Journal of Oriental Neuropsychiatry (동의신경정신과학회지)

The Korean Society of Oriental Neuropsychiatry (대한한방신경정신과학회)
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Study on Current Usage Status of Pharmacopuncture for Insomnia among Korean Medicine Doctors

불면증에 대한 약침 치료 현황 조사 연구

  • Choi, Sung-Youl (Department of Neuropsychiatry, College of Korean Medicine, Gachon University) ;
  • Cho, Jun-Hee (Department of Neuropsychiatry, Pusan National University Korean Medical Hospital) ;
  • Lim, Jung-Hwa (Department of Neuropsychiatry, Pusan National University Korean Medical Hospital) ;
  • Kim, Bo-Kyung (Department of Neuropsychiatry, Pusan National University Korean Medical Hospital)
  • 최성열 (가천대학교 한의과대학 한방신경정신과) ;
  • 조준희 (부산대한방병원 한방신경정신과) ;
  • 임정화 (부산대한방병원 한방신경정신과) ;
  • 김보경 (부산대한방병원 한방신경정신과)
  • Received : 2021.06.30
  • Accepted : 2021.09.26
  • Published : 2021.09.30
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Abstract

Objectives: Pharmacopuncture is a Korean medicine treatment that combines acupuncture and herbal medicines. The aim of this study was to investigate the current usage status of pharmacopuncture for insomnia among Korean medicine doctors (KMDs). Methods: We conducted a self-reporting online survey targeting KMDs from February 23 to March 15, 2021 with cooperation of the Association of Korean Medicine. Responses of 957 KMDs were analyzed. Results: Types of pharmacopuncture mainly used in treatment for insomnia were placenta pharmacopuncture and Hwangryunhaedok-tang pharmacopuncture. Cephalic and facial region were preferred as the treatment site. For one treatment, total usage of pharmacopuncture was more than 0.5 cc but less than 1 cc. Among respondents, the largest number of respondents thought that clinical experience and patient symptoms were important as selection criteria of acupoints using Pharmacopuncture for insomnia. Average treatment duration of using Pharmacopuncture for insmonia was more than 4 weeks. Most KMDs preferred treatment for one to four times a week regarding the treatment cycle. The use of Pharmacopuncture for insomnia was recognized as having a good effect, although other KMDs were concerned about the insufficient evidence and the high cost due to non-reimbursement of pharmacopuncture therapy. Conclusions: In order to activate pharmacopuncture treatment for insomnia, it is necessary to secure effectiveness and safety through basic research, create evidence through clinical research, and reduce costs for patients.

Keywords

Acknowledgement

This research was supported by a grant of the Korea Health Technology R&D Project through the Korea Health Industry Development Institute (KHIDI), funded by the Ministry of Health & Welfare, Republic of Korea (grant number: HF20C0178).

References

  1. Korean Neuropsychiatry Association. Textbook of neuropsychiatry. 3rd ed.. Seoul: imis company; 2017;439-60.
  2. Ohayon MM. Epidemiology of insomnia: what we know and what we still need to learn. Sleep Med Rev. 2002;6(2):97-111. https://doi.org/10.1053/smrv.2002.0186
  3. Cho YW, Shin WC, Yun CH, Hong SB, Kim JH, Earley CJ. Epidemiology of Insomnia in Korean Adults: Prevalence and Associated Factors. J Clin Neurol. 2009;5:20-3. https://doi.org/10.3988/jcn.2009.5.1.20
  4. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 5th ed. Kwon JS, Kim JJ, Namgkoong K et al, translator. Seoul: Hakjisa; 2016;391-459.
  5. The Textbook Compilation Committee of Neuropsychiatry of Oriental Schools in Nation. The Neuropsychiatry of Oriental Medicine. 3rd ed. Seoul: Jipmoon-Dang. 2016:238-40.
  6. The Textbook Compilation Committee of Korean Acupuncture & Moxibustion Society. Acupuncture Medicine. Seoul: Hanmi Medical Publishing Co.. 2020: 784-6.
  7. HJ Lee, Principle of Herbal Acupuncture and Clinical Application, Iljoongsa, Seoul, 1999.
  8. Korean Pharmacopuncture Institute, Pharmacopuncturology: Principles and Clinical Applications, third ed., Elsevier Korea LLC, Seoul, 2012.
  9. National Development Institute of Korean Medicine, Standardization Project of Korean Medicine Pharmacopuncture, 2017.
  10. TD Ha. The study on the constitution discrimination in Immuno-Yakchim. Journal of korea immuno-yakchim society, 2014;3(1):1-9.
  11. Publication Committee on the Yearbook of Traditional Korean Medicine, 2016 Yearbook of Traditional Korean Medicine, Korea Institute of Oriental Medicine, E- Publishing Inc., Daejun, 2018, pp. 59-94.
  12. HS Yoon, JH Moon, KS Jeong, JH Lee, JY Baek, HJ Ahn. Original Article : A study on the effects of the Hominis placenta-induced injection on insomnia patient. The Journal Of Korean Acupuncture & Moxibustion Medicine Society, 2004;21(3):99-105.
  13. HH Jang, IS Doo, DY Lee, SH Lee, SJ Min, TH Kim, YS Lyu, HW Kang. The Case of regulation of Insomnia with Jahageo Herbal acupuncture. Journal of Oriental Neuropsychiatry, 2003;14(1):155-60.
  14. JH Lee, JY Baek, HS Jung, SD Park. A clinical study of Sanjoincho - induced injection on insomia patients. Journal of Oriental Neuropsychiatry, 2000;11(2):79-86.
  15. YH Lee, GS Kwon, SH Lee, ES Lee, CH Kim, KJ Jang, CH Song, YG Kim, WI Kim, HM Yoon. The Clinical Review of Samgi-halleak Pharmacopuncture Effects for Insomnia & Fatigue. Journal of Acupuncture Research, 2012;29(3):101-13.
  16. J Jang, CH Song, CH Kim. Clinical Research : Clinical Research of the Effects of Sumsu( Bufonis venenum) Pharmacopuncture on Insomnia and Depression in Patients with Sleep Disorder. Journal of Acupuncture Research, 2015;32(3):175-83. https://doi.org/10.13045/acupunct.2015049
  17. C Jung, DG Lee, JM Yoon, YE Choe. A Case Report on Patient with Insiomnia Treated with CM Immuno-Pharmacopuncture. Journal of korea immuno-yakchim society, 2017;6(1):49-59.
  18. Antic NA, Catcheside P, Buchan C, Hensley M, Naughton MT, Rowland S, et al. The effect of CPAP in normalizing daytime sleepiness, quality of life, and neurocognitive function in patients with moderate to severe OSA. Sleep, 2011;34:111-9. https://doi.org/10.1093/sleep/34.1.111
  19. Kryger MH, Roth T, Dement WC, editors. Principles and practice of sleep medicine. 6th ed. Philadelphia, PA: Elsevier;2017.
  20. JM Park, SJ You, SY Choi, G Moon, YS Lyu. Survey of Motives for Visiting Oriental Medical Hospital and Satisfaction with Oriental Medical Care for Cancer Patients: Report of 22 Cases. J of Oriental Neuropsychiatry. 2015;26(1):23-38. https://doi.org/10.7231/jon.2015.26.1.023
  21. Kim JH. A clinical literature review and research-trends analysis of bee venom pharmacopuncture for cancer patients. The Journal of Korean Medicine, 2020;41(3):247-59. https://doi.org/10.13048/jkm.20038
  22. Park JE, Kim KH, Kang SH, Lee EK, Kim JC, Jang BH, Shin YC, Ko SG. Usage status and satisfaction with pharmacopuncture in Korea: A survey among Korean medicine doctors. European Journal of Integrative Medicine, 2019;27:121-30. https://doi.org/10.1016/j.eujim.2019.03.001
  23. Korea health industry development institution. Healthcare workforce-number of licensed Korean medical doctors. Available at: http://210.179.230.152:8083/statHtml/statHtml.do?orgId=358&tblId=DT_358N_E313&conn_path=I2
  24. Kim MK, Kim GH, Han CH. An E-mail survey for expanding the basic benefit package of Korean medicine in Korean national health insurance, The Journal of Korean Medicine, 2018;39(3):51-60.
  25. Korea Institute of Oriental Medicine. Suvey on Korean medical doctors' awareness of Korean health insurance policy. KIOM. 2017.
  26. Kim MK, Han CH. E-mail survey on the current status of clinical practice and activation measures for Korean medicine in stroke care. J Korean Med. 2017;38(3):143-59. https://doi.org/10.13048/jkm.17032
  27. Lee JE, Choi JB, Kim DH, Jeong HJ, Kim JH. A Web-based Survey Research on Improving and Utilizing Korean Medicine Clinical Practice Guideline for Ankle Sprain. The Journal of Korean Medicine, 2019;40(2):1-16.
  28. Health insurance review & assessment service. Medical expenses statistics index; Available at: URL: http://opendata.hira.or.kr/op/opc/olapHifrqSickInfo.do (accessed 2021.09.01.)
  29. Park JE, Kim KH, Kang SH, Lee EK, Kim JC, Jang BH, Shin YC, Ko SG. Usage status and satisfaction with pharmacopuncture in Korea: A survey among Korean medicine doctors. European Journal of Integrative Medicine. 2019;27:121-30. https://doi.org/10.1016/j.eujim.2019.03.001
  30. Y Shin, JS Shin, J Lee, YJ Lee, MR Kim, YJ Ahn, KB Park, BC Shin, MS. Lee, JH Kim, JH Cho, IH Ha. A survey among Korea Medicine doctors (KMDs) in Korea on patterns of integrative Korean Medicine practice for lumbar intervertebral disc displacement: preliminary research for clinical practice guidelines, BMC Complement. Altern. Med., 2015;15:432. https://doi.org/10.1186/s12906-015-0956-1
  31. Korean pharmacopuncture institute science committee, pharmacopuncturology institute. Pharmacopuncturology. Second Edition. Seoul : Elsevier Korea. 2011.
  32. Yun JM, Kim KH, Oh YT, Kim JU, Yook TH. The Analysis of the Recent Research Trend of Pharmacopuncture. 2018;22(2):55-63. https://doi.org/10.25153/spkom.2018.22.2.006
  33. Kim BW, Lim CS, Choi GY, Kang DI, Lee HC, Kim HD, Kwon KR. Survey of Pharmacopuncture Education in Korean Traditional Medicine Schools. Journal of Pharmacopuncture. 2010;13(3):81-90. https://doi.org/10.3831/KPI.2010.13.3.081
  34. JK Park, KH Kim, A survey on uncovered services in national health insurance of Traditional Korean Medicine Institution, J. Soc. Prev. Kor. Med., 2017; 21: 43-50. https://doi.org/10.25153/spkom.2017.21.3.005
  35. National Statistical Office, Survey of outpatients on Korean medicine use and herbal medicine consumption, 2019. https://kosis.kr/statisticsList/statisticsListIndex.do?vwcd=MT_ZTITLE&menuId=M_01_01#contentgroup (Accessed 9 September 2021)
  36. AR Kim, SH Lee, JE Kim, BY Kim, KW Kang, SM Choi, Survey on ear acupuncture usage by clinical traditional korean medicine doctors, J. Acupunct. Meridian Stud. 2012;5(3):138.
  37. National Development Institute of Korean Medicine. Final report of the study for expanding the basic benefit package of Korean medicine in Korea national health insurance. NIKOM. 2016.