[논문]침술이 심신의학의 지평을 확장하다

김재효

doi:10.14406/acu.2016.017

침술이 심신의학의 지평을 확장하다
Acupuncture Expands the Boundary of Mind-Body Medicine 원문보기

Korean journal of acupuncture, v.33 no.3, 2016년, pp.139 - 147

초록
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목적 : 침술은 동북아시아 지역의 중심에서 시작하여 2천년 이상의 역사와 함께 아시아뿐만 아니라 근-현대 전 세계의 임상의료 현장에서 크게 번창하고 있다. 이와 함께 침술의 객관화를 위하여 의생명과학 여러 방면에서 검증하는 노력이 진행되어 오고 있다. 그 과정을 통해 각종 동물을 비롯해 사람에서 침술의 다양한 효과와 기전이 점차 밝혀지고 있다. 필자는 침술 치료에서 의사와 환자가 주관적으로 경험하는 것을 설명하고, 그것의 임상적 유의성을 심신의학적 측면에서 이해하고자 하였다. 방법 : 침술과 명상에서 각각 진행되었던 뇌신경과학 분야의 여러 실험 결과들을 비교함으로써 심신 상관성이란 의미를 찾고자 하였다. 그밖에 한의학 임상영역에 시도되는 한의학과 심리학이 접목된 새로운 치료법을 정리하였다. 결과 및 결론: 침술의 치료효과와 관련해 "조기치신(調氣治神)"을 매우 중요한 개념으로 표현하고 있다. 이는 인체에 다양한 기능의 균형을 조절하고, 환자의 의식과 심리상태를 조절한다고 설명한다. 전통의학과 현대의학의 큰 차이는 현대의학은 환자와 질병을 대상화시켜 객관화 하는 노력을 추구하였고, 전통의학은 환자와 의사가 경험하는 대상을 자신과 분리하지 않는 주관적 체험을 추구하고 있다는 것이다. 그리고 전통의학은 주관적 체험을 배제하지 않고 진료에서 활용한다는 것이다. 그래서 전통의학의 역할과 의미를 이해하고자 한다면, 객관적 효과와 수량적 결과뿐만 아니라 환자와 의사의 주관적 체험과 이야기도 중요하게 다뤄져야 한다. 침술의 역할과 의미는 의사와 환자 사이에서 나타나는 행위의 모든 과정을 고려해 설명해야 할 것이다. 아마도 그 과정에서 침술이 찾는 해결의 길은 명상이 찾는 해결의 길과 만날 것이라 믿는다.

Abstract ▼ AI-Helper

Purpose : The acupuncture existed more than 2000 years and has flourished not only in Asia but also in medical field of modern world. In addition, empirical evidences from biomedicine have been expended in many ways in order to objectify the field of acupuncture. Thus, the effect and mechanism of the acupuncture has been revealed in human and other animals. In this article, I attempt to explain what doctors and patients subjectively experience through acupuncture treatment and its clinical significance based on mind-body medicine. Methods : The experience and clinical significance of the acupuncture was examined in the view of mind-body medicine, also reviewed research trends related to meditation understanding the clinical effectiveness of acupuncture. Results and Conclusions : Traditional Korean medical doctor perceive generally "jogi " and "chishin " meaning the regulation of the balance of the various functions in the human body and patient's consciousness and psychology state as mightily important concept concerning the therapeutic effect of acupuncture. Despite scientific approach to objective understanding of the acupuncture was performed in the meantime, practitioners put emphasis on experience based on sensate and interaction between doctor-patient. As it reflects the recent understanding of the psychological effects associated with the clinical efficacy of acupuncture, it has been presented one by one through neuroscience and cognitive science. Therefore it is important that interpreting the clinical effectiveness of acupuncture into Mind-body medicine can form a new awareness and attitudes toward traditional medicine.

주제어

AI 본문요약
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문제 정의

In this article, I attempt to explain what doctors and patients subjectively experience through acupuncture treatment and its clinical significance based on mind-body medicine. In addition, I compare the results of scientific experiments on acupuncture and meditation to figure out the mind-body correlation.

가설 설정

Under such backgrounds, I set up a hypothesis that acupuncture is the process of feeling and experiencing, and this is experienced from meditation as well.

제안 방법

At first, they alternately stimulated HT7 and PC6 on the forearm, and let the participants report the location they felt the stimulation and the strength of it. Next, the participants were told they would experience EA on the two acupoints in fact, it was not EA but pseudo-stimulation and asked to report the location and the strength of it, causing bodily attention. The participants focused on the region where they thought they had EA stimulus, the bodily attention activated the salience network in insula and anterior cingulate cortex, and deactivated the default mode network in the prefrontal cortex, posterior cingulate cortex, and inferior parietal lobule.
Next, the participants were told they would experience EA on the two acupoints in fact, it was not EA but pseudo-stimulation and asked to report the location and the strength of it, causing bodily attention. The participants focused on the region where they thought they had EA stimulus, the bodily attention activated the salience network in insula and anterior cingulate cortex, and deactivated the default mode network in the prefrontal cortex, posterior cingulate cortex, and inferior parietal lobule. This means the brain works lots of signal processing systems for descending sensory signaling without external stimulus.
This article also introduces M&L psychotherapy3), a new therapy that combines Korean medicine and psychology, to show evidence that acupuncture may support awakening dull senses and help find selfhood in patients.
. This book introduces eight ways of stimulating acupoints, including tapping the meridian with the fist, palm, and finger. This physical stimulation instead of using an acupuncture needle on the acupoint is related to the phenomenological perception based on the experience, because the phenomenological perception is necessary for the doctor in the traditional process of identifying acupoints and practicing acupuncture.

성능/효과

On the other hand, genuine acupuncture stimulus exhibited greater activation in posterior insula and the caudal part of the anterior cingulate cortex of the brain, which is related to ascending sensory signaling. In conclusion, deqi derived from acupuncture stimulus is concerned with the descending data processing of the brain to feel stimulus in certain locations. Acupuncture stimulus works as a means of prompting inner and outer changes in the senses of the body.

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