Correlation between Qi-Stagnation and Pressure Pain Threshold on $CV_{17}$ (Danzhong : 膻中) in Burning Mouth Syndrome Patients - In the Perspective of Quantification of Pressure Pain Threshold on $CV_{17}$ by using Algometer -

구강작열감증후군 환자에서 기울과 전중($CV_{17}$)압통의 상관성 - Algometer를 이용한 전중압통의 정량화 측면에서 -

  • Kang, Kyung (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University) ;
  • Kim, Jin-Sung (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University) ;
  • Seon, Jong-Ki (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University) ;
  • Son, Ji-Hee (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University) ;
  • Kim, Ju-Yeon (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University) ;
  • Jang, Seung-Won (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University) ;
  • Son, Ji-Young (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University) ;
  • Lee, Hyun-Ju (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University) ;
  • Ryu, Bong-Ha (Dept. of Gastroenterology, School of Korean Medicine, Kyung-Hee University)
  • 강경 (경희대학교 한의과대학 비계내과학교실) ;
  • 김진성 (경희대학교 한의과대학 비계내과학교실) ;
  • 선종기 (경희대학교 한의과대학 비계내과학교실) ;
  • 손지희 (경희대학교 한의과대학 비계내과학교실) ;
  • 김주연 (경희대학교 한의과대학 비계내과학교실) ;
  • 장승원 (경희대학교 한의과대학 비계내과학교실) ;
  • 손지영 (경희대학교 한의과대학 비계내과학교실) ;
  • 이현주 (경희대학교 한의과대학 비계내과학교실) ;
  • 류봉하 (경희대학교 한의과대학 비계내과학교실)
  • Published : 2012.12.30

Abstract

Objectives : This study was designed to find out whether there is a correlation between qi-stagnation score and pressure pain threshold (PPT) on acupuncture point $CV_{17}$ in burning mouth syndrome (BMS) patients. Methods : Thirty BMS patients who newly visited Oral Disease Clinic at the Kyung Hee University Korean Medicine Hospital were surveyed. The subjects were evaluated on age, illness duration, sex, self-assessed severity of BMS, qi-stagnation score, and PPT on 3 acupuncture points ($CV_{17}$, Rt. $SP_9$, Lt. $SP_9$). Results : There was significant correlation between age and PPT on $CV_{17}$ (p=0.005). Therefore, partial correlation analysis with age as control variable was done, and the result showed significant correlation between qi-stagnation score and PPT on $CV_{17}$ (p=0.001). Qi-stagnation diagnostic point by PPT on $CV_{17}$ was suggested as 3.8056 $kg/cm^2$ based on the fact that diagnostic score is 28.50 in the qi-stagnation questionnaire. Furthermore, considering that PPT is effected by age, we could attain qi-stagnation diagnostic equation of PPT on $CV_{17}$, that is suggested as $0.047{\times}(age)+0.848kg/cm^2$. PPT of 3 acupuncture points ($CV_{17}$, Rt. $SP_9$, Lt. $SP_9$) was compared, and the result showed that PPT was significantly lower on $CV_{17}$ (w/Rt $SP_9$: p=0.022, w/Lt. $SP_9$: p=0.012). Also, significance and correlation coefficient with qi-stagnation were higher on $CV_{17}$ (p<0.001, r=-0.620) than Rt. $SP_9$ (p=0.023, r=-0.413) or Lt. $SP_9$ (p=0.014, r=-0.444). Conclusions : The result of this study suggested that PPT on $CV_{17}$, measured quantitatively by algometer, had a strong correlation with qi-stagnation score in BMS patients. Therefore, the study showed that $CV_{17}$ can be a useful acupuncture point in diagnosing qi-stagnation by measuring PPT in BMS patients.

Keywords

References

  1. Grushka M, Epstein JB, Gorsky M. Burning mouth syndrome. Am Fam Physician 2002;65 :615-20.
  2. Drage LA, Rogers RS 3rd. Burning mouth syndrome. Dermatol Clin 2003;21(1):135-45. https://doi.org/10.1016/S0733-8635(02)00063-3
  3. Danhauer SC, Miller CS, Rhodus NL, Carlson CR. Impact of criteria-based diagnosis of burning mouth syndrome on treatment outcome. J Orofac Pain 2002;16(4):305-11.
  4. Vittorio S, Daniela A. Gianluca V, Massimo M, Enrico B, Marco G, et al. Anxiety, depression and pain in burning mouth syndrome: first chicken or egg?. Headache 2012;52:1019-25. https://doi.org/10.1111/j.1526-4610.2012.02171.x
  5. Scala A, Checchi L, Montevecchi M, Marini I, Giamberardino MA, Update on burning mouth syndrome : overview and patient management. Crit Rev, Oral Biol Med 2003;14(4):275-91. https://doi.org/10.1177/154411130301400405
  6. Patton LL, Siegel MA, Benoliel R, De Laat A. Management of burning mouth syndrome : systematic review and management recommendations. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2007;103(supple 1):S39.e1-13. https://doi.org/10.1016/j.tripleo.2005.11.022
  7. Abdollahi M, Radfar M, A Review of Druginduced Oral Reactions. J contemp Dent Pract 2003;4(1);10-31.
  8. 최승훈. 한방병리학. 서울: 일중사; 1997, p.314
  9. 허준. 동의보감. 서울: 동의보감출판사; 2005, p. 59, 67, 77, 2351, 2352.
  10. Kim J. Jung Y, Park K, Park JW. A digital tongue imaging system for tongue coating evaluation in patients with oral malodour. Oral Dis 2009;15(8):565-9. https://doi.org/10.1111/j.1601-0825.2009.01592.x
  11. Ko SJ, Kim JS, Ryu BH, Park JW. Clinical Study on application of algometer to irritable bowel syndrome -In the view of quantification of the oriental abdominal diagnostics-. Korean J. Orient. Int. Med 2011;10:173-81.
  12. Okitsu R, Iwasaki K, Monma Y, Takayama S, Kaneko S, Shen G, et al. Development of a questionnaire for the diagnosis of Qi-stagnation. Complement Ther Med 2012;20:207-17. https://doi.org/10.1016/j.ctim.2011.12.005
  13. Yang HT, Kim KS. Studies on the application of clinic of poricadium and triple energizer used by Jun Jung(CV17) and Serk Moon(CV5) point. J. Korean Acupuncture & Moxibustion Society 1996;13(1):165-73.
  14. Kim JW, Whang WW. A clinical study on treatments of Hwabyung with oriental medicine. J Korean Oriental Med 1998;19(2):5-16.
  15. Zeller A. Zungenbrennen bei iener 47 jahrigen Hausfrau. Praxis 2001;90:1103-5.
  16. Hakeberg M, Hallberg LR-M, Berggern, Burning mouth syndrome: experience from the perspective of female patients. Eur J Oral Sci 2003;111 :305-11. https://doi.org/10.1034/j.1600-0722.2003.00045.x
  17. Kim JS, Ryu BH, Park DW, Ryu KW. A study on the relationship between depression and anxiety tendencies and KI-depression/ KI-stasis in chronic fatigue patients. J. of the Association of for Neo Medicine. 1992:3(2);83-92.
  18. 대한침구학회 교재편찬위원회 편저. 침구학(상) 경락수혈. 파주: 집문당; 2008, p. 196.
  19. Ha SY, Cho SY, Jang JY, Kim YS, Nam SS. Study of the relation between palpation of the Jeonjung(CV17) and autonomic nerve system by heart rate variability. Korean Acupuncture & Moxibustion Society. 2009;26(5):57-63.
  20. Lautenbacher S, Strian F. Similarities in age differences in heat pain perception and thermal sensitivity. Funct Nertol 1991;6:129-35.
  21. Chakour MC, Gibson SJ, Bradbeer M, Helme RD. The effect of age on A delta- and C-fibre thermal pain perception. Pain 1996;64:143-52. https://doi.org/10.1016/0304-3959(95)00102-6
  22. Riccardo GV Torta, Jacopo Munari. Symptom cluster: Depresssion and pain. Surgical Oncology 2010;19:155-9. https://doi.org/10.1016/j.suronc.2009.11.007