Postherpetic Neuralgia

While the systemic safety of acupuncture is generally very high, several precautions are required for elderly patients. When taking anticoagulants (warfarin, NOACs), shallow needling and sufficient compression are necessary due to the risk of hematoma; the procedure is postponed if the INR is 3.0 or higher. For patients with hypertension, blood pressure is measured before treatment, and if it exceeds 160/100 mmHg, the procedure is performed after consultation with an internal medicine specialist. In cases of osteoporosis, procedures involving deep tissues, such as moxibustion, are approached cautiously in areas at risk of fracture (e.g., near the spine). For bee venom acupuncture, a 30-minute observation following a low-concentration intradermal test is mandatory during the first procedure. At Dongjedang, we verify all medications being taken by elderly patients during the initial consultation and measure blood pressure and pulse before the procedure. For patients with osteoporosis or hypertension, acupuncture points are selected primarily in the shallow layers of the skin, and strong electrical acupuncture is adjusted to low-frequency mild stimulation. Since the elderly have weaker vitality, the principle of prioritizing replenishment over depletion is applied, so the stimulation intensity itself is set lower than for younger patients. If you visit with a guardian, we can assess your condition in greater detail.