Study protocol for a randomized, triple-blind, placebo-controlled trial of modified Ukgan-san in patients with Hwabyung and neurotic symptoms.

Yoga is a mind–body exercise of Indian origin that has been shown to enhance mental and physical health and lessen perceived stress and anxiety. , the most common form practiced in the West, combines physical postures (asanas), breath control (pranayama), and meditation (dhyana) to promote relaxation.[] Yoga has been used to treat stress, depression, anxiety, and childhood disorders[] and is also effective in substance use disorders.[] Particularly, yoga has been researched as a successful alternative therapy for substance use disorders and has been shown to lower stress and addictive behaviors while enhancing self-control and self-esteem.[] Research on yoga’s impact on substance use is limited, but it is often used as a complementary approach in treatment programs. Studies suggest that yoga may help reduce substance use; for instance, a randomized trial found that Hatha yoga and group therapy both led to decreases in drug use and illegal behavior among individuals in methadone treatment.[] Substance use disorders typically have a prolonged course, characterized by relapses and remissions. It aids Yoga may help during detoxification and relapse prevention by reducing stress and managing triggers. Yoga breathing exercises help lower heart rate and blood pressure during detoxification.[] Regular yoga practice improves emotional regulation, reducing relapse risks. Yoga has an impact on how people with substance use disorders process emotions and how aroused they are. When a person with substance use disorder is subjected to cues or an unpleasant emotion, they often relapse. Regular yoga practice lowers stress levels and improves a person’s ability to manage negative emotions.[] Not everyone is inclined or able to practice yoga for various reasons. Literature highlights that common barriers to participation across the general population[] and individuals with conditions such as cardiovascular disorders,[] gastrointestinal issues,[] and cancer[] include strict eligibility criteria, limited awareness, accessibility challenges, skepticism about efficacy, time constraints, physical limitations, fear of side effects, personal disinterest, financial barriers, and logistical issues. In those with chronic illnesses, fatigue and low energy are particularly significant obstacles.[]