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JKM > Volume 44(3); 2023 > Article
Lee, Kang, Song, Lim, Jung, and Lee: A case report of Korean medicine treatment including Giungoroen-therapy for adhesive capsulitis with insomnia



The purpose of this study was to evaluate the effectiveness of insomnia treatment applied with Giungoroen-therapy in relieving adhesive capsulitis.


There is a patient who has had insomnia symptoms for 2 years ago and complained of shoulder pain from 5 months ago. Korean medicine treatment like acupuncture, pharmacopuncture, herbal medicine and Giungoroen-therapy was applied to this patient. As evaluation tools, the numeral rating scale(NRS), a tool for pain evaluation and the Insomnia Severity Index(ISI), a sleep quality evaluation tool, were used. After 12 days of treatment, the range of motion of the shoulder joint increased and the NRS score improved from 8 to 5 and the ISI score improved from 22 to 16.


For the treatment of adhesive capsulitis, it can be effective to relieve insomnia by applying Korean medicine treatments, including Giungoroen-therapy.

Fig. 1
Changes of Insomnia Severity Index
Fig. 2
Changes of Numerical Rating Scale
Table 1
Insomnia Severity Index
Score 0 (None) 1 (Mild) 2 (Moderate) 3 (Severe) 4 (Very Severe)
Insomnia problem
1. Difficulty falling asleep
2. Difficulty staying asleep
3. Problems waking up too early
4. How dissatisfied are you with your current sleep pattern?
5. How noticeable to others do you think your sleep problem is in terms of impairing the quality of your life?
6. How worried are you about your current sleep problem?
7. To what extent do you consider your sleep problem to interfere with your daily functioning (e.g. daytime fatigue, mood, ability to function at work/daily chores, concentration, memory, mood, etc.) currently?
Table 2
Target and Detailed Intervention of Giungoroen-therapy During Hospitalization
Hospital day Target Detailed intervention
1~2 Lack of awareness of insomnia. Help patient recognizes her insomnia as a target for treatment by having talk about her symptoms and fill out a questionnaire in a relaxed setting. Explain the current situation of insomnia and insomnia is a disease that can be sufficiently improved.
3~4 Emotional stagnation. Anxiety about relapse. Listen to the patient’s story as it is and provide words of empathy and support. Conduct Listening-focused counseling to comfortable atmosphere. Through this process, patient could speak up stories couldn’t tell even to people close to her.
5~7 Guilt over the death of her sister. Change patient’s perception of the guilt that weighed on her by emphasizing that she had been grieving enough so far.
8~11 Anxiety about recurrence after discharge. Reassure that anxiety after discharge is normal and encourage the current treatment progress is good. Give courage to do well even after being discharged.


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