Acupuncture - Why It Works
Acupuncture - Why It Works
Acupuncture - Why It Works
By Dr. Mercola
More than 3 million Americans receive acupuncture each year, and its use is increasing.1 While there are a variety of
acupuncture techniques, those typically used in the U.S. incorporate traditions from China, Japan and Korea and
involve penetrating your skin with a thin needle at certain points on your body.
The needle is then stimulated by hand or electrically.2 Acupuncture has been in use for thousands of years around the
globe, and it has withstood the test of time because it works to safely relieve many common health complaints.
How it works has remained largely a mystery, but last year researchers revealed a biochemical reaction that may be
responsible for some of acupuncture’s beneficial effects.
This is an effective strategy because M2 macrophages are a source of anti-inflammatory interleukin-10 (IL-10), a
cytokine involved in immune response. It’s thought that upregulating M2 macrophages leads to an increase in IL-10,
which subsequently helps relieve pain and inflammation. The Epoch Times reported:4
“Acupuncture literally flips a switch wherein initial inflammatory responses are reduced and the
secondary healing responses are promoted.
It’s likely that acupuncture works via a variety of mechanisms. In 2010, for instance, it was found that acupuncture
activates pain-suppressing receptors and increased the concentration of the neurotransmitter adenosine in local
tissues.5
Adenosine slows down your brain's activity and induces sleepiness. According to a Nature Neuroscience press
release:6
“ … [T]he authors propose a model whereby the minor tissue injury caused by rotated needles triggers
adenosine release, which, if close enough to pain-transmitting nerves, can lead to the suppression of
local pain.”
According to traditional medicine, it is through these pathways that Qi, or energy, flows, and when the pathway is
blocked the disruptions can lead to imbalances and chronic disease.
Acupuncture is proven to impact a number of chronic health conditions, and it may work, in part, by stimulating your
central nervous system to release natural chemicals that alter bodily systems, pain and other biological processes.
Evidence suggests that acupuncture may also work by:7
Stimulating the conduction of electromagnetic signals, which may release immune system cells or pain-killing
chemicals
Activation of your body’s natural opioid system, which may help reduce pain or induce sleep
Stimulation of your hypothalamus and pituitary gland, which impact numerous body systems
Change in the secretion of neurotransmitters and neurohormones, which may positively influence brain
chemistry
In a study by researchers from the Chengdu University of Traditional Chinese Medicine, acupuncture received five
times a week for four weeks significantly reduced pain and improved stiffness in patients with knee osteoarthritis.8
In this study, the improvements increased even more when acupuncture was combined with Chinese massage called
Tui Na. Other research has also shown benefits, including one of the longest and largest studies on the topic to date.
More than 550 patients diagnosed with knee osteoarthritis took part in the 26-week trial. The participants were
randomly assigned to receive one of three treatments: acupuncture, sham acupuncture, or self-help strategies
recommended by the Arthritis Foundation (the latter served as a control group).
Significant differences in response were seen by week eight and 14, and at the end of the trial, the group receiving real
acupuncture had a 40 percent decrease in pain and a nearly 40 percent improvement in function compared to baseline
assessments — a 33 percent difference in improvement over the sham group.9
It’s known that high blood pressure leads to elevated concentrations of inflammation-causing tumor necrosis factor
alpha (TNF-α) and TNF-α-stimulated endothelin (ET), peptides involved in constricting blood vessels and raising blood
pressure.10,11
It’s thought that acupuncture may downregulate TNF-α and ET, thereby reducing blood pressure. In another study of
patients with high blood pressure, 30 minutes of electroacupuncture (in which the needles are stimulated with
electricity) a week led to slight declines in blood pressure.12
Study co-author Dr. John Longhurst, a cardiologist at the University of California, Irvine, told WebMD, "Potentially,
blood pressure can be kept low with a monthly follow-up treatment.” He continued:13
“A noticeable drop in blood pressure was observed in 70 percent of the patients treated at the effective
points, an average of 6 to 8 mm Hg for systolic blood pressure [the top number] and 4 mm Hg for
diastolic blood pressure [the lower number].”
Even fibromyalgia pain, which can be difficult to treat and is associated with sleep problems, fatigue and depression,
may be improved.
In one study, 10 weeks of acupuncture decreased pain scores in fibromyalgia patients by an average of 41 percent,
compared with 27 percent in those who received a sham procedure.15
The pain relief lasted for at least 1 year, leading researchers to conclude, “ … [T]he use of individualized acupuncture
in patients with fibromyalgia is recommended.” Acupuncture also appears to be a safe and effective treatment for
relieving chronic pain in children.
In a study of 55 children with chronic pain, those who received eight acupuncture sessions (each lasting about 30
minutes) reported significant reductions in pain and improved quality of life.16
The World Health Organization (WHO) conducted an extensive review and analysis of clinical trials related to
acupuncture and reported the procedure has been proven effective for the following diseases:19
✓ Acute epigastralgia (in peptic ulcer, acute and ✓ Facial pain (including craniomandibular
✓ Headache
chronic gastritis, and gastrospasm) disorders)
✓ Induction of
✓ Essential hypertension ✓ Primary hypotension
labor
✓ Low back
✓ Knee pain ✓ Leukopenia
pain
✓ Nausea and
✓ Correction of malposition of fetus ✓ Morning sickness
vomiting
✓ Rheumatoid
✓ Postoperative pain ✓ Renal colic
arthritis
✓ Sciatica ✓ Sprain ✓ Stroke
✓ Tennis elbow
Additionally, acupuncture has also shown a therapeutic effect for treating the following diseases and conditions, which
range from premenstrual syndrome (PMS) and addictions to whooping cough, although further research is needed:
✓ Chronic cholecystitis,
✓ Bronchial asthma ✓ Cancer pain ✓ Cardiac neurosis
with acute exacerbation
✓ Fibromyalgia and
✓ Female infertility ✓ Facial spasm ✓ Female urethral syndrome
fasciitis
✓ Male sexual
✓ Lactation deficiency dysfunction, non- ✓ Ménière disease ✓ Postherpetic neuralgia
organic
✓ Pain in
✓ Polycystic ovary syndrome ✓ Postextubation in
✓ Pain due to endoscopic examination thromboangiitis
(Stein-Leventhal syndrome) children
obliterans
✓ Premenstrual
✓ Postoperative convalescence ✓ Chronic prostatitis ✓ Pruritus
syndrome
✓ Radicular and pseudoradicular pain ✓ Primary Raynaud ✓ Recurrent lower urinary ✓ Reflex sympathetic
syndrome syndrome tract infection dystrophy
✓ Temporomandibular
✓ Sore throat (including tonsillitis) ✓ Acute spine pain ✓ Stiff neck
joint dysfunction
The term acupuncture is often used to describe all of these modalities, as each has shown similar benefits. This
means that if you like the idea of trying a natural, ancient technique like acupuncture, but don’t like the idea of having
needles inserted into your body, there are needle-free alternatives, such as the Emotional Freedom Techniques, or
EFT, you can try that may offer many of the same benefits.
If you decide to try out traditional acupuncture, be aware that the success of your treatment depends on the expertise
of your practitioner. While there are acupuncturists that have general specialties, there are also those that specialize in
different health conditions, such as pain relief, depression, infertility or neurological disorders. Choose an acupuncturist
that is experienced in your area of need who will work with you to develop a plan for healing.
Sources:
Molecular Neurobiology February 2015
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