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Effect and safety of acupuncture for Hwa-byung, an anger syndrome: a study protocol of a randomized controlled pilot
Hye-Yoon Lee1, Jung-Eun Kim2, Mikyung Kim3
1Research Institute for Korean Medicine, Pusan National University, 20, Geumo-ro, Mulgeum, Yangsan, Republic of Korea.
Insights
This pilot study explores acupuncture for Hwa-byung (HB), an anger syndrome. Results will inform future trials on this complex condition, assessing feasibility and safety of semi-individualized acupuncture.
Area of Science:
- Integrative Medicine
- Psychiatry
- Traditional Korean Medicine
Background:
- Hwa-byung (HB) is an anger syndrome with complex, intractable somatic and psychiatric symptoms due to inadequately released anger.
- It often co-occurs with other psychiatric disorders, necessitating effective and safe treatment options.
- A pilot study is planned to evaluate semi-individualized acupuncture for HB.
Purpose of the Study:
- To determine the feasibility of conducting a full-scale randomized controlled trial (RCT) for acupuncture in HB patients.
- To explore the clinical effects and safety of semi-individualized acupuncture compared to sham acupuncture.
- To gather preliminary data for optimizing acupuncture treatment protocols for HB.
Main Methods:
- A randomized, sham-controlled, participant- and assessor-blinded pilot trial involving two groups: real semi-individualized acupuncture and sham acupuncture.
- Treatment administered over 10 sessions within 4 weeks.
- Feasibility assessed by recruitment, compliance, and completion rates; clinical effects evaluated using VAS, BDI, SRI-short form, and IOME-HB.
Main Results:
- This pilot study primarily focuses on assessing trial feasibility, not definitive treatment outcomes.
- Descriptive analysis will be used to interpret feasibility and preliminary safety data.
- Cohen's d will be reported to estimate effect size for future RCT power calculations.
Conclusions:
- The study protocol offers an optimal semi-individualized acupuncture approach for HB.
- Findings will provide crucial information on the feasibility of this treatment strategy.
- Data on potential effects and safety will guide future research and clinical application for HB management.
Background:
Hwa-byung (HB) is an anger syndrome caused by an inadequate release of accumulated anger that leads to somatic and psychiatric symptoms. As HB results from long-term inadequately treated negative emotions, its symptoms are complex, intractable and concomitant with other psychiatric disorders. Therefore, studies aiming to develop effective and safe treatment options for HB are needed. We plan to conduct a pilot study for a future, full-scale, randomized controlled trial (RCT) of an optimal acupuncture procedure using semi-individualized acupuncture points that consider participants' personal disposition and type of emotional stress.
Method/Design:
This randomized, sham-controlled, participant- and assessor-blinded pilot trial aims to determine the study feasibility of acupuncture for HB and to explore its clinical effects and safety. This clinical trial will be conducted with two groups: one treated with real acupuncture and the other with sham acupuncture for 10 sessions over 4 weeks. The experimental group (EG) will receive semi-individualized acupuncture, whereas the control group (CG) will receive sham acupuncture, namely minimal acupuncture on non-acupuncture points. The recruitment, compliance, and completion rate and clinical evaluations, including a Visual Analogue Scale (VAS), the Korean version of the Beck Depression Inventory (BDI), the short form of the Stress Response Inventory (SRI-short form) and the Instrument of the Oriental Medical Evaluation for HB (IOME-HB), will be assessed to evaluate feasibility and possible effects and safety. Four weeks after completing treatment, follow-up assessments will be performed.
Discussion:
As this is a pilot study mainly aiming to investigate trial feasibility, the results of this study will be analyzed descriptively and interpreted for the study purposes. Cohen's d will be reported to determine the effect of acupuncture for HB and to enable comparisons with other treatment methods. This protocol is significant in that it provides optimal semi-individualized acupuncture treatment. We expect this study to offer information about the feasibility of this treatment and data about the possible effects and safety.
Trial Registration:
Clinical Research Information Service (CRIS), Republic of Korea: KCT0001732 . Registered on 14 December 2015.
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