Korean Journal of Acupuncture

  • 제29권1호
  • /
  • Pages.23-36
  • /
  • 2012
  • /
  • 2287-3368(pISSN)
  • /
  • 2287-3376(eISSN)
경락경혈학회 (Society for Meridian and Acupoint)
권호 표지

단일경혈을 이용한 침의 임상효과에 관한 방법론 연구 - 고혈압 환자를 중심으로 -

Study on methodology about clinical effect of single point acupuncture in patients with hypertension

  • 손양선 (경희대학교 한의과대학 기초한의과학과 경혈학교실) ;
  • 여수정 (경희대학교 한의과대학 기초한의과학과 경혈학교실) ;
  • 김윤주 (경희대학교 한의과대학 기초한의과학과 경혈학교실) ;
  • 박유선 (경희대학교 한의과대학 기초한의과학과 경혈학교실) ;
  • 임사비나 (경희대학교 한의과대학 기초한의과학과 경혈학교실)
  • Son, Yang-Sun (Dept. of Meridian & Acupoint, College of Oriental Medicine, Kyunghee University) ;
  • Yeo, Soo-Jung (Dept. of Meridian & Acupoint, College of Oriental Medicine, Kyunghee University) ;
  • Kim, Yoon-Ju (Dept. of Meridian & Acupoint, College of Oriental Medicine, Kyunghee University) ;
  • Park, You-Sun (Dept. of Meridian & Acupoint, College of Oriental Medicine, Kyunghee University) ;
  • Lim, Sabina (Dept. of Meridian & Acupoint, College of Oriental Medicine, Kyunghee University)
  • 투고 : 2012.01.27
  • 심사 : 2012.02.24
  • 발행 : 2012.03.27
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives : This study was conducted to investigate effective treatment point selection method using oppressive pain in acupoints as elementary attempt for standard methodology of clinical acupuncture studies. Methods : Twenty seven subjects with hypertension or within prehypertension category - systolic and diastolic blood pressure (BP) over 120/80mmHg - were divided into two groups, oppressive pain point treatment group and oppressive painless point treatment group. In oppressive pain point treatment group, single point acupuncture (SPA) was conducted for 16 sessions during 8 weeks on most oppressive painful point among 6 selected acupuncture points used in previous trials and clinic. As a SPA intervention, 15 minutes with deqi sensation- elevating manipulation was conducted on the treatment acupoint. Same process was conducted in oppressive painless point treatment group on most oppressive painless point with subject blinding. Results : Significant reduction was observed in both systolic and diastolic BP after short time intervention (15.5/8.8 mmHg, 10.7/7.1 mmHg, P<0.05, respectively at 1 week) and maintained for 8 weeks intervention period in all groups (12.8/8.0 mmHg, 19.4/12.6 mmHg, P<0.05, respectively). No significant difference of BP change between oppressive pain point treatment group (N=10) and oppressive painless point treatment group (N=9) was observed during 8 weeks study period. Conclusions : SPA treatment as used in this pilot study was effective for lowering BP in mild hypertensive population, but oppressive pain in acupoint had no effect on treatment. This present result suggests the possibility of SPA for hypertension treatment regardless of oppressive pain.

키워드

참고문헌

  1. Chobanian AV, Bakris GL, Black HR. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure. Hypertension. 2003 ; 42 : 1206-52.
  2. Whelton PK, He J, Appel LJ. Primary prevention of hypertension: Clinical and public health advisory from The National High Blood Pressure Education Program. JAMA. 2002 ; 288 : 1882-8.
  3. Neal B, MacMahon S, Chapman N. Effects of ACE inhibitors, calcium antagonists and other blood -pressure-lowering drugs: results of prospectively designed overviews of randomized trials. Lancet. 2000 ; 356 : 1955-64.
  4. Gregoire JP, Moisan J, Guibert R. Tolerability of antihypertensive drugs in a community based setting. Clin Ther. 2001 ; 23(5) : 715-26.
  5. National Colleges of Oriental Medicine. Department of acupuncture and acupoint and meridian. Science of Acupuncture. Seoul : Jipmoondang. 1994 : 175-1289.
  6. Macklin EA, Wayne PM, Kalish LA. Stop Hypertension with the Acupuncture Research Program (SHARP): results of a randomized, controlled clinical trial. Hypertension. 2006 ; 48(5) : 838-45.
  7. Yin C, Seo B, Park HJ. Acupuncture, a promising adjunctive therapy for essential hypertension: a double-blind, randomized, controlled trial. Neurol Res. 2007 ; 29 : 98-103.
  8. Flachskampf F, Gallasch J, Gefeller O. Randomized trial of acupuncture to lower blood pressure. Circulation. 2007 ; 115 : 3121-9.
  9. Lee H, Kim SY, Park J. Acupuncture for lowering blood pressure: systematic review and metaanalysis. Am J Hypertension. 2009 ; 22(1) : 122-8.
  10. KimL, Zhu J. Acupuncture for essential hypertension. Altern Ther Health Med. 2010 ; 16(2) : 18-29.
  11. Vas J, Ortega C, Olmo V. Single-point acupuncture and physiotherapy for the treatment of painful shoulder: a multicentre randomized controlled trial. Rheumatology. 2008 ; 47(6) : 887-93.
  12. Fleckenstein J, Lill C, Ludtke R. A single point acupuncture treatment at large intestine meridian: a randomized controlled trial in acute tonsillitis and pharyngitis. Clin J Pain. 2009 ; 25 : 624-31.
  13. Liu CZ, Xie JP, Wang LP. Immediate analgesia effect of single point acupuncture in primary dysmenorrhea: a randomized controlled trial. Pain Med. 2011 ; 12 : 300-7.
  14. Chobanian AV, Bakris GL, Black HR. The seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 Report. JAMA. 2003 ; 289 : 2560-72.
  15. JNC 6. National High Blood Pressure Education Program. The sixth report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Arch Intern Med. 1997 ; 157 : 2413-46.
  16. Inoue M, Kitakoji H, Ishizaki Nl. Relief of low back pain immediately after acupuncture treatment - a randomised, placebo controlled trial. Acupunct Med. 2006 ; 24(3) : 103-8.
  17. Kalish LA, Buczynski B, Connell P. Stop Hypertension with the Acupuncture Research Program (SHARP): clinical trial design and screening results. Control Clin Trials. 2004 ; 25(1) : 76-103.
  18. Chae H, Lyoo IK, Lee SJ. An alternative way to individualized medicine: psychological and physical traits of Sasang typology. J Altern Complement Med. 2003 ; 9(4) : 519-28.
  19. Schneider A, Lowe B, Streitberger K. Perception of bodily sensation as a predictor of treatment response to acupuncture for postoperative nausea and vomiting prophylaxis. J Altern Complement Med. 2005 ; 11(1) : 119-25.
  20. Hammerschlag R. Methodological and ethical issues in clinical trials of acupuncture. J Altern Complement Med. 1998 ; 4 : 159-71.
  21. Birch S. A review and analysis of placebo treatments, placebo effects and placebo controls in trials of medical procedures when sham is no inert. J Altern Complement Med. 2006 ; 12(3) : 303-10.
  22. Kaptchuk TJ. Acupuncture: theory, efficacy and practice. Ann Intern Med. 2002 ; 136 : 374-83.
  23. Birch S. Controlling for non-specific effects of acupuncture in clinical trials. Clin Acup Orien Med. 2003 ; 4 : 59-70.
  24. Park J, White A, Lee H. Development of a new sham needle. Acupunct Med. 1999 ; 17 : 110-2.
  25. Paterson C, Dieppe P. Characteristic and incidental (placebo) effects in complex interventions such as acupuncture. BMJ. 2005 ; 330 : 1202-5.
  26. Dhond RP, Kettner N, Napadow V. Do the neural correlates of acupuncture and placebo effects differ? Pain. 2007 ; 128 : 8-12.
  27. Linde M, Fjell A, Carlsson J. Role of the needling per se in acupuncture as prophylaxis for menstrually related migraine: a randomized controlled trial. BMJ. 2005 ; 331 : 376-82.
  28. Vincent C, Lewith G. Placebo controls for acupuncture studies. J Roy Soc Med 1995 ; 88 : 199-202.
  29. Campbell A. Point specificity of acupuncture in the light of recent clinical and imaging studies. Acupunct in Med. 2006 ; 24(3) : 118-22.
  30. Birch S. Clinical research on acupuncture: Part 2. Controlled clinical trials, an overview of their methods. J Altern Complement Med. 2004 ; 10(3) : 481-98.
  31. Moffet HH, How might acupuncture work? A systematic review of physiologic rationales from clinical trials. BMC Complementary and Alternative Medicine. 2006 ; 6 : 25.
  32. Lee H, Kim Y, Kim Y. Science of Clinical Meridian Acupoint. Bubyin. Seoul. 2000 : 55-114.
  33. Park H, Park J, Lee H. Does Deqi (Needle Sensation) Exist? Am J Chin Med. 2002 ; 30(1) : 45-50.
  34. Park J, Park H, Lee H. Deqi sensation between the acupuncture-experienced and the naive: a Korean study II. Am J Chin Med. 2005 ; 33(2) : 329-37.
  35. Li P. Neural mechanisms of the effect of acupuncture on cardiovascular disease. Int Congr Ser. 2002 ; 1238 : 71-7.
  36. Carpenter RJ, Dillard J, Zion AS. The acute effects of acupuncture upon autonomic balance in healthy subjects. Am J Chin Med. 2010 ; 38 : 839-47.
  37. Chae. Clinical Oriental Medicine. Seoul : Daeseong. 1987 : 145-7.
  38. Park JM, Shin AS, Park SU. The acute effect of acupuncture on endothelial dysfunction in patients with hypertension: a pilot, randomized, double-blind, placebo-controlled crossover trial. J Altern Complement Med. 2010 ; 16(8) : 883-8.
  39. Cote I, Moisan J, Chabot I. Health-related quality of life in hypertension: impact of a pharmacy intervention programme. J Clin Pharm Ther. 2005 ; 30(4) : 355-62.
  40. Cheung BM, Lo JL, Fong DY. Randomised controlled trial of qigong in the treatment of mild essential hypertension. J Human Hypertension. 2005 ; 19(9) : 697-704.