三九貼에 관한 문헌적 고찰 - 중의학 잡지를 중심으로 -
A Literature Study of Samguchup - Based on the Traditional Chinese Medical Journal -
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초록
목적: 三九貼은 겨울에 다발하는 질환을 예방하고 치료하기 위해 겨울에 시행하는 첩부요법이다. 三九貼의 연구와 활용을 위해 중국에서 출간된 三九貼에 관한 연구를 분석하였다. 방법: CAJ (China Academic Journal)에서 2012년 7월 31일까지 검색된 ‘三九贴’이나 ‘冬病冬治’가 포함된 15개 자료의 임상 효과, 사용된 약재, 혈위, 부착 시간, 병행 치료를 비교하였다. 결과: 재발성 상기도 감염, 기침, 알레르기 비염, 천식, 만성 기관지염, 만성 폐쇄성 폐질환, 수면 무호흡증, 류마티스 관절염에 65-92.65%의 유효율을 보였다. 5회 이상 사용된 약재로 白芥子 (Semen Sinapis Albae), 細辛 (Herba Asari), 生薑汁 (Ginger juice), 甘遂 (Radix Kansui), 玄胡索 (Rhizoma Corydalis)이 있고, 5회 이상 사용된 혈위로 肺兪 (BL13), 腎兪 (BL23), 大椎 (GV14), 膻中 (CV17), 天突 (CV22), 定喘 (EX-B1)이 있다. 소아의 경우 대개 4시간 이내로 부착하였다. 三伏貼, 한약, 격강구, 양약, 주사액, 흡입치료 가 같이 사용되기도 했다. 결론: 夏病冬防, 冬病冬治를 위해 三九貼을 적절하게 사용할 필요가 있다.
Abstract
Objectives The Samguchup is a plaster therapy in winter to prevent and treat diseases occurring frequently in the winter. Studies on samguchup published in China were analyzed for our study in order to utilize in Korea. Methods 15 studies with keywords such as 'Sanjiutie' or 'Dongbingdongzhi' published in CAJ (China Academic Journal) until July 31, 2012 were compared, in terms of clinical effects, herbs, acupoints, attatching time, and accompanying treatment. Results Treatment rate ranged from 65% to 92.65%, in recurrent respiratory infection, cough, allergic rhinitis, asthma,chronic bronchitis, chronic obstructive pulmonary disease, sleep apnea, and rheumatic arthritis. The herbs used more than 5 times were Semen Sinapis Albae, Herba Asari, Ginger juice, Radix Kansui, and Rhizoma Corydalis. The acupoints used more than 5 times were BL13, BL23, GV14, CV17, CV22, and EX-B1. The attaching time were usually 4 hours, but shorter for child. The Sambokchup, Korean medicine, moxibustion on ginger, drug(western medicine), injection, and inhalation were used as accompanying treatment. Conclusions Appropriate use of Samguchup is necessary to treat or prevent diseases in winter.
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