Objectives : This survey was done in order to find out how Korean medical doctors derive pattern identification for acupuncture prescriptions in treating knee pain in real clinical practice. Methods : The survey questionnaire was developed by the committee of experts who major in acupuncture & moxibustion or statistics for acupuncture clinical trial protocol development. The questionnaires were distributed via e-mail to 75 members of Korean Acupuncture & moxibustion society from March 26th to April 14th in 2009. 57 members completed answers, and the computerized data were analyzed by SPSS 17.0 statistical program. Results : 1.54 Korean medical doctors selected meridian pattern identification based on the course of the meridians(52.5%), visceral pattern identification(27.1%), pattern identification based on cause of disease(8.5%) as the most commonly used pattern identification methods for acupuncture prescription when treating knee pain patients in real clinical practice. 2. In meridian pattern identification based on the course of the meridians, liver meridian of the medial knee region(13.2%), bladder meridian of the posterior knee region(12.0%), spleen meridian of the lateral knee region(11.7%), stomach meridian of the anterior knee region(9.8%) and kidney meridian of the medial knee region(8.6%) were selected. 3. In visceral pattern identification, blood stasis of sinews due to liver and kidney deficiency(5.3%), damp joint with yang deficiency of liver and kidney(4.9%), kidney qi deficiency with congealing cold(4.5%), yin deficiency of liver and kidney(4.1%) were selected. Conclusions : In our e-mail survey, Korean medical doctors answered that Meridian Pattern Identification based on the course of the meridians is the most often used diagnosis method. Visceral pattern identification, pattern identification based on cause of disease, pattern identification based on symptom and pattern identification based on qi-blood-yin-yang theory in order of frequency used, were selected for knee pain diagnosis in real clinical practice.
Williamson L, Wyatt MR, Yein K, Melton JTK Severe knee osteoarthritis : a randomized controlled trial of acupuncture, physiotherapy(suoervised exercise) and standard management for patents awating knee replacement. Rheumatology. 2007 ; 46 ; 1445-9.
Berman BY EU ap. Effectiveness of acupuncture as adjunctive therapy in osteoarthritis of the knee : a randomized controlled trial. American college of physician. 2004 ; 901-11.
Witt C, Brinkhaus B, Jena S, Linde K, Streng A, Wagenpfeil S, Hummelsb erger J, Walther HU, Melchart D, Willich SN. Acupuncture in patients with osteoarthritis of the knee : a randomized trial. Lancet. 2005 ; 366 : 136-43.
Jenette Ezzo, Victoria Hadhazy, Stephen Birch, Lixing Lao, Gary Kaplan, Marc Hochberg, Brian Berman. Acupuncture for Osteoarthritis of Knee : A systematic review. Arthritis & rheumatism 2001 ; 44(4) : 819-25.
A White NE, Foster M, Cummings P Barlas. Acupuncture treatment for chronic knee pain : a systematic review. Rheumatology. 2007 ; 46(3) : 384-90.
변혁, 김선웅, 안지현, 김용석, 서정철, 최선미, 박지은, Kawakita K, Takahashi N, Sumiya E, 이승덕. 퇴행성 슬관절염에 대한 맞춤형 침 치료 효과 검증 무작위 대조군 임상연구(RCT). 대한침구학회지 . 2007 ; 24(4) : 183-95.
박인식, 정찬영, 장민기, 강미숙, 이승우, 김은정, 이승덕, 김갑성. 퇴행성 슬관절염에 대한 근위취혈 침 치료의 효과 비교에 대한 임상연구. 대한침구학회지. 2008 ; 25 : 227-42.
이승덕, 김선웅, 최선미, 서정철, 이상훈, 김용석. 무릎 관절염의 맞춤형 침구 임상시험 프로토콜 개발을 위한 전자우편 설문 조사. 대한침구학회지. 2005 ; 22; 197-204.
식품의약품안전청. 한약제재 등의 임상시험 가이드 라인 제정연구 중약신약임상연구지도원칙. 식품의약품안정청 . 2005 : 106-10, 472-8.
니시죠 카즈시, 쿠마자와 타가오. 과학적인 침구임상. 군자출판사. 2005 : 177-202.
대한침구학회 교재편찬위원회. 침구학(하). 집문당. 2008 : 654-781.
신순식 외. 한의진단명과 진단요건의 표준화 연구 (III). 한국한의학연구소. 1997 : 415-27.
박영배, 김태진. 변증진단학. 1995 : 173-467.
이봉교 외. 한방진단학. 성보사. 1992 : 41.
이봉교 외. 한방진단학. 성보사. 1992 : 22-4.
박영배, 김태진. 병증진단학. 1995 : 433.
한창현, 신선화, 안상우, 최선미. 한국 침구치료 현황파악을 위한 설문조사. 대한침구학회지. 2006 , 22(6) : 141-53.
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Yeo, In Ho ; Kim, Jung Hyun ; Jung, Se Ho ; Jo, Na Young ; Roh, Jeong Du ; Kim, Kap Sung ; Lee, Seung Deok ; Kim, Eun Jung ; Lee, Cham Kyul ; Lee, Eun Yong 2013. "The Correlation between Acupuncture Therapy on Knee Osteoarthritis and BMI" The acupuncture = 대한침구의학회지, 30(3): 101~107