CAJ | 학술논문

目的：探讨艾灸治疗时灸感效应与疗效之间的关系。方法运用太乙神针施灸十七椎治疗原发性痛经，观察在施灸30 min内局部灸感及其传导类型与患者VAS疼痛值变化的关系，并记录感传出现的时间、感传的长度、宽度、深度及方向。结果40例患者均出现表热灸感，治疗前后VAS差值为(38.50±14.38) mm；出现透热灸感18例，治疗前后VAS差值为(38.89±12.43) mm；出现扩热灸感6例，治疗前后 VAS 差值为(45.00±14.10) mm；出现远处传导灸感13例，治疗前后 VAS 差值为(41.54±13.90) mm。出现4种灸感的患者治疗前后VAS值均最高，其次分别为出现3、2、1种灸感。不同类型灸感患者治疗10 min后与治疗20 min后及治疗20 min后与治疗30 min后VAS值差值比较，出现4种灸感的患者差值最高。结论不同灸感类型出现频率不同，灸感的出现与病情的轻重相关。出现灸感类型数量对疾病缓解过程有影响，但对最终疗效影响较小。单一的灸感(仅有表热)，起效较快，多在0～10 min内。而其他灸感(透热、扩热、远处传导等)起效较慢，多在20 min前后。
목적：탐토애구치료시구감효응여료효지간적관계。방법운용태을신침시구십칠추치료원발성통경，관찰재시구30 min내국부구감급기전도류형여환자VAS동통치변화적관계，병기록감전출현적시간、감전적장도、관도、심도급방향。결과40례환자균출현표열구감，치료전후VAS차치위(38.50±14.38) mm；출현투열구감18례，치료전후VAS차치위(38.89±12.43) mm；출현확열구감6례，치료전후 VAS 차치위(45.00±14.10) mm；출현원처전도구감13례，치료전후 VAS 차치위(41.54±13.90) mm。출현4충구감적환자치료전후VAS치균최고，기차분별위출현3、2、1충구감。불동류형구감환자치료10 min후여치료20 min후급치료20 min후여치료30 min후VAS치차치비교，출현4충구감적환자차치최고。결론불동구감류형출현빈솔불동，구감적출현여병정적경중상관。출현구감류형수량대질병완해과정유영향，단대최종료효영향교소。단일적구감(부유표열)，기효교쾌，다재0～10 min내。이기타구감(투열、확열、원처전도등)기효교만，다재20 min전후。
Objective To explore the association between moxibustion sensation and therapeutic efficacy during moxibustion treatment. Methods By applying Taiyi moxa stick to Shiqizhui (EX-B 8) to treat primary dysmenorrhea, the association between the change of Visual Analogue Scale (VAS) score and the topical moxibustion sensation and transmission types during the 30 min moxibustion treatment was observed. Besides, the occurrence time of transmission, and the transmission distance, width, depth, and direction were recorded. Results Superficial moxibustion sensation occurred in forty patients, of whom, the VAS score changed by (38.50±14.38) mm; heat-penetrating moxibustion sensation occurred in 18 patients, and the VAS score changed by (38.89±12.43) mm; heat-expanding sensation occurred in 6 patients, and the VAS score changed by (45.00±14.10) mm; distant transmission happened in 13 patients, and the VAS score changed by (41.54±13.90) mm. Patients with 4 types of moxibustion sensation had the highest VAS scores both before and after treatment, followed by 3 types, 2 types, and 1 type moxibustion sensation. In comparing the changes of VAS score between 10 min and 20 min treatment and between 20 min and 30 min treatment, the patients with 4 types of moxibustion sensation had the most significant change. Conclusions Different moxibustion sensations occur at different frequencies, and the occurrence of moxibustion sensation is related to the severity of disease condition. The number of moxibustion sensation type can affect the remission process of disease, but can merely influence the treatment result. The single moxibustion sensation (superficial heat only) works faster, usually taking 0~10 min; while the other forms of moxibustion sensation (heat penetrating, heat-expanding, and distant transmission) works slower, usually taking over 20 min.