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KMID : 0363320090300010191
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Journal of Korean Oriental Internal Medicine
2009 Volume.30 No. 1 p.191 ~ p.199
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A Selective Effect of Combined Treatment of Electroacupuncture at Zusanli(ST36), Manual Acupuncture, and Pyengwi-san in Function Dyspepsia Patients with Pyloric Valve Disturbance and Hypoactivity of Gastric Vagus Nerve
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Kim So-Yeon
Yoon Sang-Hyub
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Abstract
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Objectives: The aim of this study was to evaluate the therapeutic effect of acupuncture and herbal medicine in patients who had hvpoactivity of the gastric vagus nerve and pyloric valve disturbance simultaneously with function dyspepsia by bowel sounds analysis.
Methods: Bowel sounds of 10 patients (male 1, female 9) were recorded and their % of bowel sound (%BS) and ratio of dominant frequency (DF) were analyzed before and after treatment. Hypoactivity of the gastric vagus nerve was considered if % BS was <6%. and pyloric valve disturbance was accepted if DF ratio (e.g.. postprandial DF/fasting DF) was <1. Electroacupuncture at Zusanli (ST36, 3Hz, 30 minutes) and manual acupuncture at other meridian points were applied daily for 2 weeks. Herbal medicine, Pyengwi-san. was administered to all patients (100cc, 3 times/day).
Results: DF ratio significantly increased from 0.93±0.06 to 1.06±0.04 after treatment for 2 weeks (p=0.005). 9 of 10 patients were improved to DF ratio>1. %BS also increased from 2.97±1.17% to 4.49±4.27%. not significantly. 3 patients showed a remarkable elevation, and their %BS reached >6% of normal value.
Conclusions: Combined effect of electroacupuncture at Zusanli (ST36), manual acupuncture. and Pyengwi-san was shown effective in the improvement of pyloric valve disturbance more than hypoactivity of gastric vagus nerve on patients with functional dyspepsia.
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KEYWORD
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Electroacupuncture, Zusanli(ST35), Bowel Sound, Vagus nerve, Pyloric valve, Functional Dyspepsia
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