Guidelines for acupuncture RCTs

Inspired by He et al 2022 and Gang et al 2022.[1,2] Photo Kerry Hu on Unsplash. A panda in Chengdu. RCTs – randomised controlled trialsSR – systematic reviewCAM – complementary and alternative medicineCAIM – complementary alternative and integrative medicineLBP – low back painkey to acronyms I rarely refer to protocols on this blog. One exception … Continue reading Guidelines for acupuncture RCTs

CIPN 2020 plus FFP & FWB

Stimulated by Bao et al 2020,[1] and a few others. Image from the pre-digital era.This is yours truly after a dip in the Gulf of Mexico, somewhere close to Fort Walton Beach (FWB) in January 1990. I imagine my peripheries were a bit tingly for a few minutes. Thus, with one old image I am … Continue reading CIPN 2020 plus FFP & FWB

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

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

The problem with sham

Inspired by an invitation to present on the topic to politicians in Madrid who apparently want to stop the practice of acupuncture by doctors in Spain - 18 January 2019. I have been lecturing on the scientific perspectives of acupuncture around the globe for over two decades. I have numerous PowerPoint slides to call upon, … Continue reading The problem with sham

20000 needles…

Inspired by Ronel et al Mil Med 2018.[1] My first blog of 2019 and I have been struggling to find inspiration. That is what comes from setting yourself an arbitrary target rather than just waiting for something divine. The former is driven by the modern requirements of a social media presence, and the latter is … Continue reading 20000 needles…

Acupuncture for infantile colic – misdirection in the media or over-reaction from a sceptic blogger?

This blog was first published on 26th January 2017 on https://blogs.bmj.com/aim/. At the time I was in Cape Town on holiday, trying to get a rapid response published to the NG59 summary in the BMJ. It was critical of NICE, and I was negotiating over content with a legal expert from BMJ! The response took three … Continue reading Acupuncture for infantile colic – misdirection in the media or over-reaction from a sceptic blogger?