CHD incidence in RA and acupuncture

Inspired by Wu et al. BMC Complement Altern Med 2018.[1] The title of this paper is rather eye-catching for the Western medic: Acupuncture decreased the risk of coronary heart disease in patients with rheumatoid arthritis in Taiwan… Really? Are you suggesting that acupuncture is the next statin? Surely not! Well, let me start by saying … Continue reading CHD incidence in RA and acupuncture

Gastroparesis 2018

On the 18th December another Cochrane Review popped up on my daily PubMed search: Acupuncture for symptomatic gastroparesis.[1] Cochrane reviews are substantial pieces of work, with numerous peer and editorial review stages built in to the process. The rigorous approach to assessing bias and the adoption of the GRADE system to summarise findings often results … Continue reading Gastroparesis 2018

Hypertension 2018

The Chinese Cochrane Centre in Chengdu. In March 1999 the Chinese Cochrane Centre opened in Chengdu. Now that it has been established for some time, we are starting to see reviews on acupuncture that include the Chinese literature. I remember reviewing one on neuropathic pain for Cochrane,[1] but this one on hypertension was a surprise … Continue reading Hypertension 2018

Periosteal techniques 1963-2018

In July 2018 I gave a workshop on Western medical acupuncture theory and techniques to a group of Chinese Medicine doctors in Lanzhou New District. The workshop lasted a little over 4 days, and the participants did not seem to be familiar with periosteal needling. I was aware that in other parts of China the … Continue reading Periosteal techniques 1963-2018

A Tale of two Fridays

The following story was reported to me by a colleague from general practice. The details are altered somewhat to preserve anonymity, including the name of the teller, but regular readers will recognise some characteristic use of language and style. Safe angulation for needling quadratus lumborum near lower lateral attachment to the iliac crest. Dear Mike … Continue reading A Tale of two Fridays

Needling and spasticity

Inspired by Sánchez-Mila Acupunct Med 2018 [1] I have been curious about the potential effect of acupuncture needling in muscles with high tone since witnessing the rapid relief of lumbar muscle spasm following insertion of acupuncture needles whilst serving as a medical officer in the British military. Subsequently I have tried the technique (combined with … Continue reading Needling and spasticity

e-19th century

Papers from the early 19th century Inspired by Cloquet, Sarlandière, Pelletan, Carraro, and Pouillet, on Acupuncture. Edinburgh Med Surg J 1827;27:190–200. On the 25th October 2018 three rather unusual papers appeared on my PubMed search.[1–3] They were remarkable because they were nearly two centuries late! So I guess there is an ongoing process of digitising … Continue reading e-19th century

Another fatality

Inspired by Jian et al. Medicine 2018 Last Saturday (3rd November 5, 2018) I was lecturing on the BMAS Foundation Course, and during the morning coffee break I received one of my regular email alerts from PubCrawler – an Irish website that searches (or crawls) PubMed (the US National Library of Medicine) leaving you free to … Continue reading Another fatality

The one-needle wonder

A clinical vignette by Jens Foell (JF), edited by Mike Cummings (MC) Dr Jens Foell Bian Que is a prominent figure in the history of medicine. Allegedly he possessed x ray eyes and amazing healing properties. Legend says that he could cure people with one needle (eg getting an unconscious person back into action by needling Baihui - GV20). Performing … Continue reading The one-needle wonder

Needle migration in the neck

Comments by Michael Meinen (MM) and Mike Cummings (MC) This blog was first published on 24th August 2018 on https://blogs.bmj.com/aim/ Case report El-Wahsh S, Efendy J & Sheridan M. Migration of self-introduced acupuncture needle into the brainstem. J Neurosci Rural Pract 2018; 9(3): 434 – 436. Presentation An elderly man presented to an emergency department after … Continue reading Needle migration in the neck