본문 바로가기
KERD
논문KCI 등재

구강작열감증후군 환자에서 양도락의 진단적 가치 및 변증과의 상관성 분석

A Clinical Study on the Relationship between Pattern Identifications for Patients with Burning Mouth Syndrome and the Ryodoraku Test

하나연|김진성|김동윤
대한한방내과학회 (The Society Of Korean Oriental Internal Medicine)|2020.09|대한한방내과학회지 (The Journal of Korean Oriental Internal Medicine)|제41권 제4호|pp. 624-643|DOI https://doi.org/10.22246/jikm.2020.41.4.624

2

조회

0

다운로드

3

인용

0

참고문헌

키워드

Ryodorakuburning mouth syndromeYin-deficiencyQi-stagnation
주제분류한의학

초록

Objectives: The aim of this study was to analyze the correlation between Ryodoraku and two pattern-identification questionnaires in patients with Burning Mouth Syndrome (BMS). Methods: The study participants were 30 patients with BMS who visited the Oral Diseases Clinic of Kyung Hee Oriental Medicine Hospital from June to November, 2019. The Ryodoraku test and two pattern-identification questionnaires were administered to all patients. Measurements included the average Ryodoraku score, which is called the Total Average (TA), and each score on the Ryodoraku point scale. The degree of Yin-deficiency, Qi-stagnation, and pain were assessed with the Yin-deficiency Questionnaire (YDQ), Qi-stagnation Questionnaire (QSQ), and Visual Analogue Scale (VAS), respectively. Results: The average TA score was 29.90. The LF5 (p=0.013) and RF5 (p=0.016) scores were lower than the TA scores, and the RH5 (p=0.020) and RH6 (p=0.006) scores were higher than the TA scores. A negative correlation was detected between the YDQ scores and the LH1 (r=-0.366, p=0.046), LH2 (r=-0.507, p=0.004), LH3 (r=-0.374, p=0.042), RH1 (r=-0.361, p=0.050), RH2 (r=-0.403, p=0.027) points. The LF5 (p=0.050) and RF2 (p=0.048) scores were lower in the patients with Qi-stagnation patients than without Qi-stagnation. Conclusions: Our results suggest that low TA and Ryodoraku scores on LF5 and RF5 and high Ryodoraku scores on RH5 and RH6 could be quantitative indicators for the diagnosis of BMS. The LH1, LH2, LH3, RH1, RH2, LF5, and RF2 scores could also be an indicators for diagnosis of Yin-deficiency and Qi-stagnation in patients with BMS.

Abstract

Objectives: The aim of this study was to analyze the correlation between Ryodoraku and two pattern-identification questionnaires in patients with Burning Mouth Syndrome (BMS). Methods: The study participants were 30 patients with BMS who visited the Oral Diseases Clinic of Kyung Hee Oriental Medicine Hospital from June to November, 2019. The Ryodoraku test and two pattern-identification questionnaires were administered to all patients. Measurements included the average Ryodoraku score, which is called the Total Average (TA), and each score on the Ryodoraku point scale. The degree of Yin-deficiency, Qi-stagnation, and pain were assessed with the Yin-deficiency Questionnaire (YDQ), Qi-stagnation Questionnaire (QSQ), and Visual Analogue Scale (VAS), respectively. Results: The average TA score was 29.90. The LF5 (p=0.013) and RF5 (p=0.016) scores were lower than the TA scores, and the RH5 (p=0.020) and RH6 (p=0.006) scores were higher than the TA scores. A negative correlation was detected between the YDQ scores and the LH1 (r=-0.366, p=0.046), LH2 (r=-0.507, p=0.004), LH3 (r=-0.374, p=0.042), RH1 (r=-0.361, p=0.050), RH2 (r=-0.403, p=0.027) points. The LF5 (p=0.050) and RF2 (p=0.048) scores were lower in the patients with Qi-stagnation patients than without Qi-stagnation. Conclusions: Our results suggest that low TA and Ryodoraku scores on LF5 and RF5 and high Ryodoraku scores on RH5 and RH6 could be quantitative indicators for the diagnosis of BMS. The LH1, LH2, LH3, RH1, RH2, LF5, and RF2 scores could also be an indicators for diagnosis of Yin-deficiency and Qi-stagnation in patients with BMS.

참고문헌 (65)

  1. McMillan R, "Interventions for treating burning mouth syndrome(Review)", Cochrane Database of Systematic Reviews, 11(11) (2016)
  2. Bergdahl M, "Burning mouth syndrome:prevalence and associated factors", Journal of Oral Pathology &Medicine, 28(8), pp.350~354 (1999)
  3. Woda A, "A unified concept of idiopathic orofacial pain:Clinical features", Journal of Orofacial Pain, 13(3), pp.172~184 (1999)
  4. Kohorst JJ, "The prevalence of burning mouth syndrome:a population-based study", British Journal of Dermatology, 172(6), pp.1654~1656 (2015)
  5. Grushka M, "Burning Mouth Syndrome", American Family Physician, 65(4), pp.615~620 (2002)
  6. Zur E, "Burning mouth syndrome:a discussion of a complex pathology", Int J Pharm Compd, 16(3), pp.196~205 (2012)
  7. Kohorst JJ, "A population-based study of the incidence of burning mouth syndrome", Mayo Clinic Proceedings, 89(11), pp.1545~1552 (2014)
  8. 고휘형, "구강작열감증후군 환자의 적외선체열검사와 정량적 평가 특성 : 단면조사연구", 대한한방내과학회지, 39(4), pp.699~707 (2018), 대한한방내과학회
  9. 손지영, "구강작열감 증후군 환자의 구강내 통증에 대한 한방치료의 효과 : 전･후 비교 연구", 대한한방내과학회지, 34(2), pp.122~133 (2013), 대한한방내과학회
  10. Heo J, "Donguibogam", pp.87~89 (2004), Namsandang
  11. 선종기, "구강작열감증후군 환자의 임상적 특징 및 음허증 평가", 대한한방내과학회지, 32(4), pp.473~486 (2011), 대한한방내과학회
  12. 강경, "구강작열감증후군 환자에서 기울과 전중(CV_17)압통의 상관성 - Algometer를 이용한 전중압통의 정량화 측면에서 -", 대한한방내과학회지, 33(4), pp.498~510 (2012), 대한한방내과학회
  13. 이정은, "강작열감증후군 환자의 미각 이상과 脾氣虛證의 상관관계", 대한한방내과학회지, 38(4), pp.455~467 (2017), 대한한방내과학회
  14. Committee of biofunctional medicine of whole Korean medicine university, "Biofunctional medicine", pp.132~144 (2014), Koonja publisher
  15. 송민호, "요통의 양도락 진단 및 평가에 관한 문헌 고찰", 대한한의학회지, 35(3), pp.116~124 (2014), 대한한의학회
  16. Kim MH, "Characteristics of autonomic nervous system in atopic dermatitis patients by heart rate variability and ryodoraku", 석사, pp.2015
  17. 김은숙, "갱년기 증후군 여성의 양도락 특성에 관한 연구", 대한한방부인과학회지, 21(4), pp.159~168 (2008), 대한한방부인과학회
  18. 황준호, "호흡기계 환자에 대한 양도락 _ 맥진검사의 진단적 가치", 대한한방내과학회지, 28(3), pp.560~569 (2007), 대한한방내과학회
  19. Oh SW, "Analysis of symptom-complexes of irritable bowel syndrome and its skin resistance check(???) results", J of Oriental Chr Dis, 6(1), pp.197~207 (2000)
  20. 고휘형, "기능성소화불량 환자의 한의 변증 설문과 양도락 결과의 상관성 연구", 대한한방내과학회지, 40(3), pp.369~389 (2019), 대한한방내과학회[DOI]
  21. 이상재, "陰虛證 측정도구의 개발 및 신뢰도 타당도 검정", 동의생리병리학회지, 18(2), pp.376~380 (2004), 한의병리학회
  22. 장승원, "구강건조증 환자에서 음허 측정 설문지 절단점 개발 및 진단능 평가", 대한한방내과학회지, 35(4), pp.483~497 (2014), 대한한방내과학회
  23. Okitsu R, "Development of a questionnaire for the diagnosis of Qi stagnation", Complementary Therapies in Medicine, 20(4), pp.207~217 (2012)
  24. Vellappally S, "Burning mouth syndrome:A review of the etiopathologic factors and management", The Journal of Contemporary Dental Practice, 17(2), pp.171~176 (2016)
  25. Vaidya R, "Burning mouth syndrome at menopause:elusive etiology", J Midlife Health, 3(1), pp.3~4 (2012)
  26. Tarkkila L, "Oral symptoms at menopause-the role of hormone replacement therapy", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 92(3), pp.276~280 (2001)
  27. Forabosco A, "Efficacy of hormone replacement therapy in postmenopausal women with oral discomfort", Oral Surg Oral Med Oral Pathol, 73(5), pp.570~574 (1992)
  28. Wardrop RW, "Oral discomfort at menopause", Oral Surg Oral Med Oral Pathol, 67(5), pp.535~540 (1989)
  29. Lauria G, "Trigeminal small-fiber sensory neuropathy causes burning mouth syndrome", Pain, 115(3), pp.332~337 (2005)
  30. Albuquerque RJ, "Cerebral activation during thermal stimulation of patients who have burning mouth disorder : an fMRI study", Pain, 122(3), pp.223~234 (2006)
  31. Spanemberg JC, "Aetiology and therapeutics of burning mouth syndrome : an update", Gerodontology, 29(2), pp.84~89 (2012)
  32. Mendak-Ziolko M, "Evaluation of select neurophysiological, clinical and psychological tests for burning mouth syndrome", Oral Surg Oral Med Oral Pathol Oral Radiol, 114(3), pp.325~332 (2012)
  33. Kenchadze R, "The psychological aspects of burning mouth syndrome", Georgian Med News, 194, pp.24~28 (2011)
  34. Thoppay JR, "Burning mouth syndrome", Dent Clin N Am, 57(3), pp.497~512 (2013)
  35. Headache Classification Committe of the International Headache Society(IHS), "The international classification of headache disorder", pp.1~211 (2018), Cephalalgia
  36. Lamey PJ, "Oral medicine in practice:burning mouth syndrome", Br Dent J, 167(6), pp.197~200 (1989)
  37. Muzyka BC, "A review of burning mouth syndrome", Cutis, 64(1), pp.29~35 (1999)
  38. Scala A, "Update on burning mouth syndrome:overview and patient management", Crit Rev Oral Biol Med, 14(4), pp.275~291 (2003)
  39. Fortuna G, "Complex oral sensitivity disorder(COSD):a reappraisal of current classification of burning mouth syndrome", Oral Dis, 19(7), pp.730~732 (2013)
  40. 김민서, "심화상염(心火上炎)으로 진단된 설통(舌痛)과 구강안면부 진전(振顫)의 세심약침을 이용한 한의치료 1례", 대한한방내과학회지, 38(5), pp.564~575 (2017), 대한한방내과학회
  41. 何园, "灼口综合征的治疗方案", 现代口腔医学杂志, 17(6), pp.564~566 (2003)
  42. 周兵, "灼口汤治疗阴虚型灼口综合征观察", 临床口腔医学杂志, 28(4), pp.217~218 (2012)
  43. 郭宏奇, "中药辨证治疗灼口综合征临床观察", 疾病 监测与控制杂志, 8, pp.484~485 (2009)
  44. Kim YS, "Interative medicine of Ryodoraku", pp.3~25 (2009), Koonja publisher
  45. Park YB, "The principle of Ryodoraku and application for diagnosis", Third line medicine, 1(2), pp.83~94 (1996)
  46. Kim SJ, "A comparative study of ryodoraku in pulmonary disease group and control group diagnosed by X-ray", 석사, pp.2017
  47. Oh SJ, "Studies on the characteristics of the Yin- Yang(陰陽), Heat-Cold(寒熱) by the Yangdorak (良導絡) patterns", 석사, pp.2004
  48. 윤상협, "양도점의 전기적 반응에 대한 교감신경작용과 경락 배열과 실질장기의 불일치는 양도락의 경락 관련성을 배제한다. (위 운동장애형 기능성 소화불량증 환자의 양도점 H4,5,6의 반응을 중심으로)", 대한한방내과학회지, 32(2), pp.259~277 (2011), 대한한방내과학회
  49. 황미니, "균열설을 보인 구강작열감증후군 환자의 임상적 특징 : 환자군 연구", 대한한방내과학회지, 39(3), pp.363~371 (2018), 대한한방내과학회
  50. 이채원, "양도락(良導絡) 진단 연구 방법론에 관한 문헌 고찰", 대한한의학회지, 35(3), pp.1~14 (2014), 대한한의학회
  51. 임현대, "구강작열감증후군의 병인론과 병태생리에 대한 고찰", Journal of Oral Medicine and Pain, 35(1), pp.41~47 (2010), 대한안면통증∙구강내과학회
  52. 김용익, "대한통증학회지에 게재된 논문들에서 사용된통증 측정 방법에 대한 분석", The Korean Journal of Pain, 16(1), pp.33~36 (2003), 대한통증학회
  53. 주병주, "20대 간호사 14명의 월경기, 난포기, 황체기의 양도락 변화에 대한 임상적 고찰", 대한한방부인과학회지, 16(2), pp.242~253 (2003), 대한한방부인과학회
  54. Refinetti R, "The circadian rhythm of body temperature", Physiol Behav, 51(3), pp.613~637 (1992)
  55. Kafka MS, "Circadian rhythms in rat brain neurotransmitter receptors", Fed Proc, 42(11), pp.2796~2801 (1983)
  56. 김동수, "교감신경 피부반응에서 하루주기 리듬의 영향", 대한근전도 전기진단의학회지, 10(2), pp.113~117 (2008), 대한근전도전기진단의학회[DOI]
  57. Critchley HD, "Electrodermal response:What happens in the brain", Neuroscientist, 8(2), pp.132~142 (2002)
  58. Vertrugno R, "Sympathetic skin response:basin mechanism and clinical application", Clin Auto Res, 13(4), pp.256~270 (2003)
  59. Koss MC, "Characteristics of electrodermal response", Naunyn Schmiedebergs Arch Pharmacol, 295(2), pp.153~189 (1976)
  60. Löfström JB, "Can the “sympatho-galvanic reflex”(skin conductance response) be used to evaluate the extent of sympathetic block in spinal analgesia", Acta Anaesthesiol Scand, 28(5), pp.578~582 (1984)
  61. 임경준, "성상신경절 차단 루 발생한 양측성 호너 증후군", Korean Journal of Anesthesiology, 43(2), pp.241~244 (2002), 대한마취통증의학회
  62. Ji JY, "Case reports on the effect of stellate ganglion block in patient with postherpetic neuralgia accompanied by itching", Soonchunhyang Medical Science, 25(2), pp.145~147 (2019)
  63. Momota Y, "Frequency analysis of heart rate variablility:a useful assessment tool of linearly polarized near-infrared irradiation to stellate ganglion area for burning mouth syndrome", Pain Medicine, 14(3), pp.351~357 (2013)
  64. Schmidt J, "Sympathetic nervous system activity during laparoscopic and needlescopic cholecystectomy", Surg Endosc, 16(3), pp.476~480 (2002)
  65. Yamazaki K, "Skin potential activity in rats, cat, and primates (including man):a phylogenetic point of view", J Com Physiol Psychol, 30(3), pp.21~25 (1975)

관련 논문AI추천

구강작열감증후군 환자의 임상적 특징 및 음허증 평가강경, 김주연, 김진성, 류봉하, 선종기, 손지희, 오승환, 한가진대한한방내과학회 · 대한한방내과학회지2011 · 제32권 제4호구강작열감 증후군 환자의 구강내 통증에 대한 한방치료의 효과 : 전･후 비교 연구강경, 김주연, 김진성, 류봉하, 백승환, 손지영, 장승원, 최제인대한한방내과학회 · 대한한방내과학회지2013 · 제34권 제2호구강작열감증후군 환자에서 심상유두 수 측정의 진단적 가치김진성, 박재우, 이엄지대한한방내과학회 · 대한한방내과학회지2016 · 제37권 제6호강작열감증후군 환자의 미각 이상과 脾氣虛證의 상관관계김진성, 박재우, 이정은대한한방내과학회 · 대한한방내과학회지2017 · 제38권 제4호구강작열감증후군 환자에서 기울과 전중(CV_17)압통의 상관성 - Algometer를 이용한 전중압통의 정량화 측면에서 -강경, 김주연, 김진성, 류봉하, 선종기, 손지영, 손지희, 이현주, 장승원대한한방내과학회 · 대한한방내과학회지2012 · 제33권 제4호구강작열감증후군의 한의학적 치료에 대한 최근 국내외 임상 연구 동향최지민, 홍석훈대한한방안이비인후피부과학회 · 한방안이비인후피부과학회지2023 · 제36권 제4호

이 간행물의 다른 논문 (11건)

저온 노출된 혈관 세포 내 RhoA 단백질 활성화에 대한 십전대보탕의 억제 효과고호연, 이강욱, 양승보, 김명선, 김윤경, 황현하, 최유경, 송윤경, 전찬용, 선승호, 고성규pp. 553-562기능성소화불량에 대한 담음 변증설문지 개발과 신뢰도 및 타당도 검정백소영, 박재우, 김진성, 고석재, 하나연pp. 563-582천식환자 허실변증별 혈액 싸이토카인 및 임상적 특성에 관한 단면적 연구강성우, 정희재, 이범준, 유창환, 김관일, 홍성은pp. 583-598근육세포주에서 당 흡수 및 대사 조절에 대한 황기탕 에탄올 추출물의 효과장철용, 신용진pp. 599-611다계통 위축증의 치료에 대한 임상연구 동향 - CNKI검색을 중심으로김윤식, 정은선, 유호룡, 유주영, 설인찬, 김해융, 원서영, 김민지pp. 612-623
원문 보기