Dose dependent effects of Jungsongouhyul Pharmacopuncture on Low Back Pain

요통환자에서 중성어혈 약침 사용 용량에 따른 효과

Dose dependent effects of Jungsongouhyul Pharmacopuncture on Low Back Pain

Original Article

Man-Jin Jeong, O-Gon Kwon, Chang-Hoon Woo, Hee-Duk An

Dept. of Oriental Rehabilitation Medicine, Oriental Medical College, Daegu Haany University

Corresponding author : Hee-Duk An. Dept. of Oriental Rehabilitation Medicine, Oriental Medical College, Daegu Haany University 907-8, Daejam-dong, Nam-gu, Pohang-si, Gyeongbuk, Korea.

TEL:(054)281-7901 FAX:(054)281-7463 E-mail:[email protected] Key Words:

Low Back Pain, Jungsongouhyul Pharmacopuncture, Pain Threshold, Pressure Algometer, VAS

Received : 11. 02. 22 Revised : 11. 04. 03 Accepted : 11. 04. 25

I

6 40

84

10 80 90

25

ABSTRACT

Objectives :The object of this study is to analyse about Low Back Pain's intensity according to dosage of Jungsongouhyul pharmacopuncture.

Method :Three groups were made with 15 patients in Po-Hang Oriental Hospital, which is affiliates to Daegu Haany University. They were observed August 1st, 2010 to September 30th. 2010. Each group was treated by based on acupuncture, herb and other therapy and differential dosage of Jungso- ngouhyul pharmacopuncture 0,4, 0.8, and 1.2cc. We had measured pain threshold and Visual Analog Scale during first week of their admission. The statistical analysis was performed by using the one- way ANOVA and Tukey s test.

Result :Change of VAS was not statistically significant. Change of pain threshold was statistically significant. Multiple comparisons of pain threshold between the group1,2 was not statistically signifi- cant. Multiple comparisons of pain threshold between the group1,3 and group2,3 was statistically sig- nificant.

Conclusions : JungsongouhyulPharmacopuncture 1.2cc was more effective than 0.4 and 0.8cc.

2010 8 1 2010 9 30

15

0.4 cc 0.8 cc 1.2 cc

II

1

2010 8 1 2010 9 30

CT, MRI

HIVD, Spinal stenosis, Spondylosis Spondylolysis, Comp- ression fracture

15

0.4 cc Group1 0.8

cc Group2 1.2 cc Group3

2

1

Table 1 1.0cc 1 29gauge.

0.1 cc, 0.2 cc, 0.3 cc 0.4 cc,

0.8 cc, 1.2 cc 3

2

0.20 30mm 1 stainless steel

1 20

3

3

4

Interferential Current Therapy

:I.C.T Microwave 10 1

5

2

6

5 1

3

1 Visual Analogue Scale, VAS

VAS

0, 10

10 0

3

2 pain threshold

pain threshold pres-

sure algometer Algometer : Force Dial FDK 20Se- ries, Wagner Instruments, USA

1kg/sec

kg/cm

3

3

4

SPSS 12.0 for windows

one-way ANOVA Kruskal-Wallis test

Tukey s test P-value 0.05

III

1.

15 5 10

41.47 10.95 Group1

0.1 cc 0.4 cc 5 2

3 Group2 0.2 cc 0.8 cc

5 1 4 Group3

0.3 cc 1.2 cc 5 2

3 1 1

1 1-6 6

2

1 VAS

VAS Group1 1.40 0.55, Group2 3.20 1.30 Group3 4.20 2.59

VAS P-value 0.05

Table 2, Fig. 1

2 pain threshold

pain threshold Group1 0.27 0.04 Group2 0.34 0.10 Group3 0.71 0.13

P-value 0.05

Table 3, Fig. 2 Group1, Group2 P-value

0.05 Group3 Group1, Group2

P-value 0.05 Group3 Table 3

IV

2

3 70 3

5-7

1986 International As-

sociation for the study of Pain

1911 Maloney Kennedy Keele, Fischer

Fischer 2kg 3kg

pain threshold VAS

Fischer

1 0.2~5.0cc

0.01~0.1 cc 0.02~0.2 cc 0.01~0.05 cc

0.05~1.0 cc 0.1~0.2 cc 0.05~0.1 cc

0.1 cc 0.3 cc

0.03~0.1 cc 0.5~1.0 cc

0.1~0.3cc 0.5~0.7cc

0.1~0.3 cc

1~2 cc

0.1~0.3 cc 0.4~1.2 cc

3

VAS Group1 1.40

0.55, Group2 3.20 1.30 Group3 4.20 2.59

VAS P-value 0.05

3

Group1 0.27 0.04, Group2 0.34 0.10, Group3

0.71 0.13 Group1 Group2

Group1, Group2 Group3

Group3 Group1, Group2 P-value 0.05 Group3

0.4 cc, 0.8 cc 1.2 cc

V

2010 8 1 2010 9 30

15

kg VAS

1. Group1, 2, 3 VAS

2. Group1, 2, 3 Group1, 2

Group1, 2 Group3 group3

1.2 cc 0.4

cc, 0.8 cc

VI

1. 3

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2. 2

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Fig 1. The changes of VAS Fig 2. The changes of pain threshold

Herbal Medicine

( ) Fruit of Gardenia jasminoides Ellis

( ) Root of Corydalis turtschaninovii Besser

( ) Dakura of Boswellia carterii Birdwood

( ) Dakura of Commiphora molmol Engler

( ) Seed of Prunus persica (Linne) Batsch

( ) Root of Paeonia obovata Maxim.

( ) Root of Salvia miltiorrhiza Bunge

( ) Heartwood of Caesalpinia sappan L

Table 1. Prescription of Jungsongouhyul Pharmacopuncture

Group Mean S.D

1 1.40 0.55

2 3.20 1.30

3 4.20 2.59

Between Groups P-value 0.690

Table 2. The Changes of VAS

Group Mean S.D Between Groups P-value(Tukey HSD*)

1 0.27 0.04 1-2 0.460

2 0.34 0.10 2-3 0.000

3 0.71 0.13 1-3 0.000

Between Groups P-value 0.000

Table 3. The Changes of Pain Threshold, Multiple Comparisons of Pain Threshold

*Tukey s Honestly Significant Difference