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)
