A Review Study on Ryodoraku Diagnosis and Evaluation of Low Back Pain

Min-Ho Song; Soo-Jin Yang; Chae-Won Lee; Byung-Ryul Lee; Jung-Nam Kwon; Song, Min-Ho; Yang, Soo-Jin; Lee, Chae-Won; Lee, Byung-Ryul; Kwon, Jung-Nam

doi:10.13048/jkm.14035

JKM > Volume 35(3); 2014 > Article

Song, Yang, Lee, Lee, and Kwon: A Review Study on Ryodoraku Diagnosis and Evaluation of Low Back Pain

Original Article

Journal of Korean Medicine 2014; 35(3): 116-124.

Published online: September 30, 2014

DOI: https://doi.org/10.13048/jkm.14035

A Review Study on Ryodoraku Diagnosis and Evaluation of Low Back Pain

Min-Ho Song¹, Soo-Jin Yang¹, Chae-Won Lee¹, Byung-Ryul Lee², Jung-Nam Kwon³

¹Department of Korean Medicine, School of Korean Medicine, Pusan National University

²Department of Acupuncture & Moxibustion Medicine, Hospital of Korean Medicine, Pusan National University

³Department of Korean Internal Medicine, Hospital of Korean Medicine, Pusan National University

Correspondence to: 권정남(Jung-Nam Kwon)경상남도 양산시 물금읍 금오로 20 부산대학교 한방병원 Tel: +82-55-360-5956, Fax: +82-55-360-5519, E-mail: jnkwon@pusan.ac.kr

Received August 07, 2014 Revised September 15, 2014 Accepted September 16, 2014

Abstract

Objectives:

This study aimed to evaluate Ryodoraku diagnosis and evaluation of low back pain reported in Korean, Japanese, Chinese and English.

Methods:

Using web search on five Korean databases, two Japanese, one Chinese and one English, we selected studies on Ryodoraku diagnosis and evaluation of low back pain.

Results:

Our initial search returned 26 Korean studies, 17 Japanese, 2 Chinese and 1 English. From them, we found 14 studies suitable for the purpose of this study. In general low back pain, studies showed that F4 (bladder) was the most frequently suggested abnormal Ryodoraku. In specific low back pain, Ryodoraku had no recognizable relation to disease-specific low back pain, but abnormal Ryodoraku of F2 (liver) and F5 (gall bladder) was frequently observed. More foot Ryodoraku showed abnormal than hand Ryodoraku.

Conclusions:

The diagnostic values of Ryodoraku for F2 (liver), F4 (bladder), H5 (triple energizer), F3 (kidney), and F5 (gall bladder) can be good diagnostic references, and future studies should be conducted on the aspect of differentiation of symptoms and signs.

Keywords: Ryodoraku, diagnosis, evaluation, low back pain, literature review

Fig. 1.

Flowchart of Study Selection

Table 1.

Summary of Ryodoraku Status of Studies on Low Back Pain

Study	LBP	Sample Size	DSS^*	H1	H2	H3	H4	H5	H6	F1	F2	F3	F4	F5	F6
Study	LBP	Sample Size	DSS^*	LU9	PC7	HT7	SI5	TE4	LI5	SP3	LR3	KI3	BL65	GB40	ST42
迫田⁷⁾	Acute	120	N					+			+	−	+
迫田⁷⁾	Chronic	120	N					+			+	−	−
後藤⁸⁾	Acute, Chronic	100	N									−	−	−
梅本⁹⁾	General	158	N								+		+
Kim¹⁰⁾	General	103	N	−(R)	+(L)	+(L)	+(R)	+(R)	+(L)	−(L)			+	+(R)	+(R)
Kim^11)‡	Chronic	32	N	+	−	−		+						−
竹之內¹²⁾	Myofascial	30	N								+			−
	Facet syndrome	30									+		−
	Sciatic n. related	30									+			−
	(Control)	30									+	−		−
Lee¹³⁾	Degenerative	17	N									+
	Disc Herniation	24					−	−			+
	Sprain	21											−	+,−
Oh¹⁴⁾	So-Eum-In	17	Y			+		−						+
Oh¹⁵⁾^‡	So-Eum-In	17	Y								NC
Oh¹⁵⁾^‡	Tae-Eum-In	18	Y				PC	PC			PC		PC	PC
Oh¹⁶⁾^§	Kidney Deficient	37	Y									▪
Oh¹⁷⁾^§	Chronic	49	Y										▪
Lin¹⁸⁾^§	General	57	N										▪

Abbrevation: LBP:Low Back Pain, R: Right, L:Left

LU9 太淵, PC7 大陵, HT7 神門, SI5 陽谷, TE4 陽池, LI5 陽谿, SP3 太白, LR3 太衝, KI3 太谿, BL65 束骨, GB40 丘墟, ST42 衝陽

* DSS: Y: Yes if the study was conducted by the aspect of differentiation of symptoms and signs, N: No

† each ryodoraku score had statistical differences compared with mean ryodoraku.

‡ PC: Positive Correlation, NC: Negative Correlation

§ The study was focused only on the checked ryodoraku

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