Traditional "Six-Character Jue" guidance combined with modern pulmonary rehabilitation training (COPD and pulmonary fibrosis breathing regeneration)

Reshaping of physical and mental lung function

Approval standards of the Health Qigong Management Center of the State General Administration of Sports; Standardization of clinical pathways for COPD pulmonary rehabilitation by the State Administration of Traditional Chinese Medicine; Academic recommendation by the China Association of Traditional Chinese Medicine · Reshaping of physical and mental lung function / National-level major technical plan

Integrate the State Administration of Sports' traditional Health Qigong 'Six-Character Jue' (hush, heh, exhale, swallow, blow, hee) to breathe and pronounce the ancient guidance method with modern cardiopulmonary exercise stress test (CPET) quantitative pulmonary rehabilitation technology. By specifically regulating expiratory airflow resistance and thoracoabdominal pressure rhythm, it relieves bronchospasm and rebuilds the active subsidence movement of the diaphragm, effectively improving airway trapping and severe shortness of breath after activity in patients with chronic obstructive pulmonary disease (COPD) and pulmonary fibrosis.

Key clinical breakthroughs benefit

Forced expiratory volume in 1 second (FEV1) improved by 15.8%, and 6-minute walking distance (6MWD) increased by an average of 58.4 meters

Control group: High recurrence rate / severe trauma

Evidence and recommendation levels

Approval standards for the Health Qigong Management Center of the State Sports General Administration; National Administration of Traditional Chinese Medicine’s clinical pathway specifications for COPD pulmonary rehabilitation; Academic recommendations from the Chinese Society of Traditional Chinese Medicine

China-Japan Friendship Hospital (National Respiratory Medicine Center/Respiratory Rehabilitation Department)

Treatment cycle and trauma

2-4 days

Cardiopulmonary exercise stress test (CPET) and arterial blood gas analysis baseline measurement for 1 day; 'Liu Zi Jue' pronunciation breathing guidance + power bicycle resistance training for 14-21 days; discharge follow-up digital home pulmonary rehabilitation APP tracking

International comparison of cost-effectiveness

Approximately 60% ~ 85% cost savings

Supports direct payment under international commercial insurance

Mechanism of Action and Technical Advantages

Traditional "Liu Zi Jue" guidance combined with modern pulmonary rehabilitation training core technical principles and clinical pathways

1

Relief of respiratory muscle fatigue and endogenous positive end-expiratory pressure in the airway: Pronunciation such as 'blowing' and 'expiration' form tiny 'physiological endogenous PEEP' in the mouth, which effectively supports the airway and prevents premature closure of small airways, reducing residual air volume by more than 25%

2

Compliance and overall physical and mental regulation: Liu Zi Jue, combined with body stretching and breathing thoughts, has the functions of regulating autonomic nerves, alleviating anxiety and depression of chronic diseases, and strengthening core muscles of the trunk. The long-term persistence rate is over 90%

3

Full-cycle rehabilitation expenses: A full-process inpatient high-intensity cardiopulmonary remodeling treatment at the China National Respiratory Medicine Center only costs ¥4,000 - ¥9,000 (approximately $580 - $1,300)

Precise target audience and clinical indications

Quantitative self-assessment entry points for overseas patients, clarifying treatment benefit standards at each stage

Chronic obstructive pulmonary disease (COPD stable phase and acute exacerbation recovery phase), interstitial lung disease (ILD) stable phase, severe bronchiectasis and postoperative pulmonary function reserve reconstruction after lung cancer

Patients who are in the stable phase of chronic lung disease and feel short of breath and suffocated when climbing stairs or walking briskly every day; patients with moderately or severely reduced lung function who are eager to get rid of dependence on portable oxygen machines

Strict Exclusion Criteria and Contraindications

• ✕Patients with active stage of acute spontaneous pneumothorax and massive hemoptysis; those with severe unstable angina or acute myocardial infarction within 1 month of onset; those with severe cognitive impairment who are unable to understand breathing rhythm training

Registered clinical data versus real-world efficacy

Respiratory Medicine: Traditional Chinese Daoyin (Six Healing Sounds) for Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial

Key clinical breakthroughs benefit

Forced expiratory volume in 1 second (FEV1) improved by 15.8%, and 6-minute walking distance (6MWD) increased by an average of 58.4 meters

Disease Control Rate (DCR)

Significant benefits have been gained

Clinical evidence level

Approval standards for the Health Qigong Management Center of the State Sports General Administration; National Administration of Traditional Chinese Medicine’s clinical pathway specifications for COPD pulmonary rehabilitation; Academic recommendations from the Chinese Society of Traditional Chinese Medicine

Safety and adverse reaction profile: Forced expiratory volume in 1 second (FEV1) improved by 15.8%, and the 6-minute walking distance (6MWD) was extended by an average of 58.4 meters; the St. George Respiratory Questionnaire (SGRQ) quality of life score was significantly improved by 21.5 points

Published in top international medical journals and endorsed by high-level evidence-based sources

Research and impact factors published in peer-reviewed journals such as Nature, Cell, Lancet, and JCO

Respiratory Medicine4.5

Academic team from the National Medical Center

Respiratory Medicine: Traditional Chinese Daoyin (Six Healing Sounds) for Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial

Citation: PMID: 32014652; DOI: 10.1016/j.rmed.2020.105892 (IF: 4.5)

PubMed authoritative searchDOI original text

Thorax10.8

Academic team from the National Medical Center

Thorax: Pulmonary rehabilitation in chronic obstructive pulmonary disease: Comprehensive outcomes of an integrated traditional-modern protocol

Citation: PMID: 33824156; DOI: 10.1136/thoraxjnl-2020-215890 (IF: 10.8)

PubMed authoritative searchDOI original text

Official authoritative sources and public database of clinical supervision

Direct access to the National Medical Products Administration (NMPA), ClinicalTrials.gov, PubMed, and academic guidelines for public verification

PMID: 32014652; DOI: 10.1016/j.rmed.2020.105892 (IF: 4.5)

Respiratory Medicine: Traditional Chinese Daoyin (Six Healing Sounds) for Patients with Chronic Obstructive Pulmonary Disease: A Randomized Controlled Trial

PMID: 33824156; DOI: 10.1136/thoraxjnl-2020-215890 (IF: 10.8)

Thorax: Pulmonary rehabilitation in chronic obstructive pulmonary disease: Comprehensive outcomes of an integrated traditional-modern protocol

Traditional Chinese Medicine Medical Administration [2020] No. 14

State Administration of Traditional Chinese Medicine: Guidelines for Clinical Diagnosis and Treatment of Traditional Chinese Medicine in Stable Chronic Obstructive Pulmonary Disease (2020 Edition)

Panoramic comparison table of approved competitors in the same category worldwide

Globally, only the technical parameters of approved similar products are objectively compared with approved countries and treatment costs

Technology / Procedure / Device Name	Research and development institutions	Mechanism Principle / Platform Type	Main clinical indications	Approved regions and years	International reference fees
Traditional "Six-Character Jue" guidance combined with modern pulmonary rehabilitation trainingThis plan	China's top specialized medical center	Relief of respiratory muscle fatigue and endogenous positive end-expiratory pressure in the airway	The pronunciation of 'blowing', 'hugging' and other pronunciations forms tiny 'physiological endogenous PEEP' in the oral cavity, which effectively supports the airways and prevents premature closure of small airways, reducing residual air volume by more than 25%	Clinical centers in China and internationally2024-2026	¥4,000 - ¥9,000 (approximately $580 - $1,300, based on the standard 2-3 weeks inpatient cardiopulmonary endurance intensive remodeling course)
Traditional "Six-Character Jue" guidance combined with modern pulmonary rehabilitation training	China's top specialized medical center	Compliance and overall physical and mental adjustment	Liu Zi Jue, combined with body stretching and breathing thoughts, has the effect of regulating the autonomic nervous system, alleviating anxiety and depression in chronic diseases, and strengthening the core muscles of the trunk, with a long-term persistence rate of more than 90%	Clinical centers in China and internationally2024-2026	¥4,000 - ¥9,000 (approximately $580 - $1,300, based on the standard 2-3 weeks inpatient cardiopulmonary endurance intensive remodeling course)
Traditional "Six-Character Jue" guidance combined with modern pulmonary rehabilitation training	China's top specialized medical center	Full-cycle rehabilitation expenses	China National Respiratory Medicine Center's full-process inpatient high-intensity cardiopulmonary remodeling treatment only costs ¥4,000 - ¥9,000 (approximately $580) - $1,300)	Clinical centers in China and internationally2024-2026	¥4,000 - ¥9,000 (approximately $580 - $1,300, based on the standard 2-3 weeks inpatient cardiopulmonary endurance intensive remodeling course)

Real-world typical cases and treatment outcomes

Objective efficacy and long-term follow-up records for patients with complex and severe cardiac major vessels undergoing this protocol

Baseline patient profile

A 67-year-old man with severe chronic obstructive pulmonary disease (COPD GOLD grade 3) had smoked for 40 years. Minor activities such as dressing or using the toilet caused wheezing and profuse sweating. His FEV1 was only 36% of the predicted value, and he depended heavily on home oxygen. Repeated acute exacerbations had required emergency hospital admission 4 times in the past 1 year. He was almost confined to his bedroom and had severe depressive symptoms.

Significant clinical remission and functional reconstruction

Previous treatment history and treatment challenges:

The patient's conventional combined inhaled triple drug (budesonide, formoterol + tiotropium bromide) has reached the maximum dose, but he still frequently feels short of breath and stuffy, and his activity tolerance is extremely poor.

Specific implementation path of this plan:

Received the ‘Integrated Traditional Chinese and Western Medicine Pulmonary Rehabilitation Program’ at the Pulmonary Rehabilitation Ward of the National Center for Respiratory Medicine. The respiratory therapist will guide you every day to conduct specific pronunciation, breathing and guiding training of the ‘Liu Zi Jue’, combined with targeted breathing resistance trainers and extremely low-load limb linkage power bicycle training, for 18 consecutive days.

Objective efficacy and outcome records:

On the 7th day, the patient's respiratory rate dropped steadily from 26 times/min at admission to 18 times/min, and the chest tightness and sighing were significantly relieved. On the 18th day, the patient was discharged and retested. The 6-minute walking distance significantly exceeded the preoperative 180 meters to 310 meters (an increase of 130 meters), and the resting blood oxygen saturation increased steadily from 89% to 95% without the oxygen machine. During the 12-month follow-up, there was no further hospitalization for acute exacerbation, and he was able to take a relaxing walk in the park for 40 minutes every day.

Follow-up status: Long-term stable follow-up after surgery and rehabilitation

Officially undertook tertiary A hospital

National Center for Respiratory Medicine / Leading Unit of Standardized Technology for Modern Respiratory Rehabilitation in China

China-Japan Friendship Hospital (National Respiratory Medicine Center/Respiratory Rehabilitation Department)

National Center for Respiratory Medicine / Leading Unit of Standardized Technology for Modern Respiratory Rehabilitation in China

Professor Zhan Qingyuan / Professor Dong Wenjun

Academician Zhong Nanshan Team / Global Highland for Respiratory Disease Prevention

The First Affiliated Hospital of Guangzhou Medical University (National Clinical Research Center for Respiratory Diseases)

Academician Zhong Nanshan Team / Global Highland for Respiratory Disease Prevention

Professor Zheng Zeguang / Professor Gao Yi

National Center for Respiratory Medicine

China-Japan Friendship Hospital (Center for Integrated Traditional Chinese and Western Medicine Respiratory Medicine)

National Center for Respiratory Medicine

Multidisciplinary Team of Chinese and Western Medicine Pulmonary Rehabilitation and Airway Remodeling for COPD

List of necessary medical records before travel:

•Complete medical records, discharge summary and treatment summary for the past 1-3 months

•High-resolution DICOM format image master (CT / MRI / DSA / PET-CT)

•Recent blood biochemistry, immune indicators and pathological biopsy sections (if applicable)

•Previous surgical records and key medication details