DOI QR코드

DOI QR Code

The Analysis of Korean Clinical Studies on the Effect of Pharmacopuncture for Whiplash Injury after Traffic Accidents

  • Yun, Jung Min (College of Korean Medicine, Woosuk University) ;
  • Hur, Na Yeon (College of Korean Medicine, Woosuk University) ;
  • Kim, Kyeong Han (Department of Preventive Medicine, College of Korean Medicine, Woosuk University)
  • Received : 2020.11.04
  • Accepted : 2020.11.26
  • Published : 2020.12.31

Abstract

Objectives: Whiplash injury is one of the major diseases in recent times because of increasing traffic accidents. This review aims to analyze the overall trend of studies on pharmacopuncture for whiplash injury after traffic accidents. Methods: We searched through 4 Korean electronic databases from 2001 up to October 2020 for relevant clinical studies for whiplash injury after traffic accidents, regardless of the patients' age, gender, or race. We included studies that had an intervention group receiving pharmacopuncture therapy with or without other additional treatments, and also included studies that had a control group receiving sham treatment or active treatment such as physical therapy and herbal medication. For the clinical outcomes, we did not place any restrictions on evaluation scales if they are objective metrics. Results: We included 6 randomized controlled trials (RCTs) and 10 non-randomized controlled trials (nRCTs). 10 nRCTs were divided into 4 categories that were case-control studies, case series, case report, and retrospective observational study. In RCTs, Hwangryun-haedoktang (黃蓮解毒湯) pharmacopuncture was the most frequently used. In nRCTs, Jungsong-ouhyul (中性瘀血) pharmacopuncture, and bee venom pharmacopuncture were the most frequently used. As target points of Hwangryun-haedoktang pharmacopuncture, Ashi-points, Jianjing (GB21), and Fengchi (GB20) were the most frequently used. As target points of Jungsong-ouhyul pharmacopuncture, Ashi-points were the most frequently used. And as target points of Bee venom pharmacopuncture, Fengchi (GB20) was the most frequently used. Conclusion: Hwangryun-haedoktang pharmacopuncture, bee venom pharmacopuncture, and Jungsong-ouhyul pharmacopuncture were mainly used for whiplash injury, and their usual target points were Jianjing (GB21), Fengchi (GB20), and Ashi-points. However, a high level of evidence should be conducted through studies with systematic methodology in the future.

Keywords

References

  1. Cho SW. Survey on expectation of Korean medicine treatment in 39 cases by traffic accident. J Korean Med Rehabil. 2013;23(3): 187-99.
  2. Park SY, Lee YK, Kim JS, Lim SC, Lee BH, Jung TY, et al. Survey of oriental medical care for traffic accident patients with auto-mobile insurance; 544 cases report. J Korean Acupunct Moxib Soc. 2009;26(3):1-10.
  3. Health Insurance Review & Assessment Service. 2017 Medical expenses statistics. Wonju: Health Insurance Review & Assessment Service; 2018. p. 135-7.
  4. Korean Society of Chuna Manual Medicine for Spine and Nerves. Chuna manual medicine. 2nd ed. Seoul: Korean Society of Chuna Manual Medicine for Spine and Nerves; 2014. p. 363-77.
  5. Jeon JY, Yoo DJ, Maeng TH, Shim JW, Cho WY, Kim HS, et al. A review of clinical studies about acupuncture therapy for whiplash associated disorder. J Korean Med Rehabil. 2015;25(4):47-54. https://doi.org/10.18325/jkmr.2015.25.4.47
  6. Kim YJ, Kim TR, Woo CH, Shin BC. Comparative effectiveness of Hwangryunhaedok-tang pharmacopuncture, essential bee venom pharmacopuncture and Jungsongouhyul pharmacopuncture for cervical pain caused by traffic accidents: a retrospective observational study. J Korean Med Rehabil. 2018;28(2):83-9. https://doi.org/10.18325/jkmr.2018.28.2.83
  7. Jeon YT, Park SH, Han KI, Lee JH, Ko YS. Trends of Chuna manual therapy on traffic accident in Korea from 2005 to 2014. J Korean Med Rehabil. 2015;25(2):89-96. https://doi.org/10.18325/jkmr.2015.25.2.089
  8. Jo HG, Park AR, Kee YB, Kang DH, Choi JB, Sul JU. A clinical trial on the blood stasis and efficacy of Kyejibokryong-whan(Guizhifuling-wan) in the patients with motor vehicle accident. J Korean Med Rehabil. 2011;21(3):45-55.
  9. Korean Pharmacopuncture Institute Science Committee, Pharmacopuncturology Institute. Pharmacopuncturology. 2nd ed. Seoul: Elsevier Korea; 2011. p. 3-5, 9-17, 28-9, 45, 229-41.
  10. Yun JM, Kim KH, Oh YT, Kim JU, Yook TH. The analysis of the recent research trend of pharmacopuncture. J Soc Prev Korean Med. 2018;22(2):55-63. https://doi.org/10.25153/spkom.2018.22.2.006
  11. Lee JY, Han YJ, Kim JH, Kim YJ, Kwon KR. Type analysis of pharmacopuncture papers published in the Journal of Korean Institute of Pharmacopuncture. J Pharmacopuncture. 2006;9(3): 147-54. https://doi.org/10.3831/KPI.2006.9.3.147
  12. Baik SI, Ahn JC, Kim YJ, Kim HS, Kwon KR. Type analysis of pharmacopuncture papers published in the Journal of Korean Acupuncture and Moxibustion. J Korean Acupunct Moxib Soc. 2006;23(6):19-27.
  13. Kim YJ, Kim TR, Woo CH, Park JH. The retrospective analysis of traffic accident inpatients in Korean and Western medicine hospital. J Korean Med Rehabil. 2016;26(4):97-105. https://doi.org/10.18325/jkmr.2016.26.4.97
  14. Lee JH, Kim JS, Yang KY, Han SY, Lee CR, Shin HK. The comparative study on the effect of pharmacopuncture treatment and Chuna treatment for neck pain caused by traffic accidents. J Korean Med Rehabil. 2012;22(1):75-83.
  15. Kim TH, Park WH, Cha YY. A retrospective study on the effects of ShinBaro pharmacopuncture and Jungsongouhyul pharmacopuncture on whiplash injury by traffic accident. J Korean Med Rehabil. 2013;23(4):1-7.
  16. Woo JH, Han KW, Kim ES, Lee SJ, Lee JS, Nam JH, et al. A clinical study comparing the effects of Chuna treatment and Ouhyul herbal acupuncture on the patients with cervical pain caused by traffic accidents. J Korean Acupunct Moxib Soc. 2011;28(5):9-18.
  17. Lee JS, Lee SJ, Nam JH, Kim KW, Lee MJ, Lim SJ, et al. The comparative study on the effect of pharmacopuncture treatment, Chuna treatment, pharmacopuncture-Chuna cooperative treatment for neck pain caused by traffic accidents. J Korean Acupunct Moxib Soc. 2012;29(5):87-95.
  18. Song BY. A clinical study on the effects of sweet bee venom herbal acupuncture for patients with whiplash injury. J Pharmacopuncture. 2007;10(3):77-83. https://doi.org/10.3831/KPI.2007.10.3.077
  19. Im JG, Lee JB, Lee HG, Yook TH, Kim JU. Effects of the acupuncture therapy in combination with Soyeom pharmacopuncture therapy on acute whiplash injury by traffic accident. J Korean Acupunct Moxib Soc. 2011;28(4):9-18.
  20. Lee YC, Nam DJ, Huh G, Lee JE, Kim B, Song EM, et al. The comparative study on the effect of HWANGRYUNHAEDOK-TANG pharmacopuncture and essential bee venom pharmacopuncture for cervical pain caused by traffic accidents: a randomized controlled trial. J Korean Med Rehabil. 2014;24(4):145-53.
  21. Kim KW, Lee MJ, Jun JY, Lim SJ, Lee CH, Kim HS, et al. The comparitive study on the effect of Shinbaro pharmacopuncture and bee venom pharmacopuncture treatment of patient diagnosed as cervical disc hermiation based on the MRI after traffic accident: a retrospective, case series observational study. Acupuncture 2014;31(1):43-50. https://doi.org/10.13045/acupunct.2014005
  22. Kim KH, Nam DW, Kang JW, Lee JD, Choi DY. Acupuncture for rehabilitation in patients with traffic accident in South Korea: a systematic review. J Korean Acupunct Moxib Soc. 2010;27(1):21-9.
  23. Korean Pharmacopuncture Institute Science Committee, Pharmacopuncturology Institute. Pharmacopuncturology. 2nd ed. Seoul: Elsevier Korea; 2011. p. 13-62.
  24. Textbook Compilation Committee for Korean Acupuncture Society. The acupuncture and moxibustion (Middle). Paju: Jipmoondang. 2008. p. 408.
  25. Lim GM, Wi DY, Lee JH, Ko YS. The effects of Soyeom and Jungsongouhyul pharmacopuncture on whiplash injury by traffic accident. J Orient Rehabil Med. 2012;22(2):185-92.
  26. Hwang DY. Bangyakhappyun. 2nd ed. Seoul: Yeonglim Publishing Inc; 2011. p. 264.
  27. Korean Pharmacopuncture Institute Science Committee. Pharmacopuncturology. Seoul: Elsevier Korea; 2008. p. 3-8, 163-80, 259-420.
  28. Lee SH, Kim SJ. An intensive review on clinical thesis about Hwangryunhaedok-tang pharmacopuncture treatment: focused on case reports and controlled studies in Korean Academic Journals. J Korean Med Rehabil. 2019;29(2):171-88. https://doi.org/10.18325/jkmr.2019.29.2.171
  29. Koh HK. Bee venom therapy. J Kyunghee Orient Med Coll. 1997;1:3-6.
  30. Kim HJ, Ji YS, Lee SM, Jeon JH, Kim YI. A systematic review of clinical study of bee venom acupuncture. J Korean Acupunct Moxib Soc. 2013;30(4):151-9. https://doi.org/10.14406/acu.2013.30.3.151
  31. Kim SL, Hong KE. The clinical observations of 3 cases of metatarsal tendinitis treated with anti-inflammatory herbal acupuncture. J Pharmacopuncture. 2007;10(1):157-62. https://doi.org/10.3831/KPI.2007.10.1.157
  32. Song HG, Choi JY, Kang JH, Lee H. The effect of the acupuncture therapy in combination with Soyeom pharmacopuncture therapy on the improvement of the symptoms of the patients with herniated intervertebral disk of L-spine in his initial stage of hospitalization. J Pharmacopuncture. 2009;12(4):111-8. https://doi.org/10.3831/KPI.2009.12.4.111
  33. Jun BC, Kim ES, Kim DS, Kim TH, Kim JY. Effectiveness of ShinBaro pharmacopuncture on lumbar spinal herniated intervertebral disc: a randomized controlled trial. J Korea Chuna Man Med Spine Nerves. 2011;6(2):109-19.
  34. Ro HR, Park SH, Lee JY, Choo WJ, Han SW, Kim SW, et al. The comparative study on the effect of ShinBaro pharmacopuncture treatment and bee venom pharmacopuncture treatment of patient with spondylolisthesis. J Korea Chuna Man Med Spine Nerves. 2012;7(2):53-61.
  35. Han KI, Jeon YT, Sin SH, Lee JH, Ko YS. The retrospective comparative study on the effect of muscle relaxation pharmacopuncture and Chuna manual therapy for neck pain caused by traffic accidents. J Korea Chuna Man Med Spine Nerves. 2016;11(1): 25-32.