Medical AcupuncturePub Date : 2026-01-06eCollection Date: 2026-04-01DOI: 10.1177/19336586251414801
Mahesh Kannan Vanamoorthy, A Mooventhan, N Mangaiarkarasi, Venkatalakshmi Saravanan, N Manavalan
{"title":"Effect of Needling at <i>Anmian I</i> (Ex-8) and <i>Anmian II</i> (Ex-9) Acupuncture Points on Quality of Sleep in Insomnia: A Randomized Controlled Trial.","authors":"Mahesh Kannan Vanamoorthy, A Mooventhan, N Mangaiarkarasi, Venkatalakshmi Saravanan, N Manavalan","doi":"10.1177/19336586251414801","DOIUrl":"10.1177/19336586251414801","url":null,"abstract":"<p><strong>Background: </strong>Insomnia is the most common disease in modern society. <i>Anmian I</i> (Ex-8) and <i>Anmian II</i> (Ex-9) are commonly used along with other acupuncture points for the treatment of insomnia. However, no known studies reported the effect of Ex-8 and Ex-9 alone on insomnia. This study aimed to determine the efficacy of acupuncture needling only at those acupuncture points on the quality of sleep in patients with insomnia.</p><p><strong>Materials and methods: </strong>This study was conducted on 100 primary insomnia patients, aged between 18 and 40 years, who were randomly allocated into two groups (i.e., study group and control group). The study group underwent 10 sessions (20 min/session, daily) of acupuncture needling at Ex-8 and Ex-9, while the control group underwent their normal routine for 10 days. Assessments were taken before and after the intervention.</p><p><strong>Results: </strong>After 10 sessions of intervention, the study group showed a significant reduction (<i>p</i>-value <0.001) in the Pittsburgh Sleep Quality Index, Insomnia Severity Index, and Epworth Sleepiness Scale compared to the control group.</p><p><strong>Conclusions: </strong>This study's results suggest that 10 sessions of acupuncture needling at Ex-8 and Ex-9 improve the quality of sleep and reduce insomnia severity and daytime sleepiness in PI patients.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"38 2","pages":"137-142"},"PeriodicalIF":0.9,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147933717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical AcupuncturePub Date : 2025-12-08eCollection Date: 2025-12-01DOI: 10.1089/acu.2024.0102
Elizabeth C Wu, Rebecca Hancock-Howard, Brian C F Chan, Peter C Coyte
{"title":"Cost-Utility Analysis of Acupuncture for the Prevention of Episodic Migraine from a Lifetime Canadian Health System and Societal Perspective.","authors":"Elizabeth C Wu, Rebecca Hancock-Howard, Brian C F Chan, Peter C Coyte","doi":"10.1089/acu.2024.0102","DOIUrl":"https://doi.org/10.1089/acu.2024.0102","url":null,"abstract":"<p><strong>Objective: </strong>To assess the lifetime cost-effectiveness of acupuncture in the prevention of episodic migraine from both a Canadian public health care payer and societal perspective.</p><p><strong>Background: </strong>Acupuncture has been used for pain relief for thousands of years in China and could be an alternative to drugs in managing pain. Nevertheless, there is limited evidence to determine if acupuncture is cost-effective in migraine prevention in the Canadian setting.</p><p><strong>Methods: </strong>A cost-utility analysis with a decision-analytic Markov model was constructed to compare acupuncture with drug prophylaxis and no active treatment among adult patients with episodic migraine over their lifetime. The efficacy inputs (migraine days) were based on a Cochrane systematic literature review. Quality-adjusted life years (QALYs) were the modeled health outcome. Direct and indirect medical costs were derived from a Canadian burden of illness study on patients with migraine. All costs were inflated and reported as the present value of lifetime costs in 2021 Canadian dollars (CAD), discounting at 1.5%.</p><p><strong>Results: </strong>From a health system perspective, acupuncture was cost-effective when compared with no active treatment (CAD 35,060/QALY) and drug prophylaxis (CAD 47,128/QALY) at a willingness-to-pay threshold of CAD 50,000/QALY gained. Acupuncture was dominant compared with no active treatment and drug prophylaxis from a societal perspective. Cost savings were driven by reduced productivity loss from fewer migraine days with acupuncture treatment.</p><p><strong>Conclusion: </strong>Acupuncture could be a cost-effective option for patients with episodic migraine. Future studies are encouraged to inform decisions regarding the use of acupuncture in the management of episodic migraine.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 6","pages":"466-478"},"PeriodicalIF":0.9,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical AcupuncturePub Date : 2025-12-08eCollection Date: 2025-12-01DOI: 10.1177/19336586251399612
Jieying Zhang, Pukai Jin, Guanhu Yang
{"title":"Clinical Pearls: Acupuncture and Chinese Herbal Medicine for Chronic Venous Insufficiency.","authors":"Jieying Zhang, Pukai Jin, Guanhu Yang","doi":"10.1177/19336586251399612","DOIUrl":"https://doi.org/10.1177/19336586251399612","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 6","pages":"491-492"},"PeriodicalIF":0.9,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031229","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical AcupuncturePub Date : 2025-12-08eCollection Date: 2025-12-01DOI: 10.1177/19336586251384772
Michael Freedman
{"title":"<i>Letter:</i> Open Letter to the AAMA.","authors":"Michael Freedman","doi":"10.1177/19336586251384772","DOIUrl":"https://doi.org/10.1177/19336586251384772","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 6","pages":"504-505"},"PeriodicalIF":0.9,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical AcupuncturePub Date : 2025-12-08eCollection Date: 2025-12-01DOI: 10.1177/19336586251398983
Venkatalakshmi Saravanan, N Sheeja Begum, A Mooventhan
{"title":"Clinical Pearl: Management of Chronic Venous Insufficiency Through Acupuncture and Chinese Herbs.","authors":"Venkatalakshmi Saravanan, N Sheeja Begum, A Mooventhan","doi":"10.1177/19336586251398983","DOIUrl":"https://doi.org/10.1177/19336586251398983","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 6","pages":"497-499"},"PeriodicalIF":0.9,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Electroacupuncture to Improve Bowel Function in Patients with LARS after Low Anterior Resection for Rectal Cancer: Protocol of a Multicenter Cohort Study.","authors":"Mengqi Wang, Hengchang Liu, Liyun He, Jin Xu, Wenyun Hou, Fang Wang, Xue Cao, Xin Wang, Yutong Lyu, Haipeng Chen, Jia Liu","doi":"10.1089/acu.2024.0070","DOIUrl":"https://doi.org/10.1089/acu.2024.0070","url":null,"abstract":"<p><strong>Background: </strong>Low anterior resection syndrome (LARS) comprises a series of bowel symptoms after low anterior resection for rectal cancer that seriously decrease the patients' quality of life. Current treatments for LARS include antidiarrheal medications, pelvic floor muscle exercises, biofeedback training, and transanal irrigation, all of which lack high-quality supporting evidence or have low patient acceptance. Acupuncture has been found to have a therapeutic effect on LARS; however, further research is warranted because the available clinical studies have small sample sizes and different acupuncture treatment protocols and durations of treatment. This study is designed to investigate the effectiveness and safety of electroacupuncture in clinical settings.</p><p><strong>Methods: </strong>This is a multicenter, prospective, observational, comparative study of data obtained from a registry platform. Patients are classified into electroacupuncture and non-electroacupuncture exposure groups based on whether they receive electroacupuncture treatment or not, and the exposure dose is categorised in accordance with the timing and frequency of electroacupuncture treatment. The bowel function and quality of life will be compared between the two groups during a 6-month follow-up period. Propensity score matching and the inverse probability of weighting method will be used to reduce the risk of bias and control confounding factors.</p><p><strong>Discussion: </strong>This prospective, observational, comparative study aims to evaluate the effectiveness and safety of electroacupuncture at BL33, BL35, and SP6 in improving the defecation function of patients with LARS, and to explore the dose-response relationship of electroacupuncture and defecation function. The results of this study will provide support for further research.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 6","pages":"459-465"},"PeriodicalIF":0.9,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical AcupuncturePub Date : 2025-12-08eCollection Date: 2025-12-01DOI: 10.1177/19336586251399625
Riri Kumala Sari, Ellen Ellen, Nisa Ashila, Hasan Mihardja
{"title":"Clinical Pearls: The Role of Acupuncture in Chronic Venous Insufficiency.","authors":"Riri Kumala Sari, Ellen Ellen, Nisa Ashila, Hasan Mihardja","doi":"10.1177/19336586251399625","DOIUrl":"https://doi.org/10.1177/19336586251399625","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 6","pages":"493-494"},"PeriodicalIF":0.9,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Medical AcupuncturePub Date : 2025-12-08eCollection Date: 2025-12-01DOI: 10.1177/19336586251403552
Jennifer A M Stone
{"title":"Evidence-Based Medicine: Reflections on a Paradigm Shift.","authors":"Jennifer A M Stone","doi":"10.1177/19336586251403552","DOIUrl":"https://doi.org/10.1177/19336586251403552","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 6","pages":"425-426"},"PeriodicalIF":0.9,"publicationDate":"2025-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12820669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}