NIH Consensus Development Conference On Acupuncture

September 12, 1997

A consensus panel convened by the National Institutes of Health (NIH) today concluded there is clear evidence that needle acupuncture treatment is effective for postoperative and chemotherapy nausea and vomiting, nausea of pregnancy, and postoperative dental pain.

The 12-member panel also concluded in their consensus statement that there are a number of other pain-related conditions for which acupuncture may be effective as an adjunct therapy, an acceptable alternative, or as part of a comprehensive treatment program. but for which there is less convincing scientific data. These conditions include but are not limited to addiction, stroke rehabilitation, headache, menstrual cramps, tennis elbow, fibromyalgia (general muscle pain), low back pain, carpal tunnel syndrome, and asthma.

"We need more high quality research to validate what appears to be useful for the millions of Americans that have used acupuncture in this country. The challenge in studying acupuncture is to integrate the theory of Chinese medicine into the conventional Western biomedical research model and into the conventional health care arena," said panel chairman David J. Ramsay, D.M., D. Phil., president of the University of Maryland, Baltimore.

Acupuncture is a family of procedures, the most well known of which involves penetration of specific anatomic locations on the skin, called acupuncture points, by thin, solid, generally metallic needles.

Acupuncture is one of the oldest and most commonly used forms of traditional medicine in the world--dating back for at least 2,500 years. The general theory of acupuncture is based on the premise that there are patterns of energy flow called Qi (pronounced "chee") throughout the body that are essential for optimal health.

Public awareness and use of acupuncture increased in the United States following President Nixon's visit to China in 1972 and New York Times reporter James Reston's account of how physicians in Beijing eased his post-surgery abdominal pain with needles. According to the World Health Organization, there are approximately 10,000 acupuncture specialists in the U.S., and an estimated 3,000 practicing acupuncturists are physicians. In 1993 the Food and Drug Administration reported that Americans were spending $500 million per year and making approximately 9 to 12 million patient visits for acupuncture treatments.

The introduction and acceptance of any new treatment can be a difficult process. When that new treatment is based on theories unfamiliar to Western medicine, the difficulties are accentuated. To enhance the acceptance of acupuncture in the U.S., the panel emphasized the need for improved understanding of perspectives between acupuncture practitioners and today's conventional health care community. The panel commended the ongoing increase in improved training and called for more uniform licensing, certification, and accreditation of acupuncturists among States, which will help the public identify qualified acupuncture practitioners and to have more assurance in quality of service. Thirty-four states license or otherwise regulate the practice of acupuncture by nonphysicians, and have established training standards for certification to practice acupuncture.

Adverse side effects of acupuncture are extremely low and often lower than conventional treatments. However, the panel noted that adverse side effects have occurred on rare occasions. They recommended that patients be fully informed of their treatment options, expected prognosis, relative risk, and safety practices to minimize the risks prior to undergoing acupuncture treatment. Because many individuals seek health care treatment from both acupuncturists and physicians, the consensus panel advocated a strengthening of communications between these health care provider groups to maximize the possibility that important medical problems are not overlooked. The panel additionally encouraged broader public access to acupuncture treatment by urging insurance companies, Federal and state health insurance programs including Medicare and Medicaid, and other third party payers to expand their coverage to include appropriate acupuncture treatments. Doing so, the panel stated, would help remove the financial barriers to access to these services.

Finally, the panel identified important areas for future acupuncture research. In particular, the panel emphasized the importance of evaluating acupuncture for the treatment of specific conditions using study designs that can withstand rigorous scientific scrutiny. "The acceptance of acupuncture as a reliable therapeutic choice in Western medicine will depend on such rigorous studies," said Dr. Ramsay.

The panel issued their consensus statement following an extensive review of the existing medical literature and a series of presentations by acupuncture research experts at a 3-day NIH Consensus Development Conference on Acupuncture. The full NIH Consensus Statement on Acupuncture is available by calling 1-888-NIH-CONSENSUS (1-888-644-2667) or by visiting the NIH Consensus Development Program Web site at http://consensus.nih.gov.

The National Institutes of Health Consensus Development Program was established in 1977 and is the premier health technology assessment and transfer program in American medicine. Under this program, the Office of Medical Applications of Research at NIH organizes major conferences that produce consensus statements and technology assessment statements on controversial issues in medicine important to health care providers, patients, and the general public.

This conference was sponsored by the NIH Office of Medical Applications of Research and the NIH Office of Alternative Medicine. The conference was cosponsored by the National Cancer Institute, the National Heart, Lung, and Blood Institute, the National Institute of Allergy and Infectious Diseases, the National Institute of Arthritis and Musculoskeletal and Skin Diseases, the National Institute of Dental Research, the National Institute on Drug Abuse, and the NIH Office of Research on Women's Health.

###


NOTE TO RADIO EDITORS: An audio report of the conference results are available November 5-14, 1997 from the NIH Radio News Service by calling 1-800-MED-DIAL (1-800-633-3425) or by visiting http://www.radiospace.com/nihhome.htm on the Web.



NIH/National Institutes of Health

Related Acupuncture Articles from Brightsurf:

Nonverbal doctor-patient rapport relieved pain during acupuncture treatment
When 22 acupuncture clinicians and 23 patients seeking pain relief mirrored each other's facial expressions during acupuncture treatment, patients experienced less pain, according to a new study.

Acupuncture before surgery means less pain, significantly fewer opioids for Veterans
Veterans who have acupuncture before surgery report less pain and need far fewer opioids to manage their discomfort, according to a randomized, controlled study being presented at the ANESTHESIOLOGY® 2020 annual meeting.

Acupuncture can reduce migraine headaches
Acupuncture can reduce migraine headaches compared to both sham (placebo) acupuncture and usual care, finds a new trial from China published by The BMJ today.

Acupuncture equals disease prevention say new studies
Well-recognized for its therapeutic effects, acupuncture is increasingly being appreciated for its ability to promote wellness and contribute to the prevention of a broad range of conditions.

Acupuncture may ease troublesome menopausal symptoms
A brief course of acupuncture may help to ease troublesome menopausal symptoms, suggests a small study published in the online journal BMJ Open.

Number of veterans affairs facilities offering acupuncture growing rapidly
Acupuncture is an increasingly important and effective component of chronic pain management and other areas of care in the Veterans Health Administration (VHA).

Fertility study finds acupuncture ineffective for IVF birth rates
A study of over 800 Australian and New Zealand women undergoing acupuncture treatment during their IVF (in vitro fertilization) cycle has confirmed no significant difference in live birth rates.

Acupuncture possible treatment for dental anxiety
Researchers have found evidence that acupuncture could help people who experience dental anxiety.

Harvard scientists ask 'what is the point?' in challenge to acupuncture researchers
The effectiveness of acupuncture compared to standard treatments has led to its growing inclusion in pain guidelines and in delivery organizations like the US military and Veterans Administration, yet many continue to believe acupuncture lacks scientific credibility.

Can acupuncture help alleviate menopausal symptoms?
An umbrella review from Duke Clinical Research Institute that was a comprehensive assessment of previous systematic reviews and randomized controlled trials has found that women who received acupuncture had less frequent and less severe vasomotor symptoms associated with menopause than women who did not have acupuncture.

Read More: Acupuncture News and Acupuncture Current Events
Brightsurf.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com.