Acupuncture Side Effects and Complications
Primum non nocere,
"first do no harm."
Hippocrates.
Acupuncture is perhaps
one of the safest medical procedures.
Complications and
negative side effects are always undesirable and detrimental in nature.
Positive side effects stand for unintended benefits from the treatment.
According to exhaustive
searches of the medical literature worldwide, complications from acupuncture
are extremely rare, and positive side effects are common.
However, all
complications and adverse effects must be acknowledged, studied, analyzed, and
ultimately prevented.
Side effects, negative
and positive:
Over a quarter of all
acupuncture treatments result in positive side-effects. As many of these, such
as improved sleep and euphoria, can significantly improve quality of life their
occurrence is of more than passing interest. Thus acupuncture treatment is not
only safer than much conventional treatment, but the side-effects of
acupuncture, are most likely to be perceived by the patient as a positive
benefit of treatment.
In October 2001, Dr.
Eva Haker, from the Karolinska Institute in Stockholm presented a paper to over
150 doctors on the side-effects, both positive and negative in over 9,000
acupuncture treatments. (read the article)
Positive side-effects
were nearly twice as common as negative ones. Most commonly experienced were a
pleasant feeling of fatigue (15%), a calmness (5%) and improved sleep (4.2%).
Also reported were euphoria, relaxation and alertness.
Only in a few extreme
cases, these general non-specific effects of acupuncture can be profound to the
point of disorientation, dizziness, and even fainting.
Patients, especially
after the first treatment should be more cautious in driving. A half-hour
recovery period after a session for new patients would be considered prudent.
A common side effect
reported by patients with chronic conditions is the temporary aggravation of
symptoms for a few days usually after the second session. This is known as a "healing
crisis", and is not a cause for alarm.
Pregnancy or suspected
pregnancy should be reported. Some acupuncture points should not be stimulated
during pregnancy.
Complications:
In rare cases, the
following complications have been reported:
- pneumothorax from
excessive needle manipulation and over-stimulation;
- infection from
contaminated needles;
- local skin reactions,
metal allergy;
- local bruises (more
likely if a patient is taking anticoagulants);
- burns from
moxibustion;
- broken needle;
"stuck" needle; forgotten needles;
Also, an indirect
adverse event of acupuncture treatment may include delayed conventional
diagnosis and therapy when failure to receive more appropriate
"standard" allopathic intervention in a timely fashion can lead to
medical emergency (although this statement is open for interpretations).
Generally,
complications seem to relate to poor hygiene and inadequate training, as well
as to overconfidence of the acupuncturist.
The ultimate way to
avoid infection from blood-born pathogens is the use of sterile and disposable
single-use needles.
In conclusion,
acupuncture performed by well-trained seasoned practitioner is a very safe
treatment modality, and the unintended effects of acupuncture treatment also
turn into advantage.
The growing interest in
acupuncture helps the public awareness about the benefits of acupuncture and
curiosity about its potential. The popularity of acupuncture sometimes tempts
the media and film makers to use it as a special effect to bring dramatic
images to tease people's imaginations.
This is an actual
question that we have received from one of our readers.

"Kiss of the Dragon"
point
Quote from
"On-line Questions and Answers":
Date: 02/24/2003
From: Michael Kilby
Question:
I know this may seen
like a retarded question, but last I saw the movie "Kiss of The
Dragon" and Jet Lee in the movie had this wrist band with acupuncture
needles on it and throughout the movie (to stop his enemies) he would stick a
needle and this would basically paralyze them so they could not move. Well, he
also used a needle on this bad guy and placed it on the upper part of his neck.
It (of course) paralyzed him and sent the blood to his brain and he had blood
pouring out his eyes. Pretty cool actually.
I think that part was
Hollywood style, but I was just curious if you can paralyze someone by placing
a needle on certain areas of the body.
Yes, it is a Hollywood
style movie. Nevertheless, your question is very interesting. The "Kiss of
the Dragon" point is actually point 15 of the Governing Vessel.
It is a popular and
widely used point for therapeutic purposes. It is also known in the martial
arts as a knock-out point and even as a lethal point.
Therapeutic needling
requires great caution as the incorrect angle of the needle insertion can (in
theory) direct the needle into the cerebellum and even into the brain stem.
The effect may be very
harmful (just another reason to make sure that your acupuncturist is qualified
and experienced). However, in practice, no adverse effects associated with this
point were ever reported in the medical literature. To do harm by needling this
point, an acupuncturist must be extremely ignorant, arrogant and very creative
at the same time. Or, it would require secret knowledge and special skill
available only to select Hollywood stars.
I prepared a diagram to
illustrate this information
Thank you for the
remarkable question. With your permission, I will publish it. And, by the way,
Jet Li in that movie was magnificent, as always. I am a big fan of his .
Alex Tatevian, DA
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