Friday, August 21, 2015
Sunday, June 7, 2015
Thursday, April 30, 2015
Crocodile breathing to make a proper breathing.
First step of rehabilitation and good way to relax the body.
Sunday, April 26, 2015
Shoulder Mobility Rehabilitation Exercise
This exercise is good for Shoulder movement rehabilitation and rounded shoulder, Head-forwarded posture, neck and upper back pain.
Thursday, April 2, 2015
Facial Palsy from Korean Medicine Clinical Practice Guide.
(1) Acupuncture
● It is better to perform acupuncture treatment for facial palsy than to not do so (Grade A).
● Acupuncture treatment(independent or combined with steroids) for facial palsy patients is effective compared to independent treatment with steroids; therefore, acupuncture treatment with steroids is recommended for facial palsy patients (Grade A).
● It is recommended to start acupuncture treatment on facial palsy patients in the acute phase and stationary phase(within 1-3 weeks)(Grade A).
● It is recommended to induce qi(得氣) in case of acupuncture treatment for facial palsy patients (Grade A).
● In the acupuncture treatment of facial palsy patients, it is recommended to use Jichang(ST4), Hyeopgeo(ST6), Yangbaek(GB14), Yepung(TE17), and Hagwan(ST7) on the affected side and Hapgok(LI4) on the unaffected side as the basic acupuncture points (Grade A).
● In the acupuncture treatment of facial palsy patients, the use of Sugu(GV26), Sabaek(ST2), Gwallyo(SI18), Georyo(ST3), Yeolgyeol(LU7), Hwaryo(LI19), Cheonghoe(GB2), etc. should be considered in addition to the basic acupuncture points (Grade B).
(2) Electroacupuncture
● The use of electroacupuncture treatment rather than general acupuncture treatment alone should be considered
for facial palsy(Grade B).
● In the case of electroacupuncture treatment for facial palsy patients, applying aninterrupted wave instead of a loose and dense wave should be considered (Grade C).
(3) Thread-embedding
● Combining thread-embedding therapy for facial palsy treatment should be considered (Grade C).
● If more than one month has passed after the onset of facial palsy without any clear signs of recovery with general treatment, thread-embedding therapy may be considered(Grade C). The longer the treatment period and the greater the intervention time, the more effective is the treatment.
(4) Other acupuncture
● For facial palsy, combining scalp acupuncture (needle retention for 15 min after rotating needle more than 200 times for 1-3 minutes on two-fifth of the lower part of the unaffected sensational field) may be considered instead of performing common acupuncture treatment alone (Grade C).
● For facial palsy in the acute phase within 7 days of disease onset, based on the clinical experience of the guideline development group,combining Dong-si acupuncture treatment(Samjoong(三重), Sahwaoi(四花外), Cheuksamri(側三里), and Cheukhasamri(側下三里) of the unaffected side) for over two weeks is recommended instead of general acupuncture treatment(Grade GPP).
● For acute phase facial palsy within 7 days of disease onset, based on the clinical experience of the guideline development group,combining Jung-an acupuncture therapy during the recovery pe riod or sequelae is recommended, although the effectiveness of combining Jung-an acupuncture therapy with general acupuncture treatment has not been proved compared to general acupuncture treatment alone (Grade GPP).
● For facial palsy, based on the clinical experience of the guideline development group, combining Pyung-Hyung acupuncture therapy(Myeontan, Pyeontan(偏癱), Myeongmok(明目), Biyeom(鼻炎), Witong(胃痛), and Dootong point(頭痛穴) is recommended instead of performing common acupuncture treatment alone (Grade GPP).
(5) Herbal medicine
● For facial palsy, applying herbal medicine treatments such as Gyeonjeongsan(牽正散), Yigigeopoongsan(理氣祛風散), Cheongyangtang(淸陽湯), Jingyoseungmatang(秦艽升麻湯), Bulhwangeumdan(不換金丹),Cheongdamsungitang(淸痰順氣湯), Seogakseungmatang(犀角升麻湯), Cheonsungo(天仙膏), etc. should be considered (Grade B). The treatment can be differentiated according to the individual condition and characteristics of the patient.
(6) Pharmacopuncture
● For facial palsy, combining bee venom pharmacopuncture should be considered instead of acupuncture alone (Grade B). Points for bee venom pharmacopuncture include Yangbaek(GB14), Gwallyo(SI18), Jichang(ST4), Hyeopgeo(ST6), and Yepung(TE17).
● For facial palsy, combining Hominis placenta pharmacopuncture for more than four weeks is recommended instead of acupuncture treatment alone (Grade A).
● To reduce the intensity and persistence of pain in facial palsy patients, for postauricular pain, applying Hominis placenta pharmacopuncture, Scolopendra pharmacopuncture, or Soyeom pharmacopuncture on the affected Yepung(TE17) should be considered (Grade B). However, the effectiveness of these treatments in improving the symptoms of facial palsy remains unknown.
(7) Moxibustion
● For facial palsy, moxibustion therapy could be applied to the Cheonghoe(GB2), Hyeopgeo(ST6), and Jichang(ST4) (Grade C).
● For facial palsy, moxibustion therapy(indirect moxibustion) could be applied to the Jichang(ST4) and Yangbaek(GB14) in combination with treatment using Korean and western medicine(Grade C).
(8) Cupping
● Flash cupping could be applied as a cupping therapy to the affected side of the face in facial palsy patients (Grade C).
(9) Physical treatment
● SSP treatment can be combined with general treatment using Korean medicine(acupuncture and moxibustion,herbal medicine, etc.) for facial palsy patients (Grade B).
(10) Other treatments related to Korean medicine
● To reduce postauricular pain and improve the symptoms of facial palsy, blood-letting therapy could be performed at the Yepung(TE17) and Wangol(GB12) on the affected side(Grade C).
● To improve the symptomsof facial palsy patients, taping therapy in which a tape is attached along the direction of facial muscle and sternocleidomastoid muscle could be applied (Grade C).
From Evidence Based Korean Medicine Clinical Practice Guideline Development Committee for Facial Palsy (Korea Institute of Oriental Medicine,The Korean Acupuncture and Moxibustion Society), Korean Medicine Clinical Practice Guideline for Facial Palsy(KMCPG_Facial Palsy), Daejeon, Korea, 2014.
● It is better to perform acupuncture treatment for facial palsy than to not do so (Grade A).
● Acupuncture treatment(independent or combined with steroids) for facial palsy patients is effective compared to independent treatment with steroids; therefore, acupuncture treatment with steroids is recommended for facial palsy patients (Grade A).
● It is recommended to start acupuncture treatment on facial palsy patients in the acute phase and stationary phase(within 1-3 weeks)(Grade A).
● It is recommended to induce qi(得氣) in case of acupuncture treatment for facial palsy patients (Grade A).
● In the acupuncture treatment of facial palsy patients, it is recommended to use Jichang(ST4), Hyeopgeo(ST6), Yangbaek(GB14), Yepung(TE17), and Hagwan(ST7) on the affected side and Hapgok(LI4) on the unaffected side as the basic acupuncture points (Grade A).
● In the acupuncture treatment of facial palsy patients, the use of Sugu(GV26), Sabaek(ST2), Gwallyo(SI18), Georyo(ST3), Yeolgyeol(LU7), Hwaryo(LI19), Cheonghoe(GB2), etc. should be considered in addition to the basic acupuncture points (Grade B).
(2) Electroacupuncture
● The use of electroacupuncture treatment rather than general acupuncture treatment alone should be considered
for facial palsy(Grade B).
● In the case of electroacupuncture treatment for facial palsy patients, applying aninterrupted wave instead of a loose and dense wave should be considered (Grade C).
(3) Thread-embedding
● Combining thread-embedding therapy for facial palsy treatment should be considered (Grade C).
● If more than one month has passed after the onset of facial palsy without any clear signs of recovery with general treatment, thread-embedding therapy may be considered(Grade C). The longer the treatment period and the greater the intervention time, the more effective is the treatment.
(4) Other acupuncture
● For facial palsy, combining scalp acupuncture (needle retention for 15 min after rotating needle more than 200 times for 1-3 minutes on two-fifth of the lower part of the unaffected sensational field) may be considered instead of performing common acupuncture treatment alone (Grade C).
● For facial palsy in the acute phase within 7 days of disease onset, based on the clinical experience of the guideline development group,combining Dong-si acupuncture treatment(Samjoong(三重), Sahwaoi(四花外), Cheuksamri(側三里), and Cheukhasamri(側下三里) of the unaffected side) for over two weeks is recommended instead of general acupuncture treatment(Grade GPP).
● For acute phase facial palsy within 7 days of disease onset, based on the clinical experience of the guideline development group,combining Jung-an acupuncture therapy during the recovery pe riod or sequelae is recommended, although the effectiveness of combining Jung-an acupuncture therapy with general acupuncture treatment has not been proved compared to general acupuncture treatment alone (Grade GPP).
● For facial palsy, based on the clinical experience of the guideline development group, combining Pyung-Hyung acupuncture therapy(Myeontan, Pyeontan(偏癱), Myeongmok(明目), Biyeom(鼻炎), Witong(胃痛), and Dootong point(頭痛穴) is recommended instead of performing common acupuncture treatment alone (Grade GPP).
(5) Herbal medicine
● For facial palsy, applying herbal medicine treatments such as Gyeonjeongsan(牽正散), Yigigeopoongsan(理氣祛風散), Cheongyangtang(淸陽湯), Jingyoseungmatang(秦艽升麻湯), Bulhwangeumdan(不換金丹),Cheongdamsungitang(淸痰順氣湯), Seogakseungmatang(犀角升麻湯), Cheonsungo(天仙膏), etc. should be considered (Grade B). The treatment can be differentiated according to the individual condition and characteristics of the patient.
(6) Pharmacopuncture
● For facial palsy, combining bee venom pharmacopuncture should be considered instead of acupuncture alone (Grade B). Points for bee venom pharmacopuncture include Yangbaek(GB14), Gwallyo(SI18), Jichang(ST4), Hyeopgeo(ST6), and Yepung(TE17).
● For facial palsy, combining Hominis placenta pharmacopuncture for more than four weeks is recommended instead of acupuncture treatment alone (Grade A).
● To reduce the intensity and persistence of pain in facial palsy patients, for postauricular pain, applying Hominis placenta pharmacopuncture, Scolopendra pharmacopuncture, or Soyeom pharmacopuncture on the affected Yepung(TE17) should be considered (Grade B). However, the effectiveness of these treatments in improving the symptoms of facial palsy remains unknown.
(7) Moxibustion
● For facial palsy, moxibustion therapy could be applied to the Cheonghoe(GB2), Hyeopgeo(ST6), and Jichang(ST4) (Grade C).
● For facial palsy, moxibustion therapy(indirect moxibustion) could be applied to the Jichang(ST4) and Yangbaek(GB14) in combination with treatment using Korean and western medicine(Grade C).
(8) Cupping
● Flash cupping could be applied as a cupping therapy to the affected side of the face in facial palsy patients (Grade C).
(9) Physical treatment
● SSP treatment can be combined with general treatment using Korean medicine(acupuncture and moxibustion,herbal medicine, etc.) for facial palsy patients (Grade B).
(10) Other treatments related to Korean medicine
● To reduce postauricular pain and improve the symptoms of facial palsy, blood-letting therapy could be performed at the Yepung(TE17) and Wangol(GB12) on the affected side(Grade C).
● To improve the symptomsof facial palsy patients, taping therapy in which a tape is attached along the direction of facial muscle and sternocleidomastoid muscle could be applied (Grade C).
From Evidence Based Korean Medicine Clinical Practice Guideline Development Committee for Facial Palsy (Korea Institute of Oriental Medicine,The Korean Acupuncture and Moxibustion Society), Korean Medicine Clinical Practice Guideline for Facial Palsy(KMCPG_Facial Palsy), Daejeon, Korea, 2014.
Saturday, March 28, 2015
Lumbar herniated intervertebral disc in adults from Korean Medicine Clinical Pratice Guideline
This guideline is published at Oct. 2014 in Korea.
Evidence Based Korean Medicine Clinical Practice Guideline Development Committee for Lumbar Herniated Intervertebral Disc(Korea Institute of Oriental Medicine, The society of Korean Medicine Rehabilitation), Korean Medicine Clinical Practice Guideline for Lumbar Herniated Intervertebral Disc in adults(KMCPG_Lumbar Herniated Intervertebral Disc), Daejeon, Korea, 2014.
I'm going to share the summary of the guideline.
Ⅳ. Recommendation of this guideline
1. Treatment
(1) Acupuncture
● Acupuncture treatment is recommended as effective intervention for Lumbar HIVD patients to
relieve pain and improve their bodily functions. (Grade A)
● GB30, BL40, Lumbar Jiaji points, BL50, GB34, BL23, and Ashi points are recommended as
the main acupoints, and GB 30 is also recommended as a point that should be deeply needled.
(Grade A)
● Acupuncture treatment should be performed by taking into account the patients’ characteristics
and symptoms. Practicing ankle-three acupuncture, scalp acupuncture, warm acupuncture, fire
acupuncture, superficial acupuncture, intradermal acupuncture, equilibrium acupuncture, and
Sasang constitutional acupuncture is also recommended. (Grade A)
(2) Pharmacopuncture
● Pharmacopuncture for Lumbar HIVD should be applied to a select group of patients to relieve
their pain and to improve their motor ability and functions. (Grade B)
● The major pharmacopuncture approaches includebee venom pharmacopuncture, anti inflammatory
pharmacopuncture, neutral pharmacopuncture for extravasated blood, and Shinbaro
pharmacopuncture. (Grade B)
● Pharmacopuncture using centipede and scorpion venom may also be considered. (Grade C)
● A therapeutic approach using pharmacopuncture should be considered based on the patient’s
condition and risk of side effects. (Grade B)
(3) Herbal medicine
● Herbal medicine should be considered for relieving the pain of Lumbar HIVD patients and
should be prescribed in keeping with an accurate diagnosis. (Grade B)
● Duhuojisheng Tang is recommended to relieve pain (Grade A), and Cheongpa-Jeon and Sibjotang
may be considered (Grade C).
(4) Chuna (chiropractic)
● Chuna treatment is recommended as an effective option for relieving the pain of Lumbar
HIVD patients and for improving their bodily functions. (Grade A)
● It is recommended that Chuna treatment be combined with acupuncture and herbal medicine
treat¬ments. (Grade A)
(5) Moxibustion
● Moxibustion treatment should be considered for relieving the pain of Lumbar HIVD patients
and for improving their bodily functions, and it should also be combined with acupuncture.
(Grade B)
● The GV3, GV4. BL23, BL50, and BL40 points and the sensitive points of the legs and lower
back should be considered as the main points for applying moxibustion. (Grade B)
(6) Cupping therapy
● Cupping therapy should be considered for relieving the pain of Lumbar HIVD patients, and it
is also recommended that it be combined with acupuncture, herbal medicine, and the tuina
treatment. (Grade B)
● BL40, BL60 GB34, GB31, GB30, and the Ashi points should be considered the main points
for cupping therapy. (Grade B)
Evidence Based Korean Medicine Clinical Practice Guideline Development Committee for Lumbar Herniated Intervertebral Disc(Korea Institute of Oriental Medicine, The society of Korean Medicine Rehabilitation), Korean Medicine Clinical Practice Guideline for Lumbar Herniated Intervertebral Disc in adults(KMCPG_Lumbar Herniated Intervertebral Disc), Daejeon, Korea, 2014.
I'm going to share the summary of the guideline.
Ⅳ. Recommendation of this guideline
1. Treatment
(1) Acupuncture
● Acupuncture treatment is recommended as effective intervention for Lumbar HIVD patients to
relieve pain and improve their bodily functions. (Grade A)
● GB30, BL40, Lumbar Jiaji points, BL50, GB34, BL23, and Ashi points are recommended as
the main acupoints, and GB 30 is also recommended as a point that should be deeply needled.
(Grade A)
● Acupuncture treatment should be performed by taking into account the patients’ characteristics
and symptoms. Practicing ankle-three acupuncture, scalp acupuncture, warm acupuncture, fire
acupuncture, superficial acupuncture, intradermal acupuncture, equilibrium acupuncture, and
Sasang constitutional acupuncture is also recommended. (Grade A)
(2) Pharmacopuncture
● Pharmacopuncture for Lumbar HIVD should be applied to a select group of patients to relieve
their pain and to improve their motor ability and functions. (Grade B)
● The major pharmacopuncture approaches includebee venom pharmacopuncture, anti inflammatory
pharmacopuncture, neutral pharmacopuncture for extravasated blood, and Shinbaro
pharmacopuncture. (Grade B)
● Pharmacopuncture using centipede and scorpion venom may also be considered. (Grade C)
● A therapeutic approach using pharmacopuncture should be considered based on the patient’s
condition and risk of side effects. (Grade B)
(3) Herbal medicine
● Herbal medicine should be considered for relieving the pain of Lumbar HIVD patients and
should be prescribed in keeping with an accurate diagnosis. (Grade B)
● Duhuojisheng Tang is recommended to relieve pain (Grade A), and Cheongpa-Jeon and Sibjotang
may be considered (Grade C).
(4) Chuna (chiropractic)
● Chuna treatment is recommended as an effective option for relieving the pain of Lumbar
HIVD patients and for improving their bodily functions. (Grade A)
● It is recommended that Chuna treatment be combined with acupuncture and herbal medicine
treat¬ments. (Grade A)
(5) Moxibustion
● Moxibustion treatment should be considered for relieving the pain of Lumbar HIVD patients
and for improving their bodily functions, and it should also be combined with acupuncture.
(Grade B)
● The GV3, GV4. BL23, BL50, and BL40 points and the sensitive points of the legs and lower
back should be considered as the main points for applying moxibustion. (Grade B)
(6) Cupping therapy
● Cupping therapy should be considered for relieving the pain of Lumbar HIVD patients, and it
is also recommended that it be combined with acupuncture, herbal medicine, and the tuina
treatment. (Grade B)
● BL40, BL60 GB34, GB31, GB30, and the Ashi points should be considered the main points
for cupping therapy. (Grade B)
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