Acupuncture non-inferior to NRT

Inspired by Wang et al Chest 2018.[1] Photo by David Yanutama on Unsplash. I am a bit slow to comment on this paper that was published nearly a year ago. This morning a colleague from Madrid asked my opinion on an earnest letter dismissing the research.[2] I had a quick look over both and thought the original … Continue reading Acupuncture non-inferior to NRT

Cranial epidural abscess

Inspired by Priola et al 2019.[1] This is the first reported case of a cranial epidural abscess as a likely complication of acupuncture treatment. The report was written by the specialist neurosurgical team under whom the patient was admitted. This is often the case in such unusual and serious adverse events, but it also limits … Continue reading Cranial epidural abscess

Too Earnest about Evidence

Inspired by observation and inequity… and a question from a patient in my clinic yesterday. In 1996 Sackett et al wrote an editorial in the BMJ titled:[1] Evidence based medicine: what it is and what it isn’t. The subtitle ran thus: It's about integrating individual clinical expertise and the best external evidence. Note that individual … Continue reading Too Earnest about Evidence

EA vs conventional Rx in MUI

Inspired by Liu et al. Mayo Clin Proc 2019.[1] Another huge trial from the team at the China Academy of Chinese Medical Sciences in Beijing. This follows on from two previous large multicentre trials,[2,3] both of which I have reported on in this blog: https://bmas.blog/2018/10/05/ea-for-chronic-severe-functional-constipation/ and https://bmas.blog/2018/10/11/ea-for-stress-urinary-incontinence/ Having established specific effects of electroacupuncture (EA) in … Continue reading EA vs conventional Rx in MUI