Acupuncture
Specifically for Childhood Asthma
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Why it works for Childhood Asthma:
Neuro-immune modulation & anti-inflammatory effects. Reviews describe acupuncture activating autonomic reflexes (e.g., vagal/cholinergic anti-inflammatory pathways) and modulating immune balance (Th1/Th2, Treg/Th17), which are relevant to airway inflammation in asthma. These mechanisms are supported largely by animal and mechanistic human studies rather than definitive pediatric clinical trials. Frontiers
Potential biomarker changes. A 2025 systematic review/meta-analysis in children reported that acupuncture reduced serum IgE and IL-4 and increased IgA/IgG, with small improvements in FEV₁% predicted and peak expiratory flow (PEF). However, the authors rated much of the underlying evidence as low quality with risk of bias, and there was no benefit for FEV₁/FVC or pediatric asthma quality-of-life scores. Frontiers
How to use for Childhood Asthma:
If a family chooses to try acupuncture, expert and guideline sources stress doing so in addition to, not instead of, guideline-directed asthma therapy (inhaled corticosteroids, relievers, written action plan). NICE
Typical elements seen in pediatric trials and reviews (not a personal treatment plan):
- Who provides it: A licensed acupuncturist with pediatric experience, using sterile single-use needles (or non-needle approaches such as TEAS/laser in needle-averse children). AAP Publications
- Session frequency & duration: Commonly 1–2 sessions per week over 4–8 (sometimes 12) weeks; protocols vary by study and child’s age/phenotype. (Most trials were short-term adjunct courses.) Frontiers
- Common acupoints reported across studies: BL13 (Feishu), ST36 (Zusanli), Dingchuan (EX-B1), and CV17 (Shanzhong) appeared frequently in pediatric asthma trials/analyses. Frontiers
- Non-needle options sometimes studied: Transcutaneous electrical acupoint stimulation (TEAS), laser acupuncture, and press needles have been explored in children as adjuncts; evidence is mixed and often low quality. Frontiers
Keep in place:
- A written asthma action plan, reliever access, and preventive medicines per pediatric asthma guidance (NICE/BTS/SIGN; major pediatric hospitals). NICE
Scientific Evidence for Childhood Asthma:
Most authoritative summaries find insufficient or inconsistent benefit.
- Cochrane (chronic asthma, mixed ages): variable study quality and no consistent evidence of benefit; calls for better trials. Cochrane
- NCCIH clinical digest (May 2022): acupuncture may offer modest symptom improvements but no improvements in lung-function measures; evidence is limited. NCCIH
Pediatric-focused reviews:
- 2015 pediatric systematic review (7 studies, 410 children): small improvements in PEF variability in 2 RCTs; most other outcomes not different; overall methodological limitations. BioMed Central
- 2025 Frontiers meta-analysis (16 RCTs, n=1,675; adjunct to standard therapy): small improvements in FEV₁% predicted and PEF and favorable biomarker shifts, no benefit on FEV₁/FVC or pediatric asthma QoL; low-quality evidence with risk of bias—true effects may differ. Frontiers
- Individual trials: Some RCTs (including non-needle modalities like TEAS/laser) report short-term lung-function or symptom signals, but findings are heterogeneous and often not replicated. BioMed Central
Clinical guideline stance: Current mainstream pediatric asthma guidelines (UK NICE/BTS/SIGN pathway; hospital-based pediatric guides) do not recommend acupuncture as standard treatment, emphasizing inhaled corticosteroids, relievers, and action plans. Families choosing acupuncture should treat it as adjunctive. NICE
Specific Warnings for Childhood Asthma:
General pediatric safety profile: Systematic reviews indicate most adverse events (AEs) in children are mild and transient (pain, bruising). Serious AEs are rare but have occurred, often linked to substandard practice. AAP Publications
Serious but rare risks to know:
- Pneumothorax (collapsed lung): Rare cases—including pediatric cases—reported after acupuncture around the chest/upper back/shoulder. Immediate medical care is required if chest pain, shortness of breath, or cough occurs after a session. hkjpaed.org
- Infection/bleeding/vasovagal events: Large AE reviews in all ages note these risks; use of sterile, single-use needles and qualified practitioners reduces risk. BMJ Open
Do NOT use acupuncture as emergency care. During acute asthma attacks, follow the child’s action plan and emergency guidance; do not delay relievers or urgent medical care. Royal Children's Hospital
Use only as an adjunct to guideline care. Standard therapies (e.g., inhaled corticosteroids) are proven to reduce inflammation/exacerbations; do not stop or step down these without the child’s clinician. NHLBI, NIH
Situations needing extra caution or medical clearance:
- Bleeding disorders, anticoagulant use, immune compromise, significant cardiopulmonary disease, or chest procedures—discuss with the child’s clinician first. (Pneumothorax risk is higher with needling around thorax, and infection/bleeding risks are higher with coagulopathy/immunosuppression.) MDPI
- Very young children or needle-averse kids: Consider non-needle modalities studied in pediatrics (TEAS/laser) if pursuing adjunct therapy; evidence remains limited. Dove Medical Press
Choosing a practitioner: Look for licensing/registration and pediatric experience; NCCIH provides general safety information for families considering acupuncture. NCCIH
General Information (All Ailments)
What It Is
Acupuncture is a traditional Chinese medical practice that involves inserting very thin needles into specific points on the body, known as acupoints, to balance the flow of energy or “Qi” (pronounced “chee”). It is one of the oldest healing techniques in the world, originating in China over 2,500 years ago, and remains a central component of Traditional Chinese Medicine (TCM).
In modern healthcare, acupuncture is recognized as a complementary or integrative therapy often used alongside conventional medicine to help manage pain, stress, and various health conditions.
How It Works
From the Traditional Chinese Medicine perspective, acupuncture works by:
- Regulating the flow of Qi, the vital energy believed to circulate through pathways called meridians.
- Restoring balance between Yin and Yang, the two opposing but complementary forces that sustain health.
- Stimulating the body’s natural healing responses by correcting energy blockages or imbalances.
From a Western biomedical perspective, research suggests acupuncture works through several physiological mechanisms:
- Nervous System Activation – Needle stimulation triggers sensory nerves under the skin and in muscles, leading to the release of neurotransmitters such as endorphins, serotonin, and dopamine that reduce pain and promote well-being.
- Improved Circulation – Local microcirculation increases around needle sites, aiding tissue repair and reducing inflammation.
- Regulation of the Autonomic Nervous System – Acupuncture may balance the sympathetic (“fight or flight”) and parasympathetic (“rest and digest”) systems, reducing stress and promoting relaxation.
- Neurohormonal Modulation – It can influence the hypothalamus-pituitary-adrenal (HPA) axis, affecting hormone release and immune function.
Why It’s Important
Acupuncture plays a significant role in both traditional and modern healthcare for several reasons:
- Pain Management – It is widely used to treat chronic pain conditions such as back pain, osteoarthritis, migraines, and fibromyalgia, sometimes reducing the need for pain medications.
- Holistic Healing – It addresses both the symptoms and underlying causes of illness by promoting overall balance and well-being.
- Stress Reduction – Regular treatments can help regulate stress hormones and improve emotional resilience.
- Complementary Care – Acupuncture is often used alongside physical therapy, psychotherapy, or medication to enhance overall treatment outcomes.
- Preventive Benefits – Many practitioners and patients use acupuncture to maintain energy flow and prevent illness before it arises.
Considerations
Before beginning acupuncture, it’s important to consider the following:
- Safety – When performed by a qualified, licensed practitioner using sterile, single-use needles, acupuncture is very safe. However, risks like minor bruising, bleeding, or soreness at needle sites can occur.
- Qualifications – Always ensure your acupuncturist is licensed or certified according to local regulations.
- Medical Conditions – People with bleeding disorders, pacemakers, or who are pregnant should consult their healthcare provider before treatment.
- Integration with Western Medicine – Acupuncture should not replace conventional treatment for serious medical conditions but can complement it effectively.
- Individual Response – Effectiveness varies; some people experience immediate relief, while others may need several sessions for noticeable improvement.
Helps with these conditions
Acupuncture is most effective for general wellness support with emerging research . The effectiveness varies by condition based on clinical evidence and user experiences.
Detailed Information by Condition
Fibromyalgia
Targets central sensitization & pain modulation. FM is understood as a disorder of pain processing (heightened central sensitization with impaired...
Varicose Veins
Proposed mechanisms (physiology): Lab and translational work suggests acupuncture can trigger local nitric oxide (NO) release and vasodilation—i.e., i...
Restless Legs Syndrome
Acupuncture likely helps RLS by modulating neurotransmitters and pain pathways, improving local circulation and sleep, and reducing central nervous-sy...
Lupus
Symptom relief (pain, fatigue): A small randomized, controlled pilot trial in SLE found a 10-session course of acupuncture was feasible and appeared s...
Gallstones
Acupuncture at points like Jiuwei, Burong (right), Yanglingquan (right), and Zusanli (right) significantly influences the relaxation of the Oddi's sph...
Scoliosis
Pain modulation & muscle tone: Acupuncture can activate endogenous pain-inhibitory pathways (opioid, serotonergic/descending inhibition) and modul...
Sjogren’s Syndrome
Autonomic + neuropeptide effects on salivary glands. Sensory stimulation from needling can activate autonomic pathways and trigger release of neuropep...
Gastroparesis
Neurological Mechanisms:In someone with gastroparesis, acupuncture sends a signal to the brain via the vagus nerve, telling the stomach to work better...
Childhood Asthma
Neuro-immune modulation & anti-inflammatory effects. Reviews describe acupuncture activating autonomic reflexes (e.g., vagal/cholinergic anti-infl...
Breast Cancer
Guideline support (pain): The Society for Integrative Oncology and ASCO issued a joint clinical guideline recommending acupuncture (among other integr...
Lung Cancer
Cancer pain (adjunctive): Major guidelines from the Society for Integrative Oncology and ASCO recommend acupuncture as part of a multimodal approach t...
Colorectal Cancer
Nerve & brain circuits for pain: Needle stimulation activates A- and C-fiber afferents and engages central pain-modulating circuits; effects invol...
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Remedy Statistics
Helps With These Conditions
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