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목표 : 이 연구의 목적은 常用本草와 유사한 효능을 가진 經穴을 조사하여 아토피 피부염에 적용할 수 있는지 탐구하는 것이다.
방법 : 大韓韓方眼耳鼻咽喉皮膚科學會에서 2000년 2월부터 2017년 9월까지 발간한 『韓方眼耳鼻咽喉皮膚科學會誌』에서 ‘아토피 피부염’, ‘항알러지’, ‘항알레르기’, ‘항염증’, ‘항아나필락시스’, ‘피부염’을 검색하여 韓藥으로 실험한 연구를 선별하였다. 사용된 本草중 5번 이상 언급된 것을 ‘常用本草’라고 정의하였으며, 『本草學』, 『大學經絡經穴學各論』를 참고하여 常用本草와 유사한 효능을 가진 經穴을 配伍하였다.
결과 :
1. 常用本草중 解表藥, 淸熱藥이 절반 이상이었고, 歸經도 手太陰肺經이 가장 많았다. 이는 피부질환과 밀접한 관련이 있는 臟腑가 皮毛를 주관하는 肺이기 때문이며, 아토피 피부염에 치료에도 手太陰肺經이 주로 고려되었다.
2. 임상에서 의사와 환자 모두 용이할 수 있도록 ?膝關節이하에 위치한 經穴인 五輸穴, 原絡?의 特定穴을 위주로 탐구하였다.
3. MEDLINE에서 각 經穴으로 실험한 연구를 검색한 결과, 침술치료가 소양감 억제에 효과적이라는 보고가 많았다.
결론 : 본 연구는 향후 아토피 피부염의 침술치료와 관련된 RCT 등의 임상연구에서 選穴에 대한 근거로 활용될 수 있을 것이며, 더 나아가 임상에서아토피 피부염의 변증별, 증상별 치료에 도움이 될 수 있기를 희망한다.
방법 : 大韓韓方眼耳鼻咽喉皮膚科學會에서 2000년 2월부터 2017년 9월까지 발간한 『韓方眼耳鼻咽喉皮膚科學會誌』에서 ‘아토피 피부염’, ‘항알러지’, ‘항알레르기’, ‘항염증’, ‘항아나필락시스’, ‘피부염’을 검색하여 韓藥으로 실험한 연구를 선별하였다. 사용된 本草중 5번 이상 언급된 것을 ‘常用本草’라고 정의하였으며, 『本草學』, 『大學經絡經穴學各論』를 참고하여 常用本草와 유사한 효능을 가진 經穴을 配伍하였다.
결과 :
1. 常用本草중 解表藥, 淸熱藥이 절반 이상이었고, 歸經도 手太陰肺經이 가장 많았다. 이는 피부질환과 밀접한 관련이 있는 臟腑가 皮毛를 주관하는 肺이기 때문이며, 아토피 피부염에 치료에도 手太陰肺經이 주로 고려되었다.
2. 임상에서 의사와 환자 모두 용이할 수 있도록 ?膝關節이하에 위치한 經穴인 五輸穴, 原絡?의 特定穴을 위주로 탐구하였다.
3. MEDLINE에서 각 經穴으로 실험한 연구를 검색한 결과, 침술치료가 소양감 억제에 효과적이라는 보고가 많았다.
결론 : 본 연구는 향후 아토피 피부염의 침술치료와 관련된 RCT 등의 임상연구에서 選穴에 대한 근거로 활용될 수 있을 것이며, 더 나아가 임상에서아토피 피부염의 변증별, 증상별 치료에 도움이 될 수 있기를 희망한다.
목차
Ⅰ. 緖論································································································ 1Ⅱ. 硏究對象및 方法·········································································· 3Ⅲ. 아토피 피부염을 치료하는 常用本草······································ 4Ⅳ. 常用本草와 經穴配伍································································ 91. 解表- 發散風寒············································································92. 解表- 發散風熱···········································································113. 淸熱- 淸熱瀉火···········································································144. 淸熱- 淸熱燥濕···········································································165. 淸熱- 淸熱凉血···········································································186. 淸熱- 淸熱解毒···········································································187. 瀉下- 攻下···················································································198. 芳香化濕························································································· 209. 利水?濕························································································· 2010. 理氣······························································································· 2111. 活血祛瘀······················································································· 2212. 淸火熱痰······················································································· 2213. 補氣······························································································· 2214. 補血······························································································· 24Ⅳ. 考察······························································································· 29Ⅴ. 結論······························································································· 34參考文獻································································································ 35Abstract ································································································ 49
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