Korean Journal of Acupuncture

Society for Meridian and Acupoint (경락경혈학회)
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Comparative Literature Review of Floating Acupuncture: Compared to Meridian Muscle, Myofascial Pain Syndrome and Wrist-Ankle Acupuncture

부침 이해를 위한 문헌 비교: 경근, 근막동통이론, 완과침 그리고 부침

  • Cheoung Su Kim (Department of Meridian & Acupuncture, College of Korean Medicine, Wonkwang University) ;
  • Yeon Kyeong Nam (Department of Meridian & Acupuncture, College of Korean Medicine, Wonkwang University) ;
  • Piao Quanyu (Department of Meridian & Acupuncture, College of Korean Medicine, Wonkwang University) ;
  • Seung Bum Yang (Department of Medical Non-Commissioned Officer, Wonkwang Health Science University) ;
  • Jae-Hyo Kim (Department of Meridian & Acupuncture, College of Korean Medicine, Wonkwang University) ;
  • O Sang Kwon (Department of Meridian & Acupuncture, College of Korean Medicine, Wonkwang University)
  • 김청수 (원광대학교 한의과대학 경혈학교실) ;
  • 남연경 (원광대학교 한의과대학 경혈학교실) ;
  • ;
  • 양승범 (원광보건대학교 의무부사관과) ;
  • 김재효 (원광대학교 한의과대학 경혈학교실) ;
  • 권오상 (원광대학교 한의과대학 경혈학교실)
  • Received : 2023.05.09
  • Accepted : 2023.06.10
  • Published : 2023.06.27
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Abstract

Objectives : Floating acupuncture (FA) is a kind of newly developed acupuncture technique that contains its own apparatus. The technique has unique points that the body of the acupuncture needle stays intradermal space and manipulation is performed by shaking the needle horizontally; after manipulation, part of the needle remained in the intradermal space for 2~3 days. FA is not a common acupuncture methodology while various clinical study claims its efficacy on musculoskeletal disorders. In this study, the authors aimed to enhance the use of FA by comparing related theories. Methods : The authors reviewed classics, books, and articles related to FA, Meridian Muscle (MM), Myofascial Pain Syndrome (MPS), and Wrist-Ankle Acupuncture (WAA), and compared its characteristics by related theory, related symptoms, apparatus, and performing procedures. Results : FA was related and had various common parts with MM, MPS, and WAA, however, there were unique parts in the manipulation, apparatus, and stimulation location. FA is based on MM and MPS which pointing 'ashi points' or 'trigger points' as a treating target while FA does not stimulate the points directly. FA also targets subcutaneous space by inserting the needle horizontally as WAA does, while FA remains the needle handle part in the subcutaneous area for 2~3 days for more stimulation. Conclusions : FA has a unique manipulation procedure and potential benefit for musculoskeletal disorders despite the crude theological base written by Fu himself. Thus, developing a new explanation and patient-friendly methodology/apparatus is required for further down-to-earth studies.

Keywords

References

  1. Fu ZH. The manual of Fu's subcutaneous needling for painful prlblems. Eui Seong Dang. 2013 : 35-94.
  2. Tang JW, Zuo HP. Fu Zhen Liaofa Zhiliao Wangqiu Zhou 30 Li. Jiangxi Journal of Traditional Chinese Medicine. 2004 ; 35(5): 55.
  3. Wang CM, Zhao F, Zhang L. Therapeutic observation of superficial needling in treating functional constipation. Shanghai Journal of Acupuncture and Moxibustion. 2018 ; 37(6) : 605-8. https://doi.org/10.13460/j.issn.1005-0957.2018.13.0068
  4. Fu ZH, Huang Y. Fu Zhen Zhiliao Jianqiaoyan 37 Li Linchuang Guancha. Jiangsu Journal of Traditional Chinese Medicine. 1998 ; 19(11) : 38-9.
  5. Duan YQ, Yan DF, Li WL, Guo TP. Fu Zhen Zhiliao Yao Chuijianpan Tuchu Zheng 56 Li. Journal of Practical Traditional Chinese Medicine. 2018 ; 34(5) : 612-3.
  6. Hua Y. Assessment of therapeutic effect of superficial needling therapy on scapulohumeral periarthritis. World J of Acupuncture Moxibustion. 2009 ; 19(2) : 17-21.
  7. Tao QB. Fu Zhen Zhiliao Xieguan Shengjing Xing Toutong. Chinese Journal of Ethnomedicine and Ethnopharmacy. 2004 ; 6 : 388.
  8. Guo LH, Chen X, Huang P, Liang YC, Mu JP. Clinical study on Fu's subcutaneous needling with laser for postherpetic neuralgia. Journal of Acupuncture and Tuina Science. 2014 ; 12(3) : 165-8. https://doi.org/10.1007/s11726-014-0766-x
  9. Zhi LX. Randomized controlled study on superficial needling for treatment of primary dysmenorrhea. Zhongguo Zhen Jiu. 2007 ; 27(1) : 18-21.
  10. Kim KW, Moon JG. Hwangje Naeyeong Youngchu. Seoul : Bubin Publisher. 2014 : 117-25.
  11. Lee SM. A Study on the Kyung Keun Pyun of the Young Chu. Wonkwang University, Iksan, 1999. Available from: http://www.riss.kr/link?id=T7489568
  12. Joo JH, Ok GH. Musculoskeletal pain treatment. Paju : KoonJa. 1996 : 9-19, 56-81.
  13. Zhang XS, Ling CQ, Zhou QH. Shiyong Wan Huai Zhen Liaofa. Beijing : People's Medical Publishing House Co., Ltd. 2002 : 1.
  14. Zhang XS. Wan HZ. Vol 3. Beijing : Renmin Junyi Chuban She. 1997 : 11-21.
  15. Qiao WL. Wan Huai Zhen Liaofa Yuanli Chutan. Jiangsu Journal of Traditional Chinese Medicine. 1991 ; (6) : 27-9.
  16. Zhang SL. Nan Jing Hui Zhu Jian Zheng. Taiyuan : Shanxi Science and Technology Publishing House. 2013 : 305.
  17. Lu ZL. Zhongguo Yixue Mingzhu Zhenpin Quanshu Zhong Ce. Shenyang : Liaoning Science and Technology Publishing House. 1995 ; 12-6.
  18. Guo AC. Huangdi Neijing Lingshu Jiaozhu Yu Uk. Guiyang : Tianjin Science Technology Publishing House. 1981 : 310.
  19. Gowers WR. Lumbago: its lessons and analogues. BMJ. 1904 ; 117-21.
  20. Simons DG. Myofascial pain syndromes: where are we? Where are we going? Arch Phys Med Rehabil. 1988 ; 69(3 Pt 1) : 207-12.
  21. Giamberardino MA, Affaitati G, Fabrizio A, Costantini R. Myofascial pain syndromes and their evaluation. Best Pract Res Clin Rheumatol. 2011 ; 25(2) : 185-98. https://doi.org/10.1016/j.berh.2011.01.002
  22. Travell JG, Simons DG. Myofascial pain and dysfunction: the trigger point manual, Baltimore: Williams and Wilkins. 1983.
  23. Hong CZ. Pathophysiology of Myofascial Trigger Point. J Formos Med Assoc. 1996 ; 95(2) : 93-104.
  24. Simons DG, Travell JG, Simons, LS. Travell & Simons' Myofascial Pain and Dysfunction: The Trigger point manual, volume 1, upper half of body. Second Edition. Baltimore : Williams & Wilkins. 1999.
  25. Weeks VD, Travell J. How to give painless injections. AMAScientific Exhibits 1957, Grune & Straton, New York. 1957 : 18-322.
  26. Hubbard DR, Berkoff GM. Myofascial trigger points show spontaneous needle EMG activity. Spine (Phila Pa 19976) 1993 ; 18(13) : 1803-7. https://doi.org/10.1097/00007632-199310000-00015
  27. Fu ZH. Fu Zhentong Yan An Ju Yu. Journal of Clinical Acupuncture and Moxibustion. 1997 ; 13(2) : 23-4.
  28. Fu ZH. Zai Guan Zhu He Zai Guan Zhu Huo Dong Guan Yu Wai Zhi Fa Zhong Bian Zhi Liao Bian Huo Dong De Fang Fa. Zhongguo Zhen Jiu. 2015 ; (S1) : 68-71.
  29. Liu BH, Zhu XW. Qian Xi Fu Zhen Liao Fa. Journal of Clinical Acupuncture and Moxibustion. 1998 : 14(4) : 29.
  30. Yang JX, Fu ZH. On clinical study and theory of Fu's subcutaneous needling. Western Journal of Traditional Chinese Medicine. 2015 ; 28(6) : 156-8.
  31. Kim KW, Moon JG. Hwangje Naeyeong Somun. Seoul : Bubin Publisher. 2014 : 293-4.
  32. Ye HL, Zhan LH, Zhu JX. Zhong Yao Xue Wei Re Fu Jie He Zheng Ti Hu Li Zhi Liao Jian Zhou Yan De Jiao Xiao Guan Cha. Journal of Aerospace Medicine. 2016 ; 22(11) : 1468-70.
  33. Wang YJ, Qiu WJ. Clinical observation on the treatment of cervical spondylosis of vertebral artery type with floating-acupuncture therapy. Rheumatism and Arthritis. 2017 ; 6(9) : 28-9+67.
  34. Zhang YP. Fu Zhen Yizhong Quanxin De Zhen Ci Zhentong Liaofa. Journal of Clinical Acupuncture and Moxibustion. 1998 ; 14(12) : 36-8. https://doi.org/10.19917/j.cnki.1005-0779.1998.12.029
  35. Park SW, Keum DH. Literature review for utilization in the field of rehabilitation medicine of the meridian muscle. JKMR. 1999 ; 9(2) : 93-119.
  36. Wang Q, Zhou QH. Theoretical origin and clinical application of wrist-ankle acupuncture therapy. Zhongguo Zhen Jiu. 2017 ; (5) : 509-12. https://doi.org/10.13703/j.0255-2930.2017.05.016
  37. Wen Z, Chen XJ, Liang JH, Ceng KX. Wan Zuo Zhen Zhi Jiao Ji Xing Yao Tong De Ji Shi Zhen Tong Xiao Guo Yan Hiu. Journal of Electrocardiogram (Electronic Edition). 2018 ; 7(3) : 128-9.
  38. Dong CZ. Feng YY. Cui YH. Effect of wrist-ankle acupuncture with different treatment frequencies in treatment of osteoarthritis of the knee. Nursing of Integrated Traditional Chinese and Western Medicine. 2019 ; 5 (10) : 39-42. https://doi.org/10.11997/nitcwm.201910009
  39. Liu CB. Treatment of refractory numbness in lumbar disc herniation with wrist and ankle acupuncture: A study of 50 cases. Shanghai Journal of Acupuncture and Moxibustion. 2009 ; 28(9) : 522. https://doi.org/10.13460/j.issn.1005-0957.2009.09.011
  40. Di SQ, Zhang F, Di LW. Treatment of piriformis syndrome with wrist and ankle acupuncture: A study of 56 cases. Chinese Journal of Rehabilitation Medicine. 2007 ; 16(3) : 137.
  41. Qu XS, Li XY, Wang H. Clinical observation of wrist and ankle acupuncture in the treatment of acute ankle sprain. Journal of Emergency in Traditional Chinese Medicine. 2014 ; 23(1) : 160. https://doi.org/10.3969/j.issn.1004-745X.2014.01.085
  42. Tian Y. Clinical observation of 50 cases of periarthritis of shoulder treated by wrist-ankle acupuncture. Jiangsu Journal of Traditional Chinese Medicine. 2007 ; 39(6) : 47-8. https://doi.org/10.3969/j.issn.1672-397X.2007.06.029
  43. Gao JN, Yang F, Wei Y. Clinical effect of Tongqiao Huoxue Decoction combined with wrist-ankle acupuncture in the treatment of migraine. Hainan Medical Journal. 2019 ; 30(16) : 2113-6. https://doi.org/10.3969/j.issn.1003-6350.2019.16.022
  44. Wu RD, Lin LF. Clinical observation on wrist-ankle acupuncture for treatment of paroxysmal supraventricular tachycardia. Zhongguo Zhen Jiu. 2006 ; 26(12) : 854-6. https://doi.org/10.13703/j.0255-2930.2006.12.006
  45. Xi MJ, Tian Y. Clinical observation of wrist-ankle acupuncture in the treatment of post-stroke hiccup: A study of 40 cases. Liaoning Journal of Traditional Chinese Medicine. 2008 ; 35(9) : 1352-3. https://doi.org/10.13192/j.ljtcm.2008.09.76.ximj.029
  46. Liu ZH. 21 Cases of Allergic Cough Treated by Wrist-ankle Acupuncture. Guangming Journal of Chinese Medicine. 2015 ; 30(1) : 100-1. https://doi.org/10.3969/j.issn.1003-8914.2015.01.054
  47. Ren JN. Combined regular and wrist-ankle acupuncture for treating depressive insomnia. Shanghai Journal of Acupuncture and Moxibustion. 2011 ; 30(8) : 527-8. https://doi.org/10.3969/j.issn.1005-0957.2011.08.527
  48. Song Y. Treatment of Tourette's syndrome with wrist-ankle acupuncture. The Medical Forum. 2011 ; 15(16) : 564.
  49. Shi DM. Observation on curative effect of 56 cases of dysmenorrhea treated by wrist-ankle acupuncture. Seek Medical and Ask the Medicine. 2013 ; 11(3) : 170-1.
  50. Shi DM. Curative Effect observation on treating 78 cases of rhinitis with wrist-ankle acupuncture. For all Health. 2013 ; 7(6) : 86.
  51. Gao Q. Treatment of Hordeolum by wrist-ankle acupuncture. Shanghai Journal of Acupuncture and Moxibustion. 2001 ; 20(5) : 19-20. https://doi.org/10.13460/j.issn.1005-0957.2001.05.010
  52. Simons DG. Muscle pain syndromes-Part I, Am J Phys Med. 1975 : 54(6) : 289-311.
  53. Dunning J, Butts R, Mourad F, Young I, Flannagan S, Perreault T. Dry needling: a literature review with implications for clinical practice guidelines. Phys Ther Rev. 2014 ; 19(4) : 252-65. https://doi.org/10.1179/108331913X13844245102034
  54. Malanga GA, Cruz Colon EJ. Myofascial low back pain: a review. Phys Med Rehabil Clin N Am. 2010 ; 21(4) : 711-724. https://doi.org/10.1016/j.pmr.2010.07.003
  55. Itoh K, Saito S, Sahara S, Naitoh Y, Imai K, Kitakoji H. Randomized trial of trigger point acupuncture treatment for chronic shoulder pain: a preliminary study. J Acupunct Meridian Stud. 2014 ; 7(2) : 59-64. https://doi.org/10.1016/j.jams.2013.02.002
  56. Ga H, Choi JH, Park CH, Yoon HJ. Acupuncture needling versus lidocaine injection of trigger points in myofascial pain syndrome in elderly patients-a randomised trial. Acupunct Med. 2007 ; 25(4) : 130-6. https://doi.org/10.1136/aim.25.4.130
  57. Irnich D, Behrens N, Gleditsch JM, Stor W, Schreiber MA, Schops P, et al. Immediate effects of dry needling and acupuncture at distant points in chronic neck pain: results of a randomized, double-blind, sham-controlled crossover trial. Pain. 2002 ; 99(1-2) : 83-9. https://doi.org/10.1016/s0304-3959(02)00062-3
  58. Zhang Y, Wang C. Acupuncture and chronic musculoskeletal pain. Curr Rheumatol Rep. 2020 ; 22(11) : 80. https://doi.org/10.1007/s11926-020-00954-z
  59. Itoh K, Hirota S, Katsumi Y, Ochi H, Kitakoji H. Trigger point acupuncture for treatment of knee osteoarthritis a preliminary RCT for a pragmatic trial. Acupunct Med. 2008 ; 26(1): 17-26. https://doi.org/10.1136/aim.26.1.17
  60. Lee DK. Clinical understanding of dry needling in the treatment of musculoskeletal pain. Journal of Pain and Autonomic Disorders. 2015 ; 4(2) : 31-6.
  61. Krabak BJ, Borg-Stein J, Oas JA. Chronic cervical myofascial pain syndrome: Improvement in dizziness and pain with a multidisciplinary rehabilitation program. A pilot study. J Back Musculoskelet Rehabil. 2000 ; 15(2) : 83-7. https://doi.org/10.3233/bmr-2000-152-306
  62. Jarrell J. Myofascial dysfunction in the pelvis. Curr Pain Headache Rep. 2004 ; 8(6) : 452-6. https://doi.org/10.1007/s11916-004-0066-0
  63. Gobel H, Heinze A, Heinze-Kuhn K, Austermann K. Botulinum toxin A for the treatment of headache disorders and pericranial pain syndromes. Nervenarzt. 2001 ; 72(4) : 261-74. https://doi.org/10.1007/s001150050749
  64. France S, Bown J, Nowosilskyj M, Mott M, Rand S, Walters J. Evidence for the use of dry needling and physiotherapy in the management of cervicogenic or tension-type headache: a systematic review. Cephalalgia. 2014 ; 34(12) : 994-1003. https://doi.org/10.1177/0333102414523847
  65. Nicol AL, Wu II, Ferrante FM. Botulinum toxin type a injections for cervical and shoulder girdle myofascial pain using an enriched protocol design. Anesth Analg. 2014 ; 118(6): 1326-35. https://doi.org/10.1213/ANE.0000000000000192
  66. Doggweiler-Wiygul R. Urologic myofascial pain syndromes. Curr Pain Headache Rep. 2004 ; 8(6) : 445-51. https://doi.org/10.1007/s11916-004-0065-1
  67. Dohrenwend BP, Raphael KG, Marbach JJ, Gallagher RM. Why is depression comorbid with chronic myofascial face pain? A family study test of alternative hypotheses. Pain. 1999 ; 83(2) : 183-92. https://doi.org/10.1016/s0304-3959(99)00100-1
  68. McNulty WH, Gevirtz RN, Hubbard DR, Berkoff GM. Needle electromyographic evaluation of trigger point response to a psychological stressor. Psychophysiology. 1994 ; 31(3) : 313-6. https://doi.org/10.1111/j.1469-8986.1994.tb02220.x
  69. Wang CM, Zhao F, Zhang L. Therapeutic observation of superficial needling in treating functional constipation. Shanghai Journal of Acupuncture and Moxibustion. 2018 ; 37(6) : 605-8. https://doi.org/10.13460/j.issn.1005-0957.2018.13.0068
  70. Tan Y, Yuan LJ, Fu ZH. Clinical efficacy of Fu's subcutaneous needling in the treatment of functional constipation. China Medical Herald. 2019 ; 16(27) : 155-8.
  71. Zhu MH, Wang N, Li YH, et al. Clinical outcomes of floating acupuncture therapy in alleviating pain in patients with knee joint arthritis. The Journal of Clinical Anesthesiology. 2008 ; 24(10) : 846-8.
  72. Jiang JW, Liu BS, Mao MJ. Observation on analgesic effect of floating needle therapy on patients with acute lumbar sprain. Zhejiang Journal of Integrated Traditional Chinese and Western Medicine. 2008 ; 18(5) : 328.
  73. Li ZX. 34 Cases of facial paralysis treated by floating acupuncture. Journal of Clinical Acupuncture and Moxibustion. 2002 ; 18(8) : 44.
  74. Li CS. Observation on the efficacy of floating needle therapy in the treatment of acute gouty arthritis. Liaoning Journal of Traditional Chinese Medicine. 2005 ; 32(10) : 1069. https://doi.org/10.3969/j.issn.1000-1719.2005.10.071
  75. Li K, Lu J, Tian YL, Fu ZH. FU's subcutaneous needling for 25 cases of female stress urinary incontinence. Chinese Acupuncture and Moxibustion. 2018 ; 38(10) : 1112-4. https://doi.org/10.13703/j.0255-2930.2018.10.021
  76. Xie DY, Chen RX. Ashi method: A method for accurately locating points. China Journal of Traditional Chinese Medicine and Pharmacy. 2016 ; 31(2) : 602-4.
  77. Huo JS. Application experience of 'Ashi' point. New Journal of Traditional Chinese Medicine. 1984 ; (5) : 37-8. https://doi.org/10.13457/j.cnki.jncm.1984.05.019
  78. Zhang XS, et al. Wrist-ankle acupuncture therapy. 1st edition. Beijing People's Military Medical Publishing House. 2002 : 5 : 37.
  79. Kazunori IT. Hajimete No Torigapoint Harichryo. Printed in Japan. 2009.
  80. World Health Organization. International statistical classification of diseases and related health problems (ICD-10). People's medical Publishing House. 2008.
  81. Jia W, Luo L, He LY, Wang C, Liu BY, Liu J, et al. Systematic review and analysis on the appropriate diseases in clinical treatment with Fu's subcutaneous needling therapy. Chinese Acupuncture and Moxibustion. 2019 ; 39(1) : 111-4. https://doi.org/10.13703/j.0255-2930.2019.01.029
  82. Fu ZH. The foundation of Fu's subcutaneous needling. People's medical Publishing House. 2016.
  83. Fu ZH, Huang Y. Clinical observation of floating needle therapy in the treatment of 37 cases of tenosynovitis. Jiangsu Journal of Traditional Chinese Medicine. 1998 ; 19(11) : 38-9.
  84. Tang JW, Zuo HP. Floating needle therapy for the treatment of tennis elbow: A study of 30 cases. Jiangxi Journal of Traditional Chinese Medicine. 2004 ; 35(5) : 55. https://doi.org/10.3969/j.issn.0411-9584.2004.05.040
  85. Zhi LX. Randomized controlled study on superficial needling for treatment of primary dysmenorrhea. Zhongguo Zhen Jiu. 2007 ; 27(1) : 18-21. https://doi.org/10.13703/j.0255-2930
  86. Ren WW, Xu MM, Zhou ZY, Long S, Tang GZ. The effect of floating needle therapy to the pain and its effect to the quantity of life for patients with persistent somatoform pain disorder. China Modern Doctor. 2014 ; 52(33) : 58-61.