• 제목/요약/키워드: complementary and alternative treatment

검색결과 168건 처리시간 0.04초

향기침요법(Acupuncture with Aromatherapy)의 임상적인 부작용에 대한 연구 (Clinical Assessment on the Safety of Acupuncture with Aromatherapy)

  • 홍진우;김창현;민인규;정세연;황재웅;김석민;선종주;정재한;최창민;정우상;문상관;조기호;김영석
    • 대한한의학회지
    • /
    • 제27권2호
    • /
    • pp.96-102
    • /
    • 2006
  • Background & Purpose : Acupuncture with aromatherapy (AA) is a branch of complementary or alternative therapy recently growing in use. As the use of aromatherapy itself has grown so rapidly in recent years, studies about its safety have been accumulating. However, safety of AA has not been studied clinically and the treatment method which has the needles inserted after spreading essential oils exposes the human body more directly to components than aromatherapy. Therefore, we examined the safety of AA on patients treated thereby and physicians practising it. Methods : We observed all inpatients treated with AA from November 21, 2005 to March 31, 2006, in Kyung Hee Oriental Medical Center. During treatment, we monitored all of the newly developed signs from the patients to assess the adverse effects of AA. The patients' and physicians' general characteristics (gender, age, present illness, and treatment days) were obtained from medical records and analyzed to assess the clinical safety of AA in detail. Results : There were 440 patients treated with AA; clinical adverse effects appeared in 3 of them, which can be assessed as 0.7%. The major symptom was chest discomfort and choking originated from smell aversion condition (2 patients), and the other adverse effect was sensation of itching and reddening. However, none of them seemed to have direct relation with AA. A total of eight physicians applied AA and there were no symptoms related to it among them. Conclusions : We suggest that our results will contribute to confirming the safety of AA by offering clinical evidence.

  • PDF

Suppression of Cocaine Intake by Acupuncture at HT7

  • Lee, Bong-Hyo;Kim, Sung-Hwan;Lim, Sung-Chul;Kim, Jae-Su;Lee, Yun-Kyu;Lee, Ji-Hye;Jung, Tae-Young;Yang, Chae-Ha;Yoon, Seong-Shoon;Han, Chang-Hyun;Lee, Kyung-Min
    • 대한한의학회지
    • /
    • 제31권3호
    • /
    • pp.17-27
    • /
    • 2010
  • Objectives: Cocaine has been well known as a representative drug of abuse for its strong reinforcing effect linked to the mesolimbic reward system including dopamine, and such reinforcement leads to the addiction. Acupuncture has been used widely in eastern Asia for the treatment of various diseases including mental disorders and psychiatric problems, and is gathering more interest as one of the complementary and alternative medicines in western countries. In a previous study, we demonstrated that acupuncture at HT7 could affect dopamine release in the mesolimbic system of rats sensitized to alcohol and morphine. This study was designed to investigate whether acupuncture at HT7 could attenuate cocaine intake or not. Material & Methods: Male Sprague-Dawley rats weighing 270-300 g at the start of experiment were trained to self-administer food pellets under a fixed ratio 1 schedule. After the success of acquisition of 100 pellets within 3 h for 3 consecutive days, animals were subjected to surgery whereby Silastic tubing was implanted into right jugular vein and secured with mesh under the anesthetization using pentobarbital injection (50 mg/kg, i.p.). Following recovery, rats were trained to self-administer cocaine (0.25 mg/kg) in daily 2 h sessions under fixed ratio 1 schedule over 10 days. Each treatment was performed on the next day of each establishment of baseline. Results: Results show that acupuncture at HT7, but not at control points, reduced cocaine intake significantly. Acupuncture at HT7 decreased selectively active lever response from $63.15{\pm}3.35$ to $51.46{\pm}3.99$ corresponding $82.12{\pm}5.31%$ compared to basal level. Also, it was demonstrated that the effect of acupuncture was mainly occurred at the half period. Nevertheless, acupuncture at HT7 did not influence the food taking behavior. Conclusions: From the results of this study, it may be suggested that acupuncture at HT7, at least in part, could contribute to the treatment of cocaine abuse.

통합의료서비스 모델 개발 및 임상 현장 적용을 위한 인식조사 - 의사직 대상 설문 - (A Survey Study on the Perception for Development of Integrated Medical Service Model and Its Application in Clinical Field - A Survey study with Doctors and Korean Medicine Doctors -)

  • 서상우;김형석;이승현;공문규;이범준;허성혁;권승원;박봉진;윤동환;이의주;오현주;김승범;최혜숙;김관일;정원석
    • 대한한의학회지
    • /
    • 제44권1호
    • /
    • pp.65-75
    • /
    • 2023
  • Objectives: Objectives: In this study, we define a medical service type that combines Western medicine, Korean medicine, and complementary and alternative medicine (CAM) as an integrated medical service. This study, as part of tertiary hospital-based integrated medical service model and clinical field application, aims to collect status and opinions on integrated medical service for medical staff in the field. Methods: This is a survey study, and was conducted on doctors from Kyung Hee University Hospital and Korean medicine doctors from Kyung Hee University Korean Medicine Hospital. Respondents were recruited on a first-come, first-served basis until the number of respondents reached 120. The investigation was conducted for a total of 16 days from October 4, 2021 to October 19, 2021 by e-mail. Results: Recognition of integrated medical services was confirmed to be 45.8%, and 49.2% responded positively to the necessity of it. As a group of diseases that require the establishment of integrated medical services in the future, 'disorders of musculoskeletal systems and connective tissues' was the highest. The most expected advantages of providing integrated medical services were 'increased satisfaction of patients and guardians' and 'increased treatment effects.' Conclusions: In this study, we investigated the perception of doctors and Korean medicine doctors on integrated medical services that combine Western medicine, Korean medicine, and CAM. It has been confirmed that medical staff generally have a positive perception of integrated medical services, and if the scientific basis for the effect of integrated medical services is supported, the rate of positive perception is expected to increase.

위암세포 사멸에 미치는 겨우살이 추출물과 항암제의 효과 (The Effects of Mistletoe Extract and Anti-cancer Drugs on the Apoptosis of Gastric Cancer Cells)

  • 이용직;허수학;신동규;강성구;김일명;김태희
    • Journal of Gastric Cancer
    • /
    • 제8권3호
    • /
    • pp.120-128
    • /
    • 2008
  • 목적: 여러 암 치료의 보조 및 대체요법으로서 겨우살이 추출물은 주로 유럽지역에서 이십세기 초부터 널리 사용되었고 현재 국내에서도 항암 대체 치료제로 점차 사용하는 추세이나 그 항암 기전은 아직 명확하게 밝혀져 있지 않다. 본 연구는 겨우살이 추출물이 위암에 미치는 영향을 세포주 실험을 통해 규명하였다. 대상 및 방법: 위암 세포주는 SNU-719 세포주를 사용하였고 처리한 겨우살이 추출물은 (주)한국 아브노바사로부터 제공받은 ABNOBAviscum-Q와 ABNOBAviscum-F 두 가지를 사용하였다. 겨우살이 추출물과 함께 처리한 항암제는 5-FU와 Cisplatin을 사용하였다. CCK-8 assay kit를 사용하여 세포 생존율을 측정하였고 젖산탈수소효소(LDH) assay kit로써 세포 사멸률을 측정하였다. Caspase 3 assay kit를 이용하여 세포자멸사에 관여하는 caspase 3의 활성 변화를 알아보았고 Western blot analysis를 통해 세포자멸사에 관여하는 Bcl2와 p53, 그리고 항암 작용을 하는 PTEN의 단백질 발현량을 측정하였다. 결과: 겨우살이 추출물 Q와 F를 각각 단독 처리한 실험군 보다 항암제인 5-FU와 cisplatin을 병합처리 하였을 때 세포생존율은 더 낮아졌다. Caspase 3의 활성은 겨우살이 추출물 및 항암제 5-FU 처리를 함으로써 대조군에 비해 4~6배 까지 증가하였다. Bcl2의 단백질 발현량은 대조군보다 겨우살이 추출물과 항암제 처리를 통해 감소하였고 두 약물을 함께 처리하였을 경우 더 낮아졌다. p53의 발현은 겨우살이 추출물 처리에는 영향을 받지 않았고 항암제 처리를 통해서만 증가되었다. 또한 항암 작용을 하는 PTEN의 단백질 발현 정도는 겨우살이 추출물 처리를 통해서 의미 있는 변화가 없었다. 결론: 겨우살이 추출물과 항암제인 5-FU 및 cisplatin 등을 병합 처리 할 경우 위암 세포 사멸에 있어 상승효과를 보였다. 본 연구결과에서 겨우살이 추출물의 항암효과는 caspase 3의 활성화와 Bcl2 발현의 감소를 통해 세포자멸사를 유발하며 이 세포자멸사 유도 기전은 p53과는 상관없음(p53-independent)을 알 수 있었다.

  • PDF

감잎에서 분리한 다당의 면역자극 활성 (Immuno-stimulating Activities of Polysaccharide Fractions Isolated from Persimmon Leaves)

  • 신영아;박혜령;홍희도;신광순
    • 한국식품영양학회지
    • /
    • 제25권4호
    • /
    • pp.941-950
    • /
    • 2012
  • In order to develop new physiologically active polysaccharides from persimmon leaves, two different crude polysaccharides were prepared using hot water (PLW-0) and pectinase digestion (PLE-0) and their immuno-stimulating activities were estimated. PLW-0 and PLE-0 showed similar sugar compositions with 15 different sugars, including rarely observed sugars in general polysaccharides such as 2-O-methyl-fucose, 2-O-methyl-xylose, apiose, aceric acid, 3-deoxy-D-manno-2-octulosonic acid, and 3-deoxy-D-lyxo-2-heptulosaric acid, but the uronic acid content of PLE-0 was lower than that of PLW-0 caused by pectinase treatment. Both PLW-0 and PLE-0 showed potent anti-complementary activity in a dose-dependent manner which was similar to a known immuno-stimulating polysaccharide, PSK, from Coriolus versicolor. The activity of PLE-0 at a low concentration ($100{\mu}g/m{\ell}$) was higher than that of PLW-0. In an in vitro cytotoxicity analysis, PLW-0 and PLE-0 (up to $1,000{\mu}g/m{\ell}$) did not affect the growth of peritoneal macrophages and Colon 26-M3.1 carcinoma cells. In contrast, they enhanced lymphocyte proliferation activity. Peritoneal macrophages stimulated with PLW-0 and PLE-0 produced various cytokines, such as IL-6 and IL-12. However, PLE-0 was more effective on the cytokine production. Intravenous administration of PLW-0 and PLE-0 significantly augmented natural killer (NK) cell cytotoxicity against Yac-1 tumor cells 3 days after the treatment of polysaccharide fractions. But NK cells obtained from the PLE-treated group showed higher tumoricidal activity even at a low dose of $40{\mu}g$/mouse. In experimental lung metastasis of Colon 26-M3.1 carcinoma cells, prophylactic administration of PLW-0 and PLE-0 significantly inhibited lung metastasis in a dose-dependent manner and PLE-0 was more effective on the inhibition of cancer metasasis. The results lead us to conclude that the pectinase-treated process is indispensable to preparing polysaccharides with higher immune-stimulating activity from persimmon leaves.

올리브 잎의 적정 추출조건 및 추출물의 안정성 조사 (Optimization of Extraction Condition and Stability of Olive Leaf Extract)

  • 이옥환;이희봉;이준수;이부용
    • 한국식품과학회지
    • /
    • 제37권2호
    • /
    • pp.178-182
    • /
    • 2005
  • 본 연구에서는 올리브 잎의 적정 추출조건을 모색하고자 추출온도, 추출용매, 추출시간 등을 달리하여 올리브 잎 추출물들을 제조하였고 이들 추출물의 추출수율, 총 페놀 함량, 전자공여능 등을 비교, 분석하며 올리브 잎의 적정 추출조건을 조사하였다. 또한, 올리브 잎 추출물의 저장 안정성을 온도 및 pH 조건에서 검토하여 올리브 잎의 식품소재화를 위한 기초자료를 제공하고자 하였다. 추출조건에 따른 올리브 잎 추출물의 고형분 함량은 추출온도가 높아질수록, 추출하는 에탄올의 농도가 높을수록 올리브 잎 추출물들의 고형분 함량은 증가하는 경향을 보였다. 그러나 추출시간의 경우, 고형분 함량과 추출 시간과의 관계는 일정한 경향을 보이지 않았다. 고형분 함량이 가장 높게 나타난 조건은 $85^{\circ}C$, 80% 에탄올, 5시간 추출한 처리구(30%)이었다. 총 페놀 함량과 전자공여능은 추출용매의 에탄올 농도가 높아질수록 증가하는 경향을 보여 가장 많은 총 페놀 함량과 전자공여능을 나타낸 추출조건은 $25^{\circ}C$에서 80% 에탄올로 1시간 추출한 추출물이었으며 이때의 총 페놀 함량은 22.1%, 전자공여능은 70.5%이었다. $25,\;55,\;85^{\circ}C$에서 저장한 올리브 잎 추출물들은 저장기간이 길어짐에 따라 총 페놀 함량과 전자공여능 모두 소량의 감소치를 나타냈지만 올리브 잎 추출물에 함유된 페놀성 화합물들은 비교적 열에 안정하였다. 반면, pH의 경우, 산성과 중성 조건에서는 총 페놀 함량과 전자공여능 모두 증가하는 경향을 보였으나 약알칼리(pH 10) 조건에서는 약간의 감소치를, 강알칼리(pH 14) 조건에서는 급격한 감소치를 보였다. 결론적으로 기능성 식품소재로 올리브 잎 추출물을 제조시 추출용매로는 80% 에탄올을, 추출시간은 1시간 내외로 저온에서 추출하는 것이 바람직하며 올리브 잎 추출물을 저장시 산성 또는 중성 조건에서 저장하는 것이 적절한 것으로 나타났다.

불면증에 대한 동서의학의 약물치료 비교 분석 (A Comparison Research of Eastern and Western Medication on the Insomnia)

  • 정송화;김지훤;이효경;장현호;김태헌;류영수;강형원
    • 동의신경정신과학회지
    • /
    • 제20권3호
    • /
    • pp.65-88
    • /
    • 2009
  • Objectives : There has not been the comparison research of medication on the Insomnia as the complementary significance of the Oriental-Western Cooperative Therapeutic Viewpoint so far. The aim of this preliminary research is to study Eastern and Western Medication Model for the Insomnia through the comparison of Oriental Medication based on "Sang Han Lon" and "Dong yui bo gam". Methods : The author researched oriental-western viewpoints and the present treatment condition of Sleep and Sleeping Pills with reference to Korean articles issued since 1975, dissertations, journals registered or candidated on KCI, alternative medicine journals on Pubmed, and books concerning Neuropsychiatry. In the field of Oriental medical study, this study was demonstrated on "The Oriental Medical textbook of neuropsychiatry", "Sang han lon", "Dong yui bo gam" and the present research trend. Results : In Oriental Medicine, Insomnia is treated according to si-jie-bu-shui-zung (思結不睡證) type, rong-xie-bu-zu-zung (榮血不足證) type, yin-her-nae-re-zung (陰虛內熱證) type, xin-dan-her-qie-zung (心膽虛怯證) type, dam-xian-yu-jie-zung (痰涎鬱結證) type, and wei-zhong-bu-he-zung (胃中不和證) type etc. In Western Medicine, Insomnia has been treated by Barbiturate over 60's and BZ over 70's. According to recent treatment on Insomnia, Zolpidem or Zaleplon, which is short-lived and has less side effects, is used much, and tri-cyclic antidepressants are prescribed on a chronic psycho-physiological insomnia. Conclusions : Generally, Insomnia is being treated by controlling whole ways. The oriental medication is less effective for sleep induction. On the contrary, that of western medication is very effective for sleep induction, but there are many possibilities of side effects. If this two mutual therapy is conducted cooperatively, more effective medical care might be expected. Therefore, it is considered that not only the oriental medical study for sleep induction, but the study of Oriental-Western Cooperative Therapy should be preceded to treat Insomnia from now on.

  • PDF

항암제 유발 신경독성을 관리하는 한의학 및 보완대체요법들과 임상시험 현황 (The Present Clinical Studies of Oriental Medicine and CAM Therapies in Chemotherapy-induced Peripheral Neurotoxicity)

  • 박선주;고호연;한유진;고성규;김성훈
    • 대한본초학회지
    • /
    • 제24권4호
    • /
    • pp.205-213
    • /
    • 2009
  • Objectives : Cancer incidence is increasing in all countries and chemotherapy-induced peripheral neuropathy (CIPN) in patients undergoing chemotherapeutic agents have been a clinically serious problems. So far therapeutic options for CIPN patients are limited and no confirmed methods have yet been established for dealing with peripheral neuropathy. Therefore this review is to provide an evidence-based summary of oriental medicine and CAM (complementary and alternative medicine) neuroprotective and treatment therapies which have gone through clinical trials. Methods : An overview of the domestic and international papers of adult clinical trials relating management of only CIPN symptoms through 1990 to present were searched by electronic databases. Search key words were chemotherapy-induced neurotoxicity, chemotherapy-induced peripheral neuropathy, chemotherapy toxicity & herb, chemotherapy toxicity & acupuncture, chemotherapy toxicity & CAM. Only English and Korean written papers were reviewed. Total 25 papers were reviewed in this study, 18 papers were retrieved by electronic search. Results : Clinical studies of managing CIPN were rare, two acupuncture clinical studies and four herb medicinal studies were found. Rest of 19 papers were about other CAM clinical studies. Total 25 papers were analyzed, and all interventions were focused on their pain control efficacy. Other 24 trials of potential therapies except one proved to be effective for CIPN, however some described to be inadequate positive or sufficient negative. Conclusions : As most of the studies were pilot studies, interventions for the prevention and treatment of CIPN have to go through prospective confirmatory studies, such as larger scale randomized, double-blinded, placebo controlled clinical trials must be done for the safe and effective use of proposed therapies. Also standard measurement scales have to be developed for the better clinical study of CIPN.

침지조작에 의한 레스베라트롤 증가조건의 최적화 (Optimization for the Post-Harvest Induction of trans-Resveratrol by Soaking Treatment in Raw Peanuts)

  • 이선숙;서선정;이부용;이희봉;이준수
    • 한국식품영양과학회지
    • /
    • 제34권4호
    • /
    • pp.567-571
    • /
    • 2005
  • 레스베라트롤은 항암작용, 항혈전작용, 항산화작용 및 심혈관계질환의 발병을 낮추는작용이 있다고 보고되어 있다. 본 실험에서는 땅콩에 함유되어 있는 레스베라트롤의 함량을 증가시키기 위한 침지조건을 반응표면분석법을 이용하여 최적화하였다. 레스베라트롤의 함량에 영향을 미치는 요인으로는 침지 시 물의 양(농도), 침지시간 그리고 침지 후 건조시간을 검토하였으며, 실험결과 침지 시 물의 양(농도)은 $67.15\%$, 침지시간은 19.57 hr, 침지 후 건조시간은 65.56 hr으로 나타났다. 이 조건하에서 레스베라트롤은 $0.1\;{\mu}g/g$에서 $4.55\;{\mu}g/g$으로 약 45배 정도 증가함을 확인할 수 있었다. 레스베라트롤의 증가에 가장 큰 영향을 주는 요인으로는 침지시간이었으며 그 다음으로 침지 시 물의 양(농도)이 영향을 주었으며, 침지 후 건조시간은 별 영향을 주지 않았다. 본 실험의 이차 다항 회귀 곡선식에 대한 적합도를 결정 계수로 조사한 결과 높은 적합도를 나타내었으며, 분석 방법에 대한 검증에서도 그 결과가 우수하였다.

Association of Knowledge and Cultural Perceptions of Malaysian Women with Delay in Diagnosis and Treatment of Breast Cancer: a Systematic Review

  • Khan, Tahir Mehmood;Leong, Jamie Pik Yan;Ming, Long Chiau;Khan, Amer Hayat
    • Asian Pacific Journal of Cancer Prevention
    • /
    • 제16권13호
    • /
    • pp.5349-5357
    • /
    • 2015
  • Background: Breast cancer is the most common cancer and the leading cause of cancer mortality among women of all ethnic and age groups in Malaysia. Delay in seeking help for breast cancer symptoms is preventable and by identifying possible factors for delayed diagnosis, patient prognosis and survival rates could be improved. Objectives: This narrative review aimed to understand and evaluate the level of in-depth breast cancer knowledge in terms of clinical breast examination and breast self-examination, and other important aspects such as side-effects and risk factors in Malaysian females. Since Malaysia is multicultural, this review assessed social perceptions, cultural beliefs and help-seeking behaviour in respect to breast cancer among different ethnic groups, since these may impinge on efforts to 'avoid' the disease. Materials and Methods: A comprehensive literature search of seven databases was performed from December 2015 to January 2015. Screening of relevant published journals was also undertaken to identify available information related to the knowledge, perception and help-seeking behaviour of Malaysian women in relation to breast cancer. Results: A total of 42 articles were appraised and included in this review. Generally, women in Malaysia had good awareness of breast cancer and its screening tools, particularly breast self-examination, but only superficial in-depth knowledge about the disease. Women in rural areas had lower levels of knowledge than those in urban areas. It was also shown that books, magazines, brochures and television were among the most common sources of breast cancer information. Delay in presentation was attributed mainly to a negative social perception of the disease, poverty, cultural and religion practices, and a strong influence of complementary and alternative medicine, rather than a lack of knowledge. Conclusions: This review highlighted the need for an intensive and in-depth breast cancer education campaigns using media and community health programmes, even with the existing good awareness of breast cancer. This is essential in order to avoid misconceptions and to frame the correct mind-set about breast cancer among women in Malaysia. Socio-cultural differences and religious practices should be taken into account by health care professionals when advising on breast cancer. Women need to be aware of the risk factors and symptoms of breast cancer so that early diagnosis can take place and the chances of survival improved.