This.tyle.lso uses the Extra Meridians or Extraordinary Vessels, which balance the meridians. Acupressure is often called acupuncture without the needles. In 2008 a study determined that the use of acupuncture-needle treatment on children was “questionable” due to the possibility of adverse side-effects and the pain manifestation differences in children versus adults. Traditional Reiko practitioners use the whole hand with light contact to channel energy and relieve pain. Mayo Clinic, Rochester, Finn. During an acupressure session, you lie fully clothed on a soft massage table. As healing energy flows through the meridians, it governs blood circulation and harmonizes all functions of the body. Most believe that the gradual pressing and releasing of pressure points help make the treatments more effective. 20 Perform acupressure when your body is in the right state. Korean acupuncture uses copper needles and has a greater focus on the hand. 39 The skin is sterilized and needles are inserted, frequently with a plastic guide tube. People also use the thumb, too. The study also includes warnings against practising acupuncture on infants, as well as on children who are over-fatigued, very weak, or have overeaten. 238 When used on children, acupuncture is considered safe when administered by well-trained, licensed practitioners using sterile needles; however, a 2011 review found there was limited research to draw definite conclusions about the overall safety of paediatric acupuncture. 5 The same review found 279 adverse events, 25 of them serious. 5 The adverse events were mostly mild in nature e.g. bruising or bleeding. 5 The prevalence of mild adverse events ranged from 10.1% to 13.5%, an estimated 168 incidences among 1,422 patients. 5 On rare occasions adverse events were serious e.g. cardiac rupture or hemoptysis ; much might have been a result of substandard practice. 5 The incidence of serious adverse events was 5 per one million, which included children and adults. 5 When used during pregnancy, the majority of adverse events caused by acupuncture were mild and transient, with few serious adverse events. 239 The most frequent mild adverse event was needling or unspecified pain, followed by bleeding. 239 Although two deaths one stillbirth and one neonatal death were reported, there was a lack of acupuncture-associated maternal mortality. 239 Limiting the evidence as certain, probable or possible in the causality evaluation, the estimated incidence of adverse events following acupuncture in pregnant women was 131 per 10,000. 239 Although acupuncture is not contraindicated in pregnant women, some specific acupuncture points are particularly sensitive to needle insertion; these spots, as well as the abdominal region, should be acupuncture courses avoided during pregnancy. 2 Four adverse events associated with moxibustion were bruising, burns and cellulitis, spinal epidural abscess, and large superficial basal cell carcinoma. 17 Ten adverse events were associated with cupping. 17 The minor ones were keloid scarring, burns, and bullae ; 17 the serious ones were acquired haemophilia A, stroke following cupping on the back and neck, factitious panniculitis, reversible cardiac hypertrophy, and iron deficiency anaemia . 17 A 2013 meta-analysis found that acupuncture for chronic low back pain was cost-effective as a complement to standard care, but not as a substitute for standard care except in cases where co morbid depression presented. 20 The same meta-analysis found there was no difference between sham and non-sham acupuncture. 20 A 2011 systematic review found insufficient evidence for the cost-effectiveness of acupuncture in the treatment of chronic low back pain. 21 A 2010 systematic review found that the cost-effectiveness of acupuncture could not be concluded. 94 A 2012 review found that acupuncture seems to be cost-effective for some pain conditions. 240 Risk of forgoing conventional medical care As with other alternative medicines, unethical or naive practitioners may induce patients to exhaust financial resources by pursuing ineffective treatment. 7 241 Profession ethical codes set by accrediting organizations such as the National Certification Commission for Acupuncture and Oriental Medicine require practitioners to make “timely referrals to other health care professionals as may be appropriate.” 242 Stephen Barrett states that there is a “risk that an acupuncturist whose approach to diagnosis is not based on scientific concepts will fail to diagnose a dangerous condition”. 243 Main articles: Qi, Traditional Chinese medicine, Meridian Chinese medicine, and Acupuncture point Old Chinese medical chart of acupuncture meridians Acupuncture is a substantial part of traditional Chinese medicine ACM. 6 Early acupuncture beliefs relied on concepts that are common in ACM, such as a life force energy called qi. 244 Qi was believed to flow from the body's primary organs zang-fu organs to the “superficial” body tissues of the skin, muscles, tendons, bones, and joints, citation needed through channels called meridians. 245 Acupuncture points where needles are inserted are mainly but not always found at locations along the meridians. 246 Acupuncture points not found along a meridian are called extraordinary points and those with no designated site are called “A-shi” points. 246 In ACM, disease is generally perceived as a disharmony or imbalance in energies such as yin, yang, qi, xuĕ, zàng-fǔ, meridians, and of the interaction between the body and the environment. 247 Therapy is based on which “pattern of disharmony” can be identified. 248 249 For example, some diseases are believed to be caused by meridians being invaded with an excess of wind, cold, and damp. 250 In order to determine which pattern is at hand, practitioners examine things like the colon and shape of the tongue, the relative strength of pulse-points, the smell of the breath, the quality of breathing, or the sound of the voice. 251 252 ACM and its concept of disease does not strongly differentiate between the cause and effect of symptoms. 253 Scientific research has not supported the existence of qi, meridians, or yin and yang. n 1 25 26 A Nature editorial described ACM as “fraught with pseudo-science”, with the majority of its treatments having no logical mechanism of action . 254 Quackwatch states that “ACM theory and practice are not based upon the body of knowledge related to health, disease, and health care that has been widely accepted by the scientific community. It is located on the arm. 32 Make a thumbs up. Releasing the point gradually is believed to allow the tissues to heal by giving them time to respond to the release in pressure. Acupressure can help balance these symptoms. Some believe that this stimulation boosts your body's natural painkillers and increases blood flow.
The.ip of the needle should not be made too sharp to prevent breakage, although blunt needles cause more pain. 50 Apart from the usual filiform needle, other needle types include three-edged needles and the Nine Ancient Needles. 49 Japanese acupuncturists use extremely thin needles that are used superficially, sometimes without penetrating the skin, and surrounded by a guide tube a 17th-century invention adopted in ChiCa and the West. For some pressure points, the fingers may be too thick. Many East Asian martial arts also make extensive study and use of acupressure for self-defence and health purposes, chin Ca, tu na .