• Title/Summary/Keyword: collateral meridian

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A Research on Methods of Acupuncture Therapies(鍼法) Based on New Classification Models : Focused on Currently Practiced Methods of Acupuncture Therapies(鍼法) in Korean Medicine(韓醫學) (새로운 분류 모델에 기초한 침법(鍼法) 고찰 : 한의학(韓醫學)에서 사용되고 있는 침법(鍼法)을 중심으로)

  • Kye, Kangyoon;Kim, Byoungsoo
    • The Journal of Korean Medicine
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    • v.42 no.3
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    • pp.9-25
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    • 2021
  • Objectives : The purpose of this study is to analyze Methods of Acupuncture Therapies(鍼法) that are currently practiced in Korean medicine(韓醫學) and to consider the directions in further research and development. Methods : Methods of Acupuncture Therapies(鍼法) were selected based on Acupuncture Medicine textbook of College of Korean Medicine and published researches. Then, selected Methods of Acupuncture Therapies(鍼法) were categorized by characteristics. Also, the selected Methods of Acupuncture Therapies(鍼法) were comprehensively classified according to new models, Heaven-Earth-Human(天地人) model and Dimensional model. The directions of further research and development in Methods of Acupuncture Therapies(鍼法) were considered based on this. Results & Conclusions : In the categorization by characteristics, sufficient basic references were unavailable to consider the directions in further research and development. However, comprehensive classification using Heaven-Earth-Human(天地人) model and Dimensional model was able to be used as references for estimating the relative positions of each Method of Acupuncture Therapies(鍼法) and also, establishing the directions in further research and development. Regarding the results from comprehensive classification, the studies on Physiology of Four Seasons and Day and night(晝夜) are required. Besides, the acceptance of Western medical contents which include anatomical structures is unavoidable to achieve the development in Methods of Acupuncture Therapies(鍼法). In addition, it is necessary to propose researches founded on an integrated theory of Viscera and Bowels(藏府) and Meridian and Collateral(經絡) which enables to embrace the physiological function of human body. Upon this, the creation of a Four-dimensional Methods of Acupuncture Therapy(鍼法) is also required.

Clinical Usefulness of M-test on Patients with Chronic Neck Pain: A Single Arm Pre-post Comparison Study (M-test에 근거한 만성 경항통 환자의 진단 및 치료: 전후비교 임상연구)

  • Cho, Woo-Young;Chung, Seok-Hee
    • Journal of Korean Medicine Rehabilitation
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    • v.26 no.4
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    • pp.67-75
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    • 2016
  • Objectives The purpose of this study was to investigate the clinical usefulness of M-test (Meridian test) as an adjunctive evaluation and treatment in patients with chronic neck pain. Methods This study was a single arm pre-post comparison study. Thirty-six eligible subjects with chronic neck pain were recruited from August to September, 2015. M-test was used for evaluating the condition of meridian, which can induce the limitation of ROM and body discomfort. Subjects were offered intradermal acupuncture treatment on one-acupoint for 48 hours. Cervical numeric rating scale (NRS), cervical range of motion (ROM), neck disability index (NDI) and surface electromyography (SEMG) were measured before and after the treatment. Total NRS and the number of movement limitation of M-test were also measured before and after the treatment. Results Among the 36 participating subjects, 4 subjects were lost to follow-up or excluded in accordance with the criteria. Significant differences on Cervical NRS and NDI were found after the treatment (p<0.001). There was a significant difference in the range of left cervical rotation (p<0.05). Root mean square (RMS) of SEMG significantly decreased on the right sternocleidomastoid muscle (p<0.05), but significantly increased on the right trapezius muscle (p<0.05). Median frequency (MdF) of SEMG significantly increased on both sternocleidomastoid muscles. There appears to be significant differences after the treatment in total NRS and the number of movement limitation of M-test (p<0.05). Conclusions These results suggest that the evaluation and treatment of M-test based on the meridian and collateral theory were effective on cervical NRS and NDI, and also improved the movability of human body.

The Application of Ganhap(干合) Theory -Focused on Viscera and Bowels- (간합이론(干合理論)의 응용 - 장부(臟腑)를 중심으로 -)

  • Cho, Yong-Ju; Kim, Jin-Ju
    • Journal of Korean Medical classics
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    • v.23 no.2
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    • pp.15-31
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    • 2010
  • Objectives : The aim of this study was to understand application of Ganhap(干合) theory to human body. Methods : We investigated 5 important sphincters along the alimentary tract (Larynx, Pharynx, Cardia, Pyrolus, Iliocecal portion) comparing with the function of Viscera and Bowels, also with Meridian and collateral theory. Results & Conclusions : We can analyze 5 important sphincters along the alimentary tract into relationship of Ganhap. 1. Larynx are related with the combination of Byeong-Sin(丙辛合). 2. Pharynx are related with the combination of Jeong-Im(丁壬合). 3. The Cardia is related with the combination of Mu-Gyu(戊癸合). 4. The Pyrolus is related with the combination of Gap-Gi(甲己合). 5. Ileocecal portion is related with the combination of Eul-Gyeong(乙庚合).

fMRI Study on the Brain Activity Induced by Manual Acpuncture at BL62 (신맥(申脈) 혈위자극이 fMRI상 뇌활성화 변화에 미치는 영향 연구)

  • Rheu, Kyoung-Hwan;Choi, Il-Hwan;Park, Hi-Joon;Lim, Sa-Bi-Na
    • Korean Journal of Acupuncture
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    • v.23 no.2
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    • pp.89-103
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    • 2006
  • Objectives: Recently, the effect of acupuncture has been approved not only in the East but also in the West, so the interest on acupuncture was greatly improved. Especially, functional magnetic resonance imaging(fMRI) was embossed as the study tool for the mechanism of acupuncture noninvasively and many studies on the mechanism of acupuncture using fMRI were carried out. We archived the fMRI study on the brain activity induced by manual acupuncture at BL62(申脈). Methods: The study was the acupuncture at BL62(申脈) and we acquired 9 fMRI results from 6 persons$(age\;20{\sim}30,\;4\;male\;and\;2\;female)$. These studies employed The block design for mapping brain activity and acupuncture was perfomed at BL62(申脈) on the left foot. Results: The brain related motor function was cerebellum, basal ganglia and cerebral cortex and thalamus connected these elements. In the result of this study, the regions of significant activation in the cerebellum was centered on the spinocerebellum in the anterior lobe, so we presumed that this result showed the input of stimulation by the acupuncture on BL62(申脈). But basal ganglia and cerebral cortex showed the regions of significant activation in the left larger than the right and regions of the cerebral cortex was the motor and sensory cortex. Such a result explained that acupuncture at BL62(申脈) could have influence the motor function and acupuncture at left BL62(申脈) could affect the right side through the activation of the left basal ganglia and cerebral cortex. Conclusions: In the theory of crossing needling at collaterals(繆刺論), it the pathogenic factor invaded in the Yang Heel channel(陽?脈) that was one of the eight Extra meridians(奇經八脈), we recognized the disease of the collateral channel and used contralateral BL62(申脈) for treatment of the Yang Heel channel(陽?脈). Moreover the result of this study could bear the construction that acupuncture at the left BL62(申脈) treats the contralateral lesion and this construction is related to the theory of crossing needling at collaterals(繆刺論).

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Anatomy of Large Intestine Meridian Muscle in human (수양명경근(手陽明經筋)의 해부학적(解剖學的) 고찰(考察))

  • Sim Young;Park Kyoung-Sik;Lee Joon-Moo
    • Korean Journal of Acupuncture
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    • v.19 no.1
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    • pp.15-23
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    • 2002
  • This study was carried to identify the component of Large Intestine Meridian Muscle in human, dividing into outer, middle, and inner part. Brachium and antebrachium were opened widely to demonstrate muscles, nerve, blood vessels and the others, displaying the inner structure of Large Intestine Meridian Muscle. We obtained the results as follows; 1. Meridian Muscle is composed of the muscle, nerve and blood vessels. 2. In human anatomy, it is present the difference between a term of nerve or blood vessels which control the muscle of Meridian Muscle and those which pass near by Meridian Muscle. 3. The inner composition of meridian muscle in human arm is as follows. 1) Muscle; extensor digitorum tendon(LI-1), lumbrical tendon(LI-2), 1st dosal interosseous muscle(LI-3), 1st dosal interosseous muscle and adductor pollicis muscle(LI-4), extensor pollicis longus tendon and extensor pollicis brevis tendon(LI-5), adductor pollicis longus muscle and extensor carpi radialis brevis tendon(LI-6), extensor digitorum muscle and extensor carpi radialis brevis mucsle and abductor pollicis longus muscle(LI-7), extensor carpi radialis brevis muscle and pronator teres muscle(LI-8), extensor carpi radialis brevis muscle and supinator muscle(LI-9), extensor carpi radialis longus muscle and extensor carpi radialis brevis muscle and supinator muscle(LI-10), brachioradialis muscle(LI-11), triceps brachii muscle and brachioradialis muscle(LI-12), brachioradialis muscle and brachialis muscle(LI-13), deltoid muscle(LI-14, LI-15), trapezius muscle and supraspinous muscle(LI-16), platysma muscle and sternocleidomastoid muscle and scalenous muscle(LI-17, LI-18), orbicularis oris superior muscle(LI-19, LI-20) 2) Nerve; superficial branch of radial nerve and branch of median nerve(LI-1, LI-2, LI-3), superficial branch of radial nerve and branch of median nerve and branch of ulna nerve(LI-4), superficial branch of radial nerve(LI-5), branch of radial nerve(LI-6), posterior antebrachial cutaneous nerve and branch of radial nerve(LI-7), posterior antebrachial cutaneous nerve(LI-8), posterior antebrachial cutaneous nerve and radial nerve(LI-9, LI-12), lateral antebrachial cutaneous nerve and deep branch of radial nerve(LI-10), radial nerve(LI-11), lateral antebrachial cutaneous nerve and branch of radial nerve(LI-13), superior lateral cutaneous nerve and axillary nerve(LI-14), 1st thoracic nerve and suprascapular nerve and axillary nerve(LI-15), dosal rami of C4 and 1st thoracic nerve and suprascapular nerve(LI-16), transverse cervical nerve and supraclavicular nerve and phrenic nerve(LI-17), transverse cervical nerve and 2nd, 3rd cervical nerve and accessory nerve(LI-18), infraorbital nerve(LI-19), facial nerve and infraorbital nerve(LI-20). 3) Blood vessels; proper palmar digital artery(LI-1, LI-2), dorsal metacarpal artery and common palmar digital artery(LI-3), dorsal metacarpal artery and common palmar digital artery and branch of deep palmar aterial arch(LI-4), radial artery(LI-5), branch of posterior interosseous artery(LI-6, LI-7), radial recurrent artery(LI-11), cephalic vein and radial collateral artery(LI-13), cephalic vein and posterior circumflex humeral artery(LI-14), thoracoacromial artery and suprascapular artery and posterior circumflex humeral artery and anterior circumflex humeral artery(LI-15), transverse cervical artery and suprascapular artery(LI-16), transverse cervical artery(LI-17), SCM branch of external carotid artery(LI-18), facial artery(LI-19, LI-20)

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A study on the Ke-qin's recognition about Reverting yin disease pattern in Shanghanlun(傷寒論) (가금(柯琴)이 인식(認識)한 "상한론(傷寒論)" 궐음병(厥陰病)에 관한 연구(硏究))

  • Lee, Sang-Hyup
    • Journal of Korean Medical classics
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    • v.25 no.4
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    • pp.23-38
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    • 2012
  • Objective : Generally speaking Reverting yin disease pattern(厥陰病) is the last step in cold damage(傷寒). Therefore recognized Yin cold disease(陰寒病) is increasing, and resist action One Yang qi(一陽) began to creep into body. But Ke Qin(柯琴) have a different way of thinking that Reverting yin disease pattern connected with the loss of Liver's function. Liver qi depression(肝鬱) make a ministerial fire(相火), and it make a nutrient and blood insufficiency(營血不足). Method : I will try to describe the Sanghanlun's Reverting yin disease pattern through the Ke-qin's JueyinbingJie(厥陰病解), and I would like to point out that the exact meaning of Reverting yin(厥陰) is connected with Liver's ministerial fire. Result : Ke Qin's JueyinbingJie explained the Reverting yin disease pattern was connected with Liver(肝), and according to Six qi theory(六氣學說) connected with ministerial fire, and according to meridian and Collateral theory(經絡學說) connected with closing referring to inward actions(闔) among the Opening closing and pivot(關闔樞). Conclusion : Ke Qin was recognized that Reverting yin disease pattern have relevance to the loss of Liver's function. In other world, It is connect with soothe the liver and purge fire(疏肝瀉火) and nutrient and blood insufficiency(營血不足).

Investigating 'Model-Dependent Realism' from the Viewpoint of the Traditional Medical Theories Research (한의학 이론 연구의 관점에서 살펴 본 '모형 의존적 실재론')

  • Lee, Choong-Yeol
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.29 no.5
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    • pp.353-360
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    • 2015
  • In a essay that was published on 'Science' in December 2014 as a part of the supplement "The Art and Science of Traditional Medicine," the eastern and western medical theories are discussed with reference to the model-dependent realism suggested by Stephen Hawking and Leonard Mlodinow. This paper examines what the model-dependent realism is, and how it affects the future direction of researches in traditional Korean medical theories. The model-dependent realism holds a meaning in that it puts traditional medical theories in a perspective of models, and allows for application of recent studies in scientific philosophy for researches in traditional medical theories. Especially, the model studies by R. Giere et al. will help elaborate the traditional medical theories from a model perspective. From a model perspective, the 'visceral manifestation', 'meridian and collateral', 'qi-blood', 'eight principles' and 'constitution' theories of traditional medicine have the potentials to develop into valid models, and the traditional medical theory's phenomenological and holistic perspective distinguishes it from western medicine, giving it a competitive edge. In addition, the epistemological pluralism of model-dependent realism can serve as an alternative to relativism or rationalism perspective which put eastern and western medicine in opposition until now.

Investigation of Chronomedicine and Health Preserving in Huang Di Nei Jing(黄帝内经 ) (《황제내경(黄帝内经)》 유관시간이론급시간양생적고찰(有关时间理论及时间养生的考察))

  • Ju, Bao-Zhao;Kim, Hyo-Chul
    • Journal of Korean Medical classics
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    • v.28 no.2
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    • pp.61-66
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    • 2015
  • Objectives : Through the analyze of formative factor of time sense and the vital movement temporal rhythm in Huang Di Nei Jing(黃帝內經). Methods : We find out the principle and methods of Chronomedicine and Health Preserving in Huang Di Nei Jing(黃帝內經), and this finding will direct the life nurturing for later generations. We find that time sense had been established in Huang Di Nei Jing(黃帝內經), which had yin-yang and five elements characteristic. Results : There have temporal rhythm of functions of zang-fu viscera, meridian and collateral, qi and blood. Based on the theory of correspondence between human body and natural environment, established principle of health maintenance about based on yin and yang, temporal rhythm of visceral qi. Conclusions : Established health maintenance methods based on time such as adjusting-spirit according to time, regular daily life, dietary regimen according to time, needling and moxibustion according to time. These methods will guide syndrome differentiation and therapeutic method and Medication which based on suitable time.

Anatomical study on The Arm Greater Yang Small Intestine Meridian Muscle in Human (수태양소장경근(手太陽小腸經筋)의 해부학적(解剖學的) 연구(硏究))

  • Park, Kyoung-Sik
    • Journal of Pharmacopuncture
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    • v.7 no.2
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    • pp.57-64
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    • 2004
  • This study was carried to identify the component of Small Intestine Meridian Muscle in human, dividing the regional muscle group into outer, middle, and inner layer. the inner part of body surface were opened widely to demonstrate muscles, nerve, blood vessels and the others, displaying the inner structure of Small Intestine Meridian Muscle. We obtained the results as follows; 1. Small Intestine Meridian Muscle is composed of the muscle, nerve and blood vessels. 2. In human anatomy, it is present the difference between a term of nerve or blood vessels which control the muscle of Meridian Muscle and those which pass near by Meridian Muscle. 3. The inner composition of meridian muscle in human arm is as follows ; 1) Muscle ; Abd. digiti minimi muscle(SI-2, 3, 4), pisometacarpal lig.(SI-4), ext. retinaculum. ext. carpi ulnaris m. tendon.(SI-5, 6), ulnar collateral lig.(SI-5), ext. digiti minimi m. tendon(SI-6), ext. carpi ulnaris(SI-7), triceps brachii(SI-9), teres major(SI-9), deltoid(SI-10), infraspinatus(SI-10, 11), trapezius(Sl-12, 13, 14, 15), supraspinatus(SI-12, 13), lesser rhomboid(SI-14), erector spinae(SI-14, 15), levator scapular(SI-15), sternocleidomastoid(SI-16, 17), splenius capitis(SI-16), semispinalis capitis(SI-16), digasuicus(SI-17), zygomaticus major(Il-18), masseter(SI-18), auriculoris anterior(SI-19) 2) Nerve ; Dorsal branch of ulnar nerve(SI-1, 2, 3, 4, 5, 6), br. of mod. antebrachial cutaneous n.(SI-6, 7), br. of post. antebrachial cutaneous n.(SI-6,7), br. of radial n.(SI-7), ulnar n.(SI-8), br. of axillary n.(SI-9), radial n.(SI-9), subscapular n. br.(SI-9), cutaneous n. br. from C7, 8(SI-10, 14), suprascapular n.(SI-10, 11, 12, 13), intercostal n. br. from T2(SI-11), lat. supraclavicular n. br.(SI-12), intercostal n. br. from C8, T1(SI-12), accessory n. br.(SI-12, 13, 14, 15, 16, 17), intercostal n. br. from T1,2(SI-13), dorsal scapular n.(SI-14, 15), cutaneous n. br. from C6, C7(SI-15), transverse cervical n.(SI-16), lesser occipital n. & great auricular n. from cervical plexus(SI-16), cervical n. from C2,3(SI-16), fascial n. br.(SI-17), great auricular n. br.(SI-17), cervical n. br. from C2(SI-17), vagus n.(SI-17),hypoglossal n.(SI-17), glossopharyngeal n.(SI-17), sympathetic trunk(SI-17), zygomatic br. of fascial n.(SI-18), maxillary n. br.(SI-18), auriculotemporal n.(SI-19), temporal br. of fascial n.(SI-19) 3) Blood vessels ; Dorsal digital vein.(SI-1), dorsal br. of proper palmar digital artery(SI-1), br. of dorsal metacarpal a. & v.(SI-2, 3, 4), dorsal carpal br. of ulnar a.(SI-4, 5), post. interosseous a. br.(SI-6,7), post. ulnar recurrent a.(SI-8), circuirflex scapular a.(SI-9, 11) , post. circumflex humeral a. br.(SI-10), suprascapular a.(SI-10, 11, 12, 13), first intercostal a. br.(SI-12, 14), transverse cervical a. br.(SI-12,13,14,15), second intercostal a. br.(SI-13), dorsal scapular a. br.(SI-13, 14, 15), ext. jugular v.(SI-16, 17), occipital a. br.(SI-16), Ext. jugular v. br.(SI-17), post. auricular a.(SI-17), int. jugular v.(SI-17), int. carotid a.(SI-17), transverse fascial a. & v.(SI-18),maxillary a. br.(SI-18), superficial temporal a. & v.(SI-19).

A National Survey on Utilization of Pattern Identification among Korean Medicine Doctors (전국 한방의료기관 한의사 대상 한의 변증활용 현황 조사)

  • Yeo, Minkyung;Park, Kihyun;Jang, Eunsu;Lee, Youngseop
    • Journal of Society of Preventive Korean Medicine
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    • v.19 no.3
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    • pp.45-55
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    • 2015
  • Objective : The aim of this study was to survey the present utilization of pattern identification(PI) in the clinical field among Korean Medicine Doctors. Method : This survey was conducted from Oct. 1 to Oct. 31, 2014 by face-to-face interview using structured questionnaire. The subjects were 400 korean medicine doctors who worked in hospitals or clinics. The questionnaire consisted of two sections - a demographics section(i.e., sex, age, clinical experience, place of work, residence and so on) and the main research section(i.e., the PI utilization rate, the utilization of PI systems, the utilization of PI in the clinical domain and in the treatment domain, the correlation between utilization PI and so on). Results : This study revealed that subjects used the PI to 66.7% of their patients on average. The utilization rate of PI in patients was significantly higher for female physicians than for male physicians, for physicians worked in clinics than for physicians who worked in hospitals and for physicians with more than 10 years clinical experience than for physicians with less than 10 years clinical experience. In the utilization of PI systems, Visceral PI was most as 92.0%. There were significant difference on the PI utilization rate according to utilization of Meridian and Collateral PI, Triple Energizer PI, Defense, Qi, Nutrient and Blood PI, Six-Meridian PI and Six Excesses PI. As a result of analysing the PI utilization rate by clinical domain and in the treatment domain, the Treatment and the Drug Treatment showed the highest values. Among utilized PI systems, the correlation coefficients between Defense, Qi, Nutrient and Blood PI and Triple Energizer PI showed the highest value, but the correlation coefficients between Sasang Constitutional Medicine with the each PI showed substantially lower value. Conclusion : The results of this study demonstrate that usage of PI was higher than usage of U code(in KCD) usage in clinical field. we suggested that additional studies on using PI and developing more appropriate standardized tool should be conducted to widen scope of PI's utilization.