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탈발(脫髮)의 병인병기(病因病機) 및 침구치료(鍼灸治療)에 관한 문헌고찰

A Philological Study on the Pathology, Acupuncture and Moxibustion of Alopecia

The acupuncture = 대한침구의학회지, v.32 no.2, 2015년, pp.35 - 57  

이상현 (동신대학교 한의과대학 침구의학교실) ,  조명래 (동신대학교 한의과대학 침구의학교실)

Abstract AI-Helper 아이콘AI-Helper

Objectives : The purpose of this study is to analyze literature on oriental medicine to investigate the pathology, acupuncture, and moxibustion therapy applicable to alopecia Methods : We searched for the causes of alopecia in the bibliographic data from 41 sources of literature and the acupunctural...

주제어

질의응답

핵심어 질문 논문에서 추출한 답변
鍼灸醫學(침술의학)에서는 脫髮(탈발)의 원인을 어떻게 보는가? 원인 : 韓醫學적으로는 毛髮영양에 精血이 源泉이 되므로房勞過度로 腎精虧損 하거나, 思慮傷脾로 氣血生化 가 부족하거나, 肺氣不足하여 宣發기능을 상실하거나, 久病으로 虛弱하여 氣血兩虛하거나, 腎精虧損 精血不足 津液失布 血虛生風으로 毛髮을 영양하지 못해 탈락하거나, 情志不暢 肝氣鬱結 氣機不暢하여 瘀血阻滯하면 瘀血이 不去하여 血不養髮하여脫落하며, 정신적 자극이 크면 心火亢盛되어 血熱生風하여 風動脫髮시킨다.
脫髮란 무엇인가? 脫髮은 정상적으로 모발이 존재해야 할 부위에 모발이 탈락되는 상태로서1) 반흔성과 비반흔성으로 구분하는데, 반흔성 脫髮은 모낭이 파괴되므로 모발의 재생이 되지 않는 반면, 비반흔성 脫髮은 모낭이 유지되므로 병변의 소실 후에 모발이 다시 날 수 있다2).
皮膚鍼(피부침)은 왜 등을 시술의 주요 부위로 삼는가? 皮膚鍼療法은 여러 개의 짧은 鍼을 특정 부위들 혹은 지점의 피부 천층에 같이 刺入(淺刺) 하고 두드리는 시술이다102). 皮膚鍼은 언제나 등을 시술의 주요 부위로 삼는데, 그 이유는 등에는 督脈과 膀胱經이 위치하여, 督脈은 陽脈의 綱이고, 膀胱經에는 臟腑의 背兪穴이 있으므로 인체의 기능을 조절할 수 있기 때문이다46). 脫髮의 皮膚鍼 치료의 多用 穴位를 살펴보면 脫髮局部(阿是穴)가 가장 많이 사용되었고 頸部夾脊部位, 百會ㆍ風池 등이 사용되었다.
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