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Published Online: 5 May 2025
Authors: Yaxuan Jiang, Hongyang Li, Yukari Uryu, Keiko Hirose, Yihan Yuan, Yunxia Wang, Yoshihiro Tamura, and Keiko Ogawa-Ochiai [emailprotected]
Publication: Medical Acupuncture
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Abstract
Background: Acupuncture and moxibustion (AM) are effective for pain relief and chronic disease management but carry risks of adverse events (AEs). Japan prioritizes AM safety, and Hiroshima University Hospital Kampo Clinical Center (HUHKCC) follows strict professional standards to ensure both safety and efficacy.
Objectives: The study analyzes AM-related AEs in Japan over the past decade, compares them with HUHKCC practices, and proposes risk mitigation strategies.
Methods: AM-related AEs from 2013 to 2024 were reviewed using case reports from the Ichushi-Web, CiNii, and Accident Information Data Bank System (AIDBS) databases, alongside data from HUHKCC (October 2023–2024). Patient information and AEs were collected from electronic medical records and a survey of six acupuncturists. Data analysis was performed using bibliometric methods in Excel and BioVenn.
Results: An analysis of 55 studies and 153 AEs showed a fluctuating trend, with insertion needle technique (INT) accounting for 89.1%. Common AEs included internal injuries (32.7%) and infections (21.8%). AIDBS data indicated 12 AEs annually, with 66% from INT and 33% from moxibustion. Conversely, HUHKCC’s 568 sessions reported no adverse effects; however, side effects such as fatigue or localized pain were reported in 10 cases. One reason for less AEs is that contact needle technique (CNT) was used in 96.8% of sessions.
Conclusions: Despite Japan’s emphasis on AM safety, AM-related AEs remain consistent. Although effectiveness of each technique requires evaluation, the HUHKCC model, with its focus on CNT, diagnostics, and practitioner training, might effectively mitigate AEs and offer a valuable framework for improving AM safety.
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Information & Authors
Information
Published In
Medical Acupuncture
Copyright
Copyright 2025, Mary Ann Liebert, Inc., publishers.
History
Published online: 5 May 2025
Authors
Affiliations
Yaxuan Jiang
Kampo Clinical Center, Hiroshima University Hospital, Hiroshima, Japan.
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Hongyang Li
Kampo Clinical Center, Hiroshima University Hospital, Hiroshima, Japan.
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Yukari Uryu
Kampo Clinical Center, Hiroshima University Hospital, Hiroshima, Japan.
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Keiko Hirose
Kampo Clinical Center, Hiroshima University Hospital, Hiroshima, Japan.
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Yihan Yuan
Kampo Clinical Center, Hiroshima University Hospital, Hiroshima, Japan.
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Yunxia Wang
Kampo Clinical Center, Hiroshima University Hospital, Hiroshima, Japan.
Department of Basic Medical Sciences, Guizhou University of Traditional Chinese Medicine, Guiyang, China.
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Yoshihiro Tamura
Kampo Clinical Center, Hiroshima University Hospital, Hiroshima, Japan.
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Keiko Ogawa-Ochiai [emailprotected]
Kampo Clinical Center, Hiroshima University Hospital, Hiroshima, Japan.
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Notes
Address correspondence to: Keiko Ogawa-Ochiai, MD, PhD, Kampo Clinical Center, Hiroshima University Hospital, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan [emailprotected]
Authors’ Contributions
Conceptualization: Y.J. Methodology: H.L. Investigation: Y.U. and K.H. Data curation: Y.Y. and Y.W. Writing—original draft: Y.J. Writing—review and editing: K.O.-O. and Y.T. Supervision: K.O.-O.
Author Disclosure Statement
No competing financial interests exist.
Funding Information
No funding was received for this review.
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