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Abstract : Background: The aim of this article is to propose the safe and effective protocol for ultrasound- guided acupotomy procedure at ligamentum flavum. Deep needling at the ligament flavum can cause side effects such as leakage of cerebrospinal fluid or hematoma, or exacerbation of the patient’s symptoms, which are difficult to respond to in primary medical institutions. In this regard, the need to present a safer and more accurate method of needling at ligamentum flavum is enhanced. Methods: While treating 12 patients aged 60-80 years, the method of needling the shortest length with identifing the tip of acupuncture on the image was studied. An ultrasound machine was used with GE LOGIQ P9 XDclear and C1-6D Single Crystal Convex Probe. The initial study used a SMC 0.40×60 mm needle. After the operation became proficient with the needle, MAANSHAN BOND MEDICAL INSTRUMENTS CO. LTD. GB 60×60 acupotomy was used. Results: A safe procedure method and a manual for education methods were proposed. Conclusion: Because of the long axis entry, the procedure can be performed without missing the full length and tip of the acupuncture on image. It can be performed with small invasion compared to previous in-plane studies performed by laying down the angle.

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Abstract : Background: Adhesion after Liposuction can occur due to injuries to muscles and fascia, leading to skin adhesions, contracted fibrosis. In such cases, adhesions and fibrosis can be removed using Acupotomy. However, in the abdomen, there is a risk of damaging organs as the thickness of the muscle layer varies between individuals. Methods: The surgical site and areas of complaint are observed in patients who complain of postoperative symptoms and pain-inducing movements. Ultrasound scans are used to confirm that the tissue suspected of causing problems is located 2-2.5 cm below the area where the patient reports pain, and Acupotomy are then used on the tissue. Results: The ultrasound-guided Acupotomy treatment was continued, resulting in a decrease in NRS to 3, and the patient’s discomfort in daily life was significantly reduced. Conclusion: Ultrasound-guided Acupotomy is effective for postoperative adhesion after abdominal etching. For patients with postoperative adhesion in the abdomen, there is a need for ultrasound guidance to consider anatomical characteristics.

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Abstract : Introduction: Internal Orifices of Intervertebral Foramen (Naegu) are important acupoints of acupotomy for lumbar spine diseases. It was used in adhesiolysis of hardened myofascial meridian. Previously, most of the acupotomy studies for lumbar disc herniation were complex treatments, but this study introduces a treatment case using Naeguacupotomy alone. Background: The aim of this study is to make report the effect of treatment with Naeguacupotomy at lumbar disc herniation. A 70 years old man was suffered the lumbar and pelvic pain from 2018 to 2021. Methods: The patient was given treatment with only Naeguacupotomy on the between L2 and L3 spine, L5 and S1 spine region (Internal Orifices of Intervertebral Foramen of L2-L3 and L5-S1). The patient’s response was measured using the NRS Scale and K-ODI. Results: After 4th treatment the NRS of the lumbar pain was reduced from 8 to 7 and KODI was reduced from 27 to 24, after 10th treatment the NRS was reduced to 4 and K-ODI reduced to 15, after 20th treatment the NRS was reduced to 3 and K-ODI reduced to 6. Conclusion: These results suggest that treatment with only Naeguacupotomy on the lumbar disc herniation, is useful for treating the chronic lumbar and pelvic pain, also corrects the scoliosis of the spine.

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Abstract : Background: The aim of this study is to make report the effect of acupotomy and combined korean medicine on the sudden hearing loss. Methods: The patients was given treatment with Korean medicine therapy, including acupotomy, acupuncture, chuna manual therapy and herbal therapy. Treatment progress was assessed by Pure Tone Audiometry, Speech Reception Thresholds, Minimal masking level, AP view X-ray of cervical spine. Results: After 10 times of treatments, Significant improvements of hearing and alignment of cervical spine. Conclusion: This improvement might suggest the effectiveness of Acupotomy and combined korean medicine on sudden hearing loss.

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Abstract : Background: The aim of this report is to report the effect of Acupotomy on Oculomotor Nerve Palsy. Methods: A 78-year-old male patient was diagnosed with Oculomotor Nerve Palsy and complained of Diplopia, right eye movement disorder. This patient received acupuncture treatment on the anterior border of posterior tubercle of cervical transverse process, upper border of right zygomatic arch, right Jingming acupoint (BL1). Results: As a result of 20 acupotomy treatments from November 14 to February 20, adduction in the right eye completely improved, and the diplopia which occurred when looking to the left also disappeared. Conclusion: This study suggests that acupotomy treatment may be effective in eye movement disorder caused by oculomoter nerve palsy and diplopia.

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Abstract : Background: Asthma is a chronic inflammatory disease of the airway, and many asthma patients rely on regular use of inhaled medications to temporarily control their symptoms, causing significant burden for patients. Acupotomy treatment has been applied to asthma in clinical practice. However, there have been no reported studies on its effectiveness. Therefore, we report the outcomes obtained by applying acupotomy to an asthma patient. Objective: The aim of this study is to make report the effect of acupotomy for bronchial asthma. Methods: The patient was given treatment with Korean medicine therapy, including acupotomy and herbal therapy. The effect of treatment was assessed by NRS and frequency of inhaled steroid use. Results: NRS was decreased from 10 to 4 after only 2 sessions of acupotomy treatment. The inhaled steroids were immediately discontinued after the initial treatment without subsequent use. Conclusion: This report suggests that acupotomy could be effective in improving cough symptom of bronchial asthma and following cough symptoms.

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Abstract : Background: The aim of this study is to report the case of a patient with chronic atopic dermatitis of the face who improved with combined Korean medicine mainly treated on Yang-geum-hwa Pharmacopuncture. Methods: A 42-year-old patient with chronic atopic dermatitis received acupuncture and pharmacopuncture once a week and herbal treatments over a three-month period. Improvement was assessed by a Numerical Rating Scale (NRS) and visual observation by the examiner. Results: The score of NRS was improved from 8 to 0. Redness with heat and pain in the area improved. Conclusion: Redness with heat, dryness, pruritus, and pain all improved significantly after treatment. These improvements suggest that the combined treatment of acupuncture, pharmacopuncture, and herbal medicine can be effective for chronic atopic dermatitis.

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Abstract : Background: The aim of this study is to report the effect of Acupotomy and intranasal bloodletting therapy on tinnitus and aural fullness. Methods: A 60-year-old patient with tinnitus was treated with acupotomy and intrasasal bloodletting therapy twice a week. Treatment progress was assessed using Numeral Rating Scale (NRS) and Automated Micro Audiometer Pure-Tone Audiometry (AMA-PTA). Results: The score of NRS was improved from 8 to 2 and the results of the hearing test was also improved. Conclusion: Both tinnitus and hearing loss improved markedly after treatment. Tinnitus NRS was decreased from 8 to 2. Hearing test improved in 250-8,000 Hz. This improvement might suggest Acupotomy and intranasal bloodletting therapy can be effective for tinnitus and hearing loss.

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Abstract : Background: The purpose of this study is to report on four cases of patients who were diagnosed with tinnitus and treated with acupuncture and acupotomy. Methods: We analyzed the cases of four patients who were treated with acupuncture and acupotomy. The acupuncture and acupotomy points used were the sub-occipital muscles, cervical spine, thoracic spine, and TE-17 (Yifeng), in addition to other medical treatments. The patients’ medical improvement was evaluated through pure tone audiometry, broad band noise testing, and patient self-reports. Results: Peripheral tinnitus was improved with the use of acupuncture, acupotomy, and other medical treatments that targeted the sub-occipital muscles, cervical spine, thoracic spine, and nerves involved in the ear, such as the vagus nerve, glossopharyngeal nerve, facial nerve (chorda tympani nerve, geniculate ganglion), trigeminal nerve, sphenopalatine ganglion (SPG), superior cervical ganglion, and auditory nerve. Specifically, the broad band noise experienced by the patients decreased, and the patients showed improvement on the four-divided method and six-band test of pure tone audiometry. Lastly, the subjective statements of patients about their tinnitus improved. Conclusion: Acupuncture, acupotomy, and other medical treatments can be effective strategies for the treatment of tinnitus.

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Abstract : Background: The aim of this report is to report the effect of Acupotomy on Guillain-Barre Syndrome. Methods: A 38-year-old male patient was diagnosed with Guillain-Barre syndrome and complained of facial paralysis, weakness in the legs, pain in the back of the neck, headaches, and dizziness. This patient received acupotomy treatment on the suboccipital muscles and T5 spinous process inferior part. Results: After five sessions of acupotomy treatment from March 10th to April 3rd, the patient’s facial paralysis improved to the point where there was no problem with facial expressions. The Y-score also improved from a total score of 20 to 40. In addition, the MMT index for weakness in the legs improved from 4 to 5, and the patient’s other symptoms also improved. The NRS for headaches and other symptoms decreased from 8 to 3, remaining only mild. Conclusion: This study suggests that acupotomy treatment may be effective in alleviating limb weakness, facial paralysis, headaches, and other pains in patients with Guillain-Barre syndrome.

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Abstract : Background: The aim of this study is to report the effect of Acupotomy, intranasal bloodletting therapy and herbal medicine on otalgia patient. Methods: One patient with otalgia was treated with Korean medicine therapy, including the Acupotomy, intranasal bloodletting therapy and herbal medicine twice week. Thermography, Ear endoscope, Visual Analogue Scale (VAS) were used to evaluate the effect of the treatment. Results: The pain disappeared after treatment. The redness of the eardrum on the Ear endoscope was improved, and blood circulation in the face was also improved on the Thermograpy. Also, the score of VAS was improved from 10 to 0. Conclusion: This improvement suggests that Korean medicine therapy can be a new alternative to otalgia treatment.

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Abstract : Background: Bell’s palsy, an acute unilateral facial paralysis, is frequently treated with acupuncture in many countries. Bell’s palsy is easy to recur, and it is important to receive appropriate treatment quickly to give the dramatic effect of facial paralysis on a patient’s appearance, quality of life, and psychological well-being and to decrease the likelihood of incomplete recovery. Methods: We report two cases of facial nerve palsy treated by Electro-acupuncture on the affected side of the face using the points based on the RSN acupuncture method and by cupping therapy. Results: The clinical outcomes were assessed using the House-Brackmann Grading Scales (HBGS) before and after the treatment. In Case 1, a 44- year-old female with left facial palsy was treated for four weeks. HBGS VI before the treatment has improved to HBGS I after five treatments with Electro-acupuncture and cupping therapy. In Case 2, a 43-year-old female with right facial palsy was treated for three weeks. HBGS V before the treatment has improved to HBGS I after five treatments with Electro-acupuncture and cupping therapy. Conclusion: This study found that the RSN acupuncture method effectively improves Bell’s palsy during the progress phase. Electro-acupuncture and cupping therapy can be a safe and effective method to treat Bell’s palsy.

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Abstract : Background: The aim of this study is to report the improved case with acupotomy and acupuncture treatment on Mild Cognitive Impairment (MCI). Methods: One patient with mild cognitive impairment was treated with acupotomy and acupuncture. Mini-Mental State Examination-Korean (MMSE-K) and Subject Memory Complaints Questionnaire (SMCQ) were used to evaluate the effect of the treatment. Results: In the case, MMSE-K score maintainted over 23 during treatment and SMCQ score was declined from 11 to 5 after 2 acupotomy treatments and 3 acupuncture treatments. Conclusion: These results suggest acupotomy and acupuncture treatment can be effective for mild cognitive impairment patients on not only preventing conversion to dementia but also improving memory complaints.

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Abstract : Background: The aim of this study is to report the effect of acupuncture treatment and pharmacopuncture treatment for Temporomendibular Disorder (TMD). Methods: The acupuncture points used in this treatment include not only tenderness points of the jaw joint ligament, the attachment area of masticatory muscle and temporal muscle, but also the points of the mandible branch of the trigeminal nerve that controls masticatory muscle on the facial area. In addition the points where great auricular nerve and lesser occipital nerve pass and the posterior tubercles of transverse process of the cervical vertebra no. 1, no. 2 and no.3 were used for acupuncture treatments. Transverse process of the cervical vertebra no. 1, no. 2 and no. 3 are the exit points of trigeminal nerve, great auricular nerve and lesser occipital nerve. Results: A female patient with one temporomandibular joint disorder has been treated for the past six months and has shown almost full functional recovery of the left jaw joint. Conclusion: Acupuncture and Pharmacopuncture treatment can be a good choice for TMD. Further research is needed to prove the link between these three nerves and TMD.

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Abstract : Background: The purpose of this study is to report the effect of Jinsa-myohyang-san on a post COVID-19 vaccine chest pain and arrhythmia. This is a case report about a female patient in 30th with palpitation and chest pain treated with herbal medicine. Methods: The patient was treated by herbal medicine, Jinsa-myohyang-san. The improvement of the patient’s chest pain was judged based on the NRS and frequency of symptoms. Results: After one month of taking JSMHS, the patient reported the disappearance of chest pain and palpitation symptoms. The patient has also returned to their daily routine, leading to an improvement in anxiety related to symptom recurrence. Conclusion: This case report shows that JSMHS has effects on a palpitation and various chest pain syndrome due to the COVID 19 vaccination adverse events. Further clinical trial is needed.

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Abstract : Background: The purpose of this study is to report on patients who showed improvement in liver function test results following the administration of Injinoryeong-san. Methods: A woman visited seeking herbal medicine prescription for symptoms of numbness in her hands and feet. Abnormal elevation of ALT and AST was observed in the blood test conducted before prescribing herbal medicine, so I administered IJORS. Results: After two weeks of taking IJORS, the patient’s liver function test (LFT) returned to normal, and additional improvements were observed in symptoms such as indigestion and fatigue. Conclusion: LFTs are helpful in assessing the patient’s liver function before prescribing herbal medicine. IJORS can be prescribed for patients with abnormal high LFTs.