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Chronic Pain Control Center

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• Dr. Jun Dong Whee's profile
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• Relevant Published Book - Jun’s M-Puncture and Pain Model (2009)
   

Relevant Published Book  -  Jun’s M-Puncture and Pain Model (2009)

도서내용  

만성통증 치료에 대한 새로운 패러다임 제안

머리말

In 1973, after becoming a neurosurgeon, I specialized in painful lesion and treated many cases via surgical and non-surgical approaches.

Each cases were reviewed by comparing the pre- and post-treatment objective findings (CT, MRI, X-ray, and laboratory studies).

Although objective findings showed good results of treatment, many patients were still suffering from pain. In these cases, neuropsychiatry was consulted for further treatment.

However, I had a doubt whether there was another factor to these unresolved pain. In 1999, an research article by R.R. Ji and C.J. Woolf from Harvard Medical School began to open a door to solving this doubt. Many other outstanding articles about the mechanism was followed by. I tried to standarze molecular mechanism of pain over the years.

The most driving key rolled mechanism was discovered to be altered coupling to signal transduction. The next step was to develop the appropriate therapeutic tool to utilize this mechanism for pain treatment. In 2004 and 2005, M-puncture (molecular targeting by acupuncture) was developed as the effective therapeutic tool.

These studies were integrated as a basis for Jun’s model and theory and technology of M-puncture, and this book has been written in a complete different approach from the preceding publications. It has been written to provide easy access and understanding of the pain mechanism and technology for medical teaching faculties and clinicians.

The driving force of the main mechanism is reflected in the molecular lesion in nociceptive neuron; therefore, Existing previous approaches for pain treatment such as surgical and non-surgical, is insufficient efficacy in solving lesion

Preface

1. 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)

2. Revealing therapeutic target and tools to solve molecular lesions.

앞으로 설명할 두가지 핵심 사항은

1. 통증의학 분야 리더 중의 한사람인 UC San Francisco의 Al Basbaum이 사용한 bad pain, 즉 만성적이고 지속적인 통증의 근원이 되는 분자적 기전을 밝히고

2. 그에 대한 치료방법을 기술하는 것이다.

Type 1

1970년 이후, 통증치료의 기본 모델은 structural pain model이며 이에 대한 검사 방법 및 치료 방법은 괄목할만한 발전을 거듭하여 MRI는 미세한 soft tissue lesion의 imaging을 만족시켜줬으며 치료에서 수술 방법등도 내시경 수술 및 미세수술 방법까지 상당한 발전을 해왔다. 기타 medicine, P.T.등의 방법도 발전되었다고 할 수 있다. 그러나 이 model에 의한 치료 방법 및 검사 방법이 발달되었다고 하더라도 일정 부분에 있어 지속적 만성 통증에 대한 치료는 미흡한 부분이 현재까지 존재한다고 할 수 있다. MRI의 imaging은 그 역설적인 모순점을 잘 나타내 주고 있다. False negative와 false positive의 문제가 바로 그것이다. Structure의 anatomical finding과 symptom의 mismatch의 파라독스 현상을 보여주고 있다. 2004년도 Waddell은 psychogenic pain model 의 일부는 neurophysiological pain model로 분류하여 3rd pain model이라고 제시한 바도 있다. 그러나 그도 그 근거 기전 및 결과에 대한 예측을 hazy하다고 조설하였다. 저자는 만성 통증의 기본 pain model은 structural pain model이나 혹은 psychogenic pain model이라기보다 molecular and molecular targeting pain model을 제시하여 그 모델에 근거한 분자 병소를 targeting하여야만 지속적 통증의 solving을 할 수 있다고 저술하였다. 치료방법으로는 우선 acupuncture needle을 이용한 molecular targeting, 즉 molecular targeting by acupuncture (M-Puncture)을 기술하여 저술하였다. 이 책은 molecular and molecular targeting pain model에 근거한 그 기전 및 치료방법을 저술한 것이다.

목차

Chapter 1

Introductory comments about
M-puncture and Medical Acupuncture
핵심 이론 정리

Chapter 2

Section1 Pain terms that are essential for understanding M-puncture
Section2 Neural Basis of Pain
Section3 Neurophysiogical basis of pain
Section4 Molecular basis of pain
핵심 이론 정리

Chapter 3

M-puncture
Theory and Technology
핵심 이론 정리

Chapter 4

Technology of M-puncture
Section1 Headache
Section2 Neck Pain and Upper Back Pain
Section3 Shoulder Pain
Section4 Lower Back Pain
Section5 Buttock and Back Thigh Pain
Section6 Knee Join, Thigh Pain
Section7 Elbow Pain
Section8 Ankle Pain
Section9 Other Joint Pain
Heel Pain,foot pain, wrist pain, Shoulder girdle & upper limb anterior chest

Index

References

상세이미지

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