I keep coming back to the concept that there is no acupuncture: no standardization of the intervention by its practitioners. 

There are dozens of forms of the intervention, perhaps as many as there are practitioners. It is perhaps the only unique pseudo-medicine, with no two practitioners the same. It is acupunctures, plural.

There will probably be increasing standardization in the US as acupuncture is regulated and its practitioners have to pass a standardized test to practice. One style of acupuncture in the US may eventually dominate, if for no other reason than that the schools will have to teach to the test in order for their graduates to get work. A little of the invisible hand in action, guiding the evolution of acupuncture.

And even within acupuncture, I would expect that once in practice there will be no consistency between practitioners. Because their practice is not based in reality, there is no reason so suspect they will all arrive at the same conclusion given the same information. I would hope that every case of S. aureus endocarditis would get the same antibiotic. In medicine we know what to do for the same diagnosis.

With pseudo-medicine like acupuncture, not so much.

We see this lack of standards,  of knowing what to do in papers such as Impact of acupressure on onset of labour and labour duration: A systematic review. Labor would seem to be, at least to my reductionist mind, the same in every female. It is not a process that would lend itself to little diagnostic uncertainty.

However, no one can seem to use the same acupoint to help labor along:

Seven trials with data reporting on 748 women using different acupressure points and methods of administration were included in the review. One study examined the initiation of labour and six studies examined labour duration and/or pain levels. The two most studied acupoints were Sanyinjiao/Spleen 6 and Hegu/Large Intestine 4.

The Sanyinjiao/Spleen 6 is on the lower calf while the Hegu/Large Intestine 4 is the webbing between the thumb and forefinger.

There are also the Bladder 60/Kunlun, Bladder 67/Zhi Yin, Kidney 1/Yongquan, Gallbladder 21/Jian Jing, and a buttock point, the Bladder 32 Point used in labor.

Oh yeah. They call it individualized therapy aka making things up as you go along.

And they are all wrong. Acupressure is bogus. I have discovered the work of Zhu Lian, the one true acupuncturist, who

invented the slow insertion technique by rotating needle and the embedding needle technique, improved moxibustion technique with moxa roll and proposed the three keys on the treatment with acupuncture and moxibustion, as well as discovered new acupoints for treatment.

New acupoints. A unique method of needle insertion. Expanding the fantastical blizzard. But she was right about one thing

acupuncture therapy can’t work without the involvement of cerebral cortex.

So right. Just not in the way they think.

Points of Interest 05/01/2015
Points of Interest 04/28/2015

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