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J Acupunct Res > Volume 32(2); 2015 > Article
Sin, Lee, Kang, and Song: Effect of Eight Vacuity Theory Adopted Complex Acupuncture Therapy on Patients with External Epicondylitis
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Abstract

Objectives:

The objective of this study was to report two cases that patients with external epicondylitis were improved by based on ‘eight vacuity’ theory bloodletting therapy, acupuncture therapy and bee venom pharmacopuncture.

Methods:

In this study, patients were treated with bloodletting therapy, then acupuncture therapy and bee venom pharmacopuncture to Ashi point on eight vacuity of elbow in the patients without retention of needles. Subsequently, electroacupuncture and Dong-qi acupuncture treatment were implemented in order to strengthen the effect of acupuncture. In terms of evaluation methods, visual analog scale(VAS) score, range of motion(ROM), grip strength and physical examination were used to assess external epicondylitis-related symptoms.

Results:

VAS score decreased, ROM and grip strength were increased and physical examination was improved in all cases.

Conclusions:

It was suggested that the symptoms of intractable external epicondylitis could be improved by eight vacuity theory adopted bloodletting therapy, acupuncture therapy and bee venom pharmacopuncture.

Fig. 1.
Change of VAS score(case 1)
acupunct-32-2-209f1.gif
Fig. 2.
Change of both side VAS score(case 2)
acupunct-32-2-209f2.gif
Table 1.
Detail of Acupuncture Technique Based on STRICTA1)
1. Acupuncture rationale
1a) Style of acupuncture Traditional Korean medicine
1b) Reasoning for treatment provided Based on historical context and anatomical information
2. Details of needling
2a) Number of needle insertions per subject per session 6~7
2b-1) Names of points used LU5, HT3 etc
2b-2) Uni/bilateral Bilateral
2c) Depth of insertion About 1.5~2.0 cm
2d) Response sought De-qi sensation
2e) Needle stimulation Electroacupuncture Dong-qi Acupuncture
2f) Needle retention time 20~25 minutes
2g) Needle type 0.25 × 30 mm, Dong-bang stainless steel disposable acupuncture needle
3. Treatment regimen
3a) Number of treatment sessions Case 1: 10 times
Case 2: 21 times
3b) Frequency and duration of treatment sessions 2 ~ 3 times a week
4. Other components of treatment
4a) Details of other interventions administered to the acupuncture group Don’t exercise using elbow and wrist, bee venom pharmacopuncture, bloodletting therapy
4b) Setting and context of treatment, including instructions to practitioners, and information and explanations to patients None
5. Practitioner background
6. Control or comparator
Interventions No control intervention
Table 2.
Change of VAS Score, Grip Strength, Physical Examination and Elbow ROM(Case 1)
1st 3rd 5th 7th 10th
VAS score 7 4 3 3 1
Grip strength 36.9 37.0 38.1 37.7 37.9
Cozen’s test + + + + +
Mill’s test + + + + +
ROM Flexion 150(+) 150(+) 150(+) 150(+) 150
Extension 5(+) 5(+) 5(+) 5(+) 5
Supination 90(+) 90(+) 90(+) 90(+) 90
Pronation 90(+) 90(+) 90(+) 90(+) 90

(+): means accompanied by pain.

Table 3.
Change of VAS Score, Grip Strength, Physical Examination and Elbow ROM(Case 2)
1st 5th 9th 13th 17th 21th
VAS score 8/8 7/7 3/5 0/3 0/2 0/2
Grip strength 27.5/25.2 29.3/27.7 32.8/28.1 32.0/29.8 32.5/30.0 32.4/29.5
Cozen’s test +/+ +/+ +/+ −/+ −/+ −/+
Mill’s test +/+ +/+ +/+ −/+ −/+ −/+
ROM Flexion 130(+)/150(+) 150(+)/150(+) 150(+)/150(+) 150/150(+) 150/150 150/150
Extension 5(+)/5(+) 5(+)/5(+) 5(+)/5(+) 5/5(+) 5/5 5/5
Supination 80(+)/90(+) 90(+)/90(+) 90(+)/90(+) 90/90(+) 90/90 90/90
Pronation 90(+)/90(+) 90(+)/90(+) 90(+)/90(+) 90/90(+) 90/90 90/90

(+): means accompanied by pain.

V.
V.

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