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INNOSC Theranostics and
            Pharmacological Sciences                                     Sujok therapy for patients with respiratory problems



              Other researchers have also studied the use of TCM in   improve emotional problems by including twists and
            dyspnea, such as herbs, acupuncture, and exercise. One   putting seeds.  The method used in this study consisted
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            respondent with a diagnosis of asthma and COPD received   of massages, coloring, and seeds. This method was used
            TCM therapy for 4  weeks, which yielded satisfactory   in dyspnea patients who were suffering from COVID-19,
            results, with the patient no longer experiencing symptoms   and this method is called therapy for lung correspondence
            of dyspnea.  Unfortunately, the case study did not   (TKP) and therapy for airway correspondence (TSN).  In
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            explain  the changes in  the dyspnea scale with  regard to   this case study, many symptoms improved except dyspnea,
            the intervention period, and the study also did not use   and many other targets were treated with different Sujok
            oxygen saturation parameters. Therefore, in terms of the   protocols. TKP and TSN methods have reportedly
            dyspnea and oxygen saturation scales, the results could   improved dyspnea in patients from grade  10 (the most
            not be compared to this study. In addition, TCM therapy   severe) to 0 (no dyspnea) within 27 min. Unfortunately,
            requires more time, effort, and complex materials than   this study only involved one respondent, and no
            Sujok therapy, which was performed for approximately   measurement of oxygen saturation (objective data) was
            3 min in this study.                               used  to  complement  the  subjective  data.  Another  study
              There was another study that investigated the use of   reported that TKP and TSN could reduce symptoms in the
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            music to reduce dyspnea. Results of this study also reported   respiratory tract of COVID-19 patients.  A total of four
            that  music  could  statistically  reduce  dyspnea  in the IG,   male patients with COVID-19 with oxygen saturation of
            but the hemodynamic measurements of the respondents   <96%  and experienced dyspnea  displayed  restoration of
            were not significant.  The result was the same as the fan   oxygen saturation to normal and improvement of dyspnea
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            therapy study, where the subjective results did not correlate   symptoms  after  therapy  within  the  first  5  min  after  the
            with the objective measurements. Similar studies, without   first  measurement.  The  findings  from  these  two  studies
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            objective measurements, reportedly improved dyspneic   (i.e., Nurjannah  and Nurjannah et al. ) were consistent
            symptoms (based on subjective data) with glutathione (i.e.,   with the results of the present study. These reports further
            oral and intravenous)  and yoga. 33                validated  dyspnea  symptom  improvement  by  Sujok
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                                                               therapy, with both objective and subjective data.
              Notably,  an  intervention  study  utilizing  hypnosis
            therapy has reportedly succeeded in reducing dyspnea,   The first step of Sujok therapy involves massages. The
            as evidenced by objective (e.g., respiration rate [RR] and   stimulation of an affected area will not only relieve the pain
            SpO /arterial oxygen saturation) and subjective (e.g.,   but also address the causes of the pain and stabilize the flow
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            Borg Score – Visual Analog Scale) measurements, as well   of energy in the affected area.  Furthermore, identifying a
            as anxiety evaluation (i.e., with STAI-6 questionnaires).    particular area for therapy is considered an important step
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            However, hypnosis therapy took a longer time (15 min)   of therapy.  For an effective treatment, the area of therapy
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            than Sujok therapy (~3 min).                       requires  proper  stimulation,   and the  massage  can  be
                                                               either anticlockwise or clockwise and should continue until
              Several other alternative therapies have been studied,   the pain subsides.  In this study, the researchers modified
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            especially regarding pulmonary rehabilitation in patients   the shape and direction of the massage to the outside (from
            with COPD, using mind-body therapy (e.g., yoga, tai-chi,   the lungs to the nose). This is essential because dyspnea
            and Qigong)  and acupuncture, which yielded promising   patients may have excess sputum production, and inward
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            results related to the sensation of shortness of breath. 36  massages  (to  draw air  into  the  lungs)  may accumulate
              In this study, Sujok therapy was able to improve oxygen   phlegm (and pathogens) in the lower lungs. Likewise,
            saturation levels (objective data) and dyspnea (subjective   outward massages can expel phlegm (and pathogens) from
            data). Sujok is a multimodal therapy on the hands and   the respiratory tract.
            feet,  including  meditation  (Triorigin  Smile  Meditation   The second part of Sujok therapy is the use of color. Color
            [TSM]), massages, applying color, attaching seeds, leaves,   is a manifestation of cosmic forces that are responsible for
            or other parts of plants, using needles (e.g., acupuncture),   life and its healing properties.  For example, the color
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            twisting,  and  magnets.  Even  when  a  combination  is   red has a strengthening or tonification effect. 44-46  Other
            used, it should not take a long time, as evidenced by the   references also mentioned that red is associated with blood
            intervention in this study that took only about 3 min to   and blood flow and has the property of warmth. If a person
            perform. 37                                        is imbued with the color red, the pituitary gland becomes
              One study suggested that the use of a combination   active and increases adrenaline in the blood, thereby
            of methods  for a particular target could have a better   stimulating the sensory nerves and increasing the sense of
            effect than using only one method 38-41  and could even   smell, sight, hearing, taste, and touch. 43


            Volume 7 Issue 2 (2024)                         7                                doi: 10.36922/itps.1418
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