Acupuncture is a technique of inserting and manipulating filiform needles into "acupuncture points" on the body with the aim of restoring health and well-being, e.g. treating pain. The definition and characterization of these points is standardized by the World Health Organization (WHO). Acupuncture is thought to have originated in China and is most commonly associated with Traditional Chinese medicine (TCM). Different types of acupuncture (Japanese, Korean, and classical Chinese acupuncture) are practiced and taught throughout the world.
Scientists are studying the mechanisms and efficacy of acupuncture. According to the protocols of evidence-based medicine, there is good evidence that acupuncture is effective in treating and chronic, and moderate evidence for neck pain and . The WHO, the National Center for Complementary and Alternative Medicine (NCCAM) of the National Institute of Health (NIH), the American Medical Association (AMA) and various government reports have also studied and commented on the efficacy of acupuncture. There is general agreement that acupuncture is at least safe when administered by well-trained practitioners, and that further research is warranted.
Traditional Chinese medicine's acupuncture theory predates use of the scientific method, and has received various criticisms based on scientific thinking. There is no known anatomical or histological basis for the existence of acupuncture points or meridians. Acupuncturists tend to perceive TCM concepts in functional rather than structural terms, i.e. as being useful in guiding evaluation and care of patients. Neuroimaging research suggests that certain acupuncture points have distinct effects that are not otherwise predictable anatomically.
Because acupuncture needles penetrate the skin, many forms of acupuncture are invasive procedures, and therefore not without risk. Injuries are rare among patients treated by trained practitioners.
Certain forms of acupuncture such as the Japanese Tōyōhari and Shōnishin often use non-invasive techniques, in which specially-designed needles are rubbed or pressed against the skin. These methods are common in Japanese pediatric use.
According to the American Academy of Medical Acupuncture (2004), acupuncture may be considered as a complementary therapy for these conditions:
Abdominal distention/flatulence
Acute and chronic pain control
Allergic sinusitis
Anesthesia for high-risk patients or patients with previous adverse responses to anesthetics
Anorexia
Anxiety, fright, panic
Arthritis/arthrosis
Atypical chest pain (negative workup)
Bursitis, tendonitis, carpal tunnel syndrome
Certain functional gastrointestinal disorders (nausea and vomiting, esophageal spasm, hyperacidity, irritable bowel)
Cervical and lumbar spine syndromes
Constipation, diarrhea
Cough with contraindications for narcotics
Drug detoxification
Dysmenorrhea, pelvic pain
Frozen shoulder
Headache (migraine and tension-type), vertigo (Meniere disease), tinnitus
Idiopathic palpitations, sinus tachycardia
In fractures, assisting in pain control, edema, and enhancing healing process
Muscle spasms, tremors, tics, contractures
Neuralgias (trigeminal, herpes zoster, postherpetic pain, other)
Paresthesias
Persistent hiccups
Phantom pain
Plantar fasciitis
Post-traumatic and post-operative ileus
Premenstrual syndrome
Selected dermatoses (urticaria, pruritus, eczema, psoriasis)
Sequelae of stroke syndrome (aphasia, hemiplegia)
Seventh nerve palsy
Severe hyperthermia
Sprains and contusions
Temporo-mandibular joint derangement, bruxism
Urinary incontinence, retention (neurogenic, spastic, adverse drug effect)
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