Treatment of CRPS Type-I with Fire and Water Acupoints: A Case Report

Article information

J Korean Acupunct Moxib Soc. 2013;30(3):165-171
Publication date (electronic) : 2013 June 20
doi :
Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University
*Corresponding author : Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University, 23, Kyungheedae-ro, Dongdaemun-gu, Seoul, 130-872, Republic of Korea Tel : +82-2-958-9207 E-mail :
Received 2013 May 16; Revised 2013 June 10; Accepted 2013 June 10.


Objectives :

The purpose of this study is to investigate the effect of acupuncture treatment on a patient suffering from CRPS Type 1.

Methods :

A 30-year-old female patient suffering from CRPS Type 1 with symptoms of intense burning pain, joint stiffness, restricted mobility, rapid hair and nail growth, allodynia, hyperalgesia and coldness of the right leg was treated with acupuncture on six acupuncture points on the leg from 13 July to 18 July of 2011. Improvement of the patient’s symptoms was evaluated by Numerical Rating Scale(NRS), Digital Infrared Thermographic Image(DITI).

Results :

After 6 days of treatment, NRS score decreased significantly and the DITI results showed moderate improvement in temperature.

Conclusions :

The results suggest that acupuncture may be an effective in reducing the symptoms of CRPS. Further study is needed to evaluate the significancy of this report.

Keywords: Acupuncture; CRPS; DITI; NRS


1. Stanton-Hicks M, Jänig W, Hassenbusch S, Haddox JD, Boas R, Wilson P. Reflex sympathetic dystrophy: changing concepts and taxonomy. Pain 1995;63(1):127–33.
2. Grabow TS, Christo PJ, Raja SN. Complex regional pain syndrome: diagnostic controversies, psychological dysfunction, and emerging concepts. Advances in psychosomatic medicine 2004;25:89–101.
3. Taylor RS. Epidemiology of refractory neuropathic pain. Pain practice 2006;Mar. 6(1):22–6.
4. Park SH, Lee PB, Lim YH, et al. The Usefulness of Three-phase Bone Scan and Thermography for Making the Diagnosis of CRPS-I. Korean J Pain 2006;19(1):81–6.
5. Wasner G, Schattschneider J, Binder A, Baron R. Complex regional pain syndrome diagnostic, mechanisms, CNS involvement and therapy. Spinal cord 2003;Feb. 41(2):61–75.
6. Kim YC. The Evaluation of Permanent Impairment in Chronic Pain Patients. Korean J Pain 2007;20(1):1–7.
7. Lim JA, Moon HC, Kim SN, Lee SY, Kim SC, Lee SM. A Case Report of Reflex Sympathetic Dystrophy Syndrome. The J of Korean Acupuncture & Moxibustion Society 2005;22(6):241–9.
8. Ko JM, Kim JI, Lee JD, Nam SS, Choi DY. CRPS Type-I Patient Treated with Acupuncture and Bee-venom Acupuncture: A Case Report. The J of Korean Acupuncture & Moxibustion Society 2009;26(3):165–70.
9. Lee EJ, Yoon IJ. The Clinical observateion of 1 case of the Complex Regional Pain Syndrome. The Journal of Daejeon Oriental Medicine 2009;18(1):109–16.
10. Cho HW, Shin BC, Shin MS, Hwang EH, Sul JU. Moxibustion Therapy for the Pain Relief in Patient with Type I CRPS: a Case Report. J Oriental Rehab Med 2011;21(3):79–87.
11. Shin HY, Choi YM, Nahm FS, et al. Comparison of the Two Impairment Classes Publicized by the American Medical Association in Complex Regional Pain Syndrome Patients. Korean J Pain 2007;20(2):148–53.
12. Kim DE, Yu DS, Jung IM, Lee Jh, Yeom SR, Kwon YD. The Study on the Eastern and Western Medical Literatures for Complex Regional Pain Syndrome. J Oriental Rehab Med 2009;19(2):157–85.
13. Hwang SH, Kim MH, Shin MY, Hyun MH. Psychological Symptoms and Therapy in Complex Regional Pain Syndrome. Korean Journal of Stress Research 2012;20(4):237–45.
14. Son MR, Yun HS, Lee SJ, Lee HN. Effects of Musical Therapy on Pain and Mood States of Patients in Complex Regional Pain Syndrome. J of military nursing research 2012;30(1):43–59.

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