What is the source of pressure pain during abdominal examination in Korean medicine?

Background: This study aimed to observe which anatomical structures change in the abdominal cavity and are involved in pressure pain during the pressurization of CV12 by using an ultrasonic diagnostic device in healthy subjects. Methods: We recruited 52 healthy people and performed ultrasound imagin...

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Main Authors: Hyun Il Go, Eunbyul Cho, Hyun-Jong Jung, Sanghun Lee, Jae-Hyo Kim, O Sang Kwon
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:Integrative Medicine Research
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213422020300378
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author Hyun Il Go
Eunbyul Cho
Hyun-Jong Jung
Sanghun Lee
Jae-Hyo Kim
O Sang Kwon
author_facet Hyun Il Go
Eunbyul Cho
Hyun-Jong Jung
Sanghun Lee
Jae-Hyo Kim
O Sang Kwon
author_sort Hyun Il Go
collection DOAJ
description Background: This study aimed to observe which anatomical structures change in the abdominal cavity and are involved in pressure pain during the pressurization of CV12 by using an ultrasonic diagnostic device in healthy subjects. Methods: We recruited 52 healthy people and performed ultrasound imaging by gradually pressurizing the subject's CV12. We analyzed ultrasound images to observe the changes in abdominal anatomical structures during pressurization. Results: A significant change in thickness appeared at the space above the peritoneum and stomach and at the space between the stomach and the abdominal aorta while pressing on CV12. Pressure pain occurred in the following two cases. One was when from the posterior side of the stomach to the inner surface of the rectus abdominis became approximately 1.8 cm. The other was when the anterior side of the abdominal aorta approached the inner surface of the rectus abdominis by approximately 3 cm. Pressure pain occurred when CV12 was pressed to a depth of approximately 2.4 cm for females, 3.1 cm for males and 2.7 cm on average. Conclusion: The stomach and tissues around the stomach undergo the greatest pressure change during the pressurization of CV12, and in particular, pressure pain occurs when the posterior wall of the stomach is under pressure. However, further study should be done for clinical application.
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spelling doaj-art-19e2da4a5e2f4aec85c75c2e8911e1e62025-08-20T02:00:39ZengElsevierIntegrative Medicine Research2213-42202020-06-019210040610.1016/j.imr.2020.100406What is the source of pressure pain during abdominal examination in Korean medicine?Hyun Il Go0Eunbyul Cho1Hyun-Jong Jung2Sanghun Lee3Jae-Hyo Kim4O Sang Kwon5Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Wonkwang University, Iksan, Republic of KoreaDepartment of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Wonkwang University, Iksan, Republic of KoreaDepartment of Diagnostics, College of Korean Medicine, Wonkwang University, Iksan, Republic of KoreaFuture Medicine Division, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea; Department of Korean Convergence Medicine, University of Science & Technology, Daejeon, Republic of KoreaDepartment of Meridian & Acupoint, College of Korean Medicine, Wonkwang University, Iksan, Republic of KoreaDepartment of Meridian & Acupoint, College of Korean Medicine, Wonkwang University, Iksan, Republic of Korea; Corresponding author at: Department of Meridian & Acupoint, Wonkwang, University College of Korean Medicine, #460 Iksan-daero, Iksan 54538, Republic of Korea.Background: This study aimed to observe which anatomical structures change in the abdominal cavity and are involved in pressure pain during the pressurization of CV12 by using an ultrasonic diagnostic device in healthy subjects. Methods: We recruited 52 healthy people and performed ultrasound imaging by gradually pressurizing the subject's CV12. We analyzed ultrasound images to observe the changes in abdominal anatomical structures during pressurization. Results: A significant change in thickness appeared at the space above the peritoneum and stomach and at the space between the stomach and the abdominal aorta while pressing on CV12. Pressure pain occurred in the following two cases. One was when from the posterior side of the stomach to the inner surface of the rectus abdominis became approximately 1.8 cm. The other was when the anterior side of the abdominal aorta approached the inner surface of the rectus abdominis by approximately 3 cm. Pressure pain occurred when CV12 was pressed to a depth of approximately 2.4 cm for females, 3.1 cm for males and 2.7 cm on average. Conclusion: The stomach and tissues around the stomach undergo the greatest pressure change during the pressurization of CV12, and in particular, pressure pain occurs when the posterior wall of the stomach is under pressure. However, further study should be done for clinical application.http://www.sciencedirect.com/science/article/pii/S2213422020300378CV12JungwanPressure painChange of anatomical structureUltrasound imaging
spellingShingle Hyun Il Go
Eunbyul Cho
Hyun-Jong Jung
Sanghun Lee
Jae-Hyo Kim
O Sang Kwon
What is the source of pressure pain during abdominal examination in Korean medicine?
Integrative Medicine Research
CV12
Jungwan
Pressure pain
Change of anatomical structure
Ultrasound imaging
title What is the source of pressure pain during abdominal examination in Korean medicine?
title_full What is the source of pressure pain during abdominal examination in Korean medicine?
title_fullStr What is the source of pressure pain during abdominal examination in Korean medicine?
title_full_unstemmed What is the source of pressure pain during abdominal examination in Korean medicine?
title_short What is the source of pressure pain during abdominal examination in Korean medicine?
title_sort what is the source of pressure pain during abdominal examination in korean medicine
topic CV12
Jungwan
Pressure pain
Change of anatomical structure
Ultrasound imaging
url http://www.sciencedirect.com/science/article/pii/S2213422020300378
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