Acupuncture in an outpatient clinic in China: A comparison with the use ofacupuncture in North America

Background. The National Institutes of Health Consensus Panel on Acupunctur e has listed as a priority the study comparing indications and patterns of use of acupuncture in different countries. Methods. I visited air Outpatient acupuncture clinic in China and reviewed the clinical files. A MEDLINE search was done to compare the use of acupunc ture in North America and China. Results. The most common disorder treated in the clinic was musculoskeletal pain. Less common indications included stroke rehabilitation, Bell's palsy , cholelithiasis, tinnitus, insomnia, migraine, and visceral pain. In North America, acupuncture is primarily for pain relief. Other uses include stro ke rehabilitation, various emetic problems, migraine, and various addiction s. Conclusions. Acupuncture is most frequently used in China and North America for pain relief. Other common indications include peripheral nerve palsy, peripheral nerve neuralgia, stroke rehabilitation, psychoemotional disorder s, migraine, visceral pain, emesis, asthma, and tinnitus. Acupuncture for c holelithiasis in China but not in the United States suggests a novel use of this modality.