Acupunct Search


J Acupunct Res > Volume 32(3); 2015 > Article
Jo, Lee, Hong, and Kang: Two Cases of Pressure Ulcer Patients Treated with Acupuncture and Light Emitting Diode Light Therapy
See the Original "".



We report two cases of pressure ulcer patients to show the efficacy of treatment with acupuncture and Light Enitting Diode(LED) light therapy.


We treated two pressure ulcer patients with acupuncture, LED light therapy, herbal medication and with a simple dressing. LED light with up to 4J/cm2 of energy irradiated the pressure ulcer site once a day for fifteen minutes. All patients received acupuncture treatment and simple dressing for wound care. We measured phase change of the pressure ulcer in terms of ulcer size, The National Pressure Ulcer Advisory Panel(NPUAP) stage and with the The Pressure Ulcer Scale for Healing(PUSH) tool(3.0).

Results & Conclusions:

In each of the two cases, pressure ulcer size and total score of the PUSH tool decreased and NPUAP stage was improved from II to I. This shows that acupuncture treatment and LED light therapy may have a considerable effect in healing on the pressure ulcer.

Fig. 1
Changing ulcer size and phase of case 1
Fig. 2
Changing ulcer size and phase of case 2
Table 1
NPUAP Pressure Ulcer Stages/Categories(2007)
Non-blanchable erythema
Category/stage I   · Intact skin with non-blanchable redness of a localized area usually over a bony prominence.
  · Painful, firm, soft, warmer or cooler as compared to adjacent tissue.

Partial thickness
Category/stage II   · Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed, without slough.
  · An intact or open/ruptured serum-filled or sero-sanginous filled blister.
  · shiny or dry shallow ulcer without slough or bruising*.

Full thickness skin loss
Category/stage III   · Full thickness tissue loss.
  · Subcutaneous fat may be visible but bone, tendon or muscle are not exposed.
  · Slough may be present but does not obscure the depth of tissue loss.
  · May include undermining and tunneling.

Full thickness tissue loss
Category/stage IV   · Full thickness tissue loss with exposed bone, tendon or muscle.
  · Slough or eschar may be present.
  · Often includes undermining and tunneling.

* bruising indicates deep tissue injury.

Table 2
Pressure Ulcer Scale for Healing(PUSH) Tool 3.0
Length × width (cm2) 0 1 2 3 4 5
0 0~0.2 0.3~0.6 0.7~1.0 1.1~2.0 2.1~3.0

6 7 8 9 10
3.1~4.0 4.1~8.0 8.1~12.0 12.1~24.0 >24.0

Exudate amount 0 1 2 3
None Light Moderate Heavy

Tissue type 0 1 2 3 4
Closed Epithelial tissue Granulation tissue Slough Necrotic tissue

Total score
Table 3
Changing ulcer size, NPUAP stage and PUSH tool score of case1
Size (mm2) NPUAP stage PUSH tool score
Length×width Exudate amount Tissue type Total score
The 1st day 60×99=5,940 II 10 1 2 13
The 4th day 60×80=4,800 II 10 1 2 13
The 7th day 60×78=4,680 II 10 1 2 13
The 10th day 59×76=4,484 II 10 1 2 13
The 13th day 52×75=3,900 I 10 0 1 11
The 17th day 52×75=3,900 I 10 0 1 11
Table 4
Changing ulcer size, NPUAP stage and PUSH tool score of case2
Size (mm2) NPUAP stage PUSH tool score
Length×width Exudate amount Tissue type Total score
The 1st day 18.5×13=234 II 5 1 2 8
The 3th day 8×4=32 II 1 1 2 4
The 5th day 7×3=21 I 1 0 1 2
The 6th day 4.5×3=13.5 I 1 0 1 2


1. No SS. Dermatology. 1st ed. Seoul: IBC Inc. 2006:593–5, 624–5.

2. Hwang EH, Song J, Jang JH, Jeong HS, Yang CS, Jang IS. 2 cases of decubitus ulcer treated with lase therapy and oriental medicine. JORM. 2007;17(4):244.

3. Lee DH, Nam JS, Jeong HS, Jang IS, Seo ES. Two cases of grade four pressure ulcer patients treated with pharmacopuncture Soyeom and herbal medicine Taklisodok-eum. KoreanJ Orient Int Med. 2010;31(2):388.

4. Disa J, Carlton J. Effecacy of operative cure in pressure sore patients. Aesthet Surg J. 1992;89(2):272.

5. Heo YR, Mun SH, Choi JG. A clinical observation on a case of pressure sore: an external therapy with Astragali radix powder. HFS. 2000;15(2):111–4.

6. Won SH, Owi JS, Choi EJ, Kwon KR. A clinical case study of only acupuncture treatment for pressure sore. The Acupuncture. 2003;0(1):94–9.

7. Park SH. Management and surgical treatment of pressure sore. J Korean Med Assoc. 2002;45(9):1121–8.
8. National pressure ulcer advisoty panel. Washington DC: NPUAP, 2007. Available from :

9. National pressure ulcer advisoty panel. Washington DC: NPUAP, 2007. Available from :

10. Bang SI, Mun GH, Lee TS. Clinical applications of gluteal fasciocutaneous V-Y advancement flap for sacral sore. Arch Plast Surg. 1998;25(6):1153–9.

11. Yang MR, Choi JY, Shin HS, et al. Two cases of pressure sore treated by talcum powder. Korean J Orient Int Med. 2001;22(4):714–5.

12. Lee YJ, Lee SG, Kim JH, et al. A clinical observation of two cases of pressure sore complicated by cerebrovascular diseases. KoreanJ Orient Int Med. 2004;25(4):430–1.

13. Han TR, Bang MS. Rehabilitation medicine. 3rd ed. Seoul: Koonja. 2008:478–80.

14. Oriental Rehabilitation Medicine Society. Oriental rehabilitation medicine. 3rd ed. Seoul: Koonja. 2011:334.

15. Kim SH, Jeon JS. The study on wound healing in rabbit skins by low-intensity laser irradiation. Biomedical Science Letters. 2000;6(2):119–20, 126.

16. Park JW, Lee YG. Effects of low power laser on treatment of pressure ulcer in patients with spinal cord injury. Journal of Soonchunhyang Medical College. 2009;14(3):197–204.

17. Tuner J, Hode L. Laser therapy. Seoul: Jeongdam. 2006:45–78.

18. Yuk TH. The clinical examination of pain control of patients under pain using He-Ne laser acupuncture. The Acupuncture. 1997;14(1):1–8.

19. Kim HH, Nam DW, Lee SH. Fundamentals and research trend of laser acupunture. The Acupuncture. 2009;26(6):21–30.

20. Hwang EH, Hang CS, Jang IS. The spectrum of laser instruments for laser acupuncture application. The Acupuncture. 2009;26(1):53–5.

Article and Issues
For this Journal
For Authors
Submit Manuscript
Editorial Office
Gil Korean Medical Hospital, Gachon University
Keunumul-Ro, Chung-Ku, Inchoen 22138, Korea
Tel: +82-70-7606-6353,4    Fax: +82-32-232-3334    E-mail:                

Copyright © 2021 by Korean Acupuncture & Moxibustion Medicine Society.

Developed in M2PI

Close layer
prev next