Medical Acupuncture最新文献

{"title":"Advanced Acupuncture Techniques Can Be Unsafe Without Specific Training.","authors":"Jennifer A Stone","doi":"10.1177/19336586251363799","DOIUrl":"10.1177/19336586251363799","url":null,"abstract":"","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 4","pages":"265-266"},"PeriodicalIF":1.1,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415176/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030637","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":"Acupuncture Safety in Taiwan.","authors":"Yi-Fang Liao, Eyal Ben-Arie, Yu-Chen Lee","doi":"10.1089/acu.2024.0187","DOIUrl":"10.1089/acu.2024.0187","url":null,"abstract":"<p><strong>Background: </strong>The safety of acupuncture treatments is crucial for patients. Although acupuncture is generally considered a relatively safe therapeutic modality, acupuncture-related adverse events cannot be entirely avoided. The development and implementation of effective preventive strategies are essential for enhancing clinical safety.</p><p><strong>Objective: </strong>This article focuses on the acupuncture safety strategies implemented within Taiwan's medical system, aiming to address the multifaceted and complex nature of acupuncture-related adverse events and to propose practical approaches for risk reduction.</p><p><strong>Methods: </strong>This article emphasizes the application of preventive strategies tailored to known risk factors. A structured, phased educational model has been adopted to reinforce both theoretical knowledge and clinical proficiency. In addition, improvements in the use of acupuncture instruments and the standardization of procedural workflows have strengthened adherence to safety protocols. The integration of modern technologies with traditional medical knowledge has further advanced innovation in clinical safety.</p><p><strong>Conclusion: </strong>Taiwan's comprehensive approach to promoting acupuncture safety offers valuable insights and a practical reference for enhancing acupuncture safety in global settings.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 4","pages":"306-311"},"PeriodicalIF":1.1,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030334","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":"The Famous Sir William Osler: A Physician Acupuncturist and His Pain.","authors":"Arthur Yin Fan","doi":"10.1177/19336586251360951","DOIUrl":"10.1177/19336586251360951","url":null,"abstract":"<p><p>Acupuncture, an integral part of traditional Chinese medicine, has been practiced for over 2,500 years. Dr. William Osler, a renowned physician in Canada and the United States during the late 1800s, was also an acupuncturist. He learned acupuncture from Dr. Sydney Ringer, a prominent British physiologist and medical doctor. Osler developed a method for treating lower back pain that focused on local acupoints, utilizing long hatpins. He advocated for acupuncture in his teaching for four decades and included it in his seminal textbook <i>The Principles and Practice of Medicine: Designed for the Use of Practitioners and Students of Medicine</i>. In 1879, Osler experienced a failed case in his acupuncture practice. A wealthy patient's severe lower back pain was aggravated after treatment, leading to public criticism and professional humiliation. This incident caused some scholars to undervalue acupuncture and speculate that Osler ceased practicing it thereafter. The reasons for such painful experiences in acupuncture are generally attributed to four factors: The first is poor needle quality and size: The needles used by Osler were rigid and had a diameter of ∼1.00 mm, which is significantly larger than modern acupuncture needles. The second is inadequate needling technique: Proper training and precision are crucial for painless acupuncture. The third is improper needle placement: Inserting needles into subcutaneous vessel walls or skin follicles can cause discomfort. The fourth is patient-specific reactions: Conditions such as hyperalgesia may increase sensitivity, requiring the use of distal acupoints rather than local ones. To minimize pain and adverse effects, effective communication with patients is essential. It is worth noting that the rate of severe pain caused by acupuncture is only 0.007%, and the risk of other adverse effects is very low.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 4","pages":"270-273"},"PeriodicalIF":1.1,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030820","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":"Advancing Safety in Acupuncture: Strategies, Best Practices, and Training for a Risk-Free Practice.","authors":"Bhavit Bansal, Khyati Chaturvedi","doi":"10.1177/19336586251363227","DOIUrl":"10.1177/19336586251363227","url":null,"abstract":"<p><strong>Background: </strong>Acupuncture is a widely recognized complementary therapy with proven therapeutic benefits; however, concerns regarding patient safety persist due to adverse events ranging from minor complications to severe outcomes like pneumothorax and nerve injury.</p><p><strong>Objective: </strong>This study aims to identify common adverse events in acupuncture, propose innovative risk mitigation strategies, establish standardized best practices, enhance practitioner training, and examine global disparities in safety protocols.</p><p><strong>Design: </strong>Comprehensive review of existing literature, clinical case studies, and international safety guidelines.</p><p><strong>Setting: </strong>Global acupuncture practice environments, including clinical and wellness settings.</p><p><strong>Patients or subjects: </strong>Analysis of patient populations receiving acupuncture treatments across various international settings and case reports of adverse events.</p><p><strong>Intervention: </strong>Analysis of emerging technologies, training methodologies, and preventive strategies including real-time monitoring tools, ultrasound-assisted acupuncture, and digital patient records.</p><p><strong>Main outcome measures: </strong>Adverse event rates, safety protocol effectiveness, practitioner competency measures, and global safety standard variations.</p><p><strong>Results: </strong>Most adverse events are linked to practitioner errors, patient-specific factors, or inadequate safety protocols, with major complications remaining rare but requiring structured safety measures. Risk mitigation strategies significantly improve treatment precision and safety. Countries with rigorous certification processes report fewer adverse events.</p><p><strong>Conclusions: </strong>Improving acupuncture safety requires a multifaceted approach integrating technological advancements, evidence-based best practices, and enhanced professional training. Strengthening international collaboration and regulatory oversight will ensure acupuncture remains a trusted, risk-free, and effective therapeutic modality.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 4","pages":"327-338"},"PeriodicalIF":1.1,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415172/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030631","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":"How to Improve Safety in Acupuncture Clinical Practice?","authors":"Jin-Huan Yue, Xiao-Ling Li, Dong-Hong Huang, Xian-Qi Zhao, Wei-Ran Chen, Nuo Li, Qinhong Zhang, Xiao-Qing Zhou, Guanhu Yang","doi":"10.1089/acu.2024.0128","DOIUrl":"10.1089/acu.2024.0128","url":null,"abstract":"<p><strong>Introduction: </strong>This review evaluates the safety protocols for acupuncture, emphasizing the need for stringent measures due to the procedure's invasive nature.</p><p><strong>Discussion: </strong>It discusses the necessity of global safety standards, including mandatory accreditation and licensing for practitioners to mitigate risks such as needle contamination and improper technique. The study advocates for extensive training and continuous education programs to ensure practitioners master both theoretical and practical aspects of acupuncture. The review highlights the use of sterilized, single-use needles and regular equipment checks to maintain high safety standards. It also underscores the importance of pretreatment assessments, informed consent, and posttreatment monitoring to enhance patient safety. Furthermore, it suggests the implementation of robust surveillance systems and the use of case studies to learn from adverse events. Finally, the review identifies research gaps and recommends focusing on innovative techniques and fostering international cooperation to advance acupuncture's safety and efficacy.</p><p><strong>Conclusion: </strong>This approach aims to strengthen safety protocols, thereby improving patient outcomes and aiding acupuncture's integration into mainstream health care.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 4","pages":"292-298"},"PeriodicalIF":1.1,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030795","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":"The Risks and Challenges Facing the Acupuncture Profession in the United States.","authors":"Changzhen Gong, Arthur Yin Fan","doi":"10.1177/19336586251363146","DOIUrl":"10.1177/19336586251363146","url":null,"abstract":"<p><strong>Introduction: </strong>Acupuncture has gained recognition in modern health care for its effectiveness in managing chronic pain, reducing stress, and enhancing well-being.</p><p><strong>Discussion: </strong>Despite this, the acupuncture profession in the United States faces significant challenges, including the disconnect between education and job markets, the encroachment of other health professionals such as physical therapists, preference for medical doctors over licensed acupuncturists in medical establishments, and inconsistent entry standards that affect care quality. Fragmented regulations and public misconceptions further undermine the profession's credibility.</p><p><strong>Conclusion: </strong>To ensure its future, a unified professional body, standardized education, and collaborative efforts among stakeholders are essential to promote rigorous standards and enhance public trust in acupuncture.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"37 4","pages":"320-326"},"PeriodicalIF":1.1,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145030829","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":"Management of Acute Kidney Injury with Ayurveda, Acupuncture, and Chinese Herbal Medicine: A Case Report.","authors":"John Paul Krueger, Michael Robles, James Whedon, Steffany Moonaz, Sivarama Prasad Vinjamury","doi":"10.1177/19336586251366995","DOIUrl":"10.1177/19336586251366995","url":null,"abstract":"<p><strong>Introduction: </strong>Acute kidney injury (AKI) poses a risk of permanent kidney damage and failure. Conventional management stresses preventing further damage, while integrative approaches also aim to enhance renal function. This case explores the use of acupuncture, ayurveda, and Chinese herbal medicine for a 71-year-old male with fatigue, diagnosed with AKI.</p><p><strong>Case description: </strong>Following medical evaluation, the patient sought integrative care outside the nephrologist recommendation. Following 12 months of acupuncture, ayurveda and Chinese herbal renal function demonstrated sustained improvement in blood urea nitrogen (63%), estimated glomerular filtration rate (67%), and creatinine (49%), along with decreased fatigue.</p><p><strong>Conclusion: </strong>An integrative approach may help enhance renal function in AKI. Interprofessional collaboration is recommended.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"38 3","pages":"235-239"},"PeriodicalIF":1.1,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13158463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934330","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":"Acupuncture with Electrical Stimulation on Lian Quan-S (CV23-S) and Shang Lian Quan-S (Ex-HN21-S) Treats Obstructive Sleep Apnea Syndrome: Two Case Reports.","authors":"Shang-Jin Shi, Lon Kai Pang, Dingbo Shi","doi":"10.1177/19336586251366065","DOIUrl":"10.1177/19336586251366065","url":null,"abstract":"<p><strong>Introduction: </strong>To investigate the utility of acupuncture with electrical stimulation (AES) on Lian Quan-S (CV23-S) and Shang Lian Quan-S (Ex-HN21-S), each located bilaterally 1.27 cm (0.5 inches) from their respective acupoints Lian Quan (CV23) and Shang Lian Quan (Ex-HN21), in the treatment of obstructive sleep apnea syndrome (OSAS). Case 1. A 55-year-old male sought acupuncture treatments as an alternative for complications from using a continuous positive airway pressure (CPAP) machine for OSAS. Case 2. A 26-year-old male sought acupuncture treatments to relieve complaints of excessive daytime sleepiness, hunger, and snoring.</p><p><strong>Case report: </strong>Case 1. 20 min AES treatments of CV23-S and Ex-HN21-S with various other supplemental acupoints were performed every other day for 1 week, totaling four treatment sessions. Case 2. AES of CV23-S and Ex-HN21-S with another supplemental acupoint. The patient received four trials of care, totaling 24 treatments in 10 months. For the first trial of care, daily 30 min treatments were performed for 8 days. For subsequent trials of care, the treatment frequencies were decreased, but the treatment duration was gradually increased.</p><p><strong>Discussion: </strong>Case 1. After AES treatments, the patient stopped using the CPAP machine and noticed reduced facial swelling. The patient subjectively described his sleep quality improving from poor to good. His uninterrupted sleep time increased from 3 to 8 h per night. Case 2. After AES treatments, the patient found relief of symptoms and noted more energy during the day.</p><p><strong>Conclusion: </strong>AES on new acupuncture points, CV23-S and Ex-HN21-S, bilaterally has shown reduction of symptoms in OSAS.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"38 2","pages":"165-169"},"PeriodicalIF":1.1,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934374","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":"Acupuncture Therapy in Tinnitus Using Single Needle Through Multiple Points Technique TE21-SI19-GB2 and GB3-SI19: A Case Report.","authors":"Rudy Ekofitranto, Hasan Mihardja, Christopher Leo, Daniel Lie, Evania Beatrice, Nabila N Hasanah, Oki R Agustin","doi":"10.1177/19336586251363176","DOIUrl":"10.1177/19336586251363176","url":null,"abstract":"<p><strong>Background: </strong>Tinnitus is defined as the perception of sounds without physical or external acoustic sources. Treatment methods for tinnitus include psychological and pharmacological therapy; some have disturbing side effects. Acupuncture is another treatment method with minimal adverse effects to return to a homeostatic state. It has been reported that acupuncture can immediately decrease both the hard and tingling quality of tinnitus, resulting in a meaningful improvement in quality of life and better sleep.</p><p><strong>Case: </strong>A 45-year-old male presented with complaints of ringing in both ears and diminished auditory perception in the left ear characterized by a rumbling noise. The Tinnitus Handicap Inventory (THI) score of 34 indicated mild tinnitus. An audiometry examination revealed moderate hearing loss in the left ear. The patient was diagnosed with bilateral tinnitus and moderate left ear hearing loss.</p><p><strong>Methods: </strong>Manual acupuncture therapy was performed twice per week for 12 sessions at the following points: TE21, SI19, GB2, GB3, TE17, LI4, and KI3 bilaterally. This case report introduces a special technique, single needle through multiple points (SNMP), which penetrates through TE21-SI19-GB2 and GB3-SI19.</p><p><strong>Results: </strong>After 12 sessions of acupuncture therapy, the patient's THI score decreased from 34 to 0, and a subsequent audiometry examination showed normal hearing in both ears.</p><p><strong>Conclusions: </strong>This case report demonstrates that SNMP acupuncture therapy could alleviate tinnitus symptoms with no observed side effects. Furthermore, investigation into acupuncture therapy for tinnitus is warranted. Further pragmatic trials are needed to confirm the efficacy and safety of the proposed treatment.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"38 2","pages":"159-164"},"PeriodicalIF":1.1,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934421","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":"Dr. Xuelong Huang, the Earliest Founder of \"Scalp Acupuncture-Zones Therapy\".","authors":"Mingzhu Ye, Arthur Yin Fan, Haili Wang, Zhuicheng Hu","doi":"10.1177/19336586251361931","DOIUrl":"10.1177/19336586251361931","url":null,"abstract":"<p><strong>Background: </strong>There were controversies in academic circles regarding who was the founder of Scalp Acupuncture (SA), while Dr. Yunpeng Fang or Dr. Shunfa Jiao claimed themselves as the earliest founder and some believe that SA was founded by Dr. Xuelong Huang (Huang) in the 1950s.</p><p><strong>Aim: </strong>To investigate Huang and his acupuncture practice and research, to uncover the history of Huang's contribution to SA therapy.</p><p><strong>Methods: </strong>Huang and his SA therapy are introduced and discussed in five aspects, including the transformation from a local traditional scholar in the late Qing Dynasty to an expert in acupuncture-moxibustion, the formation of scalp acupoints and acu-zones, clinical indications, multiple stimulation modalities, and clinical experience.</p><p><strong>Results: </strong>The fact is that in the 1950s, Huang was the first to develop SA therapy. Its theoretical basis is that the 14 Channels and the brain are a sole system: when divided, they are demonstrated as 14 Channels, and when combined, the Channels are all unified in the brain. The longitudinal stimulating line (acu-zones) is located on the scalp above the sagittal suture, centered at the <i>Baihui</i> (DU20) acupoint, and with the other scalp acupoints on the Governor Vessel (Du Mai). The horizontal stimulating line (acu-zones) is formed with the acupoints <i>Naohu</i> (DU17), <i>Yuzhen</i> (BL9), and <i>Naokong</i> (GB19). Both lines form a shape of \"\". The stimulating modalities include single-point needling, one needle piercing through two or multiple acupoints, moxibustion, and plum-blossom dermal needling (extensive shallow acupuncture). When acupoints on the head are selected, the local scalp zones of the \"cerebral cortex\" directly underneath are often introduced first, and then based on the indications recorded in traditional classics such as <i>A-B Classic of Acupuncture and Moxibustion</i>. Huang's SA accumulated extensive experiences. His stimulation does not have to be limited to single-acupoint and more focus on acu-zones, and there are many stimulating modalities adopted; therefore, Huang's method can be called \"scalp acu-zone therapy.\" In the 1970s, \"SA therapy\" rose again under the first advocacy of Dr. Yunpeng Fang, and many SA \"schools\" formed, such as Fang, Jiao, Tang, Lin, Zhu, and many more. The promulgation of international standards for SA in the 1980s marked the formal acceptance of SA by international acupuncture societies, it has been incorporated into the Channels and acupoint system of traditional Chinese medicine.</p><p><strong>Conclusion: </strong>Starting by Huang, the main operating method of all schools of SA is using needles to penetrate acupoints on the scalp instead of stimulating every single acupoint, and the stimulating methods are becoming more and more diverse, it is suggested to change the term \"scalp acupuncture\" to \"scalp acu-zones therapy\" for reflecting the real clinical practice.</p>","PeriodicalId":45511,"journal":{"name":"Medical Acupuncture","volume":"38 2","pages":"118-126"},"PeriodicalIF":1.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934401","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}