Acupuncture : Efficacy Safety and Practice by British Medical Association

By British Medical Association

This dialogue of acupuncture presents details in this widely-used treatment of complementary and replacement medication, and informs the reader of the price of acupuncture and its most likely position in the NHS.

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Example text

One study (Brattberg, 1986) found that 56% of patients would have been at risk of an accident had they driven after treatment. The author speculated that this drowsiness might be the result of a fall in blood pressure or blood sugar, or the release of endogenous opiates, but that it would be impossible to predict who would experience it. Hence it was advised that, as with medication which might induce fatigue, patients should be warned against driving a car immediately after receiving acupuncture treatment.

Traumas to the spinal cord during needle insertion or due to migration of retained needles have also been reported, although the majority of these cases are a result of the Japanese practice of ‘Okibari’ involving permanent deep needle insertion. This technique is neither taught nor practised in the West, although its side effects are frequently cited in the literature, adding to the confusion surrounding the issue of the safety of acupuncture (MacPherson, 1999). Many of the injuries can be avoided by ensuring acupuncturists are fully trained in anatomy and physiology, with particular emphasis on teaching the location and depth of the major organs.

Clinical effectiveness of acupuncture: an overview of systematic reviews. ) Acupuncture: a scientific appraisal. Oxford: Butterworth-Heinemann Reprinted by permission of Butterworth-Heinemann THE EVIDENCE BASE OF ACUPUNCTURE 35 Table 8: Controlled trials of acupuncture for dental pain CCT=controlled clinical trial; RCT=randomised clinical trial. 36 ACUPUNCTURE: EFFICACY, SAFETY AND PRACTICE Source: Ernst E (1999). Clinical effectiveness of acupuncture: an overview of systematic reviews. ) Acupuncture: a scientific appraisal.

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