Abstract
Annual Review of Medicine
Vol. 51:
49-63
(Volume publication date February 2000)
(doi:10.1146/annurev.med.51.1.49)
Acupuncture: An Evidence-Based Review of the Clinical Literature David J. Mayer1 1Department of Anesthesiology, Medical College of Virginia, Virginia Commonwealth University, Richmond, Virginia, 23298–0337, ; email: mayer@hsc.vcu.edu ▪ Abstract This chapter reviews the experimental literature on the effects of acupuncture treatment. The review covers the 14 medical conditions for which the National Institutes of Health Acupuncture Consensus Development Panel (NIHCDP) concluded that acupuncture either is effective (2 conditions) or may be useful (12 conditions). My conclusions partially support those of the NIHCDP. There is evidence that acupuncture is effective for the treatment of postoperative and chemotherapyinduced nausea and vomiting. Also, some data indicate that acupuncture may be useful for headache, low back pain, alcohol dependence, and paralysis resulting from stroke (4 of the 12 conditions for which the NIHCDP found that acupuncture may be useful). For most of the remaining conditions, there is little evidence that acupuncture is either effective or ineffective. It is recommended that workers in the field design double blind, sham controlled trials using adequate acupuncture treatment regimens, with specific hypotheses, and sample sizes sufficient to allow both positive and negative conclusions. Effect of Needle Combination on the Analgesic Efficacy of the Tendinomuscular Meridians (TMM) System Medical Acupuncture 19(4):191-200 (2008) Review of trials examining the use of acupuncture to treat hypertension Future Cardiology 2(3):287-292 (2006) A Review and Analysis of Placebo Treatments, Placebo Effects, and Placebo Controls in Trials of Medical Procedures When Sham Is Not Inert Journal of Alternative and Complementary Medicine 12(3):303-310 (2006) P6 Acupressure Does Not Prevent Emesis During Spinal Anesthesia for Cesarean Delivery Anesthesia & Analgesia 102(3):900-903 (2006) Laser acupuncture induced specific cerebral cortical and subcortical activations in humans Lasers in Medical Science 20(2):68-73 (2005)
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