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        통증에 따른 경락의 생체 물리적 정보 분석 연구

        남봉현 ( Bong Hyun Nam ),테드캡척 ( Ted J. Kaptchuk ) 대한경락경혈학회 2005 Korean Journal of Acupuncture Vol.22 No.4

        Objectives: Although previous anatomic, physiological and biophysics studies have examined the acupuncture meridian system, much remains unclear and controversial. This study was undertaken to examine electrical potential aspects of the meridian system. Electric potential was measured at the well and sea acupoints on the twelve acupuncture meridians (AM), on forty patients half with loin lesions, and pain of loin and lower extremities(LL) and half with shoulder lesions, and aching of shoulder and arm(SA). The object was to determine to what extent electric potential is an important risk factor between LL and SA. Methods: At the left and the right side with each of twenty LL and twenty SA patients, physiograph was used to measure electric potentials of AM ten sessions. T-test was used to compare the mean of electric potential between the two different pain groups and multiple logistic regression was used to analyze the risk of the 24 electric potentials measured. Results and Conclusions: In the LL, the only electric potential that was statistically significantly greater than SA was the bladder meridian on the left side. On the contrary, electric potentials in SA, which includes the large intestine, pericardium, triple burner, spleen, stomach, kidney and gallbladder meridians, were statistically larger than those of LL at the same side. On the right side, the five kinds of electric potentials(lung, large intestine, small intestine, pericardium and gallbladder meridians) of LL were statistically Larger than those of SA. On the triple burner, stomach and kidney meridians electric potentials of SA were larger than those in LL. After adjusting for 24 electric potentials, pain risk factors, and different illness categories, multiple stepwise selection logistic regression modeling, resulted in the final selection of a total of 13 statistically significant electric potentials. These were 7 electric potentials at Left side-small intestine, triple burner, spleen, stomach, bladder, liver and gallbladder meridian, and 6 at right side-lung, large intestine, heart, pericardium, kidney and bladder meridian.

      • Neural activities in human somatosensory cortical areas evoked by acupuncture stimulation

        Yoo, Seung-Schik,Kerr, Catherine E.,Park, Min,Im, Dong-mi,Blinder, Russell A.,Park, HyunWook,Kaptchuk, Ted J. Elsevier 2007 Complementary therapies in medicine Vol.15 No.4

        <P><B>Summary</B></P><P><B>Objectives</B></P><P>To investigate neural representation evoked by acupuncture from human somatosensory cortices, especially from primary (<I>SI</I>) and secondary (<I>SII</I>) somatosensory areas.</P><P><B>Design and setting</B></P><P>Neuroimaging study – Blood-oxygenation-level-dependent (BOLD) functional MRI was performed during acupuncture on <I>LI4</I> (<I>n</I>=12 healthy participants). Sham acupuncture and innocuous tactile stimulation were also applied on the same acupuncture site as control comparisons.</P><P><B>Outcome measures</B></P><P>Responsive neural substrates were visualized and identified based on both individual and group-level surface activation maps.</P><P><B>Results</B></P><P>Discrete regions within the precentral gyrus (area 4) and the fundus of the central sulcus (area 3a) were selectively activated during the real acupuncture stimulation. In <I>SII</I>, the activation was extended in a postero-inferior direction to the fundus of the lateral sulcus.</P><P><B>Conclusion</B></P><P>This specific pattern of acupuncture-related activation indicates that deep tissue stimulation (as seen in area 3a activation) and concurrent processing of sensory stimulation (as seen in activation in <I>SII</I>) may mediate neural responses to manual acupuncture.</P>

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