• 제목/요약/키워드: acupuncture & moxibustion treatment

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유근피가 골세포의 mineralization, bone morphogenetic protein-2, alkaline phosphatase, type I collagen 및 collagennase-1에 미치는 영향 (Effects of Ulmus davidiana Planch(Ulmaceae) on mineralization, bone morphogenetic protein-2, alkaline phosphatase, type I collagen and collagennase-1 in bone cells)

  • 변유석;윤종화;황민섭;김갑성;조현석
    • Journal of Acupuncture Research
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    • 제22권3호
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    • pp.13-22
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    • 2005
  • 손상된 조직의 보호와 항염증작용이 있는 것으로 알려진 유근피를 수액추출하여 골다공증의 치료에 응용 가능한가를 실험하였다. 이전의 실험에서 유근피 추출액이 파골세포를 함유한 장골세포의 치료를 통해 Cathepsin K를 억제하는 것을 확인 하였었다. 이를 통하여 유근피는 골다공증 치료에서 골재흡수억제제로 서의 prodrug의 역할을 할 수 있음을 시사하였다. 본 실험에서는 MC3T3-El pre-osteoblastic 세포조직을 이용하여 골화를 유발한 상태에서 유근피가 골아세포의 성장과 감작에 대한 것을 in vitro로 연구하였다. 이 결과 유근피는 용량과 시간의존적으로 ALP의 활동을 향상시킴으로써 강화작용이 있음을확인할 수 있었다. 투여량은 최소치 $50{\mu}g/m{\ell}$에서 최대치 $150{\mu}g/m{\ell}$에서 관찰되었다. $100{\mu}g/m{\ell}$ UD에서 bone morphogenetic protein-2의 향상을 관찰할 수 있었으며, MC3T3-El 세포내의 ALP mRNA농도역시 증가 하였다. $60{\mu}g/m{\ell}$ UD에서 Type I collagen mRNA에 대해서 오랜 배양 기간 동안 약간의 증가를 나타내었으나 15-20일 사이의 배양에서는 급격히 유전자 발현을 억제하는 것으로 나타났다. 이러한 결과는 골아 세포의 감작을 통해 유근피가 골대사에 영향을 미침을 시사하는 것이다. 그러므로 추후 연구를 통하여 일반적인 골대사질환에 유근피를 적극적으로 활용할 수 있음을 알 수 있었다.

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교통사고 환자 237예에 대한 한의치료 만족도 조사 (A Survey on Satisfaction for Korean Medicine Treatments in 237 Traffic Injury Patients)

  • 신희라;박경태;양무학;김영배;염승룡;권영달
    • 한방재활의학과학회지
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    • 제28권3호
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    • pp.67-78
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    • 2018
  • Objectives The purpose of this study is to carry out a survey on satisfaction for Korean medicine treatments in traffic injury patients. Methods Satisfaction survey was carried out on the 237 traffic injury patients who had been treated by Korean medicine treatments in Department of Korean Rehabilitation Medicine, Wonkwang University Gwangju Medical Center from February, 2017 to August, 2017. The questionnaire form of preceding study was used to assess the satisfaction degree of patients. All data were coded by SPSS v20.0 (IBM Corp., Armonk, NY, USA) and analysed by descriptive maneuver, x2-test, T-test and correlation. Results Among the 237 cases, the first hospital to be selected for traffic injury treatment was Korean medicine hospital in 91 cases. And 97 patients were transferred from the western medicine hospital. The main reason for choosing Korean medicine hospital was that the patients prefer Korean medicine treatments than western medicine treatments. 85.2.% of patients answered that their symptoms were improved, and 75.1% of patients answered that they were satisfied with Korean medicine treatments. The satisfaction degree of cupping treatment and acupuncture was relatively high, but the degree of Herbal medicine and physical treatment was relatively low. There were no statistically significant differences in satisfaction degree with sex and age. The satisfaction degree, improvement of symptoms, intention to revisit and intention to recommend was significantly correlated each other. Conclusions The degree of improvement of symptoms and The satisfaction degree were revealed relatively high. Additional and repetitive studies are needed to understand the patient's position and improve the quality of Korean medicine treatments for traffic accident patients.

지체 장애인의 베체트병 약물치료 중 발생한 구강 건조증 치험 1례 (A Case of Xerostomia that Occurred during Behcet's Disease Drug Treatment of a Person with Physical Disability)

  • 강병수;강덕;김종한
    • 한방안이비인후피부과학회지
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    • 제34권1호
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    • pp.112-135
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    • 2021
  • 2020년 7월부터 2020년 12월까지 일개 보건소 건강증진과에서 관할지역 거주 중증 장애인 중 뇌병변 장애와 지체 장애인을 대상으로 한의약 장애인 방문건강관리 표준프로그램을 진행하였고, 이 중 1명의 중증 지체 장애인이 구강 건조증을 앓고 있어, 한의 치료의 개입을 통한 통합적인 관리한 결과는 다음과 같다. 1. 팔물탕(八物湯) 연조엑스제를 포함한 한의 치료는 YDQ에 의해 음허(陰虛)로 변증된 지체 장애인의 약물 유발성 구강 건조를 완화시키고 삶의 질을 호전시켰다. 2. 건강 보험에 포함된 한의 치료를 제공하여 한·양방 통합적 개입으로 양약으로 발생한 구강 건조 증상을 관리할 수 있었다. 3. 6개월간 투약된 팔물탕(八物湯) 연조엑스로 인한 이상 반응은 없었다. 4. 팬데믹 상황에서 한의약 방문 진료와 전화 진료가 혼합된 형태의 공공보건기관의 한의약 건강증진사업으로 장애인의 SHCN를 충족하고 장애인의 만성 질환 관리가 가능한 부분을 확인할 수 있었다. 5. 본 연구는 한방안이비인후피부과 증상 및 질환도 보건소 한의약 건강증진사업으로 포함할 수 있는 가능성을 확인하였으며, 유관 학회의 협력 및 지원과 연구가 필요하다고 생각된다.

저주파 전침 위주의 한방비만치료의 체중감량 효과 및 관련 인자에 관한 연구 (The Efficacy of Low Frequency Electroacupuncture Therapy for Weight Loss in Obese Korean Women)

  • 황덕상;이윤재;이창훈;김용석;장준복;이경섭
    • 대한한방부인과학회지
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    • 제22권2호
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    • pp.140-150
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    • 2009
  • Purpose: We investigated the efficacy of electroacupuncture therapy in obese Korean women in order to make basic guidelines for the use of oriental medicine in treating obesity. Methods: Forty women were divided into two groups and each was treated 12 times: 1) one group was treated using electroacupuncture (EA) involving auricular acupuncture and physical treatment, without exercise (EA group, n=10), and 2) the other group was treated using electroacupuncture and exercise (EA plus exercise group, n=30). The EA was applied to subcutaneous fat tissue manually. Body weight was evaluated every visit and body composition was checked at the $1^{st}$ and $12^{th}$ visits. Statistical comparisons were made using SPSS13.0. We compared the weight loss, body mass index (BMI), and body composition before and after treatment using the pairedt-test. The correlations between weight loss and BMI and age were examined. Results: After the $12^{th}$ treatment, both groups showed significant reductions in body weight, BMI, body fat, and body fat percentage. The weight loss averaged 4.58${\pm}$3.87% in the EA group and 4.69${\pm}$3.10% in the EA plus Exercise group. The reduction in skeletal muscle was significant in the EA group, but not significant in the EA plus Exercise group. The speed of the weight loss was correlated with age using Pearson's correlation coefficient. Based on BMI, normal and obese subjects in the EA plus Exercise group had significant reductions in body weight, BMI, body fat, and body fat percentage; the obese subjects also had a significant reduction in skeletal muscle. Conclusion: Combined EA therapy may be effective for weight reduction. Age and BMI were related to weight loss using EA therapy.

전립선 암세포에 대한 Cobrotoxin의 항암(抗癌) 기전(機轉) 연구(硏究) (The Study of anti-cancer mechanism with Cobrotoxin on Human prostatic cancer cell line(PC-3))

  • 채상진;송호섭
    • Journal of Acupuncture Research
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    • 제22권3호
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    • pp.169-183
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    • 2005
  • Cobrotoxin의 항암효과를 알아보고자 암세포인 PC-3 cell에 cobrotoxin을 처리한 후 cell viability, cell death, apoptosis, cell cycle 및 관련단백질, Adk, 및 MAP kinase 관련 단백질의 변화를 관찰하여 다음과 같은 결론을 얻었다. 1. PC-3 세포에 각각 cobrotoxin을 각각 0-16 nM까지 투여시 대조군에 비하여 모두 농도 의존적으로 세포들의 모양이 길죽한 나선형 모양에서 둥글게 응축되는 모습으로 변하였으며 고농도로 갈수록 세포들의 성장이 억제를 보였다. 2. MTT assay를 이용하여 세포 생존력을 측정 한 결과, 0.1, 1 및 4nM의 cobrotoxin 처리군은 정상군에 비하여 세포활성의 감소를 나타내었고, 8, 16nM의 cobrotoxin 처리군은 정상군에 비하여 세포활성의 유의한 감소를 보였다. 3. PC3-cell에 cobrotoxin을 처리한후 FACS analysis를 통하여 세포주기를 측정한 결과 세포주기 중 S phase에서 0.0lnM cobrotoxin 처리군은 변함이 없지만, 1, 2, 4, 8 및 16 nM 의 cobrotoxin 처리군에서는 정상군에 비해 감소를 보였다. G2-M phase에서 0.1, 1, 2, 4, 8 및 16M의 cobrotoxin 처리군에서 정상군 에 비하여 증가를 보였다. 4. Cobrotoxin 처리후 Cox-2의 발현을 48시간 관찰한 결과 12시간에서 최대치를 이루었고, 6, 12 및 24시간후에서 대조군에 비하여 유의한 감소를 나타내었다. 5. G1 phase에서 활성을 이루는 Cdk4, cyclin Dl의 발현을 살펴본 결과 Cdk4는 cobrotoxin 1, 2, 4 및 8nM 처리군에서 정상군에 비하여 농도 의존적으로 감소하였고, cobrotoxin 4, 8nM 처리군은 정상군에 비하여 유의한 감소를 나타내었다. Cyclin Dl은 cobrotoxin 1, 2, 4 및 8nM 처리 군에서 정상군에 비하여 농도 의존적으로 감소하였다. Cycline E는 cobrotoxin 1, 2, 4 및 8nM 처리 군에서 정상군에 비해 큰 변화가 없었다. G2/M phase에 관여하는 단백질인 Cyclin Bl 은 cobrotoxin 1, 2, 4 및 8nM 처리군에서 정상군에 비하여 농도 의존적으로 감소하였고, cobrotoxin 2, 4, 8M 처리군은 정상군에 비하여 유의한 감소를 나타내었다. 6. 세포성장 단백질인 Akt의 발현을 살펴본 결과 1, 2, 4 및 8nM의 cobrotoxin 처리군에서 정상군에 비하여 농도 의존적으로 감소하였고, 4, 8nM친 cobrotoxln 처리군은 정상에 비하여 유의한 감소를 나타내었다. 7. MAP kinase에 관여하는 단백질인 ERK, p-ERK, JNK, p-JNK p38, p-p38에 미치는 영향을 살펴본 결과, ERK은 1, 2nM의 cobrotoxin 처리군에서 정상군에 비하여 증가를, 4, 8nM의 cobrotokin 처리군에서 정상군에 비하여 감소를 나타내었다. p-ERK은 1, 2, 4nM의 cobrotoxin 처리군에서 정상군에 비하여 증가를, 8nM의 cobrotoxin 처리군에서 정상군에 비하여 감소를 나타내었다. JNK와 p-JNK는 1, 2, 4 및 8nM의 cobrotoxin 처리군에서 정상군에 비하여 증가를 나타내었다. p38는 1, 4, 8nM의 cobrotoxin 처리군에서 정상군에 비하여 감소를, 2nM의 cobrotoxin 처리군에서는 정상군에 비하여 감소를 나타내었다. p-p38는 1nM의 cobrotoxin 처리군에서 정상군에 비하여 증가를, 2, 4, 8nM의 cobrotoxin 처리군에서는 정상군에 비하여 유의한 감소를 나타내었다. 8. PC 3-cells 성장의 억제 역시 세포사멸을 유도한 세포성장억제 인지를 알아보기 위해 DAPI staining을 통한 세포의 핵을 염색하여 그 모양을 관찰한 결과, 정상세포가 동글동글 하고 균일한데 비하여 세포사멸이 일어난 세 포는 핵이 응축되고, 여러 조각으로 나뉜 모습을 관찰할 수 있었다. 또한, 세포사멸을 살펴본 결과 1, 2, 4, 8 및 16nM cobrotoxin 처 8nM의 cobrotoxin 처리군에서 정상군에 비하여 유의한 변동을 나타내지 않았다. Bcl-2 는 1, 2, 4 및 8nM의 cobrotoxin 처리군에서 정상군에 비해 농도 의존적으로 유의한 감소를 나타내었다. 9. 세포사멸 관련 유전자인 caspase family (caspase 3, 9)와 Bcl-2 family (Bcl-2, Bax), p53의 발현을 살펴본 결과, Bax는 1, 2, 4 및 Caspase 3과 9는 1, 2, 4nM의 cobrotoxin 처리군에서 정상군에 비하여 유의한 변동을 나타내지 않았으나, 8nM cobrotoxin 처리군에서는 유의한 감소를 나타내었다. 이상의 결과를 종합해보면, 일정수준(pico 또는 namo molar 수준)의 cobrotoxin이 prostate cancer cell의 성장을 억제하고, 세포사멸을 유도 하여 항암 효과가 있음을 확인할 수 있었으며 향후 cobrotoxin의 항암 효과를 실제 임상에 활용할 수 있게 되기를 기대한다.

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야제 환아의 한의치료에 대한 질적 연구 - 주양육자의 서술을 중심으로 - (A Qualitative Study on Traditional Korean Medicine Treatment for Child Patients with Night Crying - With a Focus on Descriptions by Main Fosterers -)

  • 김혜진;전채헌;김은지;김현호;임정태;유수향
    • 대한한방소아과학회지
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    • 제32권1호
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    • pp.44-53
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    • 2018
  • Objectives This study sets out to examine treatment experiences of child patients with night crying based on the traditional Korean medicine. Also, the study traces the process in which clients chose traditional Korean medicine treatment, and proposes a possible future direction of Korean medicine treatment. Methods The investigator conducted a semi-standardized open-ended question interview with two main fosterers of a child who received traditional Korean medicine treatment for night crying, and examined two fosterers' experiences of a child with the traditional Korean medicine treatment. Their interviews were recorded with their facial expressions and acts for analysis. Collected data was analyzed based on the Grounded theory. Results The participants felt a sense of responsibility, worry, and fear for their children with night crying. They had easy access to traditional Korean medicine doctors who were in the community and had positive experiences with traditional Korean medicine treatment. They reported that some people had been forced to use traditional Korean medicine, had misunderstandings about traditional Korean medicine, and had prejudice that night crying is not a disease. They felt there was a room for improvement in terms of the high medical expenses and the absence of a cooperative system between Oriental and Western medicine. Conclusions As the first qualitative study on night crying based on the traditional Korean medicine treatment, this study proposed a future direction for traditional Korean medicine treatment for night crying in the shoes of fosterers. The findings showed that the fosterers chose traditional Korean medicine treatment for night crying child based on their feelings, accessibility and experiences with traditional Korean medicine. Fosterers felt a need for improvement of the general public's perceptions about Korean medicine treatment on night crying, and a cooperative system between Oriental and Western medicine.

삼차신경통에 보기거풍산(補氣祛風散)을 사용한 임상증례 1례 (A Case Report of Bogigeopung-san Applied on Trigeminal Neuralgia)

  • 최주호;정주호;이종철;이두희;최정화;박수연;김종한;정민영
    • 한방안이비인후피부과학회지
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    • 제26권3호
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    • pp.87-94
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    • 2013
  • Objectives : This is a clinical report on a 63-year-old female patient with Trigeminal Neuralgia (TN) treated by oriental medicine treatments. Methods : The patient was treated by acupuncture, moxibustion and herb medication. The improvement of the patient was judged by Visual Analog Scale(VAS). Results : The pain had been gradually reduced and VAS became 2 after the treatment for 25 days. Conclusions : Oriental medicine treatment including Bogigeopung-san was very effective to improve the TN patient's symptoms. It is necessary to have more observations and cases on the patients with TN.

Effects of Sumsu (Bufonis venenum) Pharmacopuncture Treatment on Depression in Mice

  • Choi, Min-Ji;Kim, Ka-Na;Lee, Jae-Eun;Suh, Jin-Woo;Kim, Sung-Chul;Kwon, Ki Rok;Cho, Seung-Hun
    • 대한약침학회지
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    • 제17권2호
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    • pp.27-33
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    • 2014
  • Objectives: The main objective of this study was to evaluate the anti-depressant effects of pharmacopuncture using sumsu (Bufonis venenum). Methods: Animals were divided into three groups (control, sham, and experimental), with eight mice per group. The sham and the experimental groups were exposed to 2 hours of immobilization stress daily for 14 days. They were also injected with normal saline (sham) or subjected to pharmacopuncture with sumsu at the acupoints HT7, SP6, and GV20 (experimental). The depression or anxiety-like behaviors of the mice in each group were evaluated 1 day after treatment. Results: There was no difference in locomotor activity between the groups during the open-field test; i.e., all groups had normal motor function. However, the open-field and the forced-swimming tests revealed that depression and anxiety-like behaviors were decreased significantly in the group treated with sumsu pharmacopuncture. Conclusion: Sumsu pharmacopuncture attenuated depressive or anxiety-like behavior in mice stressed with chronic immobilization. These results suggest that sumsu pharmacopuncture has therapeutic potential for treating neuropsychiatric disorders such as anxiety or depression disorder.

원인불명의 혈뇨를 호소하는 만성골반통 여성 환자에 대한 치험 1례 (A Case Study on Korean Medicine Treatment for Unexplained Hematuria with Chronic Pelvic Pain)

  • 박남춘;강나훈;김준호;유은실;박연경;황덕상;이진무;이창훈;장준복
    • 대한한방부인과학회지
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    • 제29권3호
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    • pp.100-109
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    • 2016
  • Objectives: Hematuria can occur frequently for various reasons, but there are so many patients who suffered from unexplained hematuria. This study aims to report the clinical effect of Korean medicine on unexplained hematuria with chronic pelvic pain.Methods: The patient received Korean medicine therapies such as herbal medication, acupuncture, moxibustion, cupping therapy, and Korean medicine steam therapy (about 20 days).Results: Urine occult blood and urine micro red blood cell of the patient were noticeably reduced during the treatment. The clinical symptoms about chronic pelvic pain were also improved.Conclusions: This case shows that Korean medicine is effective on unexplained hematuria with chronic pelvic pain.

버거씨병으로 인한 레이노이드 현상 환자 치험 1례 (Raynaud Phenomenon due to Buerger’s Disease: A Case Report)

  • 이현중;이보윤;이영은;양승보;조승연;박정미;고창남;박성욱
    • 대한한방내과학회지
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    • 제36권3호
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    • pp.427-435
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    • 2015
  • Here we report a case of a patient with Raynaud phenomenon due to Buerger’s disease to present the curative effects of herbal medicine in Buerger’s disease. The patient presented with pain, redness, and cyanosis of hands and feet. We used Korean medicine treatment modalities including acupuncture, moxibustion, and herbal medicines. We observed changes in symptoms through digital infrared thermographic imaging, taking photos of both hands and feet. After treatment, the symptoms of pain, redness, and cyanosis of both hands and feet were decreased and digital infrared thermographic imaging proved a rise in temperature of fingers and toes.