• Journal of Korean Medicine Rehabilitation
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• v.24 no.3
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• pp.111-119
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• 2014

Objectives This study aims to analyze a thermal distribution in biological living tissue during warm needling therapy by using a finite element method. The analysis provides an understanding of warm needling's efficacy and safety. Methods A model which consisted of four-layered tissue and stainless steel needle was adopted to analyze the thermal distribution in living tissue with a bioheat transfer analysis. The governing equation for the analysis was a Pennes' bioheat equation. A heat source characteristic of warm needling therapy was obtained by previous experimental measurements. The first analysis of the time-dependent temperature distribution was conducted through points on a boundary between the needle and the tissue. The second analysis was conducted to visualize the horizontal temperature distribution. Results When heat source's peak temperatures was above $500^{\circ}C$ and temperature rising rates were relatively slow, the peak temperature at skin surface exceeded a threshold of pain and tissue damage ($45^{\circ}C$), whereas when the peak temperature was around $400^{\circ}C$, the peak temperature at the skin surface was within a safe limit. In addition, the conduction of combustion energy from the moxa was limited to the skin layer around the needle. Conclusions The results suggest that the skin layer around the needle can be heated effectively by warm needling therapy, but it appears to have little effect at the deeper tissue. These findings enhance our understanding of the efficacy and the safety of the warm needling therapy.

• Journal of Acupuncture Research
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• v.17 no.3
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• pp.233-249
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• 2000

Objectives : Gimun-chimbub(Jimen-zhenfa) is the method of needling which is based on Gimun-hak (Jimen-xue), and it is the most excellent method of needling than any other methods. In spite of the superiority of Gimun-chimbub(Jimen-zhenfa), there are few documents which explain it in details. The purpose of this study is to make clear principle of Gimun(Jimen) & apptication of Gimun-chimbub(Jimen-zhenfa) so many clinicians can make good use of it. Methods : Through investigation of many documents concerning Gimun(Jimen), Gimun-chimbub(Jimen-zhenfa) and Bosa(buxie), the author first explained principle of Gimun(Jimen) and then made clear how to apply it in needling and how to perform Bosa(buxie). Conclusions : 1. Gimun-hak(Jimen-xue) is constituted combinations of infinite change of Chen-Gy-In Samje(Tianrendi Sancai) and Hado lakse(Hetu Luoshu). Gimun-hak(Jimen-xue), is the study which shows us the change of space time e- ntangling at once, and it is applied to troublous times and critical situations. Gimun-chimbub(Jimen-zhenfa) combines of the method of needling with the time when Chen(Tian) opens and closes. So according to each cases, doctor must consider the adequate time. For example, in case of acute disease, the first day when the patient got ill is ta - ken. In case of chronic disease, the day when the patient came to see a doctor is taken. In Gimun-chimbub(Jimen-zhenfa), first it uses Jik-Sa-Mun(zhishimen) which can ac - cept Chen-Gi(tianqi). When needling, doctor must find the accurate acu-points and perform Bosa(buxie). Finally it uses Saeng-Mun(shengmen) which stirs up the vit - ality. Using Saeng-Mun(shengmen) decreases the rate of relapse of diseases.

• Journal of Acupuncture Research
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• v.22 no.6
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• pp.93-100
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• 2005

Objectives : The purpose of this report is to examine the effect of Jiejing-Quxue in the Shoulder pain patient. Methods : Clinical studies were done 40 patients who were treated with shoulder pain to Dept. of Acupuncture & Moxibusition, of Oriental Medicine Se-Myung University from August 1, 2005 to October 28, 2005. Subjects were divided into two groups Shunjing-Quxue needling group(Group A) and Jiejing-Quxue needling group(Group B). In Shunjing-Quxue needling group, we treated patients with one acupunture point on one meridian pathway. In Jiejing-Quxue needling group, we treated patients with two each acupunture points on two each meridian pathways. For evaluating satisfaction of patients, we use the method for Martin. A.N. to present. For evaluating change of pain, Visual Analog Scale(VAS) was examined after each treatment. Results : In satisfaction of patients, the patients of Group B were more satisfied than them of Group A. The VAS score of Group B were decreased significantly compared to that of Group A(p<0.05) Conclusion : The Jiejing-Quxue acupunture treatment may be good effects on the Soulder pain. So we suggest the possibility to use this treatment for Shoulder pain.

• Korean Journal of Acupuncture
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• v.32 no.1
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• pp.20-29
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• 2015

Objectives : The objectives of this study is to compare the effects of electroacupuncture(EA), warm needling(WN) and Radio Frequency warm needling(RFWN) stimulations on the acupoints at the artificially damaged ankles of Sprague-Dawley rats, which could be classified as the Grade 3. Methods : The foot weight bearing force ratio(FWBFR) of ankle sprain was measured first at 24 hours after without any other stimulations. Pain Recovery Index(PRI) represents the analgesic level, and modified Pain Recovery Index(mPRI) shows the accumulated recovery level. PRI was measured at 2 hours after each stimulus on GB34, GB39 and GB42, and mPRI was during 7 days. Results : EA stimulation of GB34 and GB39 acupoint in grade 3 ankle sprain showed a marked analgesic and recovery effect. RFWN of GB42 exhibited significant analgesic and pain recovery effect. RFWN of GB34 resulted in pain recovery effect but not analgesic effects, and RFWN of GB39 resulted in analgesic effect 2 hours after but not pain recovery. However, WN did not affect the pain recovery among three acupoints at all. Conclusions : In the Grade 3 ankle sprain model, the difference of analgesic effects were explained by the acupoints and the stimulation methods according to the accumulated recovery effects during 7 days. It is insufficient to determine that a certain acupoint has a specific analgesic effect depending on the stimulation method by the results of this study. Therefore, the effects of each stimulation on the acupoints in any other meridians at the sprained ankle should be compared and analyzed.

• Journal of Acupuncture Research
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• v.29 no.2
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• pp.37-42
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• 2012

Objective : This study was done for reporting the effect of $Sa-Am$ acupuncture bladder reinforcing method to $Ryodoraku$ on the patients with chronic low back pain Methods : We investigated 49 cases of patients with chronic low back pain, and devided patients into two groups : We treated one group by needling with $Sa-Am$ acupuncture bladder reinforcing method, and did the other group by needling without $Sa-Am$ acupuncture bladder reinforcing method. And we analyzed the $Ryodoraku$ score (F4). Results : 1. In $Sa-Am$ acupuncture bladder reinforcing method group and non-$Sa-Am$ acupuncture bladder reinforcing method group, compared with baseline, at final, $Ryodoraku$ score (F4) was significantly increased. 2. At final, $Sa-Am$ acupuncture bladder reinforcing method group showed significant increase on $Ryodoraku$ score (F4) score compared with non-$Sa-Am$ acupuncture bladder reinforcing method group. Conclusions : $Sa-Am$ acupuncture bladder reinforcing method showed significant improvement in $Ryodoraku$ score (F4) on chronic low back pain.

• The Journal of Korean Orthopaedic Ultrasound Society
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• v.2 no.2
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• pp.74-78
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• 2009

Purpose: To evaluate the effectiveness of ultrasonography-guided multiple needling for calcific tendinitis of the shoulder. Materials and Methods: We included 18 symptomatic calcific tendinitis patients who underwent ultrasonography-guided multiple needling and followed for average 17 weeks. The procedures were multiple needling or aspiration of the calcific deposit and injection of local anesthetics and steroid into the subacromial bursa under the ultrasound control. Clinical improvements were evaluated using pain VAS, UCLA score and KSS score. The size and status of calcific deposits were compared. Results: A significant improvement was seen in pain VAS, UCLA score and KSS score (p<0.05). At the final follow up, the calcific deposits had resolved completely of nearly completely in 39%, and the size was decreased in 61%. Conclusion: Ultrasound-guided multiple needling is considered as a useful method which could provide prompt pain relief and reduce calcific deposit for calcific tendinitis of the shoulder.

• Journal of Acupuncture Research
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• v.17 no.3
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• pp.99-105
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• 2000

Objectives : 19 patients diagnosed with chronic paranasal sinitis among the patients who visited to Kyunghee University Oriental Medical Center Department of Acupuncture and moxibustion from July, 1999 through July, 2000. Methods : The needle used in the treatment was 16cm in length and 0.375mm in radius. Using the straight needling method the choana was acupunctured straightly, and the opening of maxcillary sinus was acupunctured obliquely with the oblique needling method. Resuits : Looking at the effectiveness of this nasal acupuncture treatment, excellent was found in 4 cases(21%), good in 13 cases(68.4%), and unchanged in 2 cases(10.5%). The effectiveness totals up to 17 cases (89.4%) which is considerably high. Conclusions : Nasal acupuncture treatment can be used with high effectiveness in treatment of the chronic paranasal sinitis.

• 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.

• Journal of Acupuncture Research
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• v.33 no.2
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• pp.181-187
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• 2016

Objectives : The purpose of this report is to introduce a case of osteochondral lesions of the left talus caused by ankle sprain and suggest complex traditional Korean medical care with warm needling therapy as a possible method of conservative treatment. Methods : A 20-year-old male with osteochondral lesions of the left talus complaining of ankle pain and restricted range of movement was treated mainly with warm needling therapy and other combined Korean medicine therapy from January 5, 2015 to January 12, 2015. Improvements of symptoms were measured by American Orthopaedic Foot & Ankle Society Score (AOFAS Score), Visual Analog Scale (VAS) and Range of movement (ROM). Results : During 8 days of treatment, the patient showed gradual improvement in AOFAS score, VAS at rest and at weight bearing position, as well as ROM of the ankle. Conclusion : According to the result, warm needling therapy is a possible conservative treatment for osteochondral lesions of the talus. Further studies are needed regarding possible longterm effects.

• The Journal of Korean Medicine
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• v.29 no.3
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• pp.11-20
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• 2008

Objectives: Warm-needling is a method combining the effects of acupuncture with the effects of moxibustion. We need to standardize the characteristics of warm-needling in order to achieve consistency in its operational mechanisms and effects, which will improve clinical ability in the field of Eastern medicine. Methods: In this study, using the LabVIEW system on the warm-needling technique, we measured and compared partial temperature changes which varied according to the density of the moxa cone and the moxa cone's core peak temperature. Results& Conclusions: Examination of the warm-needle's partial temperature in relation to the cone density of the 0.8g moxa specimen suggests that a lower density of the moxa cone corresponds to a higher peak temperature and but with a shorter duration. During the effective stimulus time, the lower the density of the moxa cone, the shorter the duration of the effective stimulus time and the higher the mean temperature. Conversely, the higher the density of the moxa cone, the longer the effective stimulus time and lower the mean temperature.