DOI QR코드

DOI QR Code

The Effects of distilled Cervi Pantotrichum Cornu Pharmacopuncture and Zizyphi Spinosi Semen Pharmacopuncture on the Heart Rate Variability

녹용 약침과 산조인 약침이 정상인의 심박변이도(HRV)에 미치는 영향

  • Kim, Hui-Jun (Department of Acupuncture & Moxibustion, Woosuk University) ;
  • Song, Beom-Yong (Department of Acupuncture & Moxibustion, Woosuk University) ;
  • Yook, Tae-Han (Department of Acupuncture & Moxibustion, Woosuk University)
  • Published : 2009.09.30

Abstract

Objective : This study was to investigate the effects of distilled Cervi Pantotrichum Cornu Pharmacopuncture and Zizyphi Spinosi Semen Pharmacopuncture on autonomic nervous system with Heart Rate Variability(HRV). Purpose of the trial was to observe what influence distilled Cervi Pantotrichum Cornu Pharmacopuncture and Zizyphi Spinosi Semen Pharmacopuncture have on the autonomic nervous system. Methods : 60 healthy male volunteers were divided into three groups which consist of two experimental groups such as Cervi Pantotrichum Cornu Pharmacopuncture and Zizyphi Spinosi Semen Pharmacopuncture, and a control group. Study design was a randomized, placebo-controlled, double-blind clinical trial. 20 subjects in experimental group were injected distilled Cervi Pantotrichum Cornu Pharmacopuncture at $GB_{21}$(Kyonjong), 20 subjects in other experimental group were injected distilled Zizyphi Spinosi Semen Pharmacopuncture and 20 subjects in control group were injected Normal Saline at $GB_{21}$(Kyonjong). One volunteer of each groups were excluded from analysis because of error during measuring HRV. At the end of the study 57 volunteers completed HRV analysis. HRV was measured by QECG-3:LXC3203(LAXTHA Inc. Korea) at P0, P1, P2, P3, P4, P5 and P6 and its time-course dependent change in each group was analyzed using paired t-test, and the difference of HRV fluctuation among two experimental group and a control was evaluated by one way ANOVA(p<0.05). Results : A. Time Domain Analysis 1. Analysis of Mean HRV, SDNN and Complexity After injection of distilled Cervi Pantotrichum Cornu Pharmacopuncture, Mean HRV was significantly decreased only at 20 minutes after injection. SDNN was significantly increased from 15 minute after injection. Complexity was significantly decreased only at 15 minute after injection. After injection of distilled Zizyphi Spinosi Semen Pharmacopuncture, Complexity was significantly decreased at 10, 15 and 30 minutes after injection. 2. Analysis of HRV index, pNN50 After injection of distilled Cervi Pantotrichum Cornu Pharmacopuncture, pNN50 was significantly decreased at 15, 20 and 25 minutes after injection. Compared with Normal Saline injection, distilled Cervi Pantotrichum Cornu Pharmacopuncture and Zizyphi Spinosi Semen Pharmacopuncture showed significant difference on HRV index and pNN50 at 5 minutes after injection. B. Frequency Domain Analysis 1. Analysis of Ln(TP), Ln(VLF) After injection of distilled Cervi Pantotrichum Cornu Pharmacopuncture, Ln(TP) was significantly increased at 15 and 30 minutes after injection. Ln(VLF) was significantly increased at 10, 15 and 30 minutes after injection. After injection of distilled Zizyphi Spinosi Semen Pharmacopuncture, Ln(VLF) was significantly increased only at 30 minutes after injection. Compared with Normal Saline injection, distilled Cervi Pantotrichum Cornu Pharmacopuncture showed significant difference on Ln(TP) after 5 minutes of injection. Conclusions : Our results suggest that Cervi Pantotrichum Cornu Pharmacopuncture and Zizyphi Spinosi Semen Pharmacopuncture in healthy adult man tend to activate the autonomic nervous system and sympathetic nervous system compared to Normal Saline within normal range.

Keywords

References

  1. Joo YS. Herbology. Young-Rim. 1994:545
  2. Shin MK. Clinical Herbology. Young-Rim. 2000:643-4
  3. Kang YS, Kim YP. Clinical Proportion Herbology. Young-Rim. 1994:307-8
  4. Journal of Korean Institute of Herbal Acupuncture. Manual of Herbal Acupuncture. Journal of Korean Institute of Herbal Acupuncture. 1999;13-4, 112-8, 138-203
  5. Son IC. Herbal Acupuncture. Il-Jung 1999;17-18
  6. KIM JE. Miracle of Herbal Acupuncture. Keum-kwang. 1987:173-4, 177-8
  7. Acupuncture. Jib Moon Dang. 2008:235-6
  8. Choi HS. Utilization of HRV of Evaluation for Stress. Stress. 2005;13(2):59-63
  9. Cowan MJ. Measurement of heart rate variability. Western J Nursing Res. 1995;17:32-48.20 https://doi.org/10.1177/019394599501700104
  10. 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: 1043-65 https://doi.org/10.1161/01.CIR.93.5.1043
  11. Haker E, Egekvist H, Bjerring P. Effect of sensory stimulation(acupuncture) on sympathetic and parasympathetic activities in healthy subjects. J Autonomic Nervous System. 2000;79:52-9 https://doi.org/10.1016/S0165-1838(99)00090-9
  12. Akselrod S, Gordon D, Madwed JB, Snidman NC, Shannon DC, Cohen RJ. Hemodynamic regulation : Investigation by spectral analysis. Am J Physiol. 1985;249:867-75
  13. Mukai S, Hayano J. Heart rate and blood pressure variabilities during head up tilt. Jappl Physiol. 1995;78(1): 212-6 https://doi.org/10.1152/jappl.1995.78.1.212
  14. Pomeranz B, Macaulay R, Caudill M, Kuts I, Adam D, Gordon D, Kilborn KM, Barger AC, Shannon DC, Cohen RJ. Assessment of autonomic function in humans by heart rate spectral analysis. Am J Physiol. 1985;17:32-48
  15. Jeon JM. Pharmacological Study of Sanjoin Ex. Kyung Hee University. 1979
  16. 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
  17. Kamath MV, Fallen EL. Power spectral analysis of heart rate variability: anoninvasive signature of cardiac autonomic function. Crit Rev Biomed Eng.1993;21(3):245-311
  18. 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 https://doi.org/10.1111/j.1600-0404.1996.tb07076.x
  19. Yoshioka K, Terasaki J. Relationship between diabetic autonomic neuropathy and peripheral neuropathy as assessed by power spectral analysis of heart rate variations and vibratory perception thresholds. Diabetes Res Clin Pract. 1994;24(1):9-14 https://doi.org/10.1016/0168-8227(94)90080-9
  20. Seol H, Yook TH. Effects of Hwangryunhaedoktang Herbal-acupuncture at $GB_{21}$(Kyonjong: 肩井) on the Heart Rate Variability. The Journal of Korean Acupuncture & Moxibustion Society. 2004;21(6):37-50
  21. Kim JS, Hwang W, Bae KT, Nam SS, Kim YS. Effect of Acupuncture for Mental Stress on Short-term Analysis of Heart Rate Variability (HRV). The Journal of Korean Acupuncture & Moxibustion Society. 2004;21(5):227-239
  22. Song BY, Kwan KS. A Clinical Study of the Relation between the 7-Zone-Diagnostic System and Heart Rate Variability. The Journal of Korean Acupuncture & Moxibustion Society. 2008;25(1):15-23
  23. Nam DH, Park YB. A Study of Gender and Age-related Differences in the Pulse Rate Variability. The Journal of The Korea Institute of Oriental Medical Diagnosis. 2001;5(2):331-49
  24. Choi CM, Seon JJ. The Effect of Uhwangchungsimwon on Heart Rate Variability of Healthy Subjects. Korean J. Orient.Int. Med. 2007;28(4):717-26
  25. Son DH, Hyung RC. Effect of Mahuang on the Heart Rate Variability in Adults:a Double- Blind, Placebo-Controlled, Randomized Trial. Korean J. Orient.Int. Med. 2007:28(1);105-16
  26. Jang BH, Lee JH. Effect of Auricular Acupuncture for Mental Stress on Heart Rate Variability(HRV). The Journal of Korean Acupuncture & Moxibustion Society. 2005;22(6):173-80
  27. Lee TH, Yeo JJ. The Effect of InGaAlP Laser Transcutaneous Blood Irradiation on Heart Rate Variability in Healthy Adults. Korean J. Orient.Int. Med. 2004;25(4):25-33
  28. Roh JD, Kim RH, Song BY, Yook TH. The Effects of distilled Wild Ginseng Herbal Acupuncture on the Heart Rate Variability (HRV). Journal of Korean Institute of Herbal Acupuncture . 2008;11(1):55-70 https://doi.org/10.3831/KPI.2008.11.1.055
  29. Shin JC, Kim RH, Song BY, Yook TH. The Effects of distilled Rehmannia glutinosa Herbal Acupuncture on the Heart Rate Variability(HRV). Journal of Korean Institute of Herbal Acupuncture . 2008;11(1):83-98 https://doi.org/10.3831/KPI.2008.11.1.083
  30. Lee SH, Kim EJ, Park YC, Nam DW. Effect of Acupuncture Stimulation on Heart Rate Variability in Stroke Patients. The Journal of Korean Acupuncture & Moxibustion Society. 2006;23(1):135-43

Cited by

  1. The Effect of Pharmacopuncture at (BL) on Chronic cough: Report of Six Cases vol.30, pp.5, 2013, https://doi.org/10.13045/acupunct.2013065