• Title/Summary/Keyword: Needling depth

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Warm Needling Treatment in Korea: A Literature Review

  • Kim, Chang Wan;Park, Jin Seo;Won, Jee Yeong;Han, Da Young;Lee, Kyoung Yoon
    • Journal of Acupuncture Research
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    • v.37 no.2
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    • pp.69-78
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    • 2020
  • Although there have been studies investigating the clinical effects of warm needling (WN) for specific diseases, a comprehensive review of WN is needed. Four Korean internet databases were used in the review of WN treatment performed in Korea. The search terms used to retrieve articles were "warm needling (in Korean; 온침)," "warm acupuncture," and "warm needle." A total of 29 articles were reviewed. The following aspects of WN were investigated: language and terminology, study design, use of Standards for Reporting Interventions in Clinical Trials of Acupuncture, research ethics, moxibustion types, number of moxa used, moxa combustion time, needle retention time, treatment time and frequency, acupoints, meridians, acupuncture size and depth, disease classification, pattern identification, outcome measures, and adverse effect. More sophisticated and precise studies on WN are required.

A Study of Influencing Factors in Acupuncture De Qi Sensation (득기 감각에 영향을 미치는 인자에 대한 연구)

  • Shin, Kyung Min;Jung, Dal Lim;Kim, Eun Jung;Lee, Seung Deok
    • The Journal of Korean Medicine
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    • v.34 no.1
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    • pp.15-28
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    • 2013
  • Objectives: The purpose of this study was to investigate the differences in kind, intensity and depth of de Qi sensation by patients' gender, age, BMI and sensitivity. Methods: Sixty-four healthy volunteers (mean age $26.51{\pm}4.72$, range 22-39) who had been studying anatomy, meridianology, acupuncture & moxibustion for more than five years at Dongguk University, Go-yang, Korea, were invited to take part in an investigation of the sensations associated with acupuncture needling. Needling was self-administered on Hegu (LI4) in the hand and Zusanli (ST36) in the leg randomly. After obtaining de Qi, the participants were asked the kind, intensity and depth of de Qi sensation. Results: There was no statistically significant difference in the kind of de Qi sensation found by acupoints and needling methods (p>0.05). Hegu (LI4) was found to be significantly higher in the intensity (p<0.001), and the depth of de Qi sensation was significantly higher in Zusanli (ST36) than Hegu (LI4) (p<0.001). There was statistically significant difference found in the intensity of de Qi sensation by depth and sensitivity (p<0.05). In the depth of de Qi sensation, there was statistically significant difference found by sensitivity (p<0.05). In de Qi sensation of practitioners, there was statistically significant difference found by gender, BMI, the intensity of de Qi sensation (VAS) and sensitivity. Conclusions: Further study involving acupuncture de Qi sensation and the influencing factors is needed.

How to Insert Acupuncture Needles into the Subacromial Space through LI15

  • Lee, Kwang Ho
    • Journal of Acupuncture Research
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    • v.38 no.3
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    • pp.242-244
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    • 2021
  • LI15 is an important acupuncture point to treat shoulder pain. There are 4 needling methods for LI15 in the textbook; 1 method requires the insertion of the needle horizontally between the acromion and the great tuberosity of the humerus with the arm lowered for supraspinatus tendonitis. This method is also applicable for all conditions of rotator cuff disease, but it has not previously been described in detail. Providing X-ray scans and describing needle direction and depth of insertion will provide evidence for needling with the arm down as an effective stimulation of the subacromial space. Firstly, for this technique, with the arm raised, a concave point is located between the front edge of the acromion and the humerus, and the lower upper arm. Secondly, the acupuncture needle is inserted slightly posteriorly towards the supraspinous fossa, in the direction of the supraspinatus tendon and to a depth of 30-40 mm.

Videoscopic Surgery for Arteriovenous Hemodialysis Access

  • Jeong, Hyuncheol;Bae, Miju;Chung, Sung Woon;Lee, Chung Won;Huh, Up;Kim, Min Su
    • Journal of Chest Surgery
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    • v.53 no.1
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    • pp.28-33
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    • 2020
  • Background: When an arteriovenous fistula (AVF) is created using the basilic or deep cephalic vein, it is additionally necessary to transfer the vessels to a position where needling is easy; however, many patients develop wound-related postsurgical complications due to the long surgical wounds resulting from conventional superficialization of a deep AVF or basilic vein transposition. Thus, to address this problem, we performed videoscopic surgery with small surgical incisions. Methods: Data from 16 patients who underwent additional videoscopic radiocephalic superficialization, brachiocephalic superficialization, and brachiobasilic transposition after AVF formation at our institution in 2018 were retrospectively reviewed. Results: Needling was successful in all patients. No wound-related complications occurred. The mean vessel size and blood flow of the AVF just before the first needling were 0.73±0.16 mm and 1,516.25±791.26 mL/min, respectively. The mean vessel depth after surgery was 0.26±0.10 cm. Percutaneous angioplasty was additionally performed in 25% of the patients. Primary patency was observed in 100% of patients during the follow-up period (262.44±73.49 days). Conclusion: Videoscopic surgery for AVF dramatically reduced the incidence of postoperative complications without interrupting patency; moreover, such procedures may increase the use of native vessels for vascular access. In addition, dissection using a videoscope compared to blind dissection using only a skip incision dramatically increased the success rate of displacement by reducing damage to the dissected vessels.

A Literuture Study on the Effect of Jung-an Acupuncture Meridian Point and Needling Method (정안침(整顔鍼)의 주요경혈(主要經穴) 및 자침수기법(刺鍼手技法)에 대한 고찰(考察))

  • Lee, Hong-Min;Kang, Sung-Keel;Kim, Chang-Hwan;Kim, Yong-Suk
    • Journal of Acupuncture Research
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    • v.25 no.1
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    • pp.179-186
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    • 2008
  • Objectives : This study was performed to introduce the Jung-an acupuncture meridian point and needling method and to understand the theological basis of Jung-an acupuncture. Methods : We searched the Oriental medical literature and related to acupuncture and studied to myofacial release and anitoxidant effects. Conclusions : 1. Jung-an acupuncture is introduced of one of as an effective therapy to the for skin disease such as freckles, acnes, especially on the face, head and neck. 2. Jung-an acupuncture meridian points are located in the face, head and neck for the purpose of Eumyang addition Jung-an acupuncture selects the low-depth stimulation for the purpose of effective stimulation of the myofacia. 3. The theological basis of Jung-an acupuncture is organized with meridian theory and myofacial release therapy.

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Comparison of Cervical Hyeopcheok Acupoint's Depth Change with Cervical Rotation in a Prone Position: Protocol and Pilot Study Result for Accurate Observation of Cervical Hyeopcheok Acupoint by Ultrasonography (복와위에서 경추 회전 시 관찰되는 경추 협척혈의 심도 변화 비교: 초음파를 활용한 경추 협척혈 관찰 프로토콜 및 예비연구 결과)

  • Chu, Hongmin;Park, Kyungtae;Jang, Jongwon;Shin, Hee-Ra;Yang, Muhack;Kim, Doo Ri;Ryu, Won Hyung;Ryu, Ho-sun;Yeom, Seung-Ryong;Lee, Sangkwan;Kim, Cheol-hyun
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.4
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    • pp.81-88
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    • 2019
  • Objectives This study is a preliminary study for safe and accurate cervical Hyeopcheok acupuncture by comparing the depth of cervical Hyeopcheok acupoint with cervical spine rotation. Methods Researchers took ultrasonographic images of cervical Hyeopcheok acupoint during full rotation of cervical spine, 45 degree rotation and neutral condition in a prone position. 4 healthy volunteers were recruited. Results No significant difference in needling depth of cervical Hyeopcheok acupoint was observed. However, there were a differences in anatomical structures' shape such as muscles. Conclusions There are no significant difference in needling depth, but anatomical structures' shape were changed. This result mean that if patient rotate cervical spine during acupuncture treatment, it can occur complications. Thus, when acupuncture treatment on cervical Hyeopcheok acupoint, practioner should make subject's cervical spine alignment corrected and be careful not to change posture during the procedure.

Thoughts on the phrase "夫氣之在脈也" of Miraculous Pivot(靈樞)·Nine needles and Twelve sources(九鍼十二原) (≪영추(靈樞)·구침십이원(九鍼十二原)≫의 "부기지재맥야(夫氣之在脈也)"구절에 대한 소고(小考))

  • Jeong, Chang-Hyun
    • Journal of Korean Medical classics
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    • v.27 no.4
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    • pp.21-27
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    • 2014
  • Objectives : Among the translations of the verse "Sa-gi is on the upper side, Tak-gi is on the middle side, Cheong-gi is on the under side(邪氣在上, 濁氣在中, 淸氣在下)" in the texts of Miraculous Pivot(靈樞) Nine needles and Twelve sources(九鍼十二原), the meanings of 'Ham-maek(陷脈)' and 'Joong-maek(中脈)' have contradictory versions. Methods : This study will identify the actual meaning of this verse through analysis of the phrase "夫氣之在脈也", followed by examination of the relationship between the meaning of "three-stratum puncture(三刺)" in the chapters Miraculous Pivot Handling needle(官鍼), Miraculous Pivot Jong-si(終始) and the meaning of "刺有三變" of Miraculous Pivot Longevity and character(壽夭剛柔), after which its application in later periods will be discussed. Results : The words 'Sa-gi', 'Tak-gi' and 'Cheong-gi' in the phrase "夫氣之在脈也" of Miraculous Pivot Nine needles and Twelve sources each correspond to the words 'yang pathogens(陽邪)', 'yin pathogens(陰邪)' and 'essence derived from food(穀氣)' of Miraculous Pivot 終始, respectively. Conclusions : The Upper-Middle-Lower of the phrase "夫氣之在脈也" in Nine needles and Twelve sources indicates the three levels of depth, in which 'Sa-gi', 'Tak-gi' and 'Cheong-gi' each dwell. 'Ham-maek' and 'Joong-maek' are categorizations according to the depth of needling.

A Literature Review on Pyoyubu (標幽賦) Written by Tu Han Kyoung (竇漢卿) (I) (두한경(竇漢卿)의 표유부(標幽賦)에 대한 연구 (I))

  • Won, Jin-Hee;Lee, In-Young
    • Korean Journal of Acupuncture
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    • v.28 no.1
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    • pp.113-123
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    • 2011
  • Objectives : This study is to provide a clear interpretation of Pyoyubu (標幽賦) which was written by Tu han kyoung (竇漢卿) during the Kum-Won dynasty of China (A.D 1196-1280). Methods : The translation was based on Original Chimgudaesung (原本鍼灸大成) and revisals on Chimguchuiyoung (鍼灸聚英), Yukyoungbuik (類經附翼), New Chimgudaesung (新鍼灸大成), etc. The critical review part helps to better understand acupuncture & moxibustion world. Results & Conclusions : The book covered all of the concepts involved in acupuncture theory and techniques. It provides a foundation and remains a key reference work for the current theory of acupuncture. An in-depth study of the book leads as follow ; 1. To full understanding of the fundamental principles of these fields. 2. To drawing up clinical practice guidelines for doctors toward patients. 3. To promoting the beneficial effects of acupuncture treatment.

A Case Report on Pneumothorax Caused by Interscapular Area Acupuncture (견갑골 내측 부 자침으로 야기된 기흉 1례)

  • Sung, Hee Jin;Lim, Su Sie;Choi, Hyun Young;Lee, Eun Yong;Roh, Jung Du;Lee, Cham Kyul
    • Journal of Acupuncture Research
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    • v.33 no.4
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    • pp.213-218
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    • 2016
  • Objectives : The purpose of this study was to report the case prognosis and evaluate treatment and prevention of pneumothorax after acupuncture treatment. Methods : A 32-year-old slender male complained of pain in the interscapular area. As a result, acupuncture needling and manual technique were performed to trigger the points of trapezius and rhomboid muscles. After this, chest pain and dyspnea occurred. Pneumothorax was confirmed by chest radiography and symptom progression was observed for 14 days while high pressure oxygen was administered. Results : The chest pain disappeared after 4 days of pneumothorax, and most of the related symptoms disappeared after 14 days. Conclusion : For acupuncture treatment to the interscapular area, the depth and manual technique should be carefully performed.

Determination of Safe Needling Depth via X-ray at $TE_{17}$(Yifeng) and $ST_7$(Xiaguan) (X-ray를 통한 예풍(藝風)과 하관(何關)에서의 안전한 자침 깊이에 대한 고찰)

  • Byun, Hyuk;Kang, Min-Joo;Jung, Chan-Yung;Park, In-Shik;Jo, Hyeon-Seog;Kim, Gyeong-Ho;Lee, Seung-Deok;Kim, Kap-Sung
    • Journal of Acupuncture Research
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    • v.24 no.6
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    • pp.69-73
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    • 2007
  • 목적 : X-ray를 통해 안면마비에 다용되는 예풍과 안면통에 다용되는 하관에서의 안전한 자침 깊이에 대하여 고찰하여 보고자 하였다. 방법 : 건강한 지원자들에게 원치 않을 경우 언제든지 시험을 중지할 권리가 있다는 것을 공지한 후, 시험에 동의한 남녀 각각 2명의 피험자들을 대상으로 대학병원 침구과 전문의가 예풍과 하관을 직자(直刺)($40mm{\times}0.35mm$ 일회용 침)하였다. 피험자의 이상 반응 유무를 살피며 안면신경 혹은 삼차신경이 지나가는 경로로 알려진 깊이까지 진침(進鎬)하였다. 유침(留鍼) 상태에서 Skull X-ray의 AP view와 Lateral view를 촬영하였다. 결과 : 피험자들은 침병이 피부에 도달 하는 동안(40mm 직자) 자침 혈위에서 중창감(重脹感)을 자각하였으며, 추후 어떠한 이상 반응도 보이지 않았다. 결론 : 안면마비와 안면통의 효율적인 치료를 위하여 안면신경과 삼차신경에 근접할 수 있는 혈위인 예풍과 하관에서의 40mm 직자는 신경염이나 뇌 손상과 같은 이상 반응을 유발하지 않았다.

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