“Stimulating sensory nerves under the skin and in the muscles… This results in the body producing natural substances, such as pain-relieving endorphins. It’s likely that these naturally released substances are responsible for the beneficial effects experienced with acupuncture.”-NHS
While we agree with the mechanism as to why internal/endogenous endorphins are being released, we don’t necessarily believe that this is the sole reason behind acupuncture bringing a positive experience and outcome.
For instance, multiple studies have revealed a significant difference between Acupuncture and ‘Sham Acupuncture’ trial comparisons. Meaning, there is an importance as to where the needles are placed, and it is not enough to merely insert a needle into any area of tissue, unless the aim of a treatment is to directly target the muscles and fascia to improve an injury for instance.
[Study Example: Comparison of Acupuncture vs Sham Acupuncture or Waiting List Control in the Treatment of Aromatase Inhibitor–Related Joint Pain, November 2022]
TCM theory speaks to the presence of the meridians flowing in between the fascia, muscles, bones, vessels, and nerves. We may stimulate the base substances such as Qi, Blood, Yin, Yang, Essence… Yet it is the harmony, the balance between all substances, and the functionality of the channels working together that invites a state of health.
There is importance in continuing to see patients through the lens of TCM, so that the underlying root cause(s) & branch symptoms are properly identified and harmonized.
As for mood boosting effects reported from Acupuncture studies:
“Acupuncture enhances activity in certain key areas of the brain, such as the amygdala, hypothalamus, and brainstem, thereby promoting the release of neurotransmitters such as serotonin, DA (Dopamine), and NE (norepinephrine).”
“Acupuncture increases the levels of these neurotransmitters in the brain and thus acts as an antidepressant.”“Acupuncture treatment for depression is an ancient and effective method, and its mechanism involves multiple biological pathways. Acupuncture plays an antidepressant role by regulating neurotransmitter levels, regulating the neuroendocrine axis, improving neuroplasticity, anti-inflammation, and other effects, and improving the emotional state. Overall, acupuncture treatment provides a safe and effective alternative or adjunctive therapy that holds new promise for depressed patients”
[Study Example: Treatment of Depression with Acupuncture Based on Pathophysiological Mechanism, January 2024]
We’d like to highlight the statement of Acupuncture as an adjunctive therapy, as we support patients who might have chosen a route of taking medication, if that is what their physician has deemed correct. As long as we are aware of diagnosis and medications, we can take any necessary precautions, and be a proper part of the journey coping with & balancing mental health.
We are excited about modern research, and see its vital worth, however, we also don’t want to lose sight of the core principles of Traditional Chinese Medicine, and all that it can offer patients. It is our duty to continue to practice authentically while always being open to new understanding.
Lotus Care
