Acupuncture for breathlessness
Abstract and key points
- Acupuncture usually entails the needling of specific points located on the body surface.
- The effectiveness of acupuncture for cancer-related breathlessness is uncertain; few trials are available and their findings are not encouraging.
- Serious complications of acupuncture exist but are probably very rare.
Acupuncture typically entails needling specific points of the body surface. According to Traditional Chinese Medicine (TCM) philosophy, illness is caused by imbalances of energies in the body, and acupuncture is a treatment that re-balances energies. Therefore, it is claimed to be helpful in most human conditions. Many providers advocate it for a wide range of conditions and symptoms, including cancer-related breathlessness.
However, published data on the efficacy of acupuncture for breathlessness are scarce and not encouraging.
Mild adverse effects can be expected in about 10% of all cases, and serious complications, such as pneumothorax and hepatitis, seem to be very rare.
CitationKaren Pilkington, Edzard Ernst, CAM-Cancer Consortium. Acupuncture for breathlessness [online document]. http://cam-cancer.org/The-Summaries/Mind-body-interventions/Acupuncture-for-breathlessness. July 14, 2015.
Revised and updated in July 2015 by Karen Pilkington.
Summary first published in July 2013, authored by Edzard Ernst.
- BAcC (British Acupuncture Council) website: Ten Top Things to Know, accessed 17th April 2015.
- Filshie, J., Cummings, M. Western medical acupuncture. In: Ernst, E., White, A. (Eds). Acupuncture: A Scientific Appraisal. 1999. Butterworth-Heinemann, Oxford. pp 31-59.
- White A; Editorial Board of Acupuncture in Medicine. Western medical acupuncture: a definition. Acupunct Med. 2009 27(1):33-5.
- White A, Ernst E. Introduction. In: Ernst, E., White, A. (Eds). Acupuncture: A Scientific Appraisal. 1999. Butterworth-Heinemann, Oxford. pp1-10.
- Birch S, Kaptchuk T. History, nature and current practice of acupuncture: an East Asian perspective. In: Ernst, E., White, A. (Eds). Acupuncture: A Scientific Appraisal. 1999. Butterworth-Heinemann, Oxford. pp 11-30.
- Ahn AC, Colbert AP, Anderson BJ, Martinsen OG, Hammerschlag R, Cina S, Wayne PM, Langevin HM. Electrical properties of acupuncture points and meridians: a systematic review. Bioelectromagnetics. 2008 29(4):245-56.
- Zhao ZQ. Neural mechanism underlying acupuncture analgesia. Prog Neurobiol 2008; 84(4):355-375.
- Molassiotis A, Browall M, Milovics L, Panteli V, Patiraki E, Fernandez-Ortega P. Complementary and alternative medicine use in patients with gynecological cancers in Europe. Int J Gynecol Cancer. 2006 16 Suppl 1:219-24.
- Molassiotis A, Fernadez-Ortega P, Pud D, Ozden G, Scott JA, Panteli V, Margulies A, Browall M, Magri M, Selvekerova S, Madsen E, Milovics L, Bruyns I, Gudmundsdottir G, Hummerston S, Ahmad AM, Platin N, Kearney N, Patiraki E. Use of complementary and alternative medicine in cancer patients: a European survey. Ann Oncol. 2005 16(4):655-63.
- Ben-Aharon I, Gafter-Gvili A, Paul M et al. Interventions for alleviating cancer-related dyspnea: a systematic review. J Clin Oncol 2008; 26: 2396-404.
- Bausewein C, Booth S, Gysels M et al. Non-pharmacological interventions for breathlessness in advanced stages of malignant and non-malignant diseases. Cochrane Database Syst Rev 2008; 2: CD005623.
- Vickers AJ, Feinstein MB, Deng GE et al. Acupuncture for dyspnea in advanced cancer: a randomized, placebo-controlled pilot trial. BMC Palliat Care 2005; 4: 5.
- Filshie J, Penn K, Ashley S et al. Acupuncture for the relief of cancer-related breathlessness. Palliat Med 1996; 10: 145-50.
- Jobst K, Chen JH, McPherson K et al. Controlled trial of acupuncture for disabling breathlessness. Lancet 1986; 2: 1416-9.
- Lewith GT, Prescott P, Davis CL. Can a standardized acupuncture technique palliate disabling breathlessness: a single-blind, placebo-controlled crossover study. Chest 2004; 125: 1783-90.
- Coyle ME, Shergis JL, Huang ET, Guo X, Di YM, Zhang A, Xue CC. Acupuncture therapies for chronic obstructive pulmonary disease: a systematic review of randomized, controlled trials. Altern Ther Health Med. 2014; 20(6):10-23.
- White A, Hayhoe S, Ernst E. Survey of Adverse Events Following Acupuncture Acupunct Med. 1997; 15:67-70.
- Witt CM, Pach D, Brinkhaus B, Wruck K, Tag B, Mank S, Willich SN. Safety of acupuncture: results of a prospective observational study with 229,230 patients and introduction of a medical information and consent form. Forsch Komplementmed. 2009 Apr;16(2):91-7.
- White A. A cumulative review of the range and incidence of significant adverse events associated with acupuncture. Acupunct Med. 2004; 22(3):122-123.
- Ernst E. Deaths after acupuncture: a systematic review. Int J Risk Safety 2010; 22(3):131-136.
- BMAS (British Medical Acupuncture Society): Code of Practice & Complaints Procedure. Version 9 December 2009, accessed 21st July 2015.
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