• Title/Summary/Keyword: needling

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Efficacy of Needling at Sympathetic Point (an Auricular Acupuncture Point) in Migraine Patients: A Randomized Controlled Study

  • O. Deepika;A. Mooventhan;N. Mangaiarkarasi;N. Manavalan
    • Journal of Acupuncture Research
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    • v.41 no.2
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    • pp.115-120
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    • 2024
  • Background: Migraine is a common disabling headache that affects every aspect of a person's life. Auricular acupuncture is a cost-effective treatment modality for the management of painful neurological conditions. Previous studies have shown the beneficial effects of a combination of ear points in the management of migraines. However, no studies have evaluated the efficacy of a single auricular point (i.e., sympathetic point) in migraine. Thus, this study evaluated the efficacy of sympathetic points on pain intensity and depression levels in patients with migraine. Methods: In this randomized controlled study, 100 patients with migraine aged 18-45 years were randomly divided into either an auricular acupuncture group (AAG) (n = 50) or a placebo control group (PCG) (n = 50). The AAG underwent needling at the sympathetic point (an auricular acupuncture point), whereas the PCG underwent needling at a non-acupuncture point for 20 minutes daily for 7 days. Assessments were performed before and after the intervention using a 6-item headache impact test (HIT-6) and Beck depression inventory (BDI) scale. Statistical analyses were performed using SPSS version 16. Results: In within-group analysis, the AAG showed a significant reduction in HIT-6 and BDI, whereas the PCG showed a significant increase in HIT-6 and a significant reduction in BDI. In between-groups analyses, HIT-6 reduced significantly in the AAG compared with that in the PCG, whereas BDI reduced significantly in the PCG compared with that in the AAG. Conclusion: In patients with migraine, needling at the sympathetic point produces a greater reduction in the pain intensity level and lesser reduction in the depression level compared to needling at a non-acupuncture point.

A Study of restorative and restrictive theory after Jin and Yuan Dynasty (금원시대(金元時代) 이후(以後) 침구보사이론(鍼灸補瀉理論) 발전사(發展史)에 관(關)한 연구(硏究))

  • Kim, Kyu Man;Kim, Ki Wook;Park, Hyun Kook;Lee, Byung Wook
    • The Journal of Korean Medical History
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    • v.15 no.1
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    • pp.3-10
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    • 2002
  • Acupuncture and moxibustion of theory had begun in the "Nei-Jing" and "Nan-Jing". But definite acupuncture needling techniques had been investigated after Jin and Yuan Dynasty. After Ming Dynasty, much more scholars had studied about definite acupuncture needling techniques. So various techniques and theorys about how to select and operate needling points appeared in print. "Zi-Wu-Liu-Zhu-Zhen-Jing", "Zhen-Jing-Zhi-Nan", "Shen-Ying-Jing", "Zhen-Jiu-Da-Quan" and so forth are representative books. But these books include mutually different techniques, so then scholars would be thrown into confusion. So I have analysed acupuncture and moxibustion of theory into Ki(vital energy)-blood's circulation, disease region, time, sex, restorative and restrictive techniques. As a result, I have known that every restorative and restrictive techniques and theories are connected with Ki(vital energy)-blood's circulation and practical application methods are decided by sex, time, disease region, pathogenic energy.

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Ultrasonography-Guided Multiple Needling for Calcific Tendinitis of the Shoulder (견관절 석회화 건염의 초음파 감시하 다발성 천공술)

  • Jeong, Woong-Kyo;Park, Jung-Ho;Moon, Joon-Gyu;Kim, Ho-Joong;Lee, Soon-Hyuck
    • 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.

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A Study on the Hemisphere-Type Compression Molding for Continous Fiber-Reinforced Polymeric Composites (연속섬유강화 플라스틱 복합재료의 반구형 압축성형성에 관한 연구)

  • 임용진;오영준;김이곤
    • Proceedings of the Korean Society For Composite Materials Conference
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    • 1999.11a
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    • pp.149-153
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    • 1999
  • During a hemisphere-type compression molding, the wrinkles are caused by complex stress condition. It is very important to clarify the degree of wrinkles in order to have good products. In this paper, the effects of numbers of needling and initial area on the degree of wrinkles are studied. the degree of wrinkle is expressed as nonhomogeneity.

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A Case Report of Osteochondral Lesions of the Left Talus after Ankle Sprain Treated with Complex Traditional Korean Medical Care (염좌로 유발된 좌측 거골 골연골 병변 1례에 대한 한방 복합치료 증례 보고)

  • Park, Jun Hyeong;Kim, Sung Yoon;Ahn, Jae Hyun;Jo, Jung Jae;Kim, Young Suk;Kim, Ji Hye;Lee, Sang Hoon
    • 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.

Study on Moxa density-related Changes in Warm Needle Temperature (온침(溫鍼)의 표준화를 위한 애주의 밀도에 따른 온도 측정 연구(硏究))

  • Kim, Yoon-Hong;Lee, Seung-Ho;Yeo, Su-Jung;Choi, Il-Hwan;Kim, Young-Kon;Lim, Sabina
    • 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.

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A Characteristics on Temperature Change of Warm Needle's Body Depended on Moxa-Corn Weights (애주 무게별 온침의 침체간부 온도 변화 특성 연구)

  • Ahn, Seong-Hun;Hong, Deok;Kwon, Oh-Sang;Kim, Yu-Lee;Kim, Jae-Hyo;Sohn, In-Chul
    • Korean Journal of Acupuncture
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    • v.27 no.2
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    • pp.71-78
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    • 2010
  • Objectives : The warm needling technique is a combination of acupuncture and moxibustion. The purpose of this study was to find the physical and thermal characteristics in order to identify the effects and mechanisms of the warm needling technique. Methods : In this study, the thermal changes were observed with a testo 845 device, which is an infra-red thermometer specifically designed for measuring a combustion of corn shaped moxibustion(moxa-corn). The thermal changes at the apex of the moxa-corn placed on the top of the an acupuncture were observed at the level of 1 cm and 2 cm from the apex to understand heat conduction through acupuncture needle for combustion of moxa-corn. Results and Conclusions : The thermal conduction through acupuncture needle from the moxa-corn was relative to the weight of moxa-corn and was inversely relative to the distance of the moxa-corn and acupuncture needle length. And the value of thermal conduction to the apex of the acupuncture needle from the moxa-corn was about $3{\sim}5^{\circ}C$. The above results suggest that the present study may be useful in finding the mechanism and effects of the warming needling technique.

Comparison of the Degree of Pain According to Nursing Intervention Method during Arteriovenous Fistula Needle Insertion for Patients on Hemodialysis (혈액투석 환자의 동정맥루 천자 시 간호중재요법에 따른 통증정도 비교)

  • Yu, Young Mi;Moon, Sung Mi;Kim, Jin Youn;Bae, Hyun Ju;Ha, Hye Rim
    • Journal of Korean Clinical Nursing Research
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    • v.17 no.2
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    • pp.286-296
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    • 2011
  • Purpose: This research was done to compare the pain relief effects of various nursing interventions, such as cold therapy, attention diversion and 10% Lidocaine spray during arteriovenous fistula needling for patients on hemodialysis, and also to identify and develop more effective nursing interventions for pain relief in these patients. Methods: This research was conducted from October 1, 2010 to January 31, 2011 with 8 hemodialysis patients, who were on regular dialysis (3 times a week) at K University Hospital in Seoul and had an arteriovenous fistula within the past 3 months. Each patient received the three nursing interventions (cold therapy, attention diversion and 10% Lidocaine spray therapy) prior to the arteriovenous fistula needling and applied in turn with the series being repeated 4 times. After each intervention, physiologic indexes, subjective and objective pain were measured at the time of needling. ANOVA was used with SPSS/WIN 12.0 to analyze pain scores and comparison of physiologic indexes (BP, pulse). Results: No significant differences were found for subjective pain (p=.574), objective pain (p=.562) and total pain (p=.506) among the 3 interventions. Systolic blood pressure (p=.689), diastolic blood pressure (p=.969) and pulse (p=.980) also showed no significant difference among the 3 interventions. Conclusion: These 3 interventions are all possible for pain relief during arteriovenous fistula needling for these patients. However, the only interventions that nurses can do independently are cold therapy and attention diversion so we recommend that these nursing interventions be used.

A Research of the Needling Depth for Gaining Deqi and Quality of Those Sensation - In Chung-wan(CV12) and Kwan-wan(CV4) Loci, Often Used in Ob&Gy Treatment (부인과(婦人科)에서 상용하는 중완혈(中脘穴)과 관원혈(關元穴)의 득기감(得氣感)을 느끼는 자침(刺鍼) 깊이와 득기감(得氣感) 발현 양상에 대한 연구)

  • Maeng, Yu-Sook;Kwon, Su-Kyung;Jin, Yong-Jae;Kim, Dong-Il
    • The Journal of Korean Obstetrics and Gynecology
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    • v.22 no.1
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    • pp.191-202
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    • 2009
  • Purpose: This research is to investigate the needling Depth for Deqi based onone's age, weight, and the level of obesity and the different Deqi sensation in Chung-wan and Kwan-wan. Methods: We took a research on Deqi for the 123 patients who visited a local Korean Medicine clinic at random. The variants were the age, the weight, thetotal fat rate, the waist-hip rate, BMI, the weight size, and the Sasang constitution. Result: Older patients need more depth of Deqi in Chung-wan and Kwan-wan compared to the younger ones. The higher the level of obesity(weight, total body fat rate, the waist-hip rate, BMI) goes up, the more Deqi in Chung-wan and Kwan-wan goes deeply. As the level of obesity goes down in the order of Taeeum-in, Soyang-in, Soeum-in, the depth of Deqi also decreases in Chung-wan and Kwan-wan. Deqi in Chung-wan is the feeling of pressure around the acu-point, and Deqi in Kwan-wan is the feeling that it spreads out to the upper, lower, the right, and the left side of the acu-point. Conclusion: In case of Needling Depth for Deqi on Chung-wan and Kwan-wan, that increases or decreases as the age, the level of obesity(the physique), and the Sasang constitution changes.

The Preliminarily Result of Radiologic Disappearance of the Calcific Material on One Time Ultrasonographic Assisted Needling (견관절의 석회화 건염에서 초음파 유도하 1회 주사요법에 의한 방사선학적 조기 소멸 정도에 대한 예비보고)

  • Yoo, Jae-Chul;Shon, Min-Soo;Koh, Kyoung-Hwan;Lim, Tae-Kang;Lee, Yeong-Seok
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.5 no.1
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    • pp.1-8
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    • 2012
  • Purpose: The purpose of this study is to report the preliminarily result of the radiologic disappearance of the calcific material, regardless of the size, type or location, on one-time ultrasonographic (US) assisted needling for calcific tendinitis of the shoulder. Materials and Methods: From March to August 2011, 46 patients (47 shoulders) with symptomatic calcific tendinitis were treated by one-time US assisted needling. Initially, a diagnostic US was performed with patient to determine the locations, numbers and sizes of calcific deposits. After 1% lidocaine local anesthesia, the calcific material was punctured with an 18-gauge needle under US monitoring. If no calcific material was aspirated after 2 or 3 additional attempts, the deposits was performed multiple puncture to achieve decompression. And then all patients were performed subacromial corticosteroid injection. All patients were followed up 4 weeks after procedure. To assess the radiologic disappearance after one-time US assisted needling, simple radiographs of the treated shoulder were performed and size, dense, and morphology of the calcific deposits were compared with those in baseline radiographs. For clinical evaluations, visual analogue scale for pain and function (PVAS and FVAS), and American Shoulder and Elbow Surgeons (ASES) score were assessed. Results: There were 11 male and 35 female patients with the mean age of 53.8 years (28-71). The morphology of the calcific deposits were 31 type A and 16 type B by French Arthroscopic Society classification and mean size was $2.9{\pm}6.7$ mm before the procedure. At 4 weeks after the index procedure, the radiographic unchanged group was included in 10 cases and changed group was 37 cases. No intergroup difference for the clinical results after the procedure was evident, but group FAS classification before the procedure was significantly different (p=0.011). Conclusion: At 4 weeks after one-time US assisted needling for calcific tendinitis of the shoulder, the radiographic size- or dense-changed cases were showed in 79%, regardless of the size, type or location of the calcific material. But the radiographic nearly or complete disappearance were showed in only 21%.

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