Fibromyalgia

The indicators generally used to determine the end of fibromyalgia treatment are: ① maintaining pain intensity at NRS 3 or lower for at least 3 months, ② sleep efficiency of 85% or higher, ③ return to daily activities (household chores or work), and ④ a flare interval of at least 3 months. Even if these criteria are met, maintaining management treatment once every 2–4 weeks reduces the recurrence rate compared to aiming for a complete end to treatment. Preventive treatment is particularly effective during the changing seasons (spring and autumn) and before and after periods of overwork. Perspective of a Korean Medicine Clinic In Korean medicine, the criterion for concluding treatment is not merely the disappearance of symptoms, but whether the body's regenerative power has been sufficiently restored to the point where it can defend itself against external stimuli. When Qi and blood are replenished and liver, digestive, and kidney functions find balance, circulation is maintained even without external stimulation. At Dongjedang, we determine the timing for dose reduction by observing the patient's pulse, tongue condition, and overall energy levels. If the patient has shown significant improvement after more than six months of treatment, it is possible to reduce herbal medicine first and transition acupuncture treatment to a management-based frequency. The ultimate goal is to cultivate the ability to read one's own body condition and respond early.