Acupuncture

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Summary

This book investigates the scientific basis and efficacy of acupuncture and the quality of training and standards of competence in its practitioners.

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List of tables	p. x
List of figures	p. xi
Introduction	p. 1
Growth in the use of Complementary and Alternative Medicine (CAM)	p. 1
BMA policy on CAM	p. 3
Annual Representative Meeting 1998 policy	p. 5
Scope of the report	p. 5
The evidence base of acupuncture	p. 7
Introduction	p. 7
Clinical trials of acupuncture	p. 11
Methodological difficulties	p. 22
Future research	p. 24
Safety: a review of adverse reactions to acupuncture	p. 39
Introduction	p. 39
Physical injuries	p. 39
Infections	p. 40
Other adverse reactions	p. 42
Contraindications of acupuncture	p. 44
Difficulties with the evaluation of adverse reaction reports	p. 45
Adverse reactions to acupuncture in perspective	p. 47
Education and training	p. 49
Introduction	p. 49
Principles of CAM education	p. 50
Teaching acupuncture	p. 51
Acupuncture organisations	p. 57
National guidelines for acupuncture training	p. 59
Summary	p. 61
Acupuncture in primary care	p. 63
Introduction	p. 63
Provision of CAM by general practitioners	p. 64
GPs' knowledge about acupuncture	p. 65
BMA survey - The use of acupuncture in primary care services	p. 66
Discussion	p. 77
Future developments	p. 83
Introduction	p. 83
Efficacy, safety and training	p. 83
Survey of GPs	p. 84
Funding	p. 85
Cost-effectiveness	p. 87
Integration into the NHS	p. 88
Recommendations	p. 93
Glossary	p. 97
Acupuncture organisations	p. 103
Current position of acupuncture in the UK	p. 105
References	p. 113
Index	p. 123
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