Journal of Acupuncture Research

Korean Acupuncture & Moxibustion Medicine Society (대한침구의학회)
권호 표지

The Effect of Moxibustion at Jeonjung($CV_{17}$) on the Heart Rate Variability in Healthy Adults

膻中穴($CV_{17}$) 간접구요법이 정상 성인의 심박변이도(HRV)에 미치는 영향

  • Lee, Jeong-Ju (Department of Acupuncture & Moxibustion Medicine, Wonkwang University Oriental Medicine Hospital) ;
  • Kim, Seong-Joung (Department of Acupuncture & Moxibustion Medicine, Wonkwang University Oriental Medicine Hospital) ;
  • Park, Ok-Ju (Department of Acupuncture & Moxibustion Medicine, Wonkwang University Oriental Medicine Hospital) ;
  • Lee, Sang-Mi (Department of Acupuncture & Moxibustion Medicine, Wonkwang University Oriental Medicine Hospital) ;
  • Park, Min-Cheol (Department of Oriental Medical Ophthalmology & Otolaryngology & Dermatology, Wonkwang University Oriental Medicine Hospital) ;
  • Jo, Eun-Heui (Department of Acupuncture & Moxibustion Medicine, Wonkwang University Oriental Medicine Hospital)
  • 이정주 (원광대학교 부속한방병원 침구의학과) ;
  • 김성중 (원광대학교 부속한방병원 침구의학과) ;
  • 박옥주 (원광대학교 부속한방병원 침구의학과) ;
  • 이상미 (원광대학교 부속한방병원 침구의학과) ;
  • 박민철 (원광대학교 부속한방병원 안이비인후피부과) ;
  • 조은희 (원광대학교 부속한방병원 침구의학과)
  • Received : 2012.07.10
  • Accepted : 2012.07.30
  • Published : 2012.08.20
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives : This study was accomplished to investigate the effects of moxibustion at Jeonjung($CV_{17}$) on the heart rate variability(HRV) in healthy adults. And based on that, we tried to find out how moxibustion at Jeonjung($CV_{17}$) effects on the activity and balance of the autonomic nervous system Methods : We investigated on 50 healthy volunteers consisted of 24 subjects in moxibustion group and 24 subjects in control group. On the other hand, two volunteers were ruled out by standard of elimination. The study was established by randomized trial. Moxibustion was applied at Jeonjung($CV_{17}$) and rested during 10 minutes in moxibustion group. No treatment was executed in control group. We measured HRV 3 times : baseline measurement and after treatment in moxibustion group(after rest in control group) twice. The SPSS 12.0 for windows was used to analyze the data by paired t-test, Wilcoxon signed ranks test(in group) and Independent t-test, Mann-Whitney U-test (between the groups). Results : 1. In moxibustion group, mean HRT decreased significantly. Ln(VLF) increased significantly. Ln(TP) decreased significantly at $2^{nd}$ time and increased significantly at $3^{rd}$ time. SDNN, RMSSD, PSI, Ln(LF), Ln(HF), Normalized LF, Normalized HF and LF/HF ratio were not affected. 2. In control group, PSI and normalized HF decreased significantly. SDNN, Ln(TP), Ln(VLF), normalized LF and LF/HF ratio increased significantly. Mean HRT, RMSSD, Ln(LF) and Ln(HF) were not affected. Conclusions : This study suggest that moxibustion at Jeonjung($CV_{17}$) makes no effects on the balance of the autonomic nervous system.

Keywords

References

  1. Kamath MV, Fallen EL. Power spectral analysis of heart rate variability : a noninvasive signature of cardiac autonomic function. Crit Rev Biomed Eng. 1993 ; 21(3) : 245-311.
  2. 박진수, 안민섭, 이정주, 최병선, 박민철, 양현주, 박가영, 김민철, 조은희. 膻中穴 침자극이 정상 성인의 심박변이도에 미치는 영향. 대한침구학회지. 2011 ; 28(2) : 13-25.
  3. 김정신, 황욱, 배기태, 남상수, 김용석. 少府(HT8)刺鍼이 정신적 스트레스를 가한 성인의 심박변이도에 미치는 영향. 대한침구학회지. 2004 ; 21(5) : 227-39.
  4. 강문수, 김락형. 정신적 스트레스와 神門(HT7) 刺鍼이 정상성인의 심박변이도(HRV)에 미치는 영향. 동의신경정신과 학회지. 2009 ; 20(1) : 165-76.
  5. 장보형, 이정희, 문경숙, 김진원, 권오섭. 이침 요법이 정신적 스트레스를 가한 성인의 심박변이도에 미치는 영향. 대한침구학회지. 2005 ; 22(6) : 173-80.
  6. 조성연, 장진영, 김소정, 남상수, 김용석. 內關(PC6) 艾灸가 정신적 스트레스를 가한 성인의 심박변이도에 미치는 영향. 대한침구학회지. 2010 ; 27(2) : 51-58.
  7. 윤승규, 권승원, 서유리, 박준영, 임진욱, 박주영, 조승연, 정환용, 박성욱, 정우상, 문상관, 박정미, 고창남, 조기호, 김역석, 배형섭, 이상훈, 배영민. 합곡․중저․외관․곡지 뜸치료가 뇌졸중 편마비 환자의 환측 요골동맥 혈류 및 심박변이도에 미치는 영향. 대한한의학회지. 2011 ; 32(5) : 50-65.
  8. 임윤경, 김준표, 김태한. 대학 경락경혈학각론. 대전 : 오비기획. 2006,p.1042.
  9. 안영기. 경혈학총서. 서울 : 성보사. 1986, pp.672, 608-1,702-3.
  10. 대한침구의학회 교재편찬위원회. 침구의학. 파주 : 집문당. 2012 : 325-38.
  11. 成樂箕. 현대침구학. 서울 : 행림출판사. 1987 : 56.
  12. 박혜정, 손창규. 국내외의 뜸 연구의 경향에 대한연구. 대한경락경혈학회지. 2008 ; 25(3) : 167-74.
  13. Shi X, Wang ZP, Liu KX. Effect of acupuncture on heart rate variability in coronary heart disease patients. Zhongguo Zhong Xi Yi Jie He Za Zhi. 1995 ; 15(9) : 536-8.
  14. Kazushi N, Hidetoshi M, Keishi Y, Kazuhiro Y. Decreased heart rate by aupuncture stimulation in humans via facilitation of cardiac vagal activity and suppression of cardiac sympathetic nerve. Neuroscience Letters. 1997 ; 227 : 165-8. https://doi.org/10.1016/S0304-3940(97)00337-6
  15. Haker E, Egekvist H, Bjerring P. Effect of sensory stimulation(acupuncture) on sympathetic and parasympathetic activities in healthy subjects. J Auton Nerv Syst. 2000 ; 79(1) : 52-9. https://doi.org/10.1016/S0165-1838(99)00090-9
  16. ST Huang. GY Chen, HM Lo, JG Lin, YS Lee, CD Duo. Increase in the vagal modulation by acupuncture at Neiguan point on the healthy subjects. The Am J Chinese Med. 2005 ; 33(1) : 157-64. https://doi.org/10.1142/S0192415X0500276X
  17. Zengyong Li, Chengtao Wang, Arthur FT, Mak Danieal, HK Chow. Effects of acupuncture on jeart rate variability in normal subjects under fatigue and non-fatigue state. Eur J Appl Physiol. 2005 ; 94(5-6) : 633-40. https://doi.org/10.1007/s00421-005-1362-z
  18. 김민수, 곽민아. 장우석, 이기태, 정기삼, 정태영, 서정철, 서해경, 안희덕. 전침 자극이 정상 성인의 심박변동에 미치는 영향. 대한침구학회지. 2003 ; 20(4) : 157-69.
  19. 김옥희, 최정은, 윤정원, 유화승. 쑥뜸치료가 암환자의 심박변이도에 미치는 영향. 대한암한의학회지. 2011 ; 16(1) : 15-31.
  20. 남동현, 박영배. 연령별 맥박변이도 표준화에 관한 연구. 대한한의진단학회지. 2001 ; 5(2) : 93-101.
  21. 양동인, 심영우, 노형욱, 김덕원. 측정 자세에 따른 HRV 변화. 대한전자공학회 2009년도 정보 및 제어 심포지움 논문집. 2009,p.399-401.
  22. Akselrod S, Gordon D, Uble FA. Shannon DC, Barger AC, Cohen RJ. Power spectral analysis of heart rate fluctuation : a quantitative probe of beat-to-beat cardiovascular control. Science. 1981 ; 213 : 220-2. https://doi.org/10.1126/science.6166045
  23. 우현수, 이윤호, 김창환. 구법에 대한 문헌적 고찰 및 최근 연구 경향. 대한침구학회지. 2002 ; 19 : 1-15.
  24. 崔容秦 외. 최신침구학. 서울 : 성보사. 1983 : 352-5.
  25. Yamashita H, Ichiman Y, Tanno Y. Changes in Peripheral Lymphocyte Subpopulations After Direct Moxibustion. Am J Chin Med. 2001 ; 29(2) : 227-35. https://doi.org/10.1142/S0192415X01000265
  26. Chiba A, Nakanishi H, Chichibu S. Thermal and Antiradical Properties of Indirect Moxibustion. Am J Chin Med 1997 ; 25(3-4) : 218-87.
  27. Sandner-Kieslin A, Litscher G, Voit-Augusti H, James RL, Schwarz G. Laser Doppler Flowmetry in Combined Needle Acupuncture and Moxibustion : A Pilot Atudy in Healthy Adults. Lasers Med Sci 2001 ; 16(3) : 184-91. https://doi.org/10.1007/PL00011353
  28. 조성연, 하선윤, 장진영, 남상수, 김용석. 膻中穴黃連解毒湯 藥鍼이 정신적 스트레스를 가한 성인의 심박 변이도에 미치는 영향. 대한침구학회지. 2009 ; 26(5) : 49-56.
  29. 정연탁, 임윤경. 膻中穴에 刺絡附缸法을 시술한 驚悸.怔忡患者 27例 대한 症例報告. 대전대학교 한의학연구소 논문집. 2007 ; 16(2) : 199-210.
  30. 곽건민 등. 膻中에 刺血 및 拔罐하여 精神分裂症을 치료. 山東中醫雜誌. 1997 ; 16(2) : 74.
  31. 김용우, 임종국. 전중, 격수혈의 애구생체반응이 빈혈에 미치는 영향. 대한침구학회지. 1992 ; 9(1) : 193-202.
  32. Shin KS, Minamitani H, Onishi S, Yamazaki H, Lee M. Autonomic differences between athletes and nonathletes : spectral analysis approach. Med Sci Sports Exerc. 1997 ; 29(11) : 1482-90. https://doi.org/10.1097/00005768-199711000-00015
  33. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability : Standards of measurement, physiological interpretation and clinical use. Circulation. 1996 ; 93(5) : 1043-65. https://doi.org/10.1161/01.CIR.93.5.1043
  34. Task Force of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Heart rate variability : Standards of measurement, physiological interpretation and clinical use. Eur Heart J. 1996 ; 17(3) : 354-81. https://doi.org/10.1093/oxfordjournals.eurheartj.a014868
  35. Akselrod S, Gordon D, Shannon DC, Berger AC, Cohen RJ. Power spectrum analysis of heart rate fluctuation : a quantitative probe of beatto- beat cardiovascular control. Science. 1981 ; 213(4504) : 220-2. https://doi.org/10.1126/science.6166045
  36. Korpelainen JT, Huikuri HV, Sotaniemi KA, Myllyla VV. Abnormal heart rate variability reflecting autonomic dysfunction in brainstem infarction. Acta Neurol Scand. 1996 ; 94(5) : 337-42.