Q Can chronic hwa-byung that has been held in for over 10 years still be cured?
A Chronic hwa-byung also improves with treatment, but if it has progressed to the yin-deficiency-with-effulgent-fire stage, more than a year of long-term treatment is needed.
Detailed Answer
When hwa-byung becomes chronic over more than 10 years, it progresses to yin-deficiency with effulgent fire — a state in which yin fluids are exhausted and deficiency-fire constantly rises upward. At this stage, physical symptoms are intertwined in complex ways, so the treatment period becomes longer, but quality of life can be sufficiently improved with appropriate treatment. Rather than a complete cure, it is realistic to approach it over the long term with the goal of symptom management and functional recovery.
Korean Medicine Clinic Perspective
At Dongjedang, for chronic hwa-byung patients we prescribe long-term treatment that enriches yin and descends deficiency-fire. While replenishing the exhausted yin fluids with herbs of the Rehmannia, Liriope, and Phellodendron families, we use acupuncture to draw the counterflowing heat downward. Rather than short-term symptom relief, the goal is to focus on improving the constitution and to gradually lengthen the interval between recurrences.
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