Is acupuncture really ancient Chinese medicine? Does it work? Is it safe?
This ancient Chinese medical tradition stretches back over 3,000 years, the wisdom of the ancients producing medically valid results even today. As in antiquity, slender needles are inserted at precise meridian points on the body and manipulated by a skilled practitioner. Each acupuncture point relates to a specific organ or function in the body, and the practice manipulates the body’s energy, or qi to manage pain and treat a host of conditions including allergies, asthma, headaches, sciatica, insomnia, depression, high blood pressure, fibromyalgia, constipation, and even sexual dysfunction. Acupuncture is, in short, a venerable medical miracle.
Or is it? Let’s cast a skeptical eye at one of the most popular “alternative” medical modalities in the modern world.
Exactly how ancient is acupuncture? Not nearly as ancient as you may think. The first clue is right there in the hands of the acupuncturist: Those slender, flexible, stainless steel needles. The technology to make them didn’t even exist until about 400 years ago.
There are even more historical clues. The Chinese have long kept detailed records. When we examine them we do, indeed, find references to a practice called needling, but the earliest dates to about 90 BCE. The needles from that era were large, and the practice of needling refers to bloodletting and the lancing of abscesses, a treatment nothing like today’s acupuncture. Earlier Chinese medical texts, some reaching back to the 3rd century BCE, never even mention it. There’s no evidence at all that acupuncture is anywhere near 3,000 years old.
No matter. At least acupuncture is Chinese, right? Maybe not.
Chinese scholar Paul Unschuld thinks that the practice may have started in ancient Greece, with Hippocrates of Cos, and later spread to China. A fundamental feature of acupuncture, namely the special meridian points where the needles must be placed, can be traced to the medieval Islamic and European ideas of astrology mapped onto the body. This rather obvious link led researcher Ben Kavoussi to call acupuncture “Astrology with needles” He writes:
…for most of China’s long medical history, needling, bloodletting and cautery were largely practiced by itinerant and illiterate folk-healers, and frowned upon by the learned physicians who favored the use of pharmacopoeia.
Accounts of Chinese medicine first reach Europe in the 13th century. None of them even mentioned acupuncture. Wilhelm Ten Rhijn, writing in 1680, was the first Westerner to reference acupuncture. But what he described bears little resemblance to the acupuncture of today. There was no mention of qi, which is sometimes translated as chi, or any specific points. He spoke of large gold needles that were implanted deep into the skull or womb and left in place for 30 respirations.
The first American acupuncture trials were in 1826, when it was seen as a possible method of resuscitating drowning victims. As Dr. Harriet Hall describes it, “They couldn’t get it to work and ‘gave up in disgust.’ I imagine sticking needles in soggy dead bodies was pretty disgusting.”
Even through the early part of the 20th century nobody spoke of qi or meridians. Practitioners merely inserted needles near the point of pain. In fact, qi used to refer to the vapor arising from food, and the meridians were called channels or vessels, which is part of acupuncture’s link to medieval astrology and vitalism.
So just when and where did meridians enter the picture, and qi finally become some kind of energy?
Alternative Medicine’s best friend, and in my opinion largely responsible for what popularity it has, is a gullible media. I had thought we were turning a corner, and the press were over the gushing maximally clueless approach to CAM, and were starting to at least ask some probing questions (like, you know, does it actually work), but a 2006 BBC documentary inspires a more pessimistic view.
The documentary is part of a BBC series hosted by Kathy Sykes: Alternative Medicine, The Evidence. This episode is on acupuncture. The episode is from 2006, but was just posted on YouTube as a “2014 documentary.” Unfortunately, old news frequently has a second life on social media.
First, let me point out that Sykes is a scientist (a fact she quickly points out). She is a physicist, which means that she has the credibility of being able to say she is a scientist but has absolutely no medical training. It’s the worst case scenario – she brings the credibility of being a scientist, and probably thinks that her background prepares her to make her own judgments about the evidence, and yet clearly should have relied more on real experts.
She does interview Edzard Ernst in the documentary, but he mainly just says generic statements about science, rather than a thorough analysis of specific claims. I wonder what gems from him were left on the cutting room floor.
The documentary does get better in the second half, as she starts to mention things like placebo effects, and the problems with the evidence-base for acupuncture. But she follows a disappointing format – setting up a scientific premise, then focusing on the positive evidence. There is a clear narrative throughout, that acupuncture is amazing and surprising.
about what makes a person a terrorist
Recently in one of skeptics groups that I belong to on Facebook someone posted this picture they found on a conspiracy theorist group:
Apparently conspiracy theorists believe that because some people believe or do certain then that makes them a “terrorist”.
This picture is one of the most blatant examples of persecution complex that I have seen in a while and kind of shows the mindset of a conspiracy theorist.
I’m going to go through all of these claims and explain why believing in these things does not make you a domestic terrorist:
You raise/grow your own food
Why would this make you a domestic terrorist? The answer is it doesn’t.
Millions of people across the country grow their own food in one way or another, be it either in small plots as a hobby (as my dad does) and as a way to have fresh fruits, herbs, and vegetables, or in greenhouses, or in large fields that provide enough food to feed their entire family. Heck, even the White House has it’s own vegetable garden.
If growing your own food made you a domestic terrorist, then why wouldn’t the government just go around to everyones’ houses and destroy their gardens and green houses? Or pass laws that make it illegal to grow your own food? They wouldn’t because growing your own food is harmless and effects no one.
Opposing GMO foods does not make you a terrorist. It might make you someone who doesn’t understand the science behind GMO foods, or someone who has embraced anti-GMO propaganda, but not understanding science or embracing some group’s claims without questioning them doesn’t make you a terrorist.
If opposing GMO foods made you a terrorist then there would be no organic foods in any grocery store or farmers market anywhere, and no laws meant to either label GMO foods or prevent them from being grown or sold would ever be proposed, much less passed.
Prefer natural medicines
If this was true then how come the National Center for Complementary and Alternative Medicine, a official United States government agency that researches and promotes things like natural medicines, even exists?
While the government does restrict multiple types of alternative and natural medicines, this is only because some of them are dangerous, or the manufactures claim it can do something when infact it cannot.
If natural medicines made a person a terrorist then all forms of alternative medicine would be illegal and people who sale it or even promote it would be going to prison.
Refusing vaccines does not make you a terrorist as there no laws that say that you have to get vaccinated. However, it does make you dangerous to others, as well as your own self as it puts you at greater risk for getting infected with a disease that could kill you, as well as spreading said disease to others who either weren’t vaccinate because they also choose not to (or their parents choose not to have them vaccinated) or a person whom couldn’t get vaccinate for various medical reasons, or someone whom did get vaccinated but the vaccine did not take affect for some reason.
Have a Ron Paul bumper sticker
This does not make you a terrorist, it just makes you someone who likes Ron Paul and refuses to accept the reality that he’ll never be President, and someone who doesn’t know when to take a bumper sticker off of their car.
Another improperly done and ineptly reported acupuncture study has appeared. Julie Medew is the health editor for The Age, an Australian newspaper with an online presence. She authored an article yesterday with the headline:
The headline is accurate but falsely implies that acupuncture was effective, which most people will probably take to mean that acupuncture, by some as yet undiscovered means, really relieves pain. Many people will also jump to the conclusion that this is a good thing because drugs have side effects and acupuncture doesn’t. Is that true? It’s not obviously true or intuitively true. We need evidence before we should accept such a claim. Many people will also jump to the conclusion that this is a good thing because acupuncture is cheaper than pain pills. Is that true? If it is, it is not obviously true or intuitively true. Where’s the evidence?
Anyway, the study was done by the Royal Melbourne Institute of Technology’s [RMIT] school of health sciences in conjunction with emergency physicians at four hospitals. I’d never heard of RMIT until yesterday. The website says it is a university and the health sciences webpage says:
The School of Health Sciences engages in teaching and research in Complementary Medicine, Nursing and Midwifery, and Psychology.
We recognise that many of the greatest advances in Science are made at the intersections of disciplines. With our strong interdisciplinary approach we have set our sights on establishing an evidence base for the quality, safety and effectiveness of interventions for the ageing population and those with chronic diseases. Our research findings inform clinical teaching and advance the treatment of patients.
One can only hope that the quality of research in other areas investigated by this institution is superior to that reported on by Ms. Medew. According to her, the “randomised controlled study of about 550 patients” gave acupuncture to some and a”strong oral analgesia, such as Endone, Panadeine Forte, Voltaren and Valium” to others. Medew reports that Dr Michael Ben-Meir “said it showed acupuncture offered the same level of pain relief as analgesic drugs when patients rated their pain one hour after treatment.” You read that right. The conclusion that acupuncture is as effective as pain pills was based on asking the patients about their pain level one hour after treatment. Was there a group of patients in the study who were give a dummy pain pill or fake acupuncture? No, but there was a group given both acupuncture and a pain pill. Guess what? After one hour, their reported pain level didn’t differ from those given only acupuncture or only a pain pill.
The word “pseudoscience” is used to describe something that is portrayed as scientific but fails to meet scientific criteria.
This misrepresentation occurs because actual science has creditability (which is to say it works), and pseudoscience attempts to ride on the back of this credibility without subjecting itself to the hard intellectual scrutiny that real science demands.
Other things typically branded pseudoscience include astrology, young-Earth creationism, iridology, neuro-linguistic programming and water divining, to name but a few.
What’s the difference?
Key distinctions between science and pseudoscience are often lost in discussion, and sometimes this makes the public acceptance of scientific findings harder than it should be.
Other misconceptions about science include what the definition of a theory is, what it means to prove something, how statistics should be used and the nature of evidence and falsification.
Because of these misconceptions, and the confusion they cause, it is sometimes useful to discuss science and pseudoscience in a way that focuses less on operational details and more on the broader functions of science.
What is knowledge?
The first and highest level at which science can be distinguished from pseudoscience involves how an area of study grows in knowledge and utility.
The philosopher John Dewey in his Theory of Inquiry said that we understand knowledge as that which is “so settled that it is available as a resource in further inquiry”.
This is an excellent description of how we come to “know” something in science. It shows how existing knowledge can be used to form new hypotheses, develop new theories and hence create new knowledge.
It is characteristic of science that our knowledge, so expressed, has grown enormously over the last few centuries, guided by the reality check of experimentation.
In short, the new knowledge works and is useful in finding more knowledge that also works.
No progress made
Contrast this with homeopathy, a field that has generated no discernible growth in knowledge or practice. While the use of modern scientific language may make it sound more impressive, there is no corresponding increase in knowledge linked to effectiveness. The field has flat-lined.
At this level of understanding, science produces growth, pseudoscience does not.
To understand this lack of growth we move to a lower, more detailed level, in which we are concerned with one of the primary goals of science: to provide causal explanations of phenomena.
by Yau-Man Chan via Skepticblog
To understand TCM, you do not need to understand chemistry, biology, anatomy or physiology because the foundation of TCM has nothing to do with them. You need instead to understand Taoism and Confucianism, as these philosophies are the founding principles of TCM. I will expend some ink here to explain these two very powerful underlying influences on Chinese society which gave rise to their understanding of the human body and the attendant medical fallacies.
Via Skeptical Raptor
If you read something that makes some medical claim, here’s a quick and easy checklist to determine if it’s pseudoscience. Or real science-based medicine.
- The discoverer pitches his claim directly to the media. Going to media directly bypasses the all-important peer-review process, where real scientists can evaluate whether the claim is real science. There are some journalists that are thorough scientific skeptics, but it is rare. That’s why press releases rank near the bottom of acceptable scientific evidence.
- The discoverer says that a powerful establishment is trying to suppress his/her work. Special pleading for a conspiracy is just a logical fallacy. If someone discovers a cure for all cancers (probably not possible, since there are so many different cancers), the powers that be will be bringing truckloads of dollars to buy it, because they could market it for even more truckloads of money. But if you have no evidence that it cures all cancers, you’re not going get anything.
- The scientific effect is always at the very limit of detection. This is the very definition of “it doesn’t work.” Moreover, if the thing being promoted has a tiny effect, then more of it will have more of an effect, the typical dose-response relationship expected from all compounds.
- Evidence for a discovery is anecdotal. Anecdotes are not data. More anecdotes are not data. Anecdotes are not controlled, but they are subject to all sorts of bias. Like confirmation bias, where the observer only picks anecdotes that support their belief. The problem with that is we have no idea if the anecdote is, in fact, accurate; and we ignore all the data that does not support the anecdote. Randomized clinical trials remove bias, remove observer partiality, and blind the patients and the researchers to the experiment itself.
Why do some people continue to use alternative medicine?
Despite all the information there is about alternative medicine and how not only does it not work, but that infact it can even be harmful, people still use it and believe that it really does work.
So why is it that people still use alternative medicine? Well, I’ve been thinking about that, and I’ve come up with quite a few reasons why:
Science based medicine is an incredible thing and can cure many diseases and fix a lot of things that can go wrong with the human body, but unfortunately it can’t cure every disease, or fix everything that goes wrong with our bodies (not yet atleast). So when science based medicine can’t fix or cure what ever is wrong with us (or atleast not doing so in a way that is fast enough for us) some people, even rational people, might become desperate enough to use alternative medicine.
This sort of situation especially happens when someone has a terminal disease and they are told by their doctor that there is nothing they can do to cure what ever it is that is killing them. Some people will not accept this and will seek out anything that is claimed to be able to cure them (even if all the evidence says otherwise).
They think it’s cheaper
Because alternative medicine isn’t manufactured by the pharmaceutical companies (who are for profit businesses) it is assumed by some people that alternative medicine must be cheaper than science based medicine because they believe that the people who are manufacturing these alternative medical products are not doing it for a profit, plus when a person is told about a product that is suppose to be cheaper and work better than the conventional product, people tend to buy the supposedly cheaper product.
Now if you seriously believe that alternative medicine is cheaper than science based medicine, and that people who make these alternative medical products are not doing so for a profit, then I know a Nigerian prince that wants to give you $15,000,000.
A friend told them it works
Probably the best form of advertising there is is word of mouth. You don’t do have to pay for anything, and people tend to trust the opinion of a friend or family member over a creative ad in a newspaper or a TV commercial. Same thing holds true with alternative medicine.
Lets say you’ve been sick for a while and you have been taking some medicine for what ever has been ailing you, but so far it has had little to no affect. You tell a friend or a family member about your health issues and they might recommend that you take some herbs, or to go see this “doctor” that they recommend (who turns out to be an alternative medicine practitioner and not a real doctor) because they claim that it helped them, or it helped someone they know. Because you trust the person whom is recommending this “doctor” or this product, you might be more willing to see this “doctor” or try this product than you would if some stranger had told you.
Science based medicine can be harsh
Science based medicine (or modern medicine, or real medicine as some people like to call it) is a great thing. It has cured a lot of stuff, and has extended our average life expectancy by years, but it can also be pretty harsh at times as well. Because of this some people might either choose to stop using a science based medical treatment because they feel that it has become to harsh on them and that they believe that it might kill them if they continue to use, and so they decided to use alternative medicine instead because they believe it will help them without any side effects, or they might already know (or atleast believe) that the medical treatment that they’ve been recommend that they do could or will be harsh on them, and they decide to forgo it and use alternative medicine instead.
- Prince Charles and homeopathy: crank or revolutionary? (telegraph.co.uk)
- Affordable Care Act Raises Status Of Alternative Medicine; Insurance Companies ‘Shall Not Discriminate’ Against Practitioners (medicaldaily.com)
- Integrative Medicine’s Collateral Damage|Jann Bellamy|Science-Based Medicine (sciencebasedmedicine.org)
- Indian board of alternative medicines fake? Talking about Alternative medicines (altmedworld.wordpress.com)
- Is Indian board of alternative medicines fake? Orthodox Medicine Vs Alternative Medicine (altmedworld.wordpress.com)
- Because the world needs more Mark CrislipTM|Mark Crislip|Science-Based Medicine (sciencebasedmedicine.org)
- Can the IoE Revolutionize Alternative Medicine? (blogs.cisco.com)
- Online USA Doctors is Now Offering Complimentary, Alternative Medicine (prweb.com)
- This Is Actually A Fast Breakdown Of Alternative Medicine (healthmarketpress.wordpress.com)
by Dr. Steve Novella via www.randi.org
In June of 2009 the British Homeopathic Association declared “homeopathy awareness week.” I obliged by writing a post making the public more aware of the superstitious nonsense that is homeopathy. I, in fact, want people to be aware of exactly what homeopathy is, because most of the public does not know what absurd pseudoscience it is.Now I have to extend the favor to naturopathy – because the US has declared October 7-13 Naturopathy Awareness Week. They managed to squeeze in this critical vote prior to shutting down the government. Here is the resolution:
S.Res.221 – A resolution designating the week of October 7 through October 13, 2013, as “Naturopathic Medicine Week” to recognize the value of naturopathic medicine in providing safe, effective, and affordable health care.
Sen. Barbara Mikulski (D-MD), who apparently is enamored of alternative medicine, sponsored the resolution. The resolution is not a law and does not have any specific effects, but it is concerning none-the-less. Pseudoscientists are always desperate for the trappings of legitimacy and respect. They have become quite good and finding creative ways to make it seem like their nonsense is legitimate, because they cannot gain the one true measure – actual scientific legitimacy.
Naturopaths could, for example, conduct high quality clinical research that would establish in a convincing way that one or more of their preferred treatment methods are safe and effective, equal to or superior to standard medical care. They can’t do that, however, because their treatments are largely nonsensical and worthless, so instead they seek to have naïve politicians give them the recognition they crave.
Here is how naturopaths define their approach:
Naturopathic medicine is a distinct primary health care profession, emphasizing prevention, treatment, and optimal health through the use of therapeutic methods and substances that encourage individuals’ inherent self-healing process. The practice of naturopathic medicine includes modern and traditional, scientific, and empirical methods.
This, of course, is propaganda and spin. They claim to use “scientific and empirical methods,” but that is mainstream science-based medicine. If they really used scientific and empirical methods, they would be practicing mainstream medicine.
The focus on the “inherent self-healing process” is a little closer to the truth, in that they tend to use modalities that make that claim. CAM practitioners in general have relied upon the “self-healing” gambit because they cannot actually treat diseases or identifiable entities – because their treatments do not work, because they are not based in reality.
Saying that a treatment “supports the body’s self-healing ability” is just hand-waving marketing hype. It gets around the fact that they do not have a plausible biological mechanism addressing a specific biological problem.
This claim is often attached to energy-based or vitalistic treatments, those that are based on the pre-scientific superstition that living things have their own “life energy” which is responsible for health. No such life energy exists, and therefore any practice based upon the notion of such energy is hopelessly worthless.
In practice naturopaths cobble together a wide range of unscientific, disproven, discarded, and fanciful treatments. They seem to prefer treatments that do not work to those that are safe and effective. Since regular medicine uses science to determine which treatments are safe and effective, this is the only way to distinguish themselves.
- Quackery Awareness Week (randi.org)
- Thanks to the U.S. Senate, the week of October 7 to 13, 2013 is now Quackery Week [Respectful Insolence] (scienceblogs.com)
- Naturopathic Medicine Week 2013, or: Quackery Week 2013 (sciencebasedmedicine.org)