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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 the third lumbar transverse process syndrome. Needling at the third lumbar transverse process syndrome can cause side effects such as kidney damage. In this regard, the need to present a safer and more accurate method of needling at the third lumbar transverse process is enhanced. Methods: The procedure method was introduced along with the ultrasound image by applying ultrasound-guided acupotomy. Ultrasound machine was used with Samsung V7 and CA1-7SD convex probe. Results: A safe ultrasound procedure was presented. Conclusion: If the third lumbar transverse syndrome is treated in this way, the patient may be treated in a small invasive and effective way.

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Abstract : Objectives: Fungal infections are the leading cause of foot lesions in diabetics. However, oral and topical antifungal therapies require prolonged use and are often difficult to implement in polypharmacy situations due to the risk of drug interactions and poor patient compliance. This study presents the case of a diabetic patient treated for long-standing tinea pedis without the use of antifungal drugs. The treatment relied solely on herbal ointments and pharmacopuncture. Methods: The patient used two kinds of herbal ointments daily, and acupuncture was performed on the affected area approximately every 10 days via home-visiting healthcare service. Results: Approximately 1 month after treatment initiation, clearance of moccasin-type tinea pedis was observed. High patient satisfaction was reported, with decreased pain on walking and a half-point improvement in the Bates-Jensen wound assessment tool score. Conclusion: Effective short-term treatment of tinea pedis in a diabetic patient was achieved using herbal topicals and acupuncture, without the use of antifungal medication.

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Abstract : Objectives: The aim of this report is to report the effect of Acupotomy and rTMS on tinnitus. Methods: A total of 23 patients who visited the clinic for tinnitus symptoms received treatment, which included rTMS stimulation on the temporoparietal cortex and acupotomy treatment on the transverse processes of the cervical vertebrae. Rectus capitis posterior major, Rectus capitis posterior minor and TE17 for 10 times. Results: The average NRS of patients before receiving rTMS and acupuncture treatment was 7.61±1.12 points, which decreased to an average of 3.09±1.53 points after treatment, with statistical significance. Conclusion: This research suggests that rTMS and acupotomy treatment may be effective therapeutic methods for alleviating tinnitus symptoms.

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Abstract : Background: The aim of this study is to report the effect of Korean medicine treatment for a patient with oculomotor nerve palsy associated with intracranial vascular lesions (flow-related disorder at cavernous portion). Methods: We treated a patient who had suffered from right diplopia, right eye pain, ptosis and diagnosed with right oculomotor nerve palsy, with acupotomy, acupuncture, and herbal therapy. The effect of treatment was assessed by MRD1, MRD2, photographs and videos of eyeball movement. Also brain MRI, DWI and MRA were used to identify the intracranial vascular lesions and evaluate the improvement of venous flow at cavernous portion associated with right oculomotor nerve. Results: After treatment, patient’s symptoms such as diplopia, limitation of eye movement and ptosis were improved and right eye pain, headache, dizziness were decreased. Also probable improvement of cavernous dural arteriovenous fistula (AVF) was found by brain MRA. Conclusion: This report suggests that Korean medicine treatment including acupotomy can be effective in symptoms such as diplopia, ptosis related to oculomotor nerve palsy with flow-related lesions at cavernous portion including intracranial vascular lesions.

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Abstract : Objectives: The aim of this paper is to report a case of improved blepharoptosis following Botulinum Toxin injection on an eyelid, treated solely with acupuncture treatment. Methods: A 40-year-old woman with 2-year-lasted ptosis of right eyelid following a Botox injection was treated with acupuncture. Central and peripheral facial palsy were ruled out using the House-Brackmann scale. The acupuncture treatment targeted muscles and nerves near the orbit, and the progress was evaluated using the Marginal Reflex Distance- 1 (MRD-1). Results: Before the treatment, the MRD-1 of the right eye was 1.5 mm, indicating severe ptosis. And a rice-sized knot was observed on the right eyelid. After two sessions of treatment, the MRD-1 of the right eye has recovered to 3 mm, and the knot was no longer palpable. Conclusion: Acupuncture treatment might be effective for blepharoptosis that occurs after Botox injection.

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Abstract : Background: The aim of this study is to report the effect of Complex Korean Medicine Treatment, which includes Acupotomy, intranasal bloodletting therapy and soft palate bloodletting therapy on tinnitus and aural fullness. Methods: One patient with tinnitus and aural fullness was treated with Korean medicine therapy, including Acupotomy, intranasal bloodletting therapy, and soft palate acupuncture twice a week. Treatment progress was assessed using the Numeral Rating Scale (NRS) and Automated Micro Audiometer Pure-Tone Audiometry (AMA-PTA). Results: The patient’s symptoms of aural fullness and tinnitus disappeared after the treatment, and an improvement in hearing test results was also observed. Conclusion: These results suggest that Complex Korean Medicine Therapy, which includes Acupotomy, intranasal bloodletting therapy, and soft palate bloodletting therapy, could be an effective treatment for long-term tinnitus, hearing loss, and aural fullness.

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Abstract : Background: The aim of this study is to report significant improvement of insomnia treated with Modified Cheongsimyeonja-tang. Methods: A Taeumin patient who complained of insomnia, which began one week after the COVID-19 quarantine, was treated for a month with Modified Cheongsimyeonja-tang. Results: Before treatment, the patient took sleep-inducing drugs and slept for five hours a day. After treatment with Modified Cheongsimyeonja-tang, the patient could sleep for seven to eight hours without taking sleep-inducing drugs. Conclusion: It shows that Modified Cheongsimyeonja-tang is effective for insomnia, which is a aftereffect of COVID-19, in Taeum-in.

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Abstract : Background: Insomnia is a sleep disorder that makes it difficult to fall asleep, stay asleep, or wake up early. The prevalence of insomnia is on the rise in Korea. The purpose of this paper is to propose a new treatment for insomnia. Methods: In this study, the Pittsburgh Quality of Sleep Index was performed on 2 patients complaining of insomnia. It was used to diagnose insomnia and track treatment progress. Golchimdo was performed in two acupoints (Sinbaihui, Gubaihui) on scalp and thoracic intervertebral space. In addition, acupuncture, electro-acupuncture and cupping therapy were performed. The acupoints on the occiput were selected according to the RSN acupuncture method. Results: In both patients, the PSQI-K score returned to the normal range after the treatment. The patient’s discomfort, including sleep duration, time to fall asleep, and arousal during sleep, improved. Conclusion: The patient’s insomnia improved rapidly after receiving treatment, which included Golchimdo therapy. We suggest that Golchimdo therapy is effective in treating insomnia. More studies on Golchimdo mechanisms and treatment studies are needed.