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Abstract : Neurological symptoms such as pain and numbness from the cervical spine to the upper extremities are often diagnosed as cervical disc herniation, but there is also the possibility of quadrangular muscle syndrome or thoracic outlet syndrome. Patients with chronic upper extremity nerve symptoms, often complained of numbness, tingling, and paresthesia, was treated with Korean medicine treatment such as acupuncture treatment. Therefore, by applying the concept of expanded thoracic outlet syndrome, treatment and symptom improvement can be obtained, so I would like to suggest the necessity of expanding the concept of thoracic outlet syndrome.

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Abstract : It is important to understand the movement disorders of the scapula in the treatment of cervical and upper extremity patients. The scapula and cervical vertebrae are connected by the Levator scapulae. Because of this connection, a problem in position such as inferior medial rotation of the scapula may cause structural problems that cause repeated soft tissue damage of the cervical spine. In treating cervical spine patients, it is important to understand the alignment and movement of the scapular bone to the patient, and to ask for improvement in muscle strength to maintain movement.

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Abstract : Background: “Nine classical acupuncture” were specifically described in the first “The Yellow Emperor’s Classic of Internal Medicine”, which refers to the type of acupuncture, studies have been conducted on various forms and uses of acupuncture in these days. However, since there are no studies including historical books other than medical books, this study was conducted to find out the references to “Nine classical acupuncture” in classical literature including domestic historical books. Methods: Korean history books and medical books were respectively retrieved from the “Korean history database” of the national institute of Korean history and “Korean Medicine Classic database” of Korean institute of oriental medicine. We searched for the individual names of “Nine classical acupuncture” to organize references and use cases, and introduced cases of modern development of “Nine classical acupuncture” abroad, including China. Results: Five cases were searched in the Korean history database about “round-shaped needle” and “stiletto needle” and 49 cases were searched in the Korean Medicine Classic db, and all individual types of “nine classical acupuncture” except “round-pointed needle” were checked. According to the classical literature, it was confirmed that doctors’ diagnosis and prognosis were important in the use of acupuncture, and acupuncture was selected according to the disease and the patient’s condition. Conclusion: Acupuncture treatment from the past to the present era is a complex concept that encompasses the selection of tools, and it can be seen that acupuncture is recognized and used as a variety of tools subdivided according to diseases, not as a singe tool. Through this study, it is expected that it can be used as a basis for the use of ‘nine classical acupuncture’ and modern application.

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Abstract : The purpose of this study is to report the characteristics of each type of tinnitus and treatment for somatic tinnitus. Tinnitus is representative disease at the korean medicine clinic. But, there is no standardized test and treatment for tinnitus. somatic tinnitus has not been studied much so far, but can be expected to be treated with acupuncture and herbal medicine treatment. Therefore, we would like to review the anatomical structure of suboccipital region associated with somatic tinnitus.

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Abstract : Background: 陰陵泉 (SP9) is the acupoint of 足太陰脾經 (spleen meridian) located near the medial epicondyle of tibia. 陰陵泉 (SP9) is one of the representative acupuncture points widely used for various diseases. However, the intensive research has not yet been conducted on the method of neeling the 陰陵泉 (SP9). Objectives: The aim of this study is to provide the basic data for guiding the needling depth and direction at 陰陵泉 (SP9). Methods: Through the literature analysis, the location, needling method, clinical effect of 陰陵泉 (SP9) were extracted. Based on this, we investigated the representative clinical effect of the acupoints which can stimulate the same nerve structures of 陰陵泉 (SP9) from literature. Results: The femoral nerve showed relevance to urinary and digestive diseases. the saphenous nerve and obturator nerve had significant effects on the treatment of urinary diseases. The common peroneal nerve showed relevance to digestive diseases, whereas it showed little relevance to the genital diseases. On the other hand, tibial nerve showed relevance to urinary diseases and thermoregulation problem. Conclusion: We expect the effective treatment will be possible if the needling depth and direction are distinguished according to the purpose: shallow layer, deep layer, penetration toward 陽陵泉 (GB34).

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Abstract : Objectives: This study’s aim to introduce Chinese clinical studies which evaluated therapeutic effects of cervcical region or shoulder joint acupuncture treatement according to needling depths. Methods: We conducted a search using keywords, “Needling depth”, “Different needling dpeth” in CNKI on May 19, 2022. There was no limit placed on the publication period of the papers. Results: Three RCTs were selected. Two were study of shoulder joint and one is for cervical joint. According to included studies results, deep needling show more therapeutic effects than swallow needling. Conclusion: This study introduce Chinese literature that show deep needling is more effective in treating neck and shoulder disease. Further clinical studies will be need to accurate needling depths and angles.

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Abstract : Arthropathy of vertebral facet joints is considered an significant cause of low back pain (LBP). Although there is not much arthropathy in the facet joint intself, the treatment of the facet joints can be applied in almost all LBP and sciatica, such as acute LBP lumbago, chronic LBP backache, painful minor intervertebral dysfunction (PMID). Facet joint is a synovial joint and it is important for spinal motion segment. Joint capsule with subcapsular fat pad, fibro-adipose meniscoid also protect the joint, but if under long-term pressure such as a fixed posture, they deform firmly causing restrictions on the movement of the spinal motion segment. Therefore, the recovery of appropriate movement of the facet joints through the treatment improves the blood circulation around them, thereby improving the overall motion segment condition.

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Abstract : Objectives: The aim of this study is to analyze the change of gait pattern of stroke patient according to the improvement of the chief complaints. Methods: We conducted the gait analysis for 2 times to analyzed the change of gait parameters using FDM-T system (Zebris, Germany). Results: Both foot rotation was decreased, and velocity, cadence were increased. In paretic side, stance phase and double stance phase (%) were decreased. single limb support and Swing phase (%) were increased. These results were similar with hemiplegic patient’s improvement patterns. Conclusion: Gait analysis could be used as a good evaluation tool for tracking improvement in stroke patient’s gait pattern.

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Abstract : The aim of this study is to report the effect of acupuncture, Pharmacopuncture, Chuna Manual Therapy treatment at Posterior cervical muscles for patient with tinnitus. One patient with tinnitus was treated with acupuncture a week for about 3 months. Visual Analogue Scale (VAS) was used to evaluate the effect of the treatment. The score of VAS wat improved from 10 to 1. Acupuncture, Pharmacopuncture, Chuna Manual Therapy treatment at Posterior cervical muscles is effective on tinnitus.

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Abstract : Objectives: The aim of this study is to make report the effect of Korean medical treatments on a Benign Paroxysmal Positional Vertigo (BPPV). The two female patients was suffered with BPPV. Methods: The patient was given treatment with Korean medicine therapy, including acupuncture, acupotomy and Chuna manual therapy. Treatment progress was assessed according to the degree of subjective improvement. Results: After treatment, significant improvements of BPPV symptoms were shown. Conclusion: This improvement might suggest the effectiveness of Korean medicine treatment on BPPV.

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Abstract : The aim of this study is to report the effect of Acupotomy, Bee- Venom Pharmacopuncture on tension headaches induced after taking Ephedra sinica herbal complex. Seven patients with tension headaches induced after taking Ephedra sinica herbal complex were treated with Bee-Venom Pharmacopuncture and Acupotomy a week for about 3 months. The Symptoms score was used to evaluate the effect of the treatment. The Symptoms score improved from 10 to 0-1 in all 7 patients. Using Acupotomy, Bee-Venom Pharmacopuncture teatment at Posterior cervical muscles is effective on tension headaches induced after taking Ephedra sinica herbal complex.

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Abstract : We report a case of left tinnitus treated by acupuncture, Chuna therapy and herbal decoction. This case is to report efficacy of Korean medicine treatment on tinnitus with aural fullness. A 52-year-old female who was suffered from left tinnitus with aural fullness and headache. For 6 weeks, the patient visited 4 times and was treated with acupuncture, chuna therapy and herbal decoction. Improvements of tinnitus, aural fullness and headache were measured by a numeric rating scale. After treatment, numeric rating scales of tinnitus were decreased from 8 to 4. NRS of aural fullness were decreased from 10 to 1 and headache were disappeared after 4 weeks treatment. This improvement might suggest Korean medicine complex treatment can be effective for patients who suffer cervicogenic tinnitus.

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Abstract : We report three cases of unspecified dizziness treated by yanggumhwa pharmacopuncture. The purpose of this report is to show that using yanggumhwa pharmacopuncture is effective for symptom improvements in patients who diagnosed with unspecified dizziness. Case 1: A 65-year-old female who suffered unspecified dizziness, especially floating sense, nausea and tinnitus that lasted about 7 years. the patient was diagnosed with vestibular hypofunction and treated with medication but to no avail. Case 2: A 44-year-old male who suffered unspecified dizziness, especially spinning that lasted about 2 years after cervical spine surgery. Case 3: A 44-year-old female who suffered unspecified dizziness with nausea, orthostatic hypotension, Insomnia and spinning that lasted about 6 years. The three patients were treated with acupuncture and yanggumhwa pharmacopuncture on Yepung (TE17) and Chunggung (SI19). After treatment with yanggumhwa pharmacopuncture and acupuncture, VADL score decreased and The patient’s ability to carry out daily life increased. this improvement might suggest the feasibility of yanggumhwa pharmacopuncture and acupucture to improve dizziness, but It is only three cases, so much more research will be needed.

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Abstract : The aim of this study was to report the effect of acupuncture treatment for patient with Parkinson’s Disease Tremor. One patient with Parkinson’s Disease Tremor was treated with acupuncture. The patient and she’s medical protector reported that the tremor had been relived significantly. Acupuncture treatment is effective on Parkinson’s Disease Tremor.

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Abstract : Chronic parotitis is salivary glanditis that occurs in the parotid gland, and the symptom is swelling and pain. We would like to report a case in which a patient’s chronic parotitis was treated by combining acupotomy therapy and herbal medicine. Treatment was intensively applied to the Acupoint TE17 area, and it is presumed that the pressure of edema was lowered. Future studies with more subjects are needed.

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Abstract : We report on the improvement of symptoms through acupotomy treatment in patients with persistent complaints of ankle pain and calcaneal region pain for calcaneal fractures. Acupotomy was performed on the adhesion site, and the patient showed improvement enough to sleep without pain medicine. This study has a limitation in that it reports only one case. Future studies with more subjects are needed.

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Abstract : Objectives: We would like to conduct retrospective study on patients who have had symptoms of spinal stenosis and whose causes were analyzed through imaging to analyze the causes in terms of diagnostic radiology. Methods: We analyzed the cause of spinal stenosis through imaging tests of patients visiting for spinal stenosis. Results: We could observe various cases caused by one of the following: disc herniation, typical stenosis with thickened yellow ligament, spondylolisthesis, disc surgery, cyst, OPLL, calcification of bulged disc, intrinsic narrowing of the spinal canal and bony spur. Conclusion: We led to the conclusion that medical imaging is essential for diagnosis and treatment of patients in the oriental clinic, as it is hard to expect significant improvements and reversible changes in stenosis with various causes, and as such stenosis may show different prognosis compared to that of general stenosis.

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Abstract : Background: The aim of this study is to expand the base and use the association’s unique treatment methods. Methods: The statistical data of one case of oriental medicine that is actually applied. Between March 2019 and May 2021. Results: Monthly sales increased by 184% in May 2021 compared to Jan 2019, and annual sales compared to the previous year also grew by more than 20% every year over two years. Conclusion: Creating package treatment products can be a way to introduce acupuncture therapy.

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Abstract : Objectives: Symptoms of numbness in the area of the hand, including fingers and palm, are one of the common symptoms that patients complain of in clinical practice. ‘3 kinds of upper extremity nerve compression test’ is a physical examination that diagnoses neurological symptoms of the hand area, such as fingers, back of the hand, and palm, and compresses the upper arm to find out the causes, and can be useful in identifying and diagnosing the causes of neurological symptoms of the hand area. Methods: ‘3 kinds of upper extremity nerve compression test’ is a method of compressing the lateral intermuscular septum to confirm the entrapment of the radial nerve, and the medial intermuscular septum, the Flexor digital superficialis arch (FDS arch) to confirm the entrapment of the ulnar nerve and the median nerve. Results: ‘3 kinds of upper extremity nerve compression test’ can diagnose whether the cause of neurological symptoms on the hand is due to entrapment below the elbow section like carpal tunnel syndrome, Flexor digitorum superficialis syndrome, Cubital tunnel and Guyon’s canal, or upper the elbow section like triangular interval and Cervical radiculopathy. Through ‘3 kinds of upper extremity nerve compression test’, it is possible to increase the accuracy of subsequent diagnosis and set the direction of treatment by identifying which lesion of Double Crush Syndrome occurs among the paths of Radial nerve, ulnar nerve, and median nerve. Conclusion: With the Pinch roll test and the Spurling test, ‘3 kinds of upper extremity nerve compression test’ was performed to confirm the condition of the entire neural path with a single diagnosis to clearly confirm where the nerve was entrapped, and through this, accurate diagnosis and treatment were possible. This study is meaningful in that it presented the standard procedure and clinical significance of the upper triad compression test for the first time.

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Abstract : Facial palsy is one of the diseases in high demand for treatment at the Korean Medicine Clinic. Facial palsy is easy to recur, and it is important to receive appropriate treatment quickly. Acupuncture is one of the representative Korean Medicine therapies for facial palsy. The effects of acupuncture are well known, but studies detailing which areas to stimulate and how to stimulate them are lacking. Therefore, we would like to review the anatomical structure of the facial region in detail and report on the method of stimulating the origin and insertion of the muscle according to the RSN acupuncture method.

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Abstract : The purpose of this paper is to prove the therapeutic effect of acupuncture, herbal acupuncture, electroacupuncture, herbal medicine, and chuna for trigeminal neuralgia that has persisted for months to years. Acupuncture, medicinal acupuncture, electroacupuncture, and chuna were treated according to the Soft Tissue Society’s unique acupuncture method, RSN acupuncture theory, for trigeminal neuralgia patients who visited Daemyung Oriental Clinic from June 2021, and the patient’s response was measured using the NRS Scale. In addition, it was attempted to confirm that there was a substantial therapeutic effect by examining whether the western medicine was taken and the number of times during the treatment process. The NRS index case1 before treatment was 9, and pain and discomfort completely disappeared with NRS 0 after 6 treatments. In the case 2, NRS 6–7 before treatment improved to NRS 0 after 6 treatments. In the case 3, NRS 9–10 to NRS 1–2 after 15 treatments improved and the treatment was terminated. Through the RSN acupuncture treatment of three relatively old patients with trigeminal neuralgia, it was confirmed that acupuncture, herbal acupuncture, electroacupuncture, herbal medicine, and chuna were effective in combination treatment with oriental medicine. It is considered that it can be applied to other trigeminal neuralgia patients.

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Abstract : The aim of this study was to report the effect of acupotomy and herbal medicine treatment for patient with head tremor. One patient with head tremor was treated with acupotomy and herbal medicine. The patient reported that the head tremor had been relived significantly. Acupotomy and herbal medicine treatment are effective on head tremor.

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Abstract : We report a case of persistent paresthesia after brachial plexus block treated by acupotomy and Chuna. This case is to report acupotomy and Chuna efficacy of paresthesia. A 82-year-old male who was suffered from paresthesia (especially chilling, pricking) that lasted about 10 years. The patient was diagnosed with carpal tunnel syndrome in 2011, feeling chills in his left hand, and treated surgery but to no avail. So the patient treated brachial plexus block, after which chills appeared on the left full arm. The patient Treated in Ona Korean medicine clinic For 42 weeks (2020-12-24 to 2021-10-08), the patient visited 46 times and was treated with acupotomy on axillary nerve branch, radial nerve branch, musculocutaneus nerve branch. Also the patient was treated with Chuna 25 times on cervical spine to restore cervical curve. After 46 times acupotomy and 25 times Chuna, Body temperature increased 4.54℃ in the Axillary region, increased 4.47℃ in the Inferior lateral brachial cutaneou nerve region, 3.69℃ in the posterior antebrachial cutaneous nerve region, 4.59℃ in the musclulocutaneous nerve region and 4.53℃ in the superficial branch of radial nerve region. And after 25 times Chuna, cervical C-curve is improved. This improvement might suggest the feasibility of acupotomy and chuna to improve paresthesia, but it is only one case report, so much more research will be needed.

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Abstract : The aim of this study was to report the effect of Korean medicine treatments with 9 Cases of cold hands/feet syndrome patients improved by Hwata 153 magnetic field thermotherapy machine. We report 9 cases of patients with cold hands/feet syndrome by using Hwata 153 magnetic field theromotherapy machine. We compared the thermal difference between the before treamt DITI pictures and after treatment DITI pictures. In addition, we estimated the subjective sensitivity changes from 10, as which the patients feel coldness just before the treatment whatever the intensity of coldness are. After treatment there have been noticeable improvement not only in the subjective satisfaction of patients but also DITI temperature changes. Hwata 153 magnetic field theromotherapymight be a recommended therapeutic option for Cold Hypersensitivity of Hands and Feet.

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Abstract : The aim of this study was to report the effect of acupuncture and Chuna manual therapy on a cervicogenic headache and tinnitus. A 61-year-old male who was suffered from right tinnitus with chronic headache and cervical pain. The patient was treated with Korean medicine therapy, including the acupuncture and Chuna manual therapy. Treatment progress was assessed using the numeric rating scale (NRS) and Digital Infrared Thermographic Imaging (D.I.T.I). For 8 weeks, the patient visited 12 times and were treated with acupuncture, liquid acupuncture and chuna therapy. After treatment, significant improvements of tinnitus, neck pain and headache were shown. Numeric rating scales of tinnitus were decreased from 8 to 1. NRS of neck pain were decreased from 8 to 2 and the frequency of headaches in patients decreased after 8 weeks treatment. This improvement might suggest the feasibility of acupuncture and chuna therapy on cervical muscles to alleviate tinnitus. Korean medicine treatment, including acupuncture and chuna therapy might be a recommended therapeutic option for cervicogenic headache and tinnitus.

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Abstract : The aim of this study was to report the effect of acupotomy treatment for patient with headache. One patient with headache was treated with acupotomy. The patient reported that the headache had been relived significantly. Acupotomy treatment is effective on headache.

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Abstract : The aim of this study was to report the effect of Korean medicine treatments with RSN acupuncture and herbal medicine on a chronic gastroesophageal reflux disease (GERD) with Insomnia. A 73-year-old female who was suffered from chronic GERD with Insomnia and nuchal pain. The patient was treated with Korean medicine therapy, including the herbal medicine and RSN acupuncture. Treatment progress was assessed using the numeric rating scale (NRS) and the fometric analysis. For 4 weeks, the patient visited 8 times and were treated with acupuncture and herbal decoction. After treatment, significant improvements of GERD, Insomnia and nuchal pain were shown. Numeric rating scales of GERD were decreased from 10 to 0. NRS of nuchal pain were decreased from 10 to 0 and Insomnia were disappeared after 4 weeks treatment. This improvement might suggest the feasibility of acupuncture on upper c-spine and t-spine to help GERD and Insomnia. Korean medicine treatment, including RSN acupuncture therpy and Herbal medicine, might be a recommended therapeutic option for chronic GERD and insomnia.

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Abstract : The purpose of this study is to report the effect of acupuncture and acupotomy as treatment strategies of sudden sensorineural hearing loss (SSNHL).We reviewed 4 patients with sudden sensorineural hearing loss who were treated with acupuncture, acupotomy and other treatment. Acupucture and acupotomy treatment have efficacy in sudden sensorineural hearing loss. Acupuncture and acupotomy can be a treatment strategies for sudden sensorineural hearing loss.

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Abstract : We’re reporting five case of patient with peripheral tinnitus treated by acupotomy and other medical care. Patients visited the clinic because their peripheral tinnitus did not improve even though they were treated at otolaryngology. We have treated the patients for acupotomy of RSN points, which are cervical spine, thoracic spine and TE-17 (Yifeng), and Other medical care. Before and after treatment, the degree of improvement was checked through pure tone audiometry of the patient, broad band noise of the patient and patient statements. Peripheral tinnitus was improved through other medical care and treatment of direct and indirect Acupotomy of points Which are the cervical spine, thoracic spine, and nerves involved in the ear, such as the vagus nerve, the glossopharyngeal nerve, the facial nerve (chorda tympani nerve, geniculate ganglion), the trigeminal nerve, sphnopalatine ganglion (SPG), superior cervical ganglion and the auditory nerve. More specially, broad band noise of the patient decreased and 6 band test of patients on pure tone audiometry was mostly improved. Lastly subjective statement of patients about tinnitus have been improved. Our treatment show that acupotomy and other medical cares have positive effect on peripheral tinnius patient. As the cases of tinnitus treatment continue to accumulate, the treatment rate is improving, but there have been many cases where it is still insufficient and does not respond to treatment at all. Therefore, more cases and research are needed in the future.