Clinical Guidelines for Hwabyung IV. (Medications & Acupuncture and Moxibustion)

Abstract

Objectives :The Hwabyung Research Center of The Korean Society Of Oriental Neuropsychiatry has attempted to develop the 'Clinical Guidelines for Hwabyung'. Methods :The Hwabyung Research Center constructed a committee of experts and advisory group. Relevant literature was collected and evaluated in order to find out effective Pharmacotherapy (Herbal medicine), acupuncture and moxibustion, and cupping of Hwabyung. Results :We found some evidences that proved the effectiveness of Pharmacotherapy (Herbal medicine), acupuncture and moxibustion, and cupping in the treatment of Hwabyung. 1) We recommend Pharmacotherapy (Herbal medicine), acupuncture and moxibustion, cupping, psychotherapy and management, other therapeutic approaches and education for Hwabyung. 2) Pharmacotherapy (Herbal medicine) should be determined according to the pattern identification of Korean medicine. Further, the prescription should be cost-effective, safe and have no side effects. Also, the interaction between Herbal and Western drugs should be considered carefully. 3) There are general acupuncture, scalp acupuncture, Pharmacopuncture, Sa-am acupuncture as well as acupuncture treatments for Hwabyung. 4) Moxibustion and cupping are useful, relieving various somatic symptoms of Hwabyung. Conclusions :Pharmacotherapy (Herbal medicine), Acupuncture and Moxibustion, Cupping for Hwabyung were studied. We hope that the 'Clinical Guidelines for the Treatment of Hwabyung' are helpful for oriental medical doctors and patients.

Acupuncture for Psychosomatic Symptoms of Hwa-byung, an Anger Syndrome: A Feasibility Randomized Controlled Trial

“…Stuffiness in the chest is one of the typical somatic symptoms of Hwa-byung, and patients explain that it is caused by suppressed and stagnant anger (Lee et al, 2012b). In a survey of non-pharmacological treatment for Hwa-byung, professional experts in Korean medicine hospitals answered that stuffiness in the chest is the most effective symptom that can be improved by acupuncture treatment (Lee et al, 2009). Acupuncture seems to have the potential to relieve the somatic symptoms of stuffiness in the chest due to psychological problems.…”

“…In previous studies, mainly Saam acupuncture using four acupoints was used in four clinical trials for relieving Hwa-byung symptoms (Lee et al, 2007;Jung et al, 2008;Choi et al, 2011Choi et al, , 2015, and scalp acupuncture was used in one trial for relieving insomnia in patients with Hwa-byung (Lee et al, 2012a). In clinical practice, manual acupuncture using 10-20 acupoints is commonly used (Lee et al, 2009), but the effect of individualized manual acupuncture treatment for Hwa-byung has not been tested. Also, there is a lack of evidence of acupuncture relieving the psychosomatic symptoms of Hwa-byung, namely, stuffiness in the chest.…”

A Trend Analysis of Case Reports and Case Series on Hwa-byung in Korea

“…The "Clinical guidelines for Hwa-byung IV. (Medications & Acupuncture and Moxibustion)" stated that since Hwa-byung patients are likely to have cold abdomen due to movement of heat to the upper body, they need to be treated by circulation of qi blood through thermal stimulation of abdomen 37) . Since both of CV12 and CV4 are abdominal acupuncture points, this indicates that moxibustion on these points was intended to improve the upper heat and lower cold condition through thermal stimulation of the abdomen.…”

Role of the Baseline Heart Rate Variability to the Effect of the Huanglian-Jie-Du Granule in Hwa-Byung Patients: Supplementary Analysis from the Randomized Trial Comparing Huanglian-Jie-Du Granule and Placebo for Hwa-Byung

“…화병은 뚜렷한 스트레스 사건 과 관련되어 있으며, 가슴의 답답함, 열감, 치밀어 오름, 목 이나 명치에 덩어리가 뭉쳐있는 느낌, 억울하고 분한 감정, 마음의 응어리나 한을 핵심 증상으로 한다 (Kim JW et al, 2004). 의학계에서는 화병에 대한 표준 치료가 정립되어 있 지 않으나, 한의계에서는 화병 임상연구를 토대로 임상진료 지침을 개발하는 등 화병의 진단 및 치료를 표준화하기 위한 노력을 기울이고 있다 (Jung IC et al, 2013;Kang HW et al, 2013). 황련해독탕은 황련, 황금, 황백, 치자로 구성되어 있으며, 청열을 위한 대표적인 처방이다.…”