Auriculotherapy

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Auriculotherapy
Pontos de auriculoterapia.jpg
Acupuncture points in the ear.
Alternative therapy

Auriculotherapy (also auricular therapy, ear acupuncture , and auriculoacupuncture) is a form of alternative medicine based on the idea that the ear is a micro system and an external organ, which reflects the entire body, represented on the auricle, the outer portion of the ear. Conditions affecting the physical, mental or emotional health of the patient are assumed to be treatable by stimulation of the surface of the ear exclusively. Similar mappings are used by several modalities, including the practices of reflexology and iridology. These mappings are not based on or supported by any medical or scientific evidence, and are therefore considered to be pseudoscience. [1] [2] [3] [4]

Contents

History and development

French neurologist Paul Nogier invented auriculotherapy in 1957. [5] [6] Nogier developed a phrenological method of projection of a fetal Homunculus on the ear and published what he called the "Vascular Autonomic Signal" which measured a change in the amplitude of the pulse. [6] That mechanism would only produce a signal upon the introduction of new information to the electromagnetic field of the patient. [6] Nogier cited a 'principle of matching resonance' which he could use the vascular autonomic signal to detect the active points of the auricular microsystem. [6]

Nogier's Auricular acupuncture was introduced to China in 1958. [7] [8]

A variation of auriculotherapy called "ear stapling" involves the long-term insertion of a medical staple in the conchal bowl of the ear. [9] Advocates variously claim that the procedure aids in losing weight, stopping smoking, and managing stress. [10]

Battlefield acupuncture

In 2001 Richard Niemtzow developed a procedure he called "battlefield acupuncture", in an attempt to research more efficient relief for phantom limb pain and chronic pain for veterans. [3] [11] Battlefield Acupuncture involves placing gold aiguille semi-permanent needles at up to five sites in the ears. In 2018, the United States Department of Defense, the Veterans Center for Integrative Pain Management, and the Veterans Health Administration National Pain Management Program office completed a 3-year, $5.4 million acupuncture education and training program, which trained over 2800 providers in Battlefield Acupuncture. [12] Retired U.S. Air Force flight surgeon Harriet Hall characterized the Department of Defense's use of acupuncture and auriculotherapy as an embarrassing "infiltration of quackery into military medicine", a waste of tax dollars, and a potential harm to patients. [13]

Nogier points

The principles of auriculotherapy are contrary to known anatomy and physiology of the human body. [14] According to Nogier, the relevant structures include: [15]

Nogier claims that various points located on the ear lobe are related to the head, and facial region, those on the scapha are related to the upper limbs, those on the antihelix and antihelix crura to the trunk and lower limbs and those in the concha are related to the internal organs. [15]

Chinese Auricular Acupuncture

"Auricular acupuncture therapy is an important part of Traditional Chinese Medicine (TCM), which is ascribed to a kind of micro-needle system. It has been considered to be a valuable asset in the treasure house of Chinese medicine". [16] There are many Chinese medical classics that have the inclusion of Auricular points to treat illness as defined by Chinese medical theory. But it was not until the French neurologist Paul Nogier systematically referenced and chartered the points of the ear in the late 1950s, was this form of treatment extensively researched, developed and practiced as its own modality in East Asia and in the West.

Criticism

A controlled crossover study of 36 patients failed to find any difference in two experiments. The study concluded that auriculotherapy is not an effective therapeutic procedure for chronic pain. [17]

The first experiment compared the effects of stimulation of auriculotherapy points versus control points. [17] A second experiment compared the stimulation of these points with a placebo control of no-stimulation. [17] Using the McGill Pain Questionnaire, pain was not decreased at the points compared to the controls. Patients' reports of pain relief after auriculotherapy are due to placebo effects. [17]

Also, during electrical stimulation, patients sometimes reported new pain in an unrelated part of the body. [17] These referred sensations reinforce the pain relief produced by the placebo effect and may be part of the reason why the belief in auriculotherapy persists. [17]

Related Research Articles

<span class="mw-page-title-main">Acupuncture</span> Pseudoscientific needling treatment

Acupuncture is a form of alternative medicine and a component of traditional Chinese medicine (TCM) in which thin needles are inserted into the body. Acupuncture is a pseudoscience; the theories and practices of TCM are not based on scientific knowledge, and it has been characterized as quackery.

<span class="mw-page-title-main">Acupressure</span> Alternative medicine technique similar to acupuncture

Acupressure is an alternative medicine technique often used in conjunction with acupuncture or reflexology. It is based on the concept of life energy (qi), which purportedly flows through "meridians" in the body. In treatment, physical pressure is applied to acupuncture points, or ashi trigger points, with the aim of clearing blockages in these meridians. Pressure may be applied by hand, by elbow, or with various devices. There is no scientific evidence for the existence of acupuncture points, meridians, or qi.

<span class="mw-page-title-main">Outer ear</span> Outer part of the ear

The outer ear, external ear, or auris externa is the external part of the ear, which consists of the auricle and the ear canal. It gathers sound energy and focuses it on the eardrum.

<span class="mw-page-title-main">Moxibustion</span> Traditional Chinese medical practice

Moxibustion is a traditional Chinese medicine therapy which consists of burning dried mugwort on particular points on the body. It plays an important role in the traditional medical systems of China, Japan, Korea, Vietnam, and Mongolia. Suppliers usually age the mugwort and grind it up to a fluff; practitioners burn the fluff or process it further into a cigar-shaped stick. They can use it indirectly, with acupuncture needles, or burn it on the patient's skin.

<span class="mw-page-title-main">Ear</span> Organ of hearing and balance

An ear is the organ that enables hearing and body balance using the vestibular system. In mammals, the ear is usually described as having three parts: the outer ear, the middle ear and the inner ear. The outer ear consists of the pinna and the ear canal. Since the outer ear is the only visible portion of the ear in most animals, the word "ear" often refers to the external part alone. The middle ear includes the tympanic cavity and the three ossicles. The inner ear sits in the bony labyrinth, and contains structures which are key to several senses: the semicircular canals, which enable balance and eye tracking when moving; the utricle and saccule, which enable balance when stationary; and the cochlea, which enables hearing. The ear canal is cleaned via earwax, which naturally migrates to the auricle. The ears of vertebrates are placed somewhat symmetrically on either side of the head, an arrangement that aids sound localization.

<span class="mw-page-title-main">Auricle (anatomy)</span> Visible part of the ear that is outside the head

The auricle or auricula is the visible part of the ear that is outside the head. It is also called the pinna, a term that is used more in zoology.

<span class="mw-page-title-main">Cauliflower ear</span> Permanent deformity caused by physical trauma to the ear

Cauliflower ear is an irreversible condition that occurs when the external portion of the ear is hit and develops a blood clot or other collection of fluid under the perichondrium. This separates the cartilage from the overlying perichondrium that supplies its nutrients, causing it to die and resulting in the formation of fibrous tissue in the overlying skin. As a result, the outer ear becomes permanently swollen and deformed, resembling a cauliflower, hence the name.

<span class="mw-page-title-main">Traditional Korean medicine</span>

Traditional Korean medicine refers to the forms of traditional medicine practiced in Korea.

Otoplasty is a procedure for correcting the deformities and defects of the auricle, whether these defects are congenital conditions or caused by trauma. Otoplastic surgeons may reshape, move, or augment the cartilaginous support framework of the auricle to correct these defects.

<span class="mw-page-title-main">Ear pain</span> Pain in the ear

Ear pain, also known as earache or otalgia, is pain in the ear. Primary ear pain is pain that originates from the ear. Secondary ear pain is a type of referred pain, meaning that the source of the pain differs from the location where the pain is felt.

<span class="mw-page-title-main">Auricular branch of vagus nerve</span> Nerve of the head and neck

The auricular branch of the vagus nerve is often termed the Alderman's nerve or Arnold's nerve. The auricular branch of the vagus nerve supplies sensory innervation to the skin of the ear canal, tragus, and auricle.

<span class="mw-page-title-main">Superior ganglion of vagus nerve</span> Sensory ganglion within Jugular foramen

The superior ganglion of the vagus nerve is a sensory ganglion of the peripheral nervous system. It is located within the jugular foramen, where the vagus nerve exits the skull. It is smaller than and proximal to the inferior ganglion of the vagus nerve.

Dry needling, also known as trigger point dry needling and intramuscular stimulation, is a treatment technique used by various healthcare practitioners, including physical therapists, physicians, and chiropractors, among others. Acupuncturists usually maintain that dry needling is adapted from acupuncture, but others consider dry needling as a variation of trigger point injections. It involves the use of either solid filiform needles or hollow-core hypodermic needles for therapy of muscle pain, including pain related to myofascial pain syndrome. Dry needling is mainly used to treat myofascial trigger points, but it is also used to target connective tissue, neural ailments, and muscular ailments. The American Physical Therapy Association defines dry needling as a technique used to treat dysfunction of skeletal muscle and connective tissue, minimize pain, and improve or regulate structural or functional damage.

<span class="mw-page-title-main">Anterior auricular branches</span>

The anterior auricular branches of the superficial temporal artery are distributed to the anterior portion of the auricula, the lobule, and part of the external meatus, anastomosing with the posterior auricular. They supply the external acoustic meatus and the visible part of the ear.

<span class="mw-page-title-main">Macrotia</span> Medical condition

Macrotia refers to an ear that is larger than would be expected. The normal auricular axis length is 58–62 mm (2.3–2.4 in) among females and 62–66 mm (2.4–2.6 in) among males. The average width of an adult ear, specifically the distance between the helix root and the posterior auricle, is between 30 and 40 mm.

<span class="mw-page-title-main">German acupuncture trials</span>

The German acupuncture trials were a series of nationwide acupuncture trials set up in 2001 and published in 2006 on behalf of several German statutory health insurance companies because of a dispute as to the usefulness of acupuncture. They consisted of one observational study on acupuncture side effects, and four randomized controlled trials (RCTs) investigating acupuncture treatment for low back pain, knee osteoarthritis, migraine prophylaxis, and tension-type headache. The trials are considered to be one of the largest clinical studies in the field of acupuncture.

<span class="mw-page-title-main">Cryptotia</span> Medical condition

Cryptotia is the condition where an ear appears to have its upper portion buried underneath the side of the head. The condition also involves underdeveloped scapha and antihelical crura. Cryptotia is also known as buried ear or hidden ear.

The Mustardé technique is an otoplastic surgery (otoplasty) for pinning protruding ears. The method belongs together with the Stenström and Converse methods to the traditional otoplasties. It is antihelix plastic surgery performed with the suturing technique.


Vitaly Napadow is a Ukrainian-born American neuroscientist and acupuncturist. He is a full professor of Physical Medicine & Rehabilitation and Radiology at Harvard Medical School. He is also the Director of the Scott Schoen and Nancy Adams Discovery Center for Recovery from Chronic Pain at Spaulding Rehabilitation Hospital and Director of the Center for Integrative Pain NeuroImaging at the Martinos Center for Biomedical Imaging at Massachusetts General Hospital. He is a former president of the Society for Acupuncture Research. He has been a pain neuroimaging researcher for more than 20 years. Somatosensory, cognitive, and affective factors all influence the malleable experience of chronic pain, and Dr. Napadow’s Lab has applied human functional and structural neuroimaging to localize and suggest mechanisms by which different brain circuitries modulate pain perception. Dr. Napadow’s neuroimaging research also aims to better understand how non-pharmacological therapies, from acupuncture and transcutaneous neuromodulation to cognitive behavioral therapy and mindfulness meditation training, ameliorate aversive perceptual states such as pain. In fact, his early career was known for researching acupuncture and its effects on the brain. He has also researched the brain circuitry underlying nausea and itch. He is also known for developing a novel approach in applying measures of resting state brain connectivity as potential biomarkers for spontaneous clinical pain in chronic pain disorders such as fibromyalgia.

Paul Nogier was a French neurologist and physician who invented auriculotherapy", a version of acupuncture, which is a pseudoscientific practice.

References

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  17. 1 2 3 4 5 6 Melzack, Ronald (24 February 1984). "Auriculotherapy Fails to Relieve Chronic Pain: A Controlled Crossover Study". JAMA. 251 (8): 1041–3. doi:10.1001/jama.1984.03340320027021. ISSN   0098-7484. PMID   6363735.