was given based on the constitutional diagnosis. Results : After 7 weeks of treatment, a remarkable improvement was made for facial muscular movement and muscular strength of the scapular and another regions. Conclusions : 1. Significant improvement in the muscular strength for the case of FSH Muscular Dystrophy was obtained with through Korean Bee-Venom Therapy, Four needle technique, and herbal medication. 2. For progressive muscular dystrophy, it is necessary to practice muscular strength recovery exercise in conjunction with Korean Bee-Venom Therapy. 3. Although this case yielded favorable result, further observation and study must be made to concretely prove the effectiveness of Korean Bee-Venom Therapy for treating muscular dystrophies.

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