About this Lecture
¡Ü Pain Science and Pain Practice for Chronic Pain
¡Ü Theory of M-puncture and Its Techniques
¡Ü New Paradigm of Chronic Pain Control
Motivation to Authoring this Book
¡Ü Over the years, I continued to standardize the molecular mechanism of pain. The most driving key role mechanism was discovered to be altered coupling to signal transduction. These studies were integrated as a basis for theory and technology of Jun¡¯s model and M-puncture. An appropriate therapeutic tool was then developed to utilize this mechanism for pain treatment. In 2004 and 2005, M-puncture (Molecular Targeting by Acupuncture) was developed as the effective therapeutic tool. This book takes a completely different approach from the preceding publications by providing an easy access and understanding of the pain mechanism and technology to medical teaching faculties and clinicians.
¡Ü The driving force of the main mechanism is reflected in the molecular lesion in nociceptive neuron; therefore, previously existing approaches for pain treatment, both surgical and non-surgical, have had insufficient efficacy in solving lesion.
Preface
¡Ü What mechanisms have pivotal roles to change good, adaptive pain to bad, maladaptive pain resulting in persistent uncontrollable pains?
- Raveling axial molecular interpretations of chronic pains
¡Ü Revealing therapeutic target and tools to solve molecular lesions.
Two Key Concepts
¡Ü Reveal the molecular mechanism for the basis of chronic, persistent pain, also referred to as the ¡°bad pain¡± by Al Basbaum at UCSF
To develop an appropriate therapeutic method
°ÀÇ ´ë»óResident / Clinician°ÀÇ Æ¯Â¡º» °ÀÇ´Â °»çÀÇ Àú¼ÀÎ ¡°Jun¡¯s M-puncture and Pain Model¡±À» ±â¹ÝÀ¸·Î ÇÑ °ÀÇÀÌ´Ù.
M-puncture ÀÌ·ÐÀÇ Ã¢½ÃÀÚÀÎ Àüµ¿ÈÖ ±³¼ö´Â °ú°Å ¼ö³â°£, ±×¸®°í ÇöÀç¿¡µµ Ȱ¹ßÇÑ °ÀÇȰµ¿À» ÅëÇØ ¸¸¼ºÅëÁõ ºÐ¾ßÀÇ Ä¡·á¹ý¿¡ ´ëÇÏ¿© »õ·Î¿î Æä·¯´ÙÀÓÀ» Á¦½ÃÇϰí ÀÖ´Ù.
ÇнÀÀÚ°¡ º» ÀÌ·ÐÀ» ÀÌÇØÇϱâ À§Çؼ´Â ÅëÁõ¿¡ ´ëÇÑ ÀÌ·ÐÀû ¹è°æÀ» ¼÷ÁöÇϰí ÀÖ¾î¾ß ÇÔÀº ¹°·Ð ½Å°æ°èÀÇ ºÐÀÚ»ý¹°ÇÐÀû ÀÌÇØ ¶ÇÇÑ ¼ö¹ÝµÇ¾î ÀÖ¾î¾ß ÇÑ´Ù. º» °ÀÇ´Â ÀÌ¿¡ ´ëÇÑ ÃæºÐÇÑ ¼³¸í°ú °¡À̵å¶óÀÎÀ» Á¦½ÃÇϰí ÀÖÀ¸¸ç, À̸¦ ÅëÇØ ȯÀÚÀÇ ¼±º°°ú ½Ã¼úÀÇ Á¤È®µµ¸¦ ³ôÀÏ ¼ö ÀÖµµ·Ï µµ¿òÀ» ÁØ´Ù.
M-puncture´Â »õ·Î¿î Ä¡·á¹ýÀÌ´Ù. ±âÁ¸ Medical AcupunctureÀÇ Ä¡·á¿øÄ¢Àº ÀØ°í º» Ä¡·á¹ýÀ» »õ·Ó°Ô ¹Þ¾ÆµéÀÌ±æ ¹Ù¶õ´Ù.
¸¸¼ºÅëÁõÀº ±Þ¼ºÅëÁõ°ú´Â ÀüÇô ´Ù¸¥ ÅëÁõÀ̸ç, ±× ¿øÀÎÀº Á¶Á÷¿¡¼ º¸´Ù ½Å°æ°è(C-fiber)¸¦ Áß½ÉÀ¸·Î ÇÑ ºÐÀÚÀû º´¼Ò µîÀÌ ¿øÀÎÀ̶ó´Â °ÍÀÌ ¹àÇô Á³À¸¸ç, µû¶ó¼ ±× Ä¡·á ´ë»óµµ ÀÌ ºÐÀÚÀû º´¼Ò¸¦ ¿ÍÇØ½ÃÄѾ߸¸ ±ÙÄ¡°¡ µÉ ¼ö ÀÖ´Ù´Â ±Ù°Å¸¦ Á¦½ÃÇÏ¿´´Ù.
M-puncture´Â A¥ä fiberÀÇ Àڱذú ºÐÀÚº´¼Ò¸¦ Á÷Á¢ targeting ÇÔÀ¸·Î½á ºÐÀÚº´¼ÒÀÇ ¿ÍÇØ¸¦ ½ÃµµÇÏ´Â »õ·Î¿î Ä¡·á¹æ¹ýÀÌ¸ç ±âº» Å×Å©´ÐÀº ´ÙÀ½°ú °°´Ù.
a. PML targeting itself(ÀÏÂ÷ ºÐÀÚÂ÷¿øÀÇ º´¼Ò ÀÚü¸¦ °ø·«)
b. SML targeting via OAF(ÀÏÂ÷ ±¸½É¼º ¼¶À¯¸¦ ÅëÇÑ Ã´¼öÀÇ ºÐÀÚÂ÷¿øÀÇ º´¼Ò °ø·«)
c. SML targeting via Descending Control(ÇÏÇ༺ Àü´Þ·Î¸¦ ÅëÇÑ Ã´¼öº´º¯ °ø·«)
d. DNIC(ÇÏÇ༺ ÅëÁõ¾ïÁ¦ ½Ã½ºÅÛ Á¶Àý)
e. ÆíµµÀÇ À̼Ҽº º¯È¿¡ ´ëÇÑ ºñȰ¼ºÈ
º» ¿Â¶óÀÎ °ÀÇ¿¡¼´Â ¿ÀÇÁ¶óÀÎ °ÀÇ¿¡¼ ½Ã°£»ó ´Ù·ç±â Èûµé¾ú´ø ÀÌ·ÐÀû ¹è°æÀ» Á» ´õ ±íÀÌ ÀÖ°Ô ¼³¸íÇÏ¿´À¸¸ç, ƯÈ÷ ´Ù°¢µµÀÇ ÃÔ¿µÀ» ÅëÇÏ¿© Á¤È®ÇÑ targeting À§Ä¡¿Í ¹æ¹ýÀ» Á¦½ÃÇÔÀ¸·Î½á ÇнÀÀÚ°¡ Á» ´õ Á¤È®ÇÏ°í ¼¼¹ÐÇÑ ºÎºÐ±îÁö ÇнÀÇÒ ¼ö ÀÖµµ·Ï µµ¿òÀ» ÁÖ¾ú´Ù.