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  • P-ISSN 1010-0695
  • E-ISSN 2288-3339

Current State of Pain Treatment in Oriental Medicine

Journal of Korean Medicine / Journal of Korean Medicine, (P)1010-0695; (E)2288-3339
2011, v.32 no.2, pp.23-41






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Abstract

Objective: The number of patients with chronic pain has increased over the past several decades. Seventy-eight percent of people over 60 in Korea suffer from many kinds of pain. This study was aimed to understand the current state of Oriental medicine for pain treatment. Method: We surveyed 415 Oriental medical doctors with items including rate of patients with pain, methods of diagnosis and of treatment. We also reviewed previous studies evaluating the effect of Oriental medicine for pain treatment. Results: About 85% doctors said that more than half of their patients have pain symptoms. The most common pain types were sprain and lower back pain. Diagnosis method depended on the pain type, but in all pain types,acupuncture treatment was the most used. In the result of review of previous studies, acupuncture treatment seemed to be effective for several pain symptoms,such as sprain and knee pain. However, the effect of Oriental medicine was controversial in most pain treatments. Conclusion: Oriental medicine is used a lot for pain treatment. However, many more mechanism studies and clinical trials should be conducted to establish the evidence.

keywords
Pain, treatment, Oriental medicine, acupuncture


Reference

1

1. Ryu K. A Study on the treatment of pain in oriental medicine. Korean Journal of Oriental medicine. 1996;2(1);1-31.

2

2. Broggi G. Pain and psycho-affective disorders. Neurosurgery. 2008;62(6 Suppl 3);901-19; discussion 19-20.

3

3. Campbell LC, Clauw DJ, Keefe FJ. Persistent pain and depression: a biopsychosocial perspective. Biol Psychiatry. 2003;54(3);399-409.

4

4. Varrassi G, Muller-Schwefe G, Pergolizzi J, Oronska A, Morlion B, Mavrocordatos P, et al. Pharmacological treatment of chronic pain - the need for CHANGE. Curr Med Res Opin. 26(5); 1231-45.

5

5. Ministry of Health & Welfare. 2008년도 노인실 태조사: 전국 노인생활실태 및 복지욕구조사. 2008.

6

6. Baek S. Prevalence of musculoskeletal pain in an elderly urban Korean population: results from the Korean Longitudinal Study on Health and Aging (KLoSHA). Dept of Rehabilitation Medicine. Seoul National University. 2009.

7

7. Lee KH. 난치성 암성 통증 치료. The Korean Journal of Hospice and Palliative Care:학술대회 논문집. 2005;276-81.

8

8. Park EJ, Han KR, Kim DW, Kim C. A Clinical Survey of the Patients in Neuro-Pain Clinic at Ajou University. Korean J Pain. 2007;20;181-5.

9

9. Choi D, Kim C, Shin H, Park Y, Sung E, Lee K. Patterns of Complementary and Alternative Medicine Therapies in Patients with Chronic Fatigue or Pain. Korean J Farm Med. 2009; 2009(30);182-9.

10

10. Ezzo J, Berman B, Hadhazy VA, Jadad AR, Lao L, Singh BB. Is acupuncture effective for the treatment of chronic pain? A systematic review. Pain. 2000;86(3);217-25.

11

11. Hopton A, MacPherson H. Acupuncture for chronic pain: is acupuncture more than an effective placebo? A systematic review of pooled data from meta-analyses. Pain Pract. 2010; 10(2);94-102.

12

12. Cui S. 100 cases of acute lumbar sprain treated with acupuncture at zhibian (UB 54). J Tradit Chin Med. 1992;12(2);119.

13

13. Zhou S, Liu M. Thirty cases of acute lumbar sprain treated by acupuncture combined with point-injection at tianzhu. J Tradit Chin Med. 2003;23(3);203-4.

14

14. Yao-chi W, Bi-meng Z, Chong-miao W, Jun-feng Z, Ping S, Liu GZ. Observation on short-term and long-term therapeutic effects of electroacupuncture at Houxi (SI 3) on acute lumbar sprain. Zhongguo Zhen Jiu. 2007;27(1);3-5.

15

15. Koo ST, Park YI, Lim KS, Chung K, Chung JM. Acupuncture analgesia in a new rat model of ankle sprain pain. Pain. 2002;99(3);423-31.

16

16. Koo ST, Lim KS, Chung K, Ju H, Chung JM. Electroacupuncture-induced analgesia in a rat model of ankle sprain pain is mediated by spinal alpha-adrenoceptors. Pain. 2008;135(1-2);11-9.

17

17. Sun Y, Gan TJ. Acupuncture for the management of chronic headache: a systematic review. Anesth Analg. 2008;107(6);2038-47.

18

18. Davis MA, Kononowech RW, Rolin SA, Spierings EL. Acupuncture for tension-type headache: a meta-analysis of randomized, controlled trials. J Pain. 2008;9(8);667-77.

19

19. Linde K, Allais G, Brinkhaus B, Manheimer E, Vickers A, White AR. Acupuncture for tensiontype headache. Cochrane Database Syst Rev. 2009;1;CD007587.

20

20. Manias P, Tagaris G, Karageorgiou K. Acupuncture in headache: a critical review. Clin J Pain. 2000; 16(4);334-9.

21

21. Endres HG, Bowing G, Diener HC, Lange S, Maier C, Molsberger A, et al. Acupuncture for tension-type headache: a multicentre, shamcontrolled, patient-and observer-blinded, randomised trial. J Headache Pain. 2007;8(5);306-14.

22

22. Melchart D, Hager S, Hager U, Liao J, Weidenhammer W, Linde K. Treatment of patients with chronicheadaches in a hospital for traditional Chinese medicine in Germany. A randomised, waiting list controlled trial. Complement Ther Med. 2004;12(2-3);71-8.

23

23. Linde K, Allais G, Brinkhaus B, Manheimer E, Vickers A, White AR. Acupuncture for migraine prophylaxis. Cochrane Database Syst Rev. 2009; 1;CD001218.

24

24. Odaguchi H, Wakasugi A, Ito H, Shoda H, Gono Y, Sakai F, et al. The efficacy of goshuyuto, a typical Kampo (Japanese herbal medicine) formula, in preventing episodes of headache. Curr Med Res Opin. 2006;22(8);1587-97.

25

25. Lim B, Manheimer E, Lao L, Ziea E, Wisniewski J, Liu J, et al. Acupuncture for treatment of irritable bowel syndrome. Cochrane Database Syst Rev. 2006;4);CD005111.

26

26. Liu J, Yang M, Liu Y, Wei M, Grimsgaard S. Herbal medicines for treatment of irritable bowel syndrome. Cochrane Database Syst Rev. 2006;1); CD004116.

27

27. Gu W, Hu QC. Clinical observation on acupuncture for treatment of chronic atrophic gastritis. Zhongguo Zhen Jiu. 2009;29(5);361-4.

28

28. Ren R, Zhuang LX. Effect of acupuncture and moxibustion of Shu- and Mu-acupoints on the quality of life in patients chronic superficial gastritis. Zhen Ci Yan Jiu. 2009;34(4);262-6.

29

29. Gao X, Yuan J, Li H, Ren S. Clinical research on acupuncture and moxibustion treatment of chronic atrophic gastritis. J Tradit Chin Med. 2007;27(2);87-91.

30

30. Niu HY, Yang M, Qiang BQ, Guo QJ, Yang ZG. Multicentral randomized controlled trials of acupuncture at Zhongwan (CV 12) for treatment of peptic ulcer. Zhongguo Zhen Jiu. 2007;27(2); 89-92.

31

31. Chen JY, Pan F, Xu JJ. Effects of acupuncture on the gastric motivity in patients with functional dyspepsia. Zhongguo Zhong Xi Yi Jie He Za Zhi. 2005;25(10);880-2.

32

32. Ernst E, White AR. Acupuncture for back pain: a meta-analysis of randomized controlled trials. Arch Intern Med. 1998;158(20);2235-41.

33

33. van Tulder MW, Cherkin DC, Berman B, Lao L, Koes BW. The effectiveness of acupuncture in the management of acute and chronic low back pain. A systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine (Phila Pa 1976). 1999;24(11);1113- 23.

34

34. Furlan AD, van Tulder MW, Cherkin DC, Tsukayama H, Lao L, Koes BW, Berman BM. Acupuncture and dry-needling for low back pain. Cochrane Database Syst Rev. 2005;1);CD001351.

35

35. Manheimer E, White A, Berman B, Forys K, Ernst E. Meta-analysis: acupuncture for low back pain. Ann Intern Med. 2005;142(8);651-63.

36

36. Chou R, Huffman LH. Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline. Ann Intern Med. 2007;147(7); 492-504.

37

37. Gagnier JJ, van Tulder M, Berman B, Bombardier C. Herbal medicine for low back pain. Cochrane Database Syst Rev. 2006;2); CD004504.

38

38. White A, Foster NE, Cummings M, Barlas P. Acupuncture treatment for chronic knee pain: a systematic review. Rheumatology (Oxford). 2007; 46(3);384-90.

39

39. Ezzo J, Hadhazy V, Birch S, Lao L, Kaplan G, Hochberg M, et al. Acupuncture for osteoarthritis of the knee: a systematic review. Arthritis Rheum. 2001;44(4);819-25.

40

40. Ferrandez Infante A, Garcia Olmos L, Gonzalez Gamarra A, Meis Meis MJ, Sanchez Rodriguez BM. Effectiveness of acupuncture in the treatment of pain from osteoarthritis of the knee. Aten Primaria. 2002;30(10);602-8; discussion 9-10.

41

41. Bjordal JM, Johnson MI, Lopes-Martins RA, Bogen B, Chow R, Ljunggren AE. Short-term efficacy of physical interventions in osteoarthritic knee pain. A systematic review and metaanalysis of randomised placebo-controlled trials. BMC Musculoskelet Disord. 2007;8(51.

42

42. Manheimer E, Linde K, Lao L, Bouter LM, Berman BM. Meta-analysis: acupuncture for osteoarthritis of the knee. Ann Intern Med. 2007;146(12);868-77.

43

43. Selfe TK, Taylor AG. Acupuncture and osteoarthritis of the knee: a review of randomized, controlled trials. Fam Community Health. 2008; 31(3);247-54.

44

44. Markow MJ, Secor ER. Acupuncture for the pain management of osteoarthritis of the knee. Techniques in Orthopaedics. 2003;18(1);33-6.

45

45. Little CV, Parsons T, Logan S. Herbal therapy for treating osteoarthritis. UK;John Wiley & Sons, Ltd, Chichester, 2000.

46

46. Lee MS, Choi TY, Kang JW, Lee BJ, Ernst E. Moxibustion for treating pain: a systematic review. Am J Chin Med. 2010;38(5);829-38.

47

47. Lee MS, Shin BC, Ernst E. Acupuncture for rheumatoid arthritis: a systematic review. Rheumatology (Oxford). 2008;47(12);1747-53.

48

48. Wang C, de Pablo P, Chen X, Schmid C, McAlindon T. Acupuncture for pain relief in patients with rheumatoid arthritis: a systematic review. Arthritis Rheum. 2008;59(9);1249-56.

49

49. Little CV, Parsons T. Herbal therapy for treating rheumatoid arthritis. Cochrane Database Syst Rev. 2001;1);CD002948.

50

50. Manheimer E, Cheng K, Linde K, Lao L, Yoo J, Wieland S, et al. Acupuncture for peripheral joint osteoarthritis. Cochrane Database Syst Rev. 1);CD001977.

51

51. Kwon YD, Pittler MH, Ernst E. Acupuncture for peripheral joint osteoarthritis: a systematic review and meta-analysis. Rheumatology (Oxford). 2006; 45(11);1331-7.

52

52. Su JC, Cao LH, Li ZD, Wang SC, Zhang QJ, Ma YH, et al. Controlled clinical trials of initial observation on therapeutic effects of moxibustion for osteoarthritis of the knee: multi-center clinical effect. Zhongguo Gu Shang. 2009;22 (12);914-6.

53

53. Fu Y, Kang MF, Chen RX, Zhang B, Zhang HF. Observation on the therapeutic effect of painless festering moxibustion on knee osteoarthritis. Zhongguo Zhen Jiu. 2007;27(7);513-5.

54

54. Zhang XY. Therapeutic effect of deep acupuncture at local acupoints on trigeminal neuralgia. Zhongguo Zhen Jiu. 2005;25(8);549-50.

55

55. Shlay JC, Chaloner K, Max MB, Flaws B, Reichelderfer P, Wentworth D, et al. Acupuncture and amitriptyline for pain due to HIV-related peripheral neuropathy: a randomized controlled trial. Terry Beirn Community Programs for Clinical Research on AIDS. JAMA. 1998;280 (18);1590-5.

56

56. Pittler MH, Ernst E. Complementary therapies for neuropathic and neuralgic pain: systematic review. Clin J Pain. 2008;24(8);731-3.

57

57. Li WG. Cotton moxibustion treatment of herpes zoster clinical observation of 30 cases. J Pract Tradit Chin Intern Med. 2007;21;97.

58

58. Rog DJ, Nurmikko TJ, Friede T, Young CA. Randomized, controlled trial of cannabis-based medicine in central pain in multiple sclerosis. Neurology. 2005;65(6);812-9.

59

59. Wilsey B, Marcotte T, Tsodikov A, Millman J, Bentley H, Gouaux B, et al. A randomized, placebo-controlled, crossover trial of cannabis cigarettes in neuropathic pain. J Pain. 2008; 9(6);506-21.

60

60. Greenway FL, Frome BM, Engels TM, 3rd, McLellan A. Temporary relief of postherpetic neuralgia pain with topical geranium oil. Am J Med. 2003;115(7)586-7.

61

61. Mason L, Moore RA, Derry S, Edwards JE, McQuay HJ. Systematic review of topical capsaicin for the treatment of chronic pain. BMJ. 2004;328;991.

62

62. Park JE. Utilization of Oriental medical services & its determinants among Korean adults. Dept of Public health. Seoul National University. 2010.

63

63. KIOM. 2008년도 한방의료이용 실태조사. Ministry of Health & Welfare, Seoul: 2008.

64

64. Lee HW. A Study on the Patient’s Attitude of Korean Medicine by Social Classess. Dept of Oriental Medicine. Wonkwang University. 2006.

65

65. Jo HS, Lee SH, Choi EY, Choi KS, Chae YM. Market Segmentation of Patient-Utilization in Oriental Medical Care and Western Medical Care. Korean J of Health Policy & Administration. 2002;12(1);125-43.

66

1. 66. Han CH, Shin MS, Shin SH, Kang KW, Park SH, Choi SM. Telephone survey for grasping clinical actual state of moxibustion therapies in Korea. Journal of Meridian & Acupoint. 2007; 24(3);17-31.

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