Korean Journal of Acupuncture

Society for Meridian and Acupoint (경락경혈학회)
권호 표지

A Short Reveiw on the Acupoints Used in the Studies about Morphine Addiction

모르핀 중독의 침 연구에 사용된 경혈(經穴)에 대한 소고(小考)

  • Lee, Bong-Hyo (Dept. of Acupuncture, Moxibustion, and Acupoint, College of Oriental Medicine, Daegu Haany University) ;
  • Lim, Sung-Chul (Dept. of Acupuncture, Moxibustion, and Acupoint, College of Oriental Medicine, Daegu Haany University) ;
  • Kim, Jae-Su (Dept. of Acupuncture, Moxibustion, and Acupoint, College of Oriental Medicine, Daegu Haany University) ;
  • Lee, Yun-Kyu (Dept. of Acupuncture, Moxibustion, and Acupoint, College of Oriental Medicine, Daegu Haany University) ;
  • Lee, Hyun-Jong (Dept. of Acupuncture, Moxibustion, and Acupoint, College of Oriental Medicine, Daegu Haany University) ;
  • Jung, Tae-Young (Dept. of Diagnostics, College of Oriental Medicine, Daegu Haany University) ;
  • Jung, Hyun-Jung (Dept. of Diagnostics, College of Oriental Medicine, Daegu Haany University) ;
  • Kam, Chul-Woo (Dept. of Internal Medicine, College of Oriental Medicine, Dong-Eui University)
  • 이봉효 (대구한의대학교 한의과대학 침구경혈학교실) ;
  • 임성철 (대구한의대학교 한의과대학 침구경혈학교실) ;
  • 김재수 (대구한의대학교 한의과대학 침구경혈학교실) ;
  • 이윤규 (대구한의대학교 한의과대학 침구경혈학교실) ;
  • 이현종 (대구한의대학교 한의과대학 침구경혈학교실) ;
  • 정태영 (대구한의대학교 한의과대학 진단학교실) ;
  • 정현정 (대구한의대학교 한의과대학 진단학교실) ;
  • 감철우 (동의대학교 한의과대학 내과학교실)
  • Received : 2012.05.29
  • Accepted : 2012.06.13
  • Published : 2012.06.27
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Abstract

Objectives : Since acupuncture was accepted as an useful therapy for the drug addiction, a lot of studies about acupuncture have been carried out. This study was performed to review the articles about morphine addiction which used acupuncture as a treatment and to interpret the use of acupoints from the viewpoint of Six-meridian (Yuk Gyeong, three yin and three yang) theory. Methods : The authors searched 255 articles in PubMed with the key word of "morphine, acupuncture" and 629 articles in KISS (Koreanstudies Information Service System) with the key word of "morphine". The articles written in English only were included. The articles related with morphine (abuse, dependence, sensitization, addiction, intake, withdrawal sign, withdrawal syndrome, reinstatement, craving) only were included. The articles which used manual- or electro-acupuncture only were included and auricular acupuncture was excluded. Both of clinical and experimental study were reivewed. Results : The most frequently used acupoint was ST36-SP6 (electroacupuncture), and the second was HT7. LI4 was the third, and BL23 and PC6 were also used. Conclusions : The acupoints used in the morphine study seem to influence the brain through diverse mechanisms and it is thought that control of the reaction against stress appears to be related with these mechanisms.

목적 : 침 치료는 약물 중독을 위한 효과적인 치료법으로 인정받은 이래 이에 관한 많은 연구들이 이루어지고 있다. 본 논문에서는 모르핀 중독의 침 치료에 사용된 경혈 및 소속 경락에 대해 육경(六經)적인 관점에서 이를 해석하였다. 방법 : 미국 국립 의학도서관(PubMed)에서 "모르핀, 침"을 주제어로 하여 255개의 논문을 검색하였고, 한국학술정보(주)(KISS)에서 "모르핀"을 주제어로 하여 629개의 논문을 검색하였다. 영어로 기술된 논문만을 연구 대상으로 하였다. 모르핀에 대한 중독(남용, 의존, 민감화, 중독, 섭취, 금단 증상, 금단 증후군, 재발, 갈망)과 관련된 논문만을 연구 대상으로 하였다. 침 또는 전침을 사용한 논문만을 연구 대상으로 하였으며, 이침을 사용한 것은 제외하였다. 임상 연구와 실험 연구를 모두 연구 대상으로 하였다. 결과 : 모르핀의 침 연구에서 가장 많이 사용된 경혈은 족삼리-삼음교(足三里-三陰交)(전침, 10회)로 나타났고, 그 다음은 신문(神門)(5회)이었으며, 그밖에 합곡(合谷)(2회), 신유(腎兪)(1회), 내관(內關)(1회) 등의 경혈이 사용되었다. 족삼리(足三里)는 장부상통에 의해 심포경과 통하는 위경을 조절함으로써 스트레스 반응에 관계된 심포경을 조절할 수 있음에 따라 모르핀 중독 연구에 사용된 것으로 보인다. 음양이총혈의 하나인 삼음교(三陰交)는 정신 기능에 영향을 미치는 혈분을 다스리며 식욕을 조절하는 기능 또한 이러한 효능에 관련된 것으로 사료된다. 수소음심경의 원혈인 신문(神門)은 뇌와 관계된 소속 경맥의 기능 및 혈명으로부터 정신 기능을 조절할 수 있음을 알 수 있다. 양계(陽谿)는 양명경의 원혈로서 상통하는 궐음경을 조절함으로써 스트레스 반응을 조절할 수 있기 때문에 사용된 것으로 보이며, 신유(腎兪)는 소속 경맥이 뇌와 관련되어 있기 때문에 사용된 것으로 사료된다. 내관(內關)은 모르핀 중독에 수반되는 스트레스를 조절할 수 있기 때문에 사용된 것으로 보인다. 결론 : 모르핀 연구에 사용된 경혈은 다양한 기전을 통해 뇌 기능에 영향을 미치는 것으로 보이며, 스트레스 반응을 조절하는 것이 이에 관련된 것으로 사료된다.

Keywords

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