The Clinical Study of the Efficacy of the Dong-Si Acupuncture Treatment

董氏鍼을 利用한 腰脚痛 患者의 運動制限 改善에 對한 臨床的 考察;腰椎椎間板脫出症患者의 董氏鍼幷行施術群과 體鍼群으로 比較

Park Hyeun-Sun;Lee Byung-ryul
박현선;이병렬

  • Published : 19970000

Abstract

The patient suffering from low bark pain with sciatica had a diagnosis of herniated lumbar intervertebral disc by lumbar-CT were treated and observed clinically from November. 1996 to May, 1997. The patient was divided into two classes such as follows ; the "A" group was 12 cases practiced with both the Dong-Si Acupuncture Treatment and the Electronic-Acupuncture Treatment, the "B" group was 9 cases only treated by Electronic-Acupuncture Treatment used of the Twelve-Meridian. The results compared "A" with "B" group were summarized as follows ; 1. The distribution of sex in the both A and B group was male 16 cases, female 5 cases. According to the distribution of age, The order was 7 cases at their thirties the most, 6 cases at their twenties, 5 cases at their forties. 2. According to the cases of getting sick, too much lifting something to be heavy was largely the most cause, $38.1\%$ and both the case due to much labor and the case of reason unknown were the second, $22.8\%$ each one. 3. According to the distribution of occupation, the order was that office workers were $33.1\%$ the most, labor, housewife and student were. $19.1\%$ each one. 4. According to the distribution of the clinical history duration, the order was that the most acute-phase was $38.1\%$ the most, acute-phase was $33.3\%$ and subacute-phase was$14.3\%$ the next. 5. According to the number of hernatied intervertebral disc, the order was that the number of one was $57.1\%$ the most, the number of two was $28.6\%$ the next. According to the level of herniated second. 6. According to the type of low back pain with sciatica, the Urinary Bladder Channel of Foot-Tai yang was $47.6\%$ the most, the Gall Bladder Channel of Foot-Shao yang and the mixedtype combined with two type above was $19.1\%$ each one. 7. According to the distribution of the grade of the clinical symptoms, the GRADE Ⅳ was $66.7\%$ the most, the GRADE Ⅲ was $23.8\%$ the second the GRADE Ⅱ $9.5\%$ the next. 8. According to the distribution of the grade of the clinical symptoms admitted at that time, all of the patient were distinguished with low back pain, sciatic pain, flexion-extension disorder and gait disturbance was showed by 12 cases, disturbance of rotation to right or left was showed by 16 cases. 9. According to the distribution of the duration of admission treatment ; In the order "A" group, 15-20days was $23.8\%$ the most, 8-14 days was $19.1\%$ the second and 22-28 days was $14.3\%$ the next. In the order "B" group, 29-35 days, 36-42 days, 43-29 days and 50-70 days were $9.5\%$ each one the most, 15-21 days was $4.8\%$ the next. 10. According to the result of treatment due to clinical history duration ; In the case of the most acute phase the" A" group was the excellent of 4 cases the most, the good of 3 cases the next and the "B" group was the good f 2 cases the most, the excellent of 1 case the next. In the case of the acute phase the "A" group was the excellent of 1 cases, the good of 2 cases and the "B" group was the good f 3 cases, the excellent of 1 case. 11. According to the result of treatment due to the grade of clinical symptoms ; In the case of the GRADE Ⅳ, the "A" group and the "B" group were the good of 5 cases, the improvement of 1 case. In the case of the GRADE Ⅲ, the "A" group was the good of 3 cases and the "B" group was the excellent and good of 1 case each one. 12. According to the result of treatment due to clinical symptoms ; In the result of treatment on the whole. the"A" group was distinguished more excellent than the "B" group. The case of the "A" group has particularly showed remarkable effect on the disorder of gait, flexion-extension and rotation. 13. According to the result of treatment duration ; In the case of the "A" group, the 15-21 days was the excellent of 4 cases, $33.3\%$, the 8-14 days and 22-28 days were the excellent and the good of 3 cases, $25.0\%$ each one. In the case of the "B" group, the 43-49 days and 50-70 days were the good of 2 cases, $20\%$ each one. 14. According to the result of treatment due to the angle of SLR ; In the case of the "A" group the improvement above $80^{\circ}\;was\;100\%$ and in the case of the "B" group the improvement above $80^{\circ}\;as\;88.9\%$. The next. the improvement above $60^{\circ}\;-80^{\circ}\;was\;11.1\%$. A point of view an average hospital days became improvement above $80^{\circ}$, it was 17.3 days in the case of the "A" group and 41.9 days in the case of the "B" group. 15. Lumbar flexion of admission at that time showed the positive effect of 21 cases, $100\%$ ; After the treatment The $100\%$ in the case of the "A" group became improvement to the grade Ⅰ, and the $88.9\%$ in the case of the "B" group became improvement to the grade Ⅰ but the $11.1\%$ in the case of the "B" group still relieved positive. 16. According to the treatment result of measurement of Paytone sign, Lasegue test, Milgram test, Ankle Dorsi-flexion and Ankle Plantar-flexion, the "A" group proved more excellent result than the "B" group at the whole. 17. According to the total treatment result ; In the case of the "A" group the excellent result was $58.3\%$ and the good result was $41.7\%$. In the case of the "B" group the excellent result was $22.2\%$, the good result was $66.7\%$, the improvement result was $11.1\%$.

Keywords

References

  1. 대한의학협회지 v.18 no.7 외과영역에 있어서 요통 백태윤
  2. 대한정형외과학회잡지 v.11 no.1 요통환자의 요추부 X-선 소견에 의한 통계학적 고찰 안종철(외)
  3. 경희의학 v.4 no.4 침구과 영역에 있어서 요각통에 대한 임상적 관찰 김재규(외)
  4. 대한정형외과학회지 v.12 no.1 요통의 원인과 치료 박병문
  5. 黃帝內經素問 張馬合(註)
  6. 巢氏諸病原候論 v.5 巢元方
  7. 鍼灸治療集(上) 戴源長
  8. 中國醫學大辭典 謝觀
  9. 病原辭典 吳克潛
  10. 外臺秘要(上) 王壽
  11. 儒門事親 張從政
  12. 대한신경외과학회잡지 v.2 no.1 추간판탈출증 1,500수술예의 임상적 관찰 김영수
  13. 普生方 v.8 주숙
  14. 鍼灸大成 楊繼洲
  15. 實用鍼灸新醫療法大全 朱子楊;黃藝
  16. 奇效良方 方賢
  17. 臨證指南醫案 v.8 葉天士
  18. 最新鍼灸學 김현제(외)(역)
  19. 鍼醫學 이문재
  20. 鄕藥集成方 유효통(외)
  21. 성제총촉찬요(육) 程雲來
  22. N. Engl. J. Med. Ruture of the intervertebral disc with involvement of the spinal canal Mixter, W.J.;Barr, J.S.
  23. 대한침구학회지 v.12 no.1 腰椎 椎間板脫出症에 對한 臨床的 考察 李秉烈
  24. 신경국소진단학 김진수(외)
  25. 신경외과학 대한신경외과학회
  26. 요통 민경옥(외)
  27. v.5 下肢放射性腰痛에 對한 臨床的 考察 文錫哉
  28. 대한침구학회지 v.13 no.1 동씨침법을 이용한 요각통환자 20례의 임상적 고찰 이병렬(외)
  29. 董氏鍼灸奇穴과 奇方 이병국(편역)
  30. 董氏奇穴鍼灸叢揮 楊維傑
  31. 鍼灸經緯 楊維傑
  32. 경희의학 v.4 no.4 요추추간판 탈출증의 침치료 효과에 대한 임상적 관찰 김재규(외)
  33. 경희대한의대논문집 v.1 요통증의 침구치료에 관한 문헌적 고찰 최익선(외)
  34. 월간행림 v.2 요각통의 침구치료아ㅗ 치험예 이윤호
  35. 대한침구학회지 v.6 no.1 腰脊椎症으로 因한 腰痛의 電針效果에 對한 臨床的 硏究 채우석(외)
  36. 경희대학교 30주년 기념논문집 v.9 針灸科 領域에 있어서 腰痛症의 治療效果에 關한 臨床적 硏究 최용태(외)
  37. 침구학 전국한의과대학 침구.경혈학교실(편저)
  38. J. Bone and Joiny Surg. v.65 no.A Risk Facter in Low Back Pain an Epidemiologic Server Frymoyer, J.W.;Pope, M.H.;Clements, J.H.;Wilder, D.G.;Macpherson, B.;Ashikaga, T.
  39. Spine v.8 Low Back Pain in 40-to 47-year-old Men : Work History and Work Environment Factors Svensson, H.O.;Andersson, G.B.J.
  40. Spine v.5 Epidemiologic studies of low back pain Frymoyerm, J.W.;Pope, M.H.;Costanza, M.C.(et al.)
  41. Arch. Phys. Med. Rehabil. v.63 Low back pain comprehensive rehabilitation program: A follow-up study Gottlieb, H.;Koller, R.
  42. The epidemiology of low back pain;Idiopthic low back pain Valkenburg, H.A.;Haanen, H.C.M.;White, A.A.(ed.);Gorden, S.L.(ed.)
  43. 辭海(下) 臺灣中華民國編輯部
  44. 精校皇帝內徑素問 洪元植(編纂)
  45. 精校皇帝內徑靈樞 洪元植(編纂)
  46. 醫學入門 이정
  47. 東醫寶鑑 許浚
  48. 대한한의학회지 v.16 no.2 요추 추간판탈출증의 보존적 치료에 대한 연구 송봉근
  49. Spine v.19 no.16 Experimental lumbar radiculopathy Kawakami, M.;Weinstein, J.N.;Chatani, K.;Spratt, K.F.;Meller, S.T.;Gebhart, G.F.
  50. Acta. orthop. Scand. v.20 Histologic Changes in Spinal Nerve Root of Opereted Cases of Sciatica Lindahl, O.;Rexed, B.
  51. J. Bone joint Surg. v.47 no.B Autommune Response to Necleus Pulposus in Rabbit Bobechko, W.P.;Hirsch, C.
  52. 정형외과학(제3판) 대한정형외과학회
  53. 척추와 사지의 검진 정진우(역)
  54. 韓方臨床學 裵元植
  55. 원색최신의료대백과사전 v.13 신태양사편집부 백과사전부
  56. 정형외과학(제4판) 대한정형외과학회
  57. 요통교실 김재우(외)
  58. 정형외과 김인상
  59. 대한정형외과학회지 v.21 no.2 요추전방유합술에 의한 추간판탈출증의 치료효과 김남현(외)
  60. 대한정형외과지 v.15 no.4 요추추간판탈출증의 임상적 고찰 김인(외)
  61. 순천향대학 논문집 v.8 no.3 제5요추의 위치(Level at Risk)와 요추간판 탈출증과의 관계 김학현(외)
  62. 혜화의학 v.1 no.1 Lumbar CT上 腰椎間板脫出症으로 診斷받은 患者에 對한 臨床的 觀察 문병우(외)
  63. 대한침구학회지 v.7 no.1 腰脚痛의 鍼灸治療效果에 대한 臨床的 考察 김경호(외)
  64. 대한침구학회지 v.21 no.1 腰椎間板脫出症의 電鍼治療와 單純 刺鍼治療의 臨床的比較 硏究 朴修永(외)
  65. 대한한의학회지 v.16 no.1 腰椎間板脫出症의 東醫學的 考察-東醫寶鑑을 中心으로- 朴修永(외)
  66. Acta. Orthop. v.42 Lasegues sign in patient with Lumbar disc hernation Spagfort, E.
  67. 요통증후군 노식(譯)