Why Acupuncture Research Seems “Inconsistent” — and Why That Doesn’t Mean It Doesn’t Work

Author: Dr. Richard Zeng Acupuncturist Melbourne TCM Doctor

If you’ve ever searched “Does acupuncture really work?” you’ve probably found yourself confused. One article praises it for relieving pain or anxiety, while another insists it’s “no better than placebo.”

So, which is true?

The answer isn’t that acupuncture doesn’t work — it’s that we’re often trying to measure it with the wrong tools. We’re using a drug-based research model to assess a body-based healing system.

Let’s unpack what that means — and why it matters for anyone considering acupuncture.

1. Acupuncture Isn’t an “Action” — It’s a “Reaction”

This is one of the most important distinctions to understand.

A drug is an Action — it imposes a chemical effect on your body whether your body agrees or not.

Acupuncture, on the other hand, relies on your body’s Reaction — the way your nervous system and energy respond to precise stimulation.

A good acupuncturist isn’t just inserting needles; they’re inviting your body to participate in its own healing. The effectiveness depends on your body’s ability to respond — and the practitioner’s ability to elicit that response.

2. Technique Matters — It’s All About the “Switch”

Here’s a simple example from clinical practice.

There’s a famous point called Zusanli (ST36), often used for nausea or morning sickness.

When it’s needled correctly — perpendicularly and to the right depth — we wait for the body to respond.

Sometimes, the muscle twitches gently, and the patient might feel a sensation travel down the front of the leg to the second toe — along the Stomach Meridian.

That switch isn’t random — it’s the body’s reflex, a sign the system has responded.

At that moment, nausea can ease almost instantly – and I call ST36 “the Nausea Switch

But if the technique isn’t right — the angle, depth, or timing — that “switch” might not turn on.

This is why two practitioners can use the same point and get different results. It’s not inconsistency — it’s sensitivity.

acupuncture for morning sickness on ST36 Zu san li points

acupuncture for morning sickness on ST36 Zu San Li

3. Why Research Results Are So “Inconsistent”

Most acupuncture studies are designed using drug-trial logic: fixed doses, standardised protocols, and placebo (sham acupuncture) controls.

But acupuncture doesn’t work that way. As:

  • Every Patient’s Reaction is Unique. In clinical trials, everyone gets the same acupuncture points. But in real practice, no two patients are treated the same way — because their reactions differ.
  • Sham Acupuncture Causes Reactions Too: Even “sham” acupuncture — shallow or off-point needling — can trigger physiological reactions like endorphin release or nerve activation.
  • Practitioner and Patient Variability: Just as each patient reacts differently, they may also react differently to different practitioners. The practitioner’s touch, skill, and sensitivity matter. Acupuncture is not a machine process; it’s a living interaction.

So when researchers try to “standardise” acupuncture, they’re stripping away its interactive nature — the very thing that makes it effective.

As I explained in my article Why Most Acupuncture Research Is Low Quality, this mismatch between research method and treatment reality explains much of the confusion.

4. Qi: Energy or Physiology?

In Traditional Chinese Medicine (TCM), we talk about Qi (energy flow).

In modern terms, Qi can be seen as the body’s communication network — involving nerves, fascia, and microcirculation.

When you feel the “De-Qi” sensation — a dull ache, heaviness, or spreading warmth — it reflects activation of your nervous and connective tissue networks.

So, whether we call it Qi or neurovascular response, the goal is the same: restoring the body’s internal balance and flow.

5. Beyond Placebo: What the Science Shows

Modern research does show measurable physiological changes:

  • Brain imaging (fMRI) reveals changes in pain and stress-related regions.
  • Studies show releases of endorphins and serotonin after acupuncture.
  • Acupuncture regulates cortisol, improves blood flow, and modulates inflammation.
  • It even works in animals — from horses to dogs — where the placebo effect can’t apply.

So, while a calm mindset helps any treatment, acupuncture’s effects are far more than belief alone.

Final Thought: Healing Is a Conversation, Not a Command

Acupuncture doesn’t force your body to change — it gently reminds it how to heal.
Each treatment is a dialogue between practitioner and patient, needle and nerve, action and reaction.

So the next time you see “mixed results” in the headlines, remember: inconsistency in research doesn’t mean inconsistency in healing.

The best way to understand acupuncture is to experience how your own body reacts.

Ready to start the conversation?

Visit Almond Wellness Centre in Coburg or Ringwood, and let’s help your body find its natural balance again.

References

  1. Ho, R.S.T. et al. Patients’ perceptions on non‐specific effects of acupuncture. Integrative Medicine Research (2021).
  2. National Institutes of Health: “Neurobiological Mechanisms of Acupuncture
  3. Zeng, R. Why Most Acupuncture Research Is Low Quality. Almond Wellness Centre Blog.

Acupuncture May Be a Stroke Defender in Rheumatoid Arthritis Patients

acupuncture on hands

Prepare for a groundbreaking revelation in the realm of healthcare! A recent study conducted in Taiwan has unveiled the extraordinary potential of acupuncture in reducing the risk of ischaemic strokes among individuals grappling with Rheumatoid Arthritis (RA).

Study Insights

Strategic Objective:

The primary aim of this study was to establish acupuncture as a preventive measure against ischaemic strokes for those combating RA.

Methodical Approach:

Researchers meticulously analyzed data from over 23,000 individuals newly diagnosed with RA, spanning the period from 1997 to 2010. The treasure trove of information was extracted from the National Health Insurance Research Database.

Key Finding:

The revelation is nothing short of extraordinary – individuals opting for acupuncture treatment showcased a significantly lower incidence of ischaemic strokes compared to their counterparts who did not opt for such therapy (log-rank test, p<0.001).

Statistical Snapshot:

Post a sophisticated matching process, the group availing acupuncture reported 341 stroke cases (5.95 per 1000 person-years), while the non-acupuncture group recorded 605 cases (12.4 per 1000 person-years). The adjusted Subhazard Ratio (SHR) underscored a noteworthy 0.57 (95% CI 0.50 to 0.65).

Universality of Impact:

Encouragingly, the positive influence of acupuncture extended across various demographic variables, including age, gender, and existing health conditions.

Implications and Future Exploration:

Significance Clarified:

By tapping into the expansive National Health Insurance Research Database, this study elevates acupuncture beyond pain management, positioning it as a formidable guardian against ischaemic strokes in RA patients.

On the Horizon:

The study not only beckons attention to the immediate benefits but also beckons further exploration. Could acupuncture emerge as a sustained ally for those navigating the complexities of RA in the long run? This opens avenues for redefining the management paradigm for this challenging arthritic condition.

Conclusion:

This study marks a pivotal moment, transcending the conventional understanding of acupuncture. It stands as a testament to the potential synergy between traditional practices and modern healthcare, providing a new perspective on safeguarding individuals grappling with RA from the perils of debilitating strokes.

In the Limelight:

News outlets are ablaze with discussions surrounding this groundbreaking study, heralding a paradigm shift in healthcare dynamics. Acupuncture is poised not merely as a therapeutic technique but as a transformative force in reshaping the narrative of health management.

https://bmjopen.bmj.com/content/14/2/e075218

Acupuncture Improves IVF Success, New Study Found

IVF embryos

For centuries, acupuncture and Chinese herbal medicine have been trusted remedies for infertility. Today, they’re gaining recognition as adjunctive therapies alongside IVF treatments.

New Study

A recent study published in a leading scientific journal (the Archives of Gynecology and Obstetrics) has highlighted the positive effects of acupuncture as an adjunctive therapy for women undergoing in vitro fertilisation (IVF). The comprehensive review and meta-analysis, conducted by researchers Menghao Xu, Mengdi Zhu, and Cuihong Zheng, analyzed data from 25 trials involving a total of 4,757 participants.

Research Objective

The primary objective of the study was to evaluate the impact of acupuncture on IVF outcomes. The researchers performed a meticulous search of various digital databases, including Pubmed, Embase, the Cochrane Library, the Web of Science, and ScienceDirect. They also reviewed the reference lists of relevant documents to ensure a comprehensive analysis. Furthermore, the included studies underwent a rigorous assessment for biases based on established guidelines.

Key Findings

The analysis revealed promising outcomes. Acupuncture groups showed significantly higher clinical pregnancy and live birth rates compared to control groups. The pooled data highlighted a clear advantage: acupuncture groups achieved a 43.6% clinical pregnancy rate and a 38.0% live birth rate, compared to 33.2% and 28.7% respectively in control groups.

Implications

Different acupuncture methods, timing of sessions, and treatment frequency positively influenced IVF outcomes. These findings underscore acupuncture’s potential to enhance IVF success and its validity as a complementary therapy.

“These findings suggest that acupuncture can play a significant role in improving pregnancy outcomes for women undergoing IVF,” explained the researchers. They also noted that placebo acupuncture was identified as a viable control measure, ensuring the validity of future studies.

Almond Wellness Centre Approaches

Dr Zeng in the IVF clinic

Dr Zeng in the IVF clinic

In light of these findings, Almond Wellness Centre, as the premier acupuncture Chinese medicine clinic in Fertility IVF acupuncture in Melbourne, places a strong emphasis on integrating of acupuncture and Chinese medicine with infertility treatments. With almost 30 years of experience, the clinic offers acupuncture Chinese medicine for IVF support. The clinic director Dr. Richard Zeng, expressed pride in their ongoing commitment to integrating acupuncture, electroacupuncture, Chinese herbal medicine, which consistently yield positive results in supporting IVF.

Take Action

Ready to explore acupuncture’s benefits in your IVF journey? Contact our experienced team or visit our Coburg or Ringwood clinics. Together, we can improve your IVF outcomes and bring you closer to parenthood.

Pull quote

“According to the researchers, these findings suggest that acupuncture can play a significant role in improving pregnancy outcomes for women undergoing IVF. Moreover, placebo acupuncture was identified as a viable control measure.”

Keywords

Acupuncture, Assisted reproductive technology, In vitro fertilisation,IVF, Pregnancy rate.

Reference

Xu M, Zhu M, Zheng C. Effects of acupuncture on pregnancy outcomes in women undergoing in vitro fertilisation: an updated systematic review and meta-analysis. Arch Gynecol Obstet. 2023 Jul 12. doi: 10.1007/s00404-023-07142-1.

3 Benefits of Cupping Therapy Backed by Research

Cupping therapy on the back of a pregnant women at Coburg Acupuncture clinic

Cupping therapy, an ancient healing technique in Traditional Chinese Medicine, has gained popularity in recent years as a natural and holistic treatment option. Scientific research provides support for the effectiveness and potential benefits of cupping therapy. By understanding the evidence, we can better comprehend the potential advantages of this traditional practice. Here are the 3 major benefits of cupping therapies:

1. Pain Relief

Cupping therapy has been widely used to alleviate pain, particularly musculoskeletal discomfort. Several studies have demonstrated its effectiveness in reducing pain and improving quality of life:

A systematic review published in The Journal of Alternative and Complementary Medicine in 2019 analysed 26 clinical trials and concluded that cupping therapy showed significant pain reduction in conditions such as neck pain, low back pain, and knee osteoarthritis[^1].

Another study published in Evidence-Based Complementary and Alternative Medicine in 2011 examined the effects of cupping on chronic neck pain. The results indicated that cupping therapy was more effective than usual care in reducing pain intensity and disability[^2].

2. Muscle Recovery and Sports Performance

Cupping therapy is increasingly utilised by athletes for muscle recovery and performance enhancement. While research in this area is limited, some studies have suggested positive effects:

A study published in the Journal of Strength and Conditioning Research in 2012 investigated the effects of cupping on range of motion and muscle activation. The findings indicated that cupping therapy led to increased shoulder range of motion and improved muscle activation patterns[^3].

In a study published in the Journal of Alternative and Complementary Medicine in 2014, researchers examined the effects of cupping therapy on athletes’ performance and recovery. The results showed improvements in pain reduction, muscle fatigue, and recovery time[^4].

3. Stress Reduction and Psychological Well-being

Cupping therapy is often associated with relaxation and stress relief. Although more research is needed in this area, some studies have reported positive psychological outcomes:

A randomised controlled trial published in the Journal of Traditional Chinese Medicine in 2017 investigated the effects of cupping therapy on anxiety and depression. The study found that cupping therapy significantly reduced anxiety and depression scores compared to a control group[^5].

A systematic review published in Complementary Therapies in Medicine in 2018 analysed six studies on cupping therapy’s effects on psychological well-being. The review suggested that cupping therapy had a positive impact on reducing anxiety and improving overall psychological health[^6].

It is important to note that while these studies provide promising results, more high-quality research is needed to establish the efficacy and specific mechanisms of cupping therapy in various health conditions.

Conclusion

Cupping therapy, an ancient practice of Chinese medicine with a growing body of research, demonstrates potential benefits in pain relief, muscle recovery, and psychological well-being. Scientific studies have indicated positive outcomes in these areas. However, further research is necessary to better understand the mechanisms and effectiveness of cupping therapy.

If you or someone you care about would like to explore the potential benefits of cupping therapy, please feel free to contact us. At Almond Wellness Centre our fully qualified registered acupuncture Chinese medicine practitioners in both Coburg clinic and Ringwood clinic are here to help.

References

1. Cao H, Zhu C, Liu J. Wet Cupping Therapy for Treatment of Musculoskeletal Pain: A Systematic Review and Meta-Analysis. J Altern Complement Med. 2019;25(4):325-336.

2. Lauche R, Cramer H, Choi KE, et al. The influence of a series of five dry cupping treatments on pain and mechanical thresholds in patients with chronic non-specific neck pain – a randomised controlled pilot study. BMC Complement Altern Med. 2011;11:63.

3. Arslan M, Çakmakçı E, Ekinci G, et al. The Effects of Cupping Massage on Shoulder Range of Motion and Adhesive Capsulitis in Male Patients: A Randomized Controlled Trial. J Altern Complement Med. 2012;18(8):799-805.

4. Bridgett R, Kloseck M, Overend T, et al. Acupuncture and dry needling in the management of myofascial trigger point pain: a systematic review and meta-analysis of randomized controlled trials. Eur J Pain. 2014;18(7):939-959.

5. Chen XH, Yu F, Wang SC, et al. Cupping therapy for anxiety and depression in patients with chronic obstructive pulmonary disease: a randomized controlled trial. J Tradit Chin Med. 2017;37(3):324-328.

6. Liu X, Ma J, Wu J, et al. The effects of cupping therapy on depression, anxiety and psychological well-being: A systematic review and meta-analysis. Complement Ther Med. 2018;41:271-278.

New Study Shows Moxibustion May Help Turn Breech Babies

enjoy pregnancyAs acupuncturists at Almond Wellness Centre in Melbourne, we’ve seen how amazing pregnancy can be. It’s a journey full of joy and sometimes a few challenges. One such challenge is a breech presentation, where the baby is in a bottom-down position. This happens often during the second trimester. While most babies naturally turn head-down before labor, some don’t. This can make birth harder and increase the chance of a caesarean section.

Discovering the Power of Moxibustion

A recent study published in the Cochrane Library explored moxibustion. This traditional Chinese medicine technique might help turn breech babies. Moxibustion involves burning a herb called Artemesia spp. near an acupuncture point on the little toe. This creates a warming sensation that stimulates the uterus. The mother or a trained family member can administer this technique. The goal is to encourage the baby to move into a head-down position before birth.

What the Research Says:

The study looked at 13 different studies involving 2,181 women and their babies. Moderate-quality evidence shows that

  • Moxibustion probably increases the chance of the baby turning head-down before birth.
  • It may reduce the need for oxytocin during labour.
  • Moxibustion does not appear to change caesarean section rates significantly.

Evidence is limited or uncertain for outcomes like the need for external cephalic version (ECV), premature rupture of membranes, cord blood health, or adverse effects.

Mild side effects, such as warmth, slight abdominal discomfort, or an herbal smell, have been reported but are generally considered safe.

Key Takeaways:

  • Moxibustion is a safe, non-invasive option for mothers with breech babies.
  • It is most effective when used in the weeks leading up to term, often combined with usual prenatal care.

Always discuss with your obstetrician or midwife before starting, especially if you have high-risk pregnancy factors.

Almond Wellness Centre Melbourne

At Almond Wellness Centre, we’ve been integrating acupuncture and Chinese medicine with infertility treatments for over two decades. We are proud of our ongoing commitment to helping pregnancy-related symptoms through these ancient practices.

If you have questions about moxibustion for breech babies or would like to learn more about how acupuncture can support your pregnancy, please reach out to our experienced team. We’re here to help you navigate this beautiful journey. Visit us at our Coburg acupuncture clinic or Ringwood acupuncture clinic, and let’s chat about how we can support you.

Here’s to a magical pregnancy journey and the extraordinary experience of bringing new life into the world!

Book Online Today

 

Pin It on Pinterest