Earticle

본 연구는 부항사혈요법으로 배수혈과 모수혈을 자극하였을 때에 인체의 생리대사에 미치는 영향을 연구하는 것이 목적이었다. 연구대상자는 6명이었으며, 남자 3명, 여자 3명이었다. 부항사혈 전후에 대상자 6 명에 대한 혈액검 사(CBC), 혈당검사, 생화학검사를 하였다. 고혈당 대상자는 혈당이 저하되었으나 완전회복에는 약간 미치지 못했고, 정상인들의 혈당은 90 mm Hg에서 79 mm Hg로 측정되어 보다 안정적으로 개선되었다. 간기능 검사에서 총 빌리루빈 과 γ-GTP 검사수치는 대상자 4명의 검사치는 관리 전 보다 관리후에는 감소하여 정상범위로 개선되었다. 적혈구, 백 혈구, 혈소판, MCH 검사수치는 부항사혈에 영향이 거의 없었다. 혈색소, RDW, MONO, MCHC의 검사수치는 관리후 의 약간 높아져서 정상범위에 들었다. Hct 검사수치는 감소되어 정상 범위에 들었다. 맥파 스트레스 측정 결과를 보면 6명의 대상자 모두 관리 전·후의 비교에서 평균지수는 스트레스지수가 13%, 맥박 다양성이 40%, 교감활성은 30%, 부교감 활성은 7%, 자율신경 균형은 3%로 나타났다. 검사 항목 6종에서 종합적 효과는 21.67%의 향상을 보였다. 이 것은 외부자극에 대한 저항력이 그 만큼 강화되었고 생체리듬이 많이 개선되었다는 의미로 판단된다. 결론적으로 전 체 부항사혈요법이 혈당, 총 빌리루빈, γ-GTP, 혈색소 수치는 크게 개선되었고, 맥파스트레스 측정에서는 평균 21.6% 의 치유효과를 본 것은 큰 의미가 있다고 판단된다.

The objective of this study was to investigate physiological effects of the cupping venesection treatments on the mohyeol and baesuhyeol to the six patients. In the laboratory tests including blood test (CBC), blood-sugar test, and biochemistry test on 6 subjects before and after the cupping venesection treatment, the subjects with hyperglycemia showed a sign of improvement but not full recovery and the bloodsugar of normal subjects were from 90 mm Hg to 79 mm Hg which showing stable improvements. Total bilirubin and γ-GTP values increased in 4 subjects and then recovered into normal level. Numbers of white and red blood cells, and platelets were not affected by the cupping. The lab values of hemoglobin, RDW, MONO and MCHC increased and then recovered into the normal ranges. The lab values of hematocrit were recovered to normal ranges after the treatment. When looking at the test results of pulse wave stress, all 6 subjects showed 30~40% of effects in the pulse diversity, adrenergic activation, and pulse standard deviation in comparisons of before and after the treatments with total 21.67% of improvements in 6 tests. In conclusion, blood tests of the six subjects showed improvements of the blood-sugar, Total bilirubin, γ-GTP, CBC, white blood cells, hemoglobin and platelet with treatments, and also, pulse wave stress was improved with total 21.67% in 6 tests.

본 연구는 부항사혈요법으로 모혈의 기본 혈인 중완, 관원, 천추, 전중, 그리고 배수혈 기본 혈인 신수, 간수, 대 장수, 격수를 부항 사혈한 효과와 모혈과 배수혈을 교대로 부항 사혈한 효과를 비교 연구하였다. 남자 13명, 여자 9명, 총 22명을 대상으로 하여 본 연구를 수행하였다. 대상자 22명의 개인별 부항사혈 효과는 67~90%의 효과가 있었다. 연 령이 낮을수록 효과가 높고 연령이 높을수록 효과가 상대적으로 낮은 것으로 나타났다. 사혈치유 후에 요통이 88%, 고 혈압과 고혈당이 각 83%, 협통은 85%, 어깨통증(오십견), 비염, 수족냉증, 풍치, 통풍, 생리통, 불면증, 흉통 등은 80%, 위염, 만성두통, 등 통증, 관절통은 약 72%, 발기부전과 우울증은 60%, 안질환은 50%의 치유율을 나타냈다. 결론적으 로 효과가 가장 높게 나타난 질환은 요통(88%), 협통(85%), 고혈압과 고혈당이 각 83%의 높은 치유효과를 보였으며, 가장 낮은 효과를 나타낸 것은 안과 질환(50%), 우울증과 성기능 장애(각 60%)였다. 본 연구자가 정한 기본혈 8혈의 관리만으로 대상자들의 질환 20종 모두에 개선효과가 나타났으며, 전체 76.67%의 치유효과를 본 것은 높은 의미가 있 다고 판단된다.

The objective of this study was to organize more accurate and effective theoretical system by clinically applying scientific theories and methodologies of the cupping venesection treatment reported by literatures. Out of total 22 subjects, there were 13 males and 9 females. Eight subjects showed treatment effects in backache, 7 in hyperglycemia, 6 in shoulder pain, 5 each in headache, hemorrhoids, and arthralgia, 4 each in impotence, cold hands and feet, and hypochondriac pain, 3 each in gum disease, stomachache, chest pain, back pain, and insomnia, 2 each in eye disease, menstrual pain, and gout, and 1 each in rhinitis and depression. In details, backache showed the best treatment effect (88%) followed by hypochondriac pain (85%), hypertension and hyperglycemia (83% each) while eye disease (50%), depression and impotence (60% each) showed relatively little effects. Twenty types of diseases of the subjects all showed improvements with treatments for only basic 8 meridian system defined by the investigator and it is considered to be a meaningful result to see total 76.67% of treatment effects.

Fasad i.e. venesection is an old classical method of treatment in the Unani system of medicine. Fasad is Arabic word which means "to open". In the process, complete evacuation which drains out blood and dominating humours mixed with blood from veins. Fasad is carried out when the kamiyat (quantity) of the blood is excess in the body and patient is either exposed to the risk of developing a disease or has actually developed one. In classical literature of Unani system of medicine, physicians wrote a lot about this procedure. The details of venesection is mentioned in the given paper on the basis of classical literature including history, indications, types, amount of blood to be venesected, time, person, procedure, complications and special focus has been made on the number of vessels to be venesected and their benefits with respected to disease and condition.

I have come to next conclusions in consequence of documentary study about medical books of many generations regarding venesection therapy. 1. Venesection therapy is much used for five sensory organ disease. Besides that internal disease, pain paralysis disease of muscle and joints, sugical disease, disease of woman and children, fever sunstroke CVA emergency case follow that in the order of frequency of use. 2. It is used for swollen tongue, eye pain, pharyngitis, swelling and pain in the throat, bleeding from the eye ear nose mouth or subcutaneous tissue, tonsillitis, aphthae and so on in the five sensory organ disease. Focus, sosang, jinjin yuye, taiyang, baihui are used for five sensory organ disease in the order of frequency of use. 3. It is used for malaria, headache, precordial pain, head-wind, abdominal colic, diseases characterized by acute diarrhea and vomiting, and so on in the Internal disease. Superficial venules and lymph vessesls, taiyang, quze are used for Internal disease in the order of frequency of use. 4. It is used for low back pain, hypochondriac pain, numbness, knee pain, tinea pedis, red swelling pain of hand and arm, flaccidity-syndrome, and so on in the pain paralysis disease of muscle and joints. Weizhong, superficial venules and lymph vessesls, Ashi point, zhigou are used for pain paralysis disease of muscle and joints in the order of frequency of use. 5. It is used for furuncle, tinea capitis, and so on in the sugical disease. Focus, weizhong are used for sugical disease in the order of frequency of use. 6. It is used for inflammatory disease with redness of skin, and so on in the disease of woman and children. Focus, weizhong, yanglingquan, yaoshu, sanyinjiao are used for disease of woman and children in the order of frequency of use. 7. It is used for fever, CVA, sunstroke, cadaverous coma, common cold, and so on in the fever sunstroke CVA emergency case. Sosang, weizhong, chize are used for fever sunstroke CVA emergency case in the order of frequency of use. 8. The urinary bladder channel of foot-taiyang is most used. Next there are the du channel, the stomach channel of foot-yangming, the lung channel of hand-taiyin, the gall baldder channel of foot-shaoyang, the triple-warmer channel of hand-shaoyang, the large intestine channel of hand-yangming, the spleen channel of foot-taiyin, the kidney channel of foot-shaoyin the pericardium channel of hand-jueyin the liver channel of foot-jueyin, the ren channel, the heart channel of hand-shaoyin, the small intestine channel of hand-taiyang in the order of frequency in use. 9. Superficial venules and lymph vessesls, focus, five shu points, extra-point, back point are used in the venesection therapy, those are characteristic of locating an acupuncture point.

I have come to next conclusions in consequnce of documentary study about medical books of many generations regarding Jung point venesection therapy. 1. Jung point is significant as the beginning of pulse energy flow on meridian, the origin of all meridional pulse energy being located at extrimity terminal, confluence of three yin and three yang, and emergent treatment point. 2. Jung point venesection therapy was much used for the first-aid treatment for acute and thermic disease, and that is the combination of the meaning as of restoration from death and emergent treatment of Jung point and function of openning of orifice, leakage of fever, circulation of blood, remove of edema of venesection therapy. 3. It is very much used for emergency case, five sensory organ disease and CVA, heating shock and so on. Besides that digestive disease, cough, fever with cold, childhood disease, cardiac ache, thoracic disease, numbness of digitus terminal, mental disorder follow that in order. 4. Sosang, Jung point of Arm Greater Yin Lung meridian, is very much used for five sensory organ disease. Sosang is for orbital disease, sangyang for auditory disease, sosang for nasal disease, and sosnag for introitus-throat disease. 5. Ten Jung point is most used for first-aid diseases of CVA, heating shock. 6. Ten Jung point is most used for digestive disease of stomach ache, vomiting, diarrhea, intestinal convulsion. 7. Ten Jung point is most used for cold disease of cough, fever, malaria. 8. Ten Jung point, sosang, kwanchung are much used for childhood disease of acute convulsion and fever. 9. Among Jung point, sosang is most used, 34 times. Next there are Ten Jung point, kwanchung, sangyang, sotaek, jungchung, unbaek, taedon in order. In the order of frequency in use, arm channel is more used than leg channel.

목적 : 이 연구의 목적은 플라시보 자락요법을 계발하기 위함이다. 방법 : 이 연구에서 우리는 자락요법을 잘 알고 있는 특정 피시험군에 진자락요법과 위자락요법을 시행하고, 피시험자에게 본인이 받은 치료가 무엇이었는지 설문조사하였다. 위자락요법은 피부를 뚫어 혈관을 자파시키지 않고 피부 겉에서 느낌만 나도록 자극을 주고 흡입하는 것이다. 결과 : 총 53명의 피시험자가 모든 시험과정에 적절하게 참가하였으므로 모든 데이터를 신뢰할 수 있었다. 결과는 두 그룹간에 유의한 차이를 발견할 수 없었다. 위자락요법을 받은 피시험자중 44.4%는 그들이 받은 치료가 진자락요법이라고 생각했고, 55.6%는 위자락요법이라고 생각했다. 진자락요법을 받은 피시험자중 53.8%는 그들이 받은 치료가 진자락요법이라고 생각했고, 46.2%는 위자락요법이라고 생각했다. 결론 : 각 군간의 민감도와 특이도 간에 유의한 차이가 나타나지 않으므로, 자락요법에 있어 플라시보가 성공했다고 볼 수 있다. 이 연구는 자락요법을 적응증으로 하는 다양한 질환의 임상연구에 있어서 대조군 처치시 좋은 모델을 제시하였다.

The purpose of this case-series study is to report the effect of Seungmahwangryeontang-gami and facial venesection on Hot flush patients. For this report, two of patients had taken Seungmahwangryeontang-gami for 45 days and the other patient had taken eungmahwangryeontang-gami for 60 days. Also, one of the patients had taken twice facial venesection, and the other two patients had done it three times during the treatment. During this period, we tried to find out that there were objective change and subjective change in reduction of hot flush. We were going to ascertain the subjective change through the change of VAS score. In case of objective change, we used the change of the color which were taken by the Derma Vision. The result of the treatment, each patients' VAS score reduced from 73 to 41, 67 to 44, and 71 to 51. Based on the Derma vision's facial color change, the score of Red and Dark Red, which mean Hot flush, were reduced. On the other hand, that of Blue and Dark Blue were increased. According to the results, we had obtained positive clinic effects from Seungmahwangryeontang-gami and facial venesection on Hot flush patients respectively. Although this report is based on few patients' treatments on hot flush with Seungmahwangryeontang-gami and facial venesection, we can use this result in a good way. However, the limitation of this report is that we can't generalize the following result because of the lack of the cases and we can't present a conclusive evidence which can prove the validity of the Hot flush from the case-series study.

The purpose of this case-series study is to report the effect of Seungmahwangryeontang-gami and facial venesection on Hot flush patients. For this report, two of patients had taken Seungmahwangryeontang-gami for 45 days and the other patient had taken Seungmahwangryeontang-gami for 60 days. Also, one of the patients had taken twice facial venesection, and the other two patients had done it three times during the treatment. During this period, we tried to find out that there were objective change and subjective change in reduction of hot flush. We were going to ascertain the subjective change through the change of VAS score. In case of objective change, we used the change of the color which were taken by the Derma Vision. The result of the treatment, each patients’ VAS score reduced from 73 to 41, 67 to 44, and 71 to 51. Based on the Derma vision’s facial color change, the score of Red and Dark Red, which mean Hot flush, were reduced. On the other hand, that of Blue and Dark Blue were increased. According to the results, we had obtained positive clinic effects from Seungmahwangryeontang-gami and facial venesection on Hot flush patients respectively. Although this report is based on few patients’ treatments on hot flush with Seungmahwangryeontang-gami and facial venesection, we can use this result in a good way. However, the limitation of this report is that we can’t generalize the following result because of the lack of the cases and we can't present a conclusive evidence which can prove the validity of the Hot flush from the case-series study.

Objective: This study was performed to evaluate the effects of venesection on palpebral conjunctiva, on the stoke patients complaint of defective vision. Methods: We studied four selected stroke patients with defective vision which start with stroke. Venesection was performed with syringe needleonce or several times on upper or lower palpebral conjunctiva. After every venesection we washed the eye(s) with normal saline. We evaluated the effects by VAS. Results & conclusion: Venesection on palpebral conjunctiva was efficacious against defective vision occured on the stoke patients. But more clinical & scienific trials are expected to follow this study.