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Development of an Integrated Education Model for Acupuncture and Physiology in Traditional Korean Medicine with Needling Practice and Pain Sensitivity

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(1)

서 론

(Integrated curriculum)

,

1)

.

,

2)

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2007 8 14 2007 8 17

2007 9 1

: , 165,

(Tel : 053-770-2242, Fax : 053-766-2671, E-mail : [email protected])

이봉효

1

, 채한

2

, 권영규

3

원 저

Development of an Integrated Education Model for Acupuncture and Physiology in Traditional Korean Medicine with Needling Practice and Pain Sensitivity

Bong-hyo Lee 1 , Han Chae 2 , Young-kyu Kwon 3

1

Dept. of Acupuncture & Moxibustion, College of Oriental Medicine, Daegu Haany University

2

School of Oriental Medicine, Pusan National University

3

Department of Physiology, College of Oriental Medicine, Daegu Haany University

Objective : To develop an integrated curriculum for acupuncture treatment and pain sensitivity practice, and discuss its usefulness.

Method : We established an integrated practice program incorporating acupuncture and pain on physiology perspectives, and measured pain sensitivity at Yin (PC6~PC4) and Yang (TE5~TE9) meridians before and after the acupuncture treatment.

Results : The Yang (39.4±23.5) and Yin (46.0±25.5) meridians have significantly different degrees of pain sensitivity (n=118, p=0.018). Pain sensitivity was significantly decreased after acupuncture treatment at Yang (54.63±28.02/ 40.81±29.39) and Yin (56.13±27.88/ 38.72±25.17) meridians (n=16, p<0.001).

Discussion and Conclusion : The difference between the Yin and Yang meridians can be materialized in this integrated practice curriculum model. The effectiveness of this integrated class and suggestions for improvement of integrated curricula were discussed.

Key Words : Integrated curriculum, acupuncture treatment, pain sensitivity, Yin-Yang, meridian

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결 과

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음경

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양경에서의 통각 비교

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independent T-test

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침 자극 전후의 통각 차이

(n=16)

paired T-test .

56.13±27.88 38.72±25.17

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54.63±28.02 40.81±29.39

(p<0.001) (Figure 3).

고찰 및 결론

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참고문헌

1. , .

, . 2000. 12(2) 271-287

2. , , , .

. . 2007;28(1);94-104

3. . : 4+4 : .

.

. . 2004;16(2);

109-117

5. Lee H, Ernst E. Acupuncture analgesia during surgery: a systematic review. Pain. 2005;

114(3)511-517.

6. . ( ).

: . 1993;1370-1371, 1077-1079, 1091-1092.

7. . ( ).

: . 1993;31-32, 200, 571, 574, 579, 588, 592, 682-683.

8. . .

: . 2000;208, 222, 223.

9. . ,

8(1), 72-80, 1996.

10. . ,

8(1), 121-129. 1996.

11. , , .

, , 3, 36-51. 1991.

12. , , .

, , 2(1), 43-48, 1990.

13. . -

, , 5-15. 1987.

14. . .

. . 2007.

15. , , .

. . 1998;13

(1):17-30.

16. , , .

. . 2001;15(2):277-285.

17. , , , , ,

.

.

(9)

18. Dong JC, Li J, Zuo CT. Influence of needling at yin-yang meridian points on cerebral glucose metabolism. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2002;22(2):107-109.

19. Mayer DJ, Price DD, Raffii A. Antagonism of acupuncture analgesia in man by the narcotic antagonist naloxone. Brain Research. 1977;

121:368-372.

20. Chen S, Ma SX, Effects of L-arginine-derived nitric oxide synthesis on cardiovascular respo- nses to stimulus-evoked somatosym- pathetic reflexes in the gracile nucleus. Brain Research.

2002;958:330-337.

21. Guo HF, Tian J, Wang X, Fang Y, Hou Y,

Han J. Brain substrates activated by electr- oacupuncture (EA) of different frequ- encies ( ) : Role of Fos/Jun proteins in EA-induced transcription of preproenkephalin and preprod- ynorphin genes. Brain Research. Molecular Brain Research. 1996;43:167-173.

22. Wu MT, Sheen JM, Chuang KH, Yang P, Chin SL, Tsai CY, et al. Neuronal specificity of acupuncture response a fMRI study with electroacupuncture. Neuroimage. 2002;16:1028- 1037.

23. , , , .

. . 2001;18(5):1-10.

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〈첨 부〉

결 과 기 록 지

실습일자 월 / 일 학번/조: 이름: 성별:(남 / 여)

1. 통각검사 결과

내관 외관

극문 사독

(음경) (양경) ( /100) ( /100)

2. 침자극 전후 통각 검사 결과

시술자 이름 침시술경험유무 (유/무) 침피시술경험유무 (유/무) 피험자 이름 침시술경험유무 (유/무) 침피시술경험유무 (유/무) 자극조건 분 시술자의 득기감 (무/유: /脹/重/麻 기타 ) 내관/외관 ↑/↓ 내관/외관 ↑/↓

3. 문제 및 토론

1) 음경과 양경 순행부위의 통각분포를 비교하여 본다. (음:양 = : ) 자신이 속한 조의 통각분포 평균값과 자신의 값을 비교하여 본다.

음경 (자신:전체 = : ) 양경 (자신:전체 = : ) 2) 자신이 속한 조의 침자극 전후의 통각 분포변화를 비교해 본다.

음경: (전:후 = : ) 양경: (전:후 = : )

3) 침자극과 통각의 관계에 대하여 해부생리학적인 근거를 찾아 리포트로 제출한다.

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