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The Journal of Internal Korean Medicine > Volume 29(2); 2008 > Article
The Journal of Internal Korean Medicine 2008;29(2): 401-412.
기능성 소화불량증에서 위운동성 장애 진단을 위한 양도락 지표 연구
김소연1, 윤상협1, 김윤범2, 정승기3
1경희대학교 한의과대학 비계내과
2경희대학교 안이비인후피부과
3경희대학교 폐계내과 교실
Study of Ryodoraku Parameters for Diagnosing Gastric Dysmotility in Functional Dyspepsia.
So-yeon Kim1, Sang-hyub Yoon1, Yoon-bum Kim2, Sung-ki Jung3
13rd Dept. of Internal Medicine, Kyung-Hee University
2Dept. of Opthalmology, Otolaryngology and Dermatology, Kyung-Hee University
3Division of Allergy, Immune & Respiratory System, College of Oriental Medicine, Kyung-Hee University
Correspondence  Sang-hyub Yoon ,Tel: 02-958-9142, Fax: 02-958-9136, Email: sandrock58@nate.com
  Published online: June 30, 2008.
ABSTRACT
Objectives:
The aim of this study was to investigate the characteristics of Ryodoraku and association of Ryodoraku with gastric dysmotility in functional dyspepsia(FD).

Methods :
Subjects were 154 patients with FD and 18 patients with asthma. We calculated the average Ryodoraku score(RS, ㎂) and each variation from physiologic range of 12 Ryodoraku points, and investigated the incidence when left and right points were simultaneously below(bilateral deficiency) or above(bilateral excess) physiologic range. Postprandial regularity of normal slow waves, power ratio, and postprandial % of bowel sound were obtained by electrogastrography and enterotachography, and were used as gastric dysmotility index.

Results:
1. Bilateral excess of H4, H5, F1, and F4 and bilateral deficiency of H4, H5, and H6 were characteristic in FD compared with asthma patients. 2. Incidence of gastric dysmotility in bilateral deficiency of H4, H5, and H6 was 100%, and was higher than in total FD patients(88.3%). 3. There was a positive correlation between the variation of H6 and % postprandial bowel sound. 4. Deficient tendency of H4, H5, and H6 was more evident when RS was above 40㎂ in FD.

Conclusions:
These findings suggest that gastric dysmotility in FD can be diagnosed when a pattern of H4, H5, H6 bilateral deficiency and F1, F4 bilateral excess is shown at the same time. We think this phenomenon is related to low activity of the vagus nerve rather than meridian pathway with result based on positive correlation between variation of H6 and postprandial % of bowel sound.
Key words: Functional dyspepsia, Ryodoraku, Electrogastrography, Bowel sounds, Autonomic nerve.
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