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Letters Powerful effects of placebo needles Acupuncture is a medical treat- ment that involves the insertion of needles into the body. The overall process involves touch, insertion and healing, consisting of multiple components, including somato- sensory stimulation, treatment context and attention to needle- 1 2 based procedures. The placebo acupuncture needle was developed by excluding a specific component of acupuncture treatment—that is, needle penetration. Acupuncture research would not have progressed without the development of placebo needles, but recent studies have often posed a crucial question: is penetration the only therapeutic component of acupuncture treat- ment that needs to be controlled for in order to create a placebo effect that is equivalent to that of the inert pills used in pharmaceutical studies? Acupunct Med June 2018 Vol 36 No 3 197 Letters Figure 1 Powerful effects of placebo needles. Acupuncture treatment, whether real or placebo, encompasses two modalities that are recognised by the patient during treatment: the visual and verbal context, including the clinical setting surrounded by place cues, social cues and treatment cues, together with verbal suggestions; and the tactile context, consisting of tactile stimulation delivered by the doctor, including gentle touch and (in the case of placebo needles) poking
Acupuncture in Medicine – SAGE
Published: Jun 1, 2018
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