Knowledge

Talk:Acupuncture/Archive 4

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1639:
book that doesn't contain footnotes (which was a reason cited for rejecting the use of Natural Standard), a book that I've read and noted that it selects the studies it talks about to prove its point. I've seen editors paraphrase 4 positive results from studies as "acupuncture being no better than sham acupuncture". I've seen editors slyly misparaphrase study results after deleting my direct quotations from the conclusions, calling direct quotations misleading. I've seen editors arguing against setting a standalone statement for a consensus statement just because it gives some credibility to acupuncture. I've seen editors calling the noting of publication dates for reviews as criticism (if noting publication dates itself is criticism, then why are those reviews sourced here in the first place?). I've seen outdated, negative studies remain on this page for seemingly years, and when I add new positive studies, there is suddenly a frenzy from a certain editor to find negative studies. I've seen editors remove 3 pro-acupuncture reviews because "only 1 is needed", and then proceed to post a negative study result and conclude that the results are mixed. I've had edits reverted and then been met with silence on the discussion page as well as their user talk pages. I've had an edit reverted with discuss on talk as the change summary only to have the editor not respond at all. I've had editors tell me it's "a big no no" to remove sourced information and then proceed to remove my sourced information from systematic reviews or consensus statements a few days later. I've had editors tell me that only the very newest reviews should be posted, and when I try to reinforce the same rule, I am told to stop. I've seen editors randomly bring up conspiracy theories about CAM saying doctors and the AMA looking out for their own income by protecting their profession from CAM (or oversupply even). Conspiracy theories promoted by Milton Friedman and other economists. I've posted on the RSN page to get someone to comment on another issue only to have an editor accuse me of being an IP sock instead of actually helping with the issue. I've used editor's assistance and then have them agree with me only to be subsequently told by an involved editor that editor's assistance is informal and useless (despite it being described as being useful for dispute resolution), whereas request for comment (a service with long response times apparently and ALSO described as informal) as being more useful. Now that I think about this, these past few weeks have been a gigantic waste of time trying to move mountains. A group of 3 editors seem to linger around here with their finger on the revert button with much higher restrictions on the posting of anything pro-acupuncture even if it's from systematic reviews or expert consensus statements (or weight less or misparaphrased), whereas anything anti-acupuncture, no matter how unreliable the source is kept and weighted more heavily. We have one editor here who actively does his best to misparaphrase anything pro-acupuncture to make it seem less important, while deleting direct quotations from review conclusions. Worst of all, I've been told these editors are extremely experienced and have made thousands of edits. That truly shakes my faith in Knowledge. Anyway, tl;dr, I've lost the ability to AGF from wiki editors controlling this article. I will take my leave from contributing to Knowledge now since my enthusiasm for this article and anything wiki-related to be dead. Feel free to gradually push this article into POV territory WLU, you won't be stopped by me and you certainly won't be stopped by the likes of Verbal, SH and Brangifer who are no doubt too busy and can only step in when someone adds anything sound pro-acupuncture. Good day. /rant
531:
sentence. Second, there IS a description about how the other consensus statements came to be, as well as info on Cochrane. NIH: "The statement was not a policy statement of the NIH but is the considered assessment of a panel convened by the NIH.", along with a link for the NIH. WHO: It's noted the WHO statement was released in a report published by the WHO, how they came to make their statement, the purpose of the report (including methods of research) along with a clickable link for information the WHO. The AMA section notes that the statement was adopted as policy of the AMA and details what the AMA is, along with a clickable link, and that they used reviews as a basis for their information.. well that is until you deleted everything. In the EBM section, it states "There is scientific agreement that an evidence-based medicine (EBM) framework should be used to assess health outcomes and that systematic reviews with strict protocols are essential. Organizations such as the Cochrane Collaboration and Bandolier publish such reviews." along with a clickable link to detail what Cochrane is. In these instances, the reader can see what the particular organization is, specifics on how the statement/info (review, panel consensus, etc) was released, and the credibility of the organizations. There is currently zero detail on the OARSI, they are not a publically well-known organization in the first place, and there's no explanation on how the consensus came about. Judging from their name, I would honestly not know who was making the consensus or how they came to make it. A publically lesser known organization could indeed be thought to include research on public opinion or the opinion of acupuncturists. I looked through the report, and it consistently describes the participants on the committee as experts. Again, I am not saying that they are more expert or the most expert as you seem to be implying with your "definitive for all time" example. I am simply describing the statement as it was meant to be described straight from the report- no POV there. You can describe the importance of the other organizations however you wish as long as it is sourced properly. I also do not believe including the word "expert" diminishes the importance of the other organizations that are much more well-known to the public and are adequately described (including method description).
4458:
bound to generate falsely negative results? Don't you think there's a reason why scientists don't use the term much in the literature? Sure, some topics are too obscure to mert a mention, but that's not the case for homeopathy or acupuncture & TCM theory. It was only recently that a scientific body got around to affixing the label to homeopathy. If they haven't done so with TCM theory, it may be because TCM is more pre-science than pseudo-, but it still contains interesting stuff worth looking at, particularly activity of distal points like LI-4, UB-67 and P-6. Just as an ancient culture might describe eclipses as battles among the Sun and Moon gods, but correctly predict eclipses' timing, there is much in TCM theory that academics find interesting enough to research. Don't be so eager to follow the skeptical popularizers like Shermer who are overeager to use the term and stick a fork in too many topics prematurely. Ask yourself why academics are more reticent about using the term. Using sources like Quackwatch, instead of good ones like an Academy of Sciences, only weakens the skeptical argument. We should be using the best sources we can, not dicey material that's self-published and/or not peer-reviewed. Don't you see the contradiction between advocating for science on the one hand, while on the other using sources that no scientist would use in a respectable publication? It's a double-standard, and not very encyclopedic. --
3896:'s Department of Essential Drugs and Medicine Policy that, based on research results available in early 1999, listed a series of diseases, symptoms or conditions for which the author, Zhu-Fan Xie, believed acupuncture had been demonstrated as an effective treatment, as well as a second list of conditions Xie believed could be treated with acupuncture. Noting the difficulties of conducting controlled research and the debate on how to best conduct research on acupuncture, the report was described as "...intended to facilitate research on and the evaluation and application of acupuncture. It is hoped that it will provide a useful resource for researchers, health care providers, national health authorities and the general public." The coordinator for the team that produced the report, Xiaorui Zhang, stated that the report was designed to facilitate research on acupuncture, not recommend treatment for specific diseases. The report was controversial; critics assailed it as being problematic since, in spite of the disclaimer, supporters used it to claim that the WHO endorsed acupuncture and other alternative medicine practices that were either pseudoscientific or lacking sufficient evidence-basis. Medical scientists expressed concern that the evidence supporting acupuncture outlined in the report was weak, and that the WHO had been biased by allowing the involvement of practitioners of 12684:
colour affects its "effectiveness" for different conditions, injections are more effective than pills, elaborate placebos are more effective than simple ones, exotic, foreign, novel and "sciencey" placebos are more effective than plain ones, high practitioner confidence and faith in the placebo (in both verbal and nonverbal forms) increases effectiveness, and those with rituals involved are more effective than those without. Acupuncture is an injection preceded by an elaborate, lengthy, nonsense-babble-filled "diagnosis" that comes from exotic China. It's hardly surprising that it's more effective than a simple "take this pill". Not all placebos are equal and simply assuming they are, as that commentary appears to, does not make it so. If a sham control introduces "negative" results, that suggests that either the sham isn't a sham, or the treatment isn't a treatment. Every placebo control used with acupuncture - varying the point stabbed, using sham needles, not using needles at all, they've come out equal to real acupuncture in properly designed trials. And invariably the result has been "sham acupuncture is as good as real" rather than "real acupuncture isn't real". These trials are useful in demonstrating how worthless TCM "diagnosis" and treatment is for everything except enhancing the placebo effect. You should read the
9854:(Napadow et al 2008) can be used to justify a massive wall of text. The entire article consists of "yeah, there's nothing consistent, there's nothing solid, there's nothing but hypotheses". At best, the most relevant, highest-quality evidence should be used - that'd be the nuclear imaging, trigger points, and electrical impedance. I would consider the intramuscular/intermuscular/connective tissue point, but that is based on a series of studies by a single researcher nearly 10 years ago, and even that concludes with "The biomechanical implications of this association are evolving, although the physiologic and clinical significance are yet unclear". Plus, nearly everywhere you can stick a needle is either in, or between muscles - I'm not really impressed by that "finding". There is essentially nothing associated with acupuncture points, it's all calls for more research. Does anyone else think it is appropriate to include heavy, heavy detail (essentially a copy-paste-reword of most of page two of Napadow) on a series of ideas all of which end with "but we're not really sure"? That looks like 8312:
the field!), there were also scientists and doctors with no affiliation with Chinese medicine or CAM. The implication that the "advocates" therefore must have carried the day, because they were going to just roll over the others, and that only one of the vocal Quackwatch type critics could have saved the day, is not reasonable. (Anecdote: I know one of the scientists who sat on the panel, and he described the debate as rigorous.) We do get to use common sense with RS's, and doing stuff like presenting the source mentioning criticism as the last word is inappropriate under NPOV. I'll suggest minor rewrites to fix. (2) With all that's in the section, I hope the contemplated title isn't "pseudoscience". That would hardly be an adequate summary of the research outlined. It's something that Stephen Barrett (not to mention scads of politicians running for office) typically do: using pejorative headers over mixed material. Any professor of English would immediately identify such writing as overtly biased. Thanks for considering these issues. --
473:
did they survey the public or something as part of their research? It clarifies. B) It's not adding something that wasn't stated in the report. The report itself called it expert consensus recommendations, removing one word to describe the statement is misleading and is actually POV. C) As I said, you can call Cochrane's or other researchers whatever you want as long as it's in a reputable source. Do I think a pubmed-indexed international journal uses laypeople? No, because I read the report. I know where it came from. Do readers who just read the EBM section and not the footnotes know? NO. Your comment on calling the Cochrane colaboration IS POV because you called it the "most" expert and reliable source. That is quite debatable. The fact that the OARSI consensus was made by EXPERTS is not, and it does not make it MORE expert than other sources. You're just being extremely paranoid and I would appreciate if you stopped shouting POV everytime I quoted something from an article or tried to add publication dates.
6671:, it involved the insertion of needles into areas of the body not considered true acupuncture points within TCM, and/or the insertion of needles too shallowly to reach the depth where TCM practitioners believed the meridians lay (later, a newer type of placebo was developed in the form of an acupuncture needle that retracts into its handle to give the appearance of penetrating the skin, without actually doing so). The result was a demand by skeptics to reassess the evidence base for acupuncture against new, sham-controlled trials. The results of much higher-quality trials were used to draft a WHO report in 2003; incorporating the results of nearly 300 research trials, the report essentially repeated the conclusions of the 1979 version. However, the report did not account or control for the quality of the trials, including a large number that were of substantially lower quality. The report also included many trials from China, where severe 603:
fact that the other sources & their general methods have adequate descriptions. You'd love to link to the OARSI, wikipage, but there isn't one, so wouldn't a good compromise be to explain how the OARSI consensus came about. I would love to give a brief description (2 sentences) of how they came to their consensus and who was involved, but you seem to think that having one sentence representing the consensus statement being weighty already. Again, we should not expect readers to go through footnotes, so please stop bringing up that it's published in a good journal. As of now, if one were to read the page (and not through the original source or footnotes), it's not clear what kind of consensus it is. Last, I still fail to see how placing the word expert to describe the consensus recommendations implies that other well-known organizations like AMA, NIH, and WHO are not run or are any less expert. Maybe that's just me.
3763:
journal? They're pathetic in terms of WP:WEIGHT, as is the idea that there's some separate "skeptical POV" that needs to be covered that is somehow not the same as scientific POV(s). "Skeptics" have their own journals, and seminars, bypassing peer-review, as well as their own mini-gurus --- gosh, sounds like CAM or something. Just pathetic. (sidebar -- we talk about the NIH Consensus Statement -- same deal here, just call it "WHO Review On Efficacy; no need to squirm around and try to minimize the source by desperately trying to find an individual author where there is none). (2) "written by a practitioner with reason to be biased" -- where is the source for that? Who says and how do they know? That claim needs attribution, and if it's just from a popular book with no footnotes -- I don't care who wrote it -- then I don't see why it's reliable. Claims of an individual author's bias get into
8565:@Dogweather: Cochrane is high-quality, is included in the article and does find some evidence of efficacy for certain conditions. Same with an Ernst review cited in the lead at the moment. You're not saying we should just ignore that stuff, are you? I doubt that there is sci consensus that only the studies interpreted as showing no efficacy are the ones we should pay attention to. "Sham acupuncture as a control is not well settled because the sham may be too close to the verum, giving false negatives in studies. Also compare the state of placebo-controlled evidence for most surgical techniques: nonexistent, yet there is far less debate over efficacy. Granted, the mechanism for most surgeries is anatomical understandable, but the fact that we don't understand acu's mechanism is all the more reason to be skeptical of the notion that "sham" acu is truly inactive. -- 8337:
TorT is reliable, significantly and prominently represents one the appropriate sides of the discussion on acupuncture, is used extensively for historical information and its criticisms are attributed where appropriate (and for the scientific points, it can't be emphasized just how much an appropriate control group and procedure - which didn't exist or was used until the late 90s - was needed). Certainly, if the same points can be made with peer-reviewed sources, that's great. I'm guessing digging into Ernst's publications would turn them up, and they should be added if found. Criticisms appropriately come last, simply because you need to present the context in order to present what's wrong. However, the criticisms are generally shorter than the main commentary which is one way weight is dealt with.
1165:
publication dates, something factual- not subjective criticism. He responded by saying that they don't mention publication dates of studies used in reviews. My response is that context matters in this case, as it's not clear whether the cited reviews mentioned are recent when the AMA statement itself was released a while ago (see original argument). The other reviews on this page are recent and follow strict guidelines on which studies to use that are available at the time they are conducted- old or new. The main difference here is that the AMA statement was released a long time ago. Thus, it is not known whether the reviews they used are old or new (if they used newer reviews and decided not to release a new statement) unless it is clarified by noting the publication dates of the reviews.
11342:
recognised quality standard Appraisal of Guidelines Research & Evaluation (AGREE) for its articles. The database is for healthcare professionals. I agree that not all the papers are favourable to acupuncture, but that is the case with any new therapy. Again, however the latest research shows that acupuncture is effective for treatment of chronic lower back pain when used in conjunction with conventional therapies. Like any therapy or medicine it is not 100%. However major health organisations accept this even if you don't, they do not make these decisions lightly as it can cost them a lot of money if they are wrong. I repeat the genie is out of the bottle, this treatment is being rolled out whether you agree or like it. The article does not reflect this and is out of date.
10988:, meridians, acupuncture points and other "theory" inherited from TCM, whether there needs to be an elaborate ritual, whether it's anything more than an elaborate placebo. Nearly any treatment can cause a placebo effect - ethical medicine is about trying to provide something beyond placebo. Add to that the generally negative view of and disparaging comments made about modern medicine by many CAM practitioners, diversions from actual medical treatment, the necessity of expensive and time-consuming "training" in what is essentially magic, lack of focus on things like sanitation, risks, etc. and you've got a very messy bundle that's treated with a lot of rhetoric and assumptions. Such as, that it's automatically not a placebo effect. 8551:@SlimVirgin, you write, "there's a significant body of thought that supports its efficacy, e.g. ..." I'm sorry, but I strongly disagree. I also believe that paying attention to that one study is OR in the health/bio-medical area because it's a primary source. As it happens, that study, and especially the mainstream news reporting, have serious methodological and logical problems. But I don't think I should go into it, because it's OR. As an admin, I'm glad you're here. You'll see that the article itself uses high quality secondary sources ā€” academic journals publishing literature reviews and meta-studies ā€” and these conclude that there is no efficacy. In honesty, I happen to believe that this is the scientific consensus. 1019:
definition most of the "traditional" teachings don't change, so dates aren't as big a deal. Maciocia is one of the best English-language sources for TCM-acupuncture theory, and Deadman is the best graphical manual of points; Maciocia has a go at some points but they don't really overlap much. I've read both, but just the first editions -- but since they're just used under "Further reading" and not as a reference for a specific statement, it's good to go ahead and include the most recent versions. (I haven't read Jin x 3; it might be great, or it might be just another attempt to put old wine in new bottles.) Thanks for updating Maciocia and Deadman and doing the tedious work of template-izing.
10134:
you'd like, we could leave out the attribution and simply say the panel lacked critics and was full of pseudoscientific reasoning, but I would say that text is necessary in order to make it clear who is saying what. Quackwatch is well-known for being a critic of nonscientific approaches to medicine, particularly CAM, and being an excellent anodyne to the unverified, wildly exaggerated claims made for CAM - including acupuncture. Quackwatch isn't a tiny fringe, it's an award winning site that demands high-quality evidence for the claims made by people like acupuncturists, and insists on a scientific basis for said claims. It is nigh-unique on the 'net for providing this information.
10214:
lethal results)? Sampson believes that scientists who aren't strident critics of acupuncture, like himself, are unable to hold their own against scientists who have a relatively favorable opinion about it. That's pure fantasy and projection on his part. Your notion that the NIH panel is "12 primary sources" is typical of the IMO misguided and incorrect positions you've been taking, that I think are harming the wiki, but that I don't have the time and energy to deal with. You also drove away User:LittleHow; congratulations would be in order, I suppose, if I were one of the hyperskeptic types. All it takes is persistence and you can get your way here. That's the wikiality way. --
1993:
which is now a hectic for me. some one says me that in accupuntre there is a full chance of recovery of my problem is that true??? i don't want to operate once again because if i do this time they give me one rubber tube n after operating they teach me how to use that rubber tube in my penis and this i hve to do for may b whole life, me just 28yrs old and dont want this thing happen to me. i assure that i didn't hve any kind of sex with anyone but i do a lot masterbate earlier. i just want to know is my problem can solve by this treatment completely so i can live my future life fearlesslly. please do reply to me i'm waiting. please i don't want to operate agin in my life.
9617:
It doesn't matter where you put the needles. It doesn't matter if you break the skin. It doesn't matter if you use toothpicks or needles. So what does that say about TCM? I would argue that it says it's a prescientific approach to treatment that is based on astrology and geography more than anatomy, and was almost dead within China before being revived for political reasons. Evidence matters, not history, not longevity, not artifacts, and the evidence for TCM is little more than tradition. I don't know much about angels, but I do know that how many can dance on the head of a pin is less important for my health than my doctor, vegetables and exercise regimen.
3783:- each time the research base improves (bigger studies, better placebos, improved blinding, higher-impact journal) it tends to notch down a little bit more. Since the 90s when the research base was mostly anecdotal and pilot studies, it's lost out on a fair number of conditions and probably isn't good for much beyond certain types of pain and nausea. Also, I wouldn't plan on using it for citing actual studies and results - I'd use the pubmed-indexed, peer-reviewed journal article for that. Quackwatch is, however, great for pointing out that meridians are nonsense, acupuncture points don't really exist, and that the "theory" is nothing of the sort. 488:
you have any reason to believe that the NIH, WHO, NCCAM, AMA or Cochrane reviews are the result of public surveys? If I found an article called "The definitive statement on acupuncture for all time", would you describe the results as "definitive for all time"? When you see the word "expert" in one sentence, and one sentence only in a page, does that word stand out more? It is because "expert" makes the sentence jump out so much more that I call it POV. Even now allowing the sentence to stand on its own after the previous sentence and references makes it quite weighty. It's unnecessary to add "expert" as well when there is no reason to do so.
12313:. According to the guidelines there, acupuncture would be classified under the heading "Questionable science" because it has a large following and because there is not a broad and general agreement that it is pseudoscience (i.e. research continues to be done on it by qualified medical researchers). According to the ArbCom decision, the category does not get placed on articles about questionable science, only on for subjects for which there is a broad and citable opinion that most or all of the scientific community considers it such. You may also want to note that not following the outlines of this arbitration decision can lead to sanctions. 11399:
they also accounted for these factors (quality of research, publication bias, proper sham and blinding) because the "true" results are overwhelmed by the statistical noise of poorly-controlled trials. There's a reason good-quality controls are a must for proper research, without them the possibility of confirmation bias is hugely inflated as is the placebo effect (which is itself over-represented with acupuncture trials because it is dramatic, exotic, uses multiple needles, has a lengthy consultation with practitioners with lots of attention paid to symptoms and involves needles rather than pills - all of which enhance the placebo effect).
8192:
coverage of the WHO back in line with its weight. Which, at a minimum, includes restoring the bullet-pointed list of conditions that used to be there. The WHO, like the American Academy of Medical Acupuncture, have their own list of what acupuncture can treat. The lists are different from Cochrane, sure, but they're still notable enough to include. NPOV means proper coverage of varying viewpoints, not excising one because another disagrees with it. Not everybody accepts that only gold-level evidence (meta-analyses of double-blinded RCT's) from the EBM hierarchy should be used in determining efficacy. (Surgeons, for example.) --
12403:. Take a theoretical foundation based on locating points using the "number" of rivers in the Chinese empire and the "number" of days a year (it would have been more accurate to find 365 1/4 accupuncture points to "scientifically" test), add a "force" that has been overlooked by physics, and add scientific studies on top, and you have the paradigm of pseudoscience. This is using the definition that is the true outcome of the above cited ArbCom ruling. I will put the category header back in. Please do not remove it without citing a reliable source that contradicts the Science-Based Medicine article calling it "pseudoscience" here 6070:) are based. TCM is almost certainly the best-known, most widely-practiced and widely-researched traditional indigenous medicine on the planet, and mainstream scientific bodies will not have missed a chance to weigh in on it. So, if we can't find the sources, it's because mainstream scientific bodies are not as eager as writers for scientific-skepticial publications and their audiences to dismiss aspects of TCM theory. The amount of research going on and the reticence of high-quality, sci-consensus-type sources to call qi, meridians, and the like "pseudoscience" shows that the scientific consensus simply isn't there yet. -- 1747:
change for this article... unless it denounces acupuncture. I mean, I had to use 2 methods of dispute resolution just to note the review dates of the AMA statement. It took almost a week for something that shouldn't really be controversial. I can't even imagine making more significant changes to this article. It would be nice to work with you and other reasonable editors, but the truth is there are no other reasonable editors working on this article. I honestly have not interacted with anyone else that had a speck of NPOV aside from the people who commented through dispute resolution and coincidentally agreed with my changes.
12989:
technique when there is a scientific alternative is simply stupid. If acupuncture actually has specific effects, TCM should be discarded in favour of scientific investigation that validates its use in multiple groups, in appropriate circumstances. Traditional frameworks should be discarded once a scientific explanation is validated. The whole point of scientific investigation is to determine what aspects of the traditional approach have objective value, and discard the rest. To think otherwise means a presumably emotional attachment to the worthless, possibly harmful prescientific aspects. If you don't need to
10036:
know, and we don't really have promising evidence either". Each paragraph consisted of "here are the findings! As reported in primary sources. And here are all the limitations that prevent us from actually knowing whether we're on to something, or it's a blind alley." Note the extensive use of "for example", "in one study", "significance is unclear", "this is controversial", "this study was on dogs". My paragraph, using a single paper, documents both that these avenues are being pursued, and that they aren't conclusive. In my mind, far better, and more in keeping with UNDUE, SS, V, CRYSTAL and COATRACK.
7870:
and there is considerable doubt about the veracity of the prevalent rhetoric of over 2000 years of 'trial and error' in the establishment of channels and points, for the fundamental tenets of acupuncture are devoid of empirical rationale. However, a set of socioculturally and commercially motivated pseudo-truths and false certitudes about the origins, historical context, and the prevalence of acupuncture and related modalities in China have led to its current cult in the West as a New Age panacea that allows the harnessing, guiding and adjusting of a 'Promethean flame' naturally to restore health and longevity.
12433:
and nausea (probably due to placebo rather than penetration, but still). SBM, a site which I love, is unfortunately not a reliable source and is at an extreme of the continuum (this is tacitly acknowledged on the site itself by its many posts decrying new and credulous studies - those studies are still being published, therefore the medical community still has a large number of people who don't think acupuncture is pseudoscience). What we need is a large number of peer-reviewed secondary sources from mainstream medical journals that indicates acupuncture has lost its shine and is considered pseudoscience.
4419:
sources (particularly governing bodies that talk about acupuncture are explicit in saying "we don't know how it works, the theory doesn't make any sense in modern terms, but there is evidence it appears to work". Meanwhile as better placebos appear, it becomes more and more apparent that a large part of the effect is placebo based, and certainly not based on actual manipulation of an invisible energy. All things to be expanded, but clearly, there are many authors who believe acupuncture is outright pseudoscience. Stating "X person has called it pseudoscience" is adequate attribution I think.
8602:@Dogweather: A single study in an area with mixed results "says it all"? The lead section also says "Two Cochrane Reviews have found acupuncture to reduce the risk of post-operative nausea and provide better relief for chronic low back pain than no treatment or sham treatment. In 2007, Edzard Ernst reported that since 2000 the evidence base for acupuncture had improved, favouring acupuncture, for seven conditions, while for six other conditions the evidence base had moved in the opposite direction." Why do you ignore that and insist that another review "says it all"? I don't get it. -- 5791:@ Verbal: that reasoning is weak at best, and at worst wrong or simply absent. (1) Which previous discussion? Link to it so we all can see it. (2) Scientific view isn't clear at all: read the lead re "active research", "controversial" and lack of settled agreement over proper design of sham controls, as well as meta-analyses showing positive results for efficacy (I like how an earlier editor weasel-ishly changed negative results to "many", with two cites, and positive to "some", also with two equally good cites). (3) You haven't refuted or even addressed my reasoning above re NPOV (see: 13034:) There are aspects of TCM, like tongue diagnosis and other signs, that are externally verifiable. A patient with "Spleen qi deficiency" will have certain signs and symptoms, even though one will never find "spleen qi" (although one may eventually settle on biomedical correlates, such as Langevin's hypothesis that fascial tissue planes correspond to meridians). To the extent TCM makes useful predictions that aren't explainable biomedically, it's useful -- also a "duh" statement. If and when they figure what is going on beyond placebo, sure, no need for the archaic framework. -- 8529:, a British source, I think the Royal Society, was reported by a mainstream news service to have called homeopathy either pseudoscience or something synonymous. That allowed us to use the pseudoscience category. For acupuncture, no one has found such a source yet, perhaps reflecting the fact that it's actively researched and taken seriously by a lot more of the scientific/medical community than homeopathy (or medical astrology, etc.). These criteria is solidly based on WP policy, reason and evidence, which is why it's been stable, and why I continue to suggest its use. -- 5406:, which is how we determine whether consensus exists. Obviously, tiny fringe topics don't require a source (read the guideline), but well-known ones do. Homeopathy, for example, was categorized on WP as pseudo after a British medical body (the Royal Society, or something) called it pseudo (or something close). Global consensus on WP has been to follow this approach for some time, and it's worked well: it's unambiguous (there's that word again), conforms to NPOV and VER, and there are no glaring omissions or bad inclusions in the category. --07:07, 7 June 2010 (UTC) 1127:
publication years by changing it to "Specifically regarding acupuncture, the AMA cited reviews conducted in 1992 and 1993 that stated there was not enough evidence to support acupuncture's effectiveness in treating disease, and called for further research". This has been reverted and re-added (by different) users several times now. I originally added the publication dates. It was reverted by Shoemaker's Holiday along with several other edits of mine. After discussion, I re-added it, as did Middle 8 and finally Shoemaker's Holiday. WLU reverted each of our re-additions.
229:
directly like how the NIH/AMA statement is quoted on this page, although we don't need a new section for it. I'm not asking to summarize all the reviews because my change that was reverted just added in the OARSI consensus recommendation statement. I want it as a separate statement from any summary of the reviews. I'm not sure what the confusion is here, or what the problem is that warranted the change being reverted by Verbal. The OARSI statement is important and reliable enough to be quoted on its own instead of being hidden in a summarization of a pile of reviews.
10263:
sure that the various kinds of "sham acupuncture" lack specific activity. Nor has blinding the practitioner been satisfactorily addressed. So the evidence base remains incomplete and inconclusive. Why/how/when acupuncture works remains to be seen, and it probably will involve the physically and clinically verifiable correlates of qi and meridians. "It's old so it must be right" is a straw man given the history of the article, but wikiality remains a major problem, especially when a few users can concoct a brand new attribution for the WHO report on acupuncture (
12496:
evidence base supporting its use in the treatment of pain and nausea. The use of TCM methodologies and diagnostic tools (observing the tongue, measuring multiple pulses, selecting specific acupuncture points on specific meridians, choosing the points based on the time of day, the use of moxibustion) is pretty obvious pseudoscience. There is reasonable evidence for poking needles into the skin to alleviate pain and nausea. There's none to support the crap and ritual surrounding it. That's the distinction I'm trying to make. Eventually we may call one
10596:
disagreements over the way acupuncture trials should be carried out and over what their results mean, this evidence does not allow us to draw definite conclusions". The NHS states there are evidence against acupuncture being useful for rheumatoid arthritis, smoking cessation and weight loss, and inadequate evidence for most other conditions that acupuncture is used for.ā€ This leaves out the fact that the NHS actually recommend a course of 10 sessions of acupuncture as PART of the treatment for chronic lower back pain. See their press release at
8873:{item #3}). With regard to meridians and points, these are aspects of TCM theory that scientists are clearly not ready to throw away; if TCM contains useful clinical pearls, then these should be studied. What in biology predicts that massaging or needling a point on one's wrist reduces nausea? If that's real, then it's pretty interesting -- which nerves (presumable it's nerves) mediate this effect? There are other "distal points" like this and imo this is where the most interesting research is to be done. Regarding meridians, 924:, this section should also include publications that don't already appear as a reference. Cheng, 1987 already does. Kaptchuk, 1983 does as well. Maciocia, 1989 doesn't, nor does Deadman 1998 or Jin, Jin & Jin, 2006. The former two are rather old, and I don't recognize the publisher. I'd rather trim to just Jin**3 and if another solid and more recent reference or two can be found or proposed, good. The length doesn't bother me but the repetition and age do. Is anyone aware of a good historical overview and/or medical 2563:'s first sentence defines a pseudoscience as "a broad system of theories or assertions about the natural world that claim or appear to be scientific, but that are not considered being so by the scientific community." The plain text of this policy gives us a simple test for inclusion: that (1) proponents make scientific-appearing claims which (2) are not considered so by the scientific community. There are ample RS's that support these two requirements for Acupuncture and therefore it should be tagged pseudoscience. 1344:, followed by a rowspan = the number of rows that will refer to that condition (I would expect one per "idea" expressed) then another pipe, then the condition. Next a line break and another pipe, and the summary of the evidence. Next another line break, another pipe, another rowspan (should be the same as the first rowspan), another pipe, then the reference. Separate each subsequent "condition-idea" with a pipe and dash |-, linebreak, pipe and idea. The number of ideas should match the number of rowspans. Basically: 12600:"One of the things that disturbs me the most about where medicine is going is the infiltration of quackery into academic medicine. ... Probably the most common form of pseudoscience to wend its way into what should be bastions of scientific medicine is acupuncture. Harvard, Stanford, Yale, M. D. Anderson, and many others ... I never expected it to show itself in one of the Nature journals, as it did in the study I just mentioned. I also never expected it to show up in that flagship of clinical journals, ...(NEJM)..." 11495:
of euphoria, and the needle in an acupoint may well disrupt the pain pathways to the brain, but I am not sure about other conditions. So maybe a new section(within Study Design?) on discussing the problems and pitfalls with trialing acupuncture would be good. There is some interesting new stuff out there attempting to provide the tools for double blind etc. You could quote from "trick or treat". I do not think that this is a major change to the article, but it does acknowledge some of the more recent developments.
3272:, which says: "Editing in an area in which you have professional or academic expertise is not, in itself, a conflict of interest." Most editors who know me on WP know that I have "professional or academic expertise" in acupuncture and Chinese medicine, among other things. That alone does not mean I have a COI; to rise to that level, I'd have to be promoting my own practice or book or gizmo or whatever, which of course is not the case. This has been pointed out to you before, but I see you are still playing the 1279:
different ideas, I could do the same thing to ensure each idea has the specific reference attached to it. For all the Cochrane reviews, I would say "The amount and quality of the research is insufficient to draw a conclusion; further research is recommended. Other options is including the year in the final column and retitling it "year of review" or something similar. Right now it's the big set of Cochrane reviews and a whole bunch of text, hopefully this will make things neater and easier to read. Thoughts?
2929:. They typically just ignore pseudoscience. This is why I believe the best test for inclusion in the category is to simply apply the definition that WP:PSCI gives us: "Pseudoscientific theories are presented by proponents as science, but fail to adhere to scientific standards and methods." Note that us applying a category label is different than us placing content in an article's text. The category label system is how we organize wikipedia. For these reasons, I believe pseudoscience category applies. 12602:. These are comments from a guy pissed at the widespread acceptance of acupuncture. Perhaps this source can serve as guidance with respect to "undue weight": excessive deference to the SMB guy's view should be avoided if it's dwarfed by mainstream acceptance. Ernst expressed a similar view with respect to the WHO: paraphrasing, "they're the great big WHO; critics like me are isolated individuals; how can we get our views heard?" Don't worry, Eddzie Baby -- Wikiality can help ya toot your horn! LOL -- 2114:@BadgerDrink, I do believe there is OR going on in the section as you reverted it. I made an edit, and I think it's a good compromise: what do you think? I made the edit to make it clearer exactly what this article is reporting: that the two studies found similar results for the two types of treatment. I still think this is dangerously close to original research: we should *not* be analyzing or summarizing primary biomedical sources. We should instead use secondaries, such as literature reviews. 10176:...and none were critical, that's kinda Sampson's point. "The first question that arose after viewing the speaker program was why there was an absence of speakers known to have done acupuncture research but who had obtained negative results." Quackwatch would be considered a reliable, third-party source that could adequately comment on the committee and its findings. The committee itself however, would be considered a primary source for its own motivations. Much like I wouldn't believe anything 1191:. My thought is essentially that with the 1997 date of initial publication clear in the first words of the sentence, there's no need for further dating of their evidence. Trying to read in to what the reader might be "misled" to think is both unnecessary and pretty close to an editorial judgment that the evidence is too old and the reader must be informed of this, an NPOV concern. Also, debating whether a 1992 or 1993 review is "recent enough" on a 12 year old publication seems rather absurd. 5851:), even if the reason why is not what is usually voiced, or not completely understood. It's pseudoscientific to claim that it treats any actual condition, but unlike homeopathy or astrology, it's still considered as to have some merit in a limited number of cases. Certainly there is merit to exploring claims of it being pseudoscientific, but ultimately it is now being investigated scientifically and there are secondary reviews indicating limited effectiveness for (again) pain and nausea. 31: 12630:
pendulum is swinging away from evidence and towards politics and opinion. The mainstream opinion has actually shifted substantially away from acupuncture in the past couple years. It has discarded the belief that it's useful for nearly anything except pain and nausea; now the focus is on these two symptoms, which are extremely vulnerable to expectation and placebo. Excessive deference to beliefs should be avoided until it is clear that those beliefs have some sort of root in reality.
9049:). Likewise, we would hold off from using any pseudoscience category or infobox on any other TCM topic, such as meridians and so on, because (a) their scientific basis isn't yet clear, and (b) again, enough IAR-ing with WP guidelines that are clear and have served us well, e.g. with homeopathy. Qi can be labeled unambiguously as pseudoscientific -- but with research going on actively with points, meridians, herbs and so on, it's premature to label any other TCM categories as pseudo. 443:
without having to bludgeon them with it. It very much looks to me that you're trying to make it look more "expert" because it positively recommends acupuncture. This is unnecessary and NPOV. Honestly, do you think a pubmed-indexed international journal uses laypeople? If we took this approach, well, shouldn't we point out that the Cochrane collaboration is "the most expert and reliable source available"? Because they are. I think the inclusion, for any source, is totally unnecessary.
3869:(AMA) produced a report that stated there was insufficient evidence to support acupuncture's effectiveness in treating disease, and highlighted the need for further research. The report also included a policy statement that cited the lack of evidence, and sometimes evidence against, the safety and efficacy of alternative medicne interventions, including acupuncture and called for "Well-designed, stringently controlled research...to evaluate the efficacy of alternative therapies." 5601:"Several review articles have been published on the effectiveness of acupuncture as a treatment with several concluding it is an effective treatment modality, while others attribute it to the placebo effect." This sentence is poorly written and needs a lot of work. According to Anthony and Middle 8 the source verified "some" not "several". However, putting different sources together to come to a new conclusion is SYN ans OR. According to Anthony you need the 5 references 1895:! Simple -- you're an instant expert now. I think this page needs as few editors as possible who are really TCM-literate, and as many as possible who not only don't know about, but actively deride the topic. And to keep it that way, a few drive by reverter's. That will bring the article more into line with Knowledge's universally-recognized and respected high standards. I trust you to lead the way in this regard. Have fun educating the masses -- anyone can do it! -- 11533:. I again don't see your suggestion as substantially different from what is already there. The insistence that we note several organizations offer coverage isn't necessary since we have the source of their recommendations - the Cochrane Review, generally seen as the best source on wikipedia for any medical claims. Certainly superior to noting that insurance payers will cover it, since they are not primarily scientific review bodies and Cochrane is. 2407:
This shouldn't be mentioned on this page, and the Bonghan system itself should be purged of unreliable sources, primary sources, and include critical commentary. Frankly, if there isn't even critical commentary in skeptical sources, and if this has been ignored since the 60s and 70s (at a time where the evolution of medicine has been so incredibly rapid no-one can even keep track of it), I don't know if there's enough merit to include it at all.
574:
from the weight of it's opinion and I'd be happy to link to the wikipedia page if it existed. The reliability of the source comes from it's publication in a peer-reviewed journal. If it were sitting on a website, I would argue vehemently that it not be included unless it could be demonstrated that it was a respected expert body, and even then I would use references to support this, not the lone word "expert" in the middle of a sentence.
8643:@Dogweather: Yes, the nausea/P6 stuff should be correctly described in the next. IIRC, the control there was stimulation (whether via massage or needling) of a different point than P6, I think on the shoulder. Which is still an interesting result, predicted by TCM but not biomedicine, AFAIK. Or I may be thinking of a different P6 study. Sorry, not much time right now; I trust you all to work it out and I'll stop by later. regards, 6703:, which was established in 1988 to produce reports on various subjects, has been more critical. Choosing the highest quality of evidence available with emphasis on placebo-controlled trials, has released many reviews that found little evidence to support the effectiveness of acupuncture beyond placebo. The only conditions for which the Cochrane reviews find positive evidence are those involving certain types of pain and nausea. 3205:
documents available in English. We also thank Dr Hongguang Dong, Geneva University Hospital, Switzerland for providing additional information." These are both acupuncurists. There was no input from recognized authorities who were not acupuncturists. Every single neutral and independent source has criticized WHO for putting out this report without consulting the vast literature disputing it. We have the sources here and they are
2866:
into people still appears to work. The fact that it still works irrespective of where you jam the needles, whether you use needles or toothpicks, whether you actually penetrate the skin or not, that's what demonstrates the pseudoscientific aspect. But again, we need sources for this. But we should be documenting what parts of acupuncture are considered pseudoscientific, and what parts are actually supported by research.
4158: 2909:. I haven't seen a single peer-reviewed article that even attempts to vaguely hint that qi meridians are plausible. The closest we can come to is that they happen to be near nerve endings through a trail-and-error adjustment of the maps, but the nonsense about qi is simply that: nonsense. Acupuncture theorizing is well-sourced as pseudoscience. I think I count half-a-dozen sources we've mentioned explicitly here. 3233:@Science Apologist: (1) Proper attribution is to the WHO, as I demonstrated above, not someone you picked out of the paper's acknowledgements section (which you should re-read; there are lots of other possibl "authors"). If you doubt that grabbing a name from a document's "acknowledgements" section is not the proper way to determine authorship, you might ask at RS/N, or just any freshman English teacher. Your 10646:". If an owner is calm because they believe the treatment will work, chances are the animal will be calm as well - and expectation effects can have a huge impact on subjective tests. No to mention things like "well, Rex got a treatment so now he can run and play again!" leading the dog to react strongly to those expectaitons. Your comments also ignore the recent developments with acupuncture placebos (see 10463:(AA) in veterinary medicine over the past 1000 years in China and 100 years in Europe as well as an increasing use, on animals, in the USA. Similarly, small children respond to AA. Animals and to a lesser extent young children are not succeptable to suggestibilty, and in fact, several studies in which patients were given psychological tests did not show a good correlation between AA and suggestibility. 12775:
look to it for truth or devote a bunch of time to "improving the project". I suppose that non-fundamentalistsā€”humanists for exampleā€”could improve the world by joining fundamentalist churches and trying to steer them toward a less crazy course. But there are other ways of improving the world without having to play within such crazy, dysfunctional systems. I trust that the analogy is taken.Ā :-) --
11369:" I've highlighted some relevant sections. Since this article is already embedded in the page, the real question is whether it is adequately summarized. Considering the final sentence, I'm reluctant to portray the Cochrane Review as a slam-dunk for acupuncture. As I've said repeatedly, without an adequate placebo (and one wasn't available until relatively recently) you can't say anything about 12688:, you'd find most of these ideas explored at length and it would inform you on just how difficult it can be to design a good acupuncture trial - and that most trials simply aren't that good. I also find it anecdotally interesting that the two scientists I am aware of who attempted to apply stringent scientific controls to CAM research (Ernst and R. Barker Bausell) both came away unconvinced. 11291:
also show that for chronic low-back pain, acupuncture is more effective for improving function than no treatment, in the short-term. Acupuncture is not more effective than other conventional and "alternative" treatments. When acupuncture is added to other conventional therapies, it relieves pain and improves function better than the conventional therapies alone. However, effects are only small.
12968:
example is eclipses: some ancient culture might have explained these in mythological terms while creating a calendar that predicts eclipses (perhaps not perfectly, but better than chance). Similar questions should be kept in mind when evaluating TCM: one should not discard a traditional framework if valid observations are entrained in it along with nonscientific or antiscientific ideas. --
3724:
sources, that's an improvement. The whole point of criticizing the WHO report is that, despite it being a big organization, it fucked up. It ended up introducing a large report supported by shaky science that claimed a whole bunch of poor-quality trials, from a country that never produced any negative evidence, written by a practitioner with reason to be biased, that is now waved about as
3249:, is a standard one and appears, with minor variations, in a number of other WHO publications. A search of their site for the phrase "does not warrant that the information contained in this publication is complete and correct" turned up 54 hits; there are probably others using slightly different wording. Here are the first few; scroll to bottom of page to see disclaimer in its entirety: 10007:(your term) -- you say "if anything Ernst & Singh would fare better than Ernst alone, being published a year later". Dude, Ernst and Singh (2008) is a popular book, not peer-reviewed, and lacks footnotes. Ernst (2007), a systematic review of RCT's, is a better MEDRS, no question. You're like a scientist or something -- how could you not know that?! Oh, but let's settle this by 6062:
to be put in the same basket as "Time Cube" and the like. Even notable skeptics Beyerstein and Sampson note that some Chinese scientists see the concepts as clinically interesting or useful metaphors (scroll to "CSICOP on pseudoscience in China). "Obvious Pseudoscience" is a category for things that are in some way notable, but that scientists haven't bothered to comment on; see
5142:
Yes, there's no doubt: practically anyone editing this article should tread very carefully around bullshit COI issues, and spend as little time as possible substantively on the article so that a few hypermotivated wannabe-Wikistuds can have their way with it. Yes, this is all potentially problematic -- wait, I meant to write patently absurd. Or simply, "welcome to Knowledge". --
9510:
example, acupuncture reached its apex of popularity in China around the 16th century, and we should note the relevant works from that period (I have them). Now, as part of modern TCM, it's used in China mostly per (e.g.) the WHO list, and is actually less important to TCM than herbs. We need to work that in too. It's not the same as efficacy. I hope that's clearer. --
9573:
proposed for - I would simply state it was a former technique predating modern medicine. Acupuncture, being considered a form of medicine now, I would crank up to eleven for any "quality of evidence" claims since it's got a huge reputation with minimal results (mostly placebo effect, possibly some analgesia and antinausea when the best studies are taken into account).
5082:@Brangifer: you seem to imply that the statement "there were also questions about a COI" means anything -- anyone can question anything whether the question has merit or not, and the correct statement is there have never been findings of COI on this or any account, and when the accusation based on profession was made, it was immediately dismissed as meritless (read 8629:
although it uses the term, "acupuncture", it's not clear what they mean by that. But our article's text can probably stand. And the good news: The Ernst article looks like a decent secondary source which does ascribe some efficacy to acupuncture for certain conditions. So in summary, I think we can conclude that there are some small hints of possible efficacy.
6475:
Then comparisons are made as to which has the better clinical outcome. These types of studies are the most relevant and should be the standard for examining the effectiveness and validity of acupuncture. The effectiveness and validity of acupuncture should not be established by how well we do or do not understand or agree with 1,000 year old texts on the subject.
6662:. However, a lack of an adequate blinding and sham procedures meant most of the initial research on acupuncture was unable to answer questions about the actual effectiveness of the treatment rather than the effectiveness of the placebo. In addition, there tended to be a lack of high-quality research on acupuncture, which affected the conclusions drawn; a 1990 1140:
statement since 1997. The AMA in fact has not indicated any of this. The critical reviews mentioned on this page were cited in the report in the statement specifically pertaining to acupuncture effectiveness. Looking through the footnotes of the report, one can see that the critical reviews were published in 1992 and 1993 (see footnote 4 and 19 in the report).
10719:. Please familiarise yourself with that document. It, justifiably in my opinion, tightly restricts what can be said with regard to therapeutic efficacy. Many practitioners are frustrated when they see results (for various treatments) in the clinic but have to wait until they are replicated and reviewed before we can mention them. Let me know what you think. 10653:"fake" (random needle placement, retracting needle) acupuncture. Now that research with credible placebos is being conducted, the difference between "real" and sham is shrinking. Treatment for lower back pain is notoriously poor - that acupuncture is found to be as good as "usual treatment" ignores the fact that "usual treatment" is actually pretty bad. 173:(with an english abstract) also concluded similar results, but you removed that one. None of these papers I mention suggest that acupuncture is about equal to sham acupuncture in helping with short-term pain. A few other reviews do conclude that, but I definitely would not say "generally acupuncture is equal to sham acupuncture". That would be dishonest. 8584:
Efficacy section. We should probably move it to the start of it, because it's high quality, secondary source, and a definitive statement about current research results. The rest of the section quotes many other high quality secondary sources which support the statement. Now, we can argue over whether or not this qualifies acupuncture to be labelled
2497:"representing China's perspective" isn't necessarily warranted, and may in fact result in the use of poorer quality sources with considerable publication bias to produce a less accurate page. As a medical and scientific topic, rather than a political issue, I don't know if using Chinese sources will necessarily and automatically improve the page. 4030:
though the WHO fucked up, they're major, and carry the weight of, I'd say, hundreds of scientists. ScienceApologist is, as usual, disingenuously making way too big a deal out of the disclaimer, which could simply be legalistic (cf. the other comments to the effect of "not endorsing any country's borders"). Also cf. my comments on the disclaimer
11293:" That's an incredibly weak and equivocal statement that is, as I said above, already noted. Claiming based on that source that "acupuncture is effective" completely ignores the many qualifiers the authors actually included about chronic versus acute, duration of effectiveness, effectiveness versus conventional treatment, and the effect size. 10831:. The section is about homeopathy, but is general principles apply to any treatment with a strong placebo component. I certainly don't think it's right to say "acupuncture isn't just the placebo effect because it works on children and dogs". It's an inappropriate stretch that leaves "acupuncture works" undefined. What works? Manipulation of 13030:"Just because a prescientific culture made an observation, doesn't mean it's real." - as the saying goes, "duh"; most of what you say goes without saying. My point is just that a lot of sources say or imply that because yin and yang and qi don't exist, acupuncture can't be real. (You appear to make this straw man argument above when you say 1810:, WLU -- not to diminish your other efforts, but since you apparently haven't read any TCM texts, you're over your head. Why not bring it up here and ask for others' input? I have Cheng (1987) from which most (not all) of the section is sourced. (Some material did need pruning but your edits went too far.) If this is going to turn into 3876:(NIH) issued a consensus statement on acupuncture that concluded that despite research on acupuncture being difficult to conduct, there was sufficient evidence to encourage further study and expand its use. The consensus statement and conference that produced it were criticized by Wallace Sampson, writing for an affiliated publication of 2451: 3933:
Director of the Institute of Integrated Medicines, First Hospital of Beijing Medical University, China, who drafted, revised and updated this report. Further, Dr Xie made numerous Chinese language documents available in English. We also thank Dr Hongguang Dong, Geneva University Hospital, Switzerland for providing additional information.
8249:
used appropriately than lumped into a specific section, though I think there is the possibility of a single section specifically summarizing the status of acupuncture as a pseudoscience or pseudoscientific approach. It's not a "criticisms" section, it's a discussion of why it's considered a flawed, evidence-poor, badly-tested approach.
5970:
predicted by biomedical knowledge, so the ancient Chinese apparently spotted something and explained it in their own terms, much as an ancient culture might predict eclipses correctly but explain them mythologically.) I don't get why more of the writers for scientific-skeptical publications don't grok this simple distinction. cheers,
12950:- Acupuncture is based, in part, on occult ideas like a correspondence between the number of rivers in a particular Chinese empire, the number of days in the year, and various astrological ideas. Layered on top of these occult foundations are pretended scientific ideas and scientific claims. That is archetypical of a pseudoscience. 7895:
or circulatory systems), and so it is unclear exactly how the qi flows along them. The vital force itself has also proven remarkably elusive when attempts have been made to measure it. Acupuncture is therefore a mechanism by which a healer attempts to affect the flow of a force that cannot be measured along pathways that don't exist.
6353:: It's evidence that acupuncture is accompanied by claims that appear to be scientific (satisfying element 1), against the consensus view of the scientific community (element 2). I'd like to find another similar sources: More articles written by proponents attempting to cast a scientific light. Then we'd have great support for the 499:. It's not POV, it's because the systematic methodology, aggregation of sources, rating of the quality of trials and use of the best international experts are all driven to produce systematic reviews of the highest quality for the purposes of evidence-based decision making. That's why we place so much emphasis on a Cochrane review. 10909: 12357:, which has the category "pseudoscience", following arbitration. I only found out about acupuncture points being based on "the 12 rivers flowing toward the Central Kindgom ; and 365 parts of the body, one for each day of the year" after reading this Wiki article, which entirely changed my POV as to the "pseudoscience" issue. 974:, apparently now an imprint of Elsevier and reliable enough for me. Deadman, according to google books, was updated in 2007 and accordingly a more reasonable inclusion. I'd still rather replace Manciocia with something newer (and I'm not sure if all three are somewhat redundant) but I'm OK with the list now, per WP:FURTHER. 13105:- There are no anatomical structures corresponding to meridians and points, based on the 12 rivers of the Chinese empire, or 365 days of the year. These bases of acupuncture directly contradict developmental biology. Piling a bunch of scientific rituals on top of these nonexistent "structures" is archetypical pseudoscience. 10296:. The MRI looks at the the brain to detect changes when acupuncture occurs. Volunteers who have no experience in acupuncture, have genuine acupuncture needles placed in recognised acupuncture points and also needles are put in non acupuncture points (sham points) as a control, the resulting changes on the brain are compared. 9439:
obvious) who would dispute a great many of the conditions in the list as having any evidence whatsoever. We deal already with the specific conditions which are most often discussed in regards to acupuncture. Listing all the others is misleading since there really is a wide range of levels of evidence for various conditions.
13167:, thank you for explaining how Knowledge works. Mission accomplished. I have provided the scholarly opinion you said is needed, with direct statements like "acupuncture is a pseudoscience", below. You said "it will take time". You were right, it took time... my time, and a waste of it. But that's the way the Wiki works. 10880:, as I said the Genies out of the bottle, NICE have published their guidelines on acupuncture and they recommend it as part of treatment for lower back pain. Which effectively means that every NHS Back Pain clinic in the UK will offer acupunture as part of the therapy therefore someone must be convinced by the evidence. 5292:
here. Several years ago I wrote the "criticism of TCM section", large parts of which remain. I update Cochrane reviews and the like irrespective of their findings. I have added, or don't object to others adding, properly-sourced and -weighted cites critical of acupuncture. I'm fine with acu and TCM being included in
3300:
fact that you refuse to admit that you are here to make sure that Knowledge doesn't point out the obvious pseudoscience that is part-and-parcel to the majority of acupuncture practices is really problematic. Thus, the COI report. I will take this as high as it needs to go in order to get you to stop this advocacy.
8521:@Badger Drink: Then what does ArbCom's statement mean? The criteria we have used until now is that tiny, fringe topics that are obviously pseudoscience can be categorized as pseudoscience without a source. When is comes to larger, better-known ideas, we look for a source from a mainstream scientific body per 9466:: "In articles specifically about a minority viewpoint, the views may receive more attention and space. However, such pages should make appropriate reference to the majority viewpoint wherever relevant, and must not reflect an attempt to rewrite content strictly from the perspective of the minority view." -- 8332:. Also, a "rigorous debate" from someone who doesn't understand the importance of rigorous methodology or publication bias, isn't necessarily the same thing as a truly substantive debate. I'm sure there was rigorous debate over Jesus' status as a deity or man, or just how much blood should be drained from 10847:. Note how "acupuncture works" is stretched by many to ignore the fact that it usually is indistinguishable from a decent placebo. TENS and acupuncture are often conflated. It's rarely noted that low back pain is notoriously diffcult to treat and "usual care" is actually a pretty crappy intervention. 13321:
Agreed. Compare those sources to the sources used on the page. The majority of the sources are peer-reviewed journals, scholarly books, and statements from prominent medical organizations. The parity of the sources is not equal. Some of these sources could be included, perhaps acuwatch and the UK
13001:
help with pain and nausea but the TCM "diagnosis" is worthless because the location of the needle is irrelevant, you are wasting time and money by putting clients through that diagnostic procedure. If acupuncture works and can be delivered quickly and safely without a lot of voodoo nonsense, it will
12912:
The fact that "people accept... pseudo-encyclopeidias" is a reason to do work to make Knowledge better. Early on, I never really used it because of its "pseudo" problems. Now, after much work by many have improved it, it is usually the first thing I use. And if I come across an article I think has
12789:
Like it or not, Knowledge is defining what counts as knowledge in the 21st Century. I refrained from editing for years becuase of defects with it. But people read it more and more, an even seasoned academisians and skeptics are known to read it in their closet. It matters what is in it, and reading
12616:
Dr. Gorski is annoyed that the NEJM is buying into the magic that practitioners and believers use to explain acupuncture. We can detect the action of a single atom, even a single photon, yet somehow acupuncture manipulates an "energy" that behaves nothing like any other energy we've ever found, that
12528:
I agree that a problem with pseudoscience is shifting the definition around. Randomly sticking needles should not be called acupunture, since it does not rely on the meridians based on the twelve rivers of a Chinese empire, and does not locate points based on the number of days in a year. But if it
12495:
based on time of day and colour of the tongue in order to treat disease", acupuncture is pseudoscientific nonsense based on prescientific reasoning (mostly bloodletting and astrology). Acupuncture (needles through the skin without attention to anatomical structure or location beyond safety) has some
12432:
I don't like acupuncture. I think it's stupid, pseudoscientific nonsense fetishized in the West into something it never was. But I don't think we've met the threshold for it to be called pseudoscience just yet. TCM maybe (probably) but not acupuncture, which consistently has found effects for pain
11696:
is also problematic since it's no better than standard care. Look at the results for neck pain, headache (a type of pain), osteoarthritis (which is really joint pain), shoulder pain, and again the already-incorporated NHS article which doesn't single out any type of pain in the article (the original
11494:
You have attempted to engage me about "trick or treat" which despite what you think I believe to be valid! My main concern is to improve this article. I can understand the hypotheses about the relief of pain, ie: the release of endorphins and saratonin caused by needling could give a person a feeling
11436:
database that comes out time and time again. I am not disagreeing with you on that. The whole crux of this discussion is the fact that a significant amount of studies now say that acupuncture is effective when used with conventional therapy. The article you quote above states that quite clearly, even
10370:
Please realise that the current lede is too long and badly written from the point of view of normal readers and MOS. For example, details like talk of acupuncture points and meridians and original names of Chinese texts do not belong in the lede since they confuse most readers and make the topic seem
10213:
none were critical. I was told first-hand by one of the panel members that the debate was quite spirited. Why would they want a Barrett clone in there to oppose everything, and question water-is-wet type assertions, and kill the whole process (kind of like you're doing now, sad to say, with equally
10180:
says about the scientific status of intelligent design, I would be reluctant to wholeheartedly trust their opinion on their own expertise. It's not quite Dembski/ID bad, but it's not great. Even the Vatican had Christopher Hitchens as a Devil's advocate when looking into canonizing Sister Theresa.
10133:
Yes, and the whole point of the Quackwatch statement is that those nonadvocate panel members were actually advocates - 12 members of a panel who were all pro acupuncture, with the lone skeptic actually sick that day. Part of the reason for the length of that sentence is to attribute the comment. If
9805:
Because what I wrote makes sense, and you're not addressing it? All that went on in the previous section you cite is a bunch of people who hate the WHO paper and want it to go away chattering "I don't believe it" and "3:1 = consensus, ha ha dood"! God, WP is pathetic. And so is this bullshit trend
9480:
If you're not advocating for the list to be included, why are we talking? Best would probably be to note that it has been suggested for many conditions, but the evidence base is weak for all but pain and nausea. Listing every single condition someone suggests acupuncture is good for would seem like
9066:
Advantages of this compromise: It breaks a deadlock, forges some consensus among diverse parties, and would therefore make for a common-sense, durable solution. It lets us move on. And from an educational standpoint, it allows readers to learn about how complex topics like traditional medicine are
8835:
What is clear is that meridians and qi as a physical ideation are considered pseudoscience by the vast majority of sources who deal with the subject. That's the sense in which we need to describe the pseudoscientific aspects. Sticking needles in various locations for palliative effects has been shown
8583:
To be explicit, the money quote form the article is, "An analysis of 13 studies of pain treatment with acupuncture, published in January 2009 in the journal BMJ, concluded there was little difference in the effect of real, sham and no acupuncture." That really says it all. This is at the end of the
8336:
to save his life, or whether to allow women are worth one half, or one quarter the value of a man. Being an "expert" in a field doesn't mean one is an expert in research methodology. We discuss if the reference is reliable; if it's given appropriate weight; if it's fairly and accurately summarized.
8328:
seems like a pretty solid point to make. We don't get to use "common sense" - reliable sources must be fairly represented. Using "common sense" is exactly why an edit war ensued and the disagreements go in circles - one man's common sense is another man's intolerable nonsense. We represent what is
8153:
editorial) is that the WHO report is unfairly and improperly given far too much weight given the problems with it - therefore the commentary is both important and should be featured prominently. As far as what issues can and can't be treated with acupuncture, now that we have better sources such as
8076:
True re date; I missed that, which moots reasons I liked it. "Wallace Sampson called it pseudoscience" is the kind of thing that, as I think we'd agree, is a lot less informative than "Wallace Sampson called it pseudoscience for these reasons". (Cf. your comments on handling criticism of WHO report;
8020:
That looks like a pretty decent article, not bad for a popular-level explanation of things. They even echo my point about the wrist point and nausea: fertile territory for research. So, Discover Magazine rocks except when it turns out not skeptical enough?Ā :-) Well, inevitably there will be debates
6666:
of acupuncture and addiction found that studies of higher methodological rigor, better able to test the effectiveness of a procedure, found that lower-quality studies reported positive outcomes. It was not until the the 1990s, that a series of placebos were derived that were deemed adequate to test
6474:
The primary problem with the design of acupuncture studies is that the Acupuncture is a modality or therapy and should be tested as such. Double blind placebo studies are best for drugs and other medications. Techniques such as a surgery or physical therapy are compared to other treatment methods.
5833:
What is needed is a high-quality reference that clearly labels it as pseudoscience. I don't think we're quite there yet. Acupuncture appears to be nonsense based on a flawed, medieval, probably alchemical understanding of the body, but it's not quite considered pseudoscience - even Edzard Ernst has
5309:
The only thing I've ever objected to, without adequate sourcing, is the unambiguous characterization of acupuncture as pseudoscience (via the category, infobox or anything else that is a binary condition). There is a reasonable debate to be had about demarcation and what kind of sources suffice, but
4980:
Middle8's new account is a legitimate one, a fact known to many editors who have edited alongside him, but he has previously used another account where his profession was clearly identified. There were also questions about a COI then, and I don't think his profession has changed, so he should be very
4668:
You could get everyone to shut the hell up and stop reverting. And assemble sources. I'll try to get to this, but frankly the stupid and unnecessary reverting is making me want to walk away in disgust. We aren't at the point where the infobox should be added yet, we're at the point where we should
4613:
Obviously this isn't settled yet. We should be supplying the sources and edits to the pseudoscience question before putting in the infobox and category. I think that there are sources to be applied before a category or infobox can be added, but I think the infobox is inevitable. Source first, then
3782:
Weight is addressed by attribution - "Quackwatch says..." Quackwatch is recognized, internationally and by many respected organizations, as doing a great job of giving a mainstream, skeptical position on dubious treatments including acupuncture. It's not like acupuncture is revolutionizing medicine
2790:
and therefore not relevant; for well-known topics like psychoanalysis, acupuncture and astrology, Knowledge says we leave that to high-quality MEDRS's that are reliable indicators of scientific consensus. In the case of astrology, sources meeting that level have said it's PS, so we use the category.
2741:
acupuncture is (and is not) pseudoscience. The TCM "theory" is nonsense - the placement of needles doesn't make a difference and this is where the pseudoscience comes in - but there is research showing acupuncture can reduce pain and nausea compared to nonpenetrating needles - and this is where the
2710:
I'll do that.) It is reasonable to discuss here whether categorizing acupuncture as pseudoscience (which it is) will strengthen or weaken the article's rhetorical power. I assert that it will weaken it, as does your ham fisted treatment of the WHO report. The article should approximate a cool, pithy,
2646:
That's interesting. I guess I disagree with that argument, not to apply both categories. That would have made sense, if our category system was hierarchical; a taxonomy. But it's not; it's like a flat set of tags. So to be a service to the reader, it seems like articles ought to be tagged with all
1852:
I could have removed nearly the whole thing. Rather than blaming my good-faith efforts to make a wandering section short and concise, if you have the sources and knowledge to improve it, please do so. It cuts both ways, and that section has been tagged as unclear for almost a year. As far as I can
1685:
P.S. - I agree with you about the paraphrasing. It's a problem. I don't see what's wrong with quoting (e.g.) NIH's own words rather than rephrasing it; it's too easy for bias to creep in that way, intentionally or not. I also agree that there was no good reason to remove the systematic reviews you
1638:
Ah it only appears so from the outside. I don't think the article has gotten any better in the past while. Some useful information has been added, but a lot has also been removed or misparaphrased to oblivion. Now we have ToRT in several sections of the article criticizing anything pro-acupuncture- a
1168:
R2: My response is that this isn't relevant. We are not saying that the AMA has changed its mind, nor are we trying to prove they have done so. That's why the AMA statement remains in the first place. We are arguing that publication dates of the reviews they used should be noted. That has nothing to
1155:
C2: "I stand by my earlier statement that the AMA has verifiably made a statement, it's up to other editors to indicate that they have since changed their minds." ""The AMA has neither updated, nor removed their statement, suggesting it's still their opinion (and really, since 1997 there has been no
602:
I am not qualifying or discounting its contents or conclusions. The reason for calling it "expert consensus recommendations" is simply because that's how they were described in the report. They are consensus recommendations made by a variety of experts. That's nothing POV. Again, you are ignoring the
559:
It's hardly a strawman barrage, my questions are to highlight the implications of only having "expert" used in one place and to point out that your analysis of how and why we use sources is problematic in my mind. For one thing, if a source is reliable, we aren't allowed to qualify or discount it if
530:
Okay, ignoring the strawman barrage, I'll address your argument. First, it is absolutely not weighty to allow the sentence to stand on its own. A consensus statement made by a large group of experts from a variety of countries in an organization that specifically researches OA issues deserves its own
487:
Questions - is there any indication that the other sources are not experts? Are the consensus statements from the NIH, WHO, the NCCAM, the AMA made by amateurs? Are the twenty-five Cochrane reviews written by laypeople? Is there any reason to portray the ORSI as more expert than everyone else? Do
442:
Undent. Expert is in the title. It doesn't "clarify", it muddies things by making it look like it is more trustworthy or "expert" than other sources. The source is the Osteoarthritis Research Society International, and it's in a peer-reviewed journal. I think our readers will realize that it's expert
13385:
Scientific Review of Alternative Medicine, American Board of Neurology and Psychiatry, Center for Bioinformatics and Computational Biology, National Council Against Health Fraud, and Science-Based Medicine are certainly prominent medical organizations. It appears that some editors are not acting in
13127:
that states the painfully obvious. Until a sizable minority of the scientific community agree that it is pseudoscience, we can not place the category on the page. Given an ostensibly medical topic like acupuncture, we need several high-quality journals proclaiming it to be nonsense. And given the
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WLU wrote: "The mainstream opinion has actually shifted substantially away from acupuncture in the past couple years" -- according to which sources? Designing studies properly remains a challenging problem, and care should be taken that "sham" controls do not introduce falsely negative results (see
12222:
is an easy read for editors who are still making up their mind on this, a publication from Northwestern, containing, e.g., ā€œā€¦mystical numerical associations, called the Da shu, or ā€œgreat numbersā€ā€¦ 12 vessels circulating blood and air corresponding to the 12 rivers flowing toward the Central Kindgom;
11774:
concluded "A small analgesic effect of acupuncture was found, which seems to lack clinical relevance and cannot be clearly distinguished from bias. Whether needling at acupuncture points, or at any site, reduces pain independently of the psychological impact of the treatment ritual is unclear." But,
11625:
and recommends that acupuncture treatment of chronic LBP be included in the European Guidelines for this condition. We can swap papers but the fact is that the treatment is now offered by major health providers, as they are convinced. My comments have only been about chronic lower back pain as there
11621:
As the NHS are now providing acupuncture for chronic lower back pain , it would seem logical to include it as part of their statement as that is what they say. Although there is comment on the efficacy of use on chronic LBP on the main page we do not say that it has been adopted by health providers.
11402:
In summary - I don't think we should use the Kaiser doc or Mayo clinic page as references when we have higher quality evidence to draw upon (much like why would you use a news report about a study rather than the study itself - go right to the source). I don't oppose a properly qualified note about
11398:
of studies is a poor measure of acupuncture's efficacy because of confounds like a lack of placebo, the publication bias of Chinese trials, the declining results as sham interventions became more convincing, and so on. So saying a paper cited 1900 research studies is not particularly helpful unless
10972:
Why the reference to a genie and a bottle? It's not like it's a big secret, it's a scientific investigation. Yes, acupuncture can relieve pain, but so can saline injections, sugar pills, imaginary treatments, waving your hands, etc. There are lots of ways to deliver a placebo, acupuncture happens
10822:
What you've got is a low-n study of 15 horses, which we can't use because it is not a review article, and a study showing that if you jam needles into specific parts of people, rather unsurprisingly there is a replicable change in their cerebral blood flow. The article acknowledges that pain, along
10111:
Yeah -- as if Sampson is anywhere near a couple orders of magnitude of that. Articles like this are what happens when editors at the most skeptical end of the range of mainstream views of a topic (and who know very little about that topic) make edits without a broader spectrum of editors to balance
9824:
I've ever seen. Especially because at least a couple of you are scientists and are supposed to know how to write and cite 'n stuff. But in a way I'm grateful, because it's a nice, concise example I can point to when I'm showing someone how absurdly unreliable WP is. WP's self-selection process at
9528:
used for, I think it's worth noting that it was used as a medical intervention for nearly everything, but then go with the best evidence. I don't think we'd add, in the article on bloodletting, a list of every condition bloodletting was used for (because, like acupuncture, that'd be a link to every
9438:
Let's call that three editors including myself. The reason a laundry list doesn't seem appropriate to me is because the listing of each of these conditions doesn't seem to address which ones have more evidence and which ones have less. And there exist plenty of reliable sources (Ernst being the most
8628:
find that acupuncture was effective. They found no difference between invasive vs. noninvasive "stimulation". Notice that the entire article focuses on "P6 stimulation"; not "acupuncture". We need to modify the text. The second Cochrane article is pretty conservative in its findings as well; and
8327:
The criticism is verifiable from a reliable source, and provides the context to some criticisms. Do you have a comparable source for a criticism of the criticism, or other rebuttal? With such a contentious field, with two very obvious comparable sides, failing to include one of the sides certainly
8125:
listing the stuff the WHO said acu could treat? Seems like a classic NPOV issue (not to mention weight) that would fall toward covering the WHO's 87-page statement in greater detail, since the present version leaves no stone unturned with respect to their critics' views (which amounted to perhaps a
7894:
The inconsistency of research results, even when reported by advocates, is not surprising given the physiological improbability of the alleged mechanism involved in acupuncture. The meridians do not correspond with any known structures in the body (they do not, for example, correspond to the nervous
6616:
and other hallmarks of scientific medicine. A 1979 review of the research to date by the WHO concluding it was effective in the treatment of numerous conditions lent tremendous credibility to acupuncture with dramatic increases in the number of practitioners and a steady integration into mainstream
6443:
This section is way too long, and needs to be sourced. There are some great sources for the advent of and use of sham acupuncture. This section should skip right to "sham" after noting that there have been problems designing studies. The whole block quote from Inst. of Med. is unnecessary fluff.
3762:
I'd say QW's cite would be minimal at most. A gauge of weightiness for MEDRS's is a source's reliability as a journal citation. WHO would qualify, just as Cochrane and other position statements and meta-analyses would. Quackwatch, well, when was the last time you saw them cited in a peer-reviewed
3397:
the researchers didn't like it. That's far more valuable to the reader than simply throwing in a weaselly "An acupuncturist wrote it (and therefore you can't trust it)". This is the WHO. They are big. But since the WHO report was not a slam dunk, and was in fact heavily criticized, I don't think
3392:
however, important to state "The WHO produced a report. It was criticized by many people. Edzard Ernst stated that the report was substantially written by a single acupuncturist..." In other words, flatly state that it's a WHO report and carries their imprimatur. Immediately follow that up with
3299:
The source is duly impeached and WLU's version below does a good job explaining how that works. You and other acupuncturists have leaned heavily on this report to self-promotional ends. This is beginning to be transparently clear that you are here for one reason: to promote acupuncture. Finally, the
3237:
doesn't change that. Yes, there have been critics of the source, but how many of them are RS's remotely comparably in parity? To counter something of the WHO's stature ("big", as WLU aptly put it) we need to be using something on the order of the Lancet editorial or Ernst's popular book (which, if
2478:
negative trials. In comparison, Western trials with solid placebo controls return very mixed results, many positive and negative trials. Chinese sources can be used, provided they are secondary sources, in high-quality journals. Which presents issues - how do we know what the high-quality Chinese
1909:
If you can improve the page by providing sources that correct any errors in the current version, that's great. All the time spent on this talk page could easily have gone into finding references, integrating them into the page and making it more reliable and NPOV for our readers. The fighting over
771:
As mentioned on RS, where you also posted this, my ISP uses dynamic IPs so it's very likely I have an IP that was previously used by someone else. I am not him though. I am also skeptical that I share 2 IP addresses that have been used by him. Is there an IP log on Cortico to prove he had those IPs,
143:
diff (the intermediate revision is my own, summarizing a set of reviews and recommendations). I'd like to see the Selfe 2007 paper rather than an abstract, and generally I'd say it's more like "acupuncture is about equal to sham acupuncture in helping with short-pain", but there is a lot of reviews
13077:
As you pointed out below, the jury remains out on whether TCM is mere pseudoscience. That's partly because scientists have yet to rule out the possibility that there are clinically useful aspects of TCM, cf. Langevin & meridians. The question is not whether to be scientific about acupuncture;
12774:
Glad you liked the "pseudo-encyclopedia" coinage.Ā :-) Yes, Knowledge is important in the sense that it's popular. Lots of things are popular, but that doesn't mean they're useful or worth improving. Fundamentalist religion is popular and (therefore) important too, but that doesn't mean one should
12683:
According to meta-analyses using adequate placebos, thanks. Which have consistently found that acupuncture is only effective for placebo-susceptible pain and nausea. That commentary makes the false assumption that all placebos are equal. They are not. Two pills are more effective than one, pill
11290:
There is insufficient evidence to make any recommendations about acupuncture or dry-needling for acute low-back pain. For chronic low-back pain, results show that acupuncture is more effective for pain relief than no treatment or sham treatment, in measurements taken up to three months. The results
11274:
For acute low back pain there is insufficient evidence to recommend for or against either acupuncture or dry needling, though for chronic low back pain acupuncture is more effective than sham treatment but no more effective than conventional and alternative treatments for short-term pain relief and
11250:
or an equivalent source that states, in fact, animals are susceptible to the placebo effect as are the owners who are responsible for evaluating its effectiveness. Essentially something like "Pomeranz states that acupuncture is effective in animals based on his belief that they are not susceptible
10702:- except for "Society and culture" and "In other animals"), and occasionally encounter discussions about acupuncture in my reading. There is an important pain theoretical construct that, if it doesn't predict, at least allows dry needling to be efficacious: Diffuse noxious inhibitory control (DNIC). 10584:
As far as animal studies are concerned Black's Veterinary Dictionary quotes research by Martin, B.B. et al JAVMA 190 1177, on a case where "Chronic back pain which did not respond to conventional treatments improved in from 2 to 8 weeks in 13 out of 15 racehorses. An injection of sterile saline at
10571:
The problem for acupuncture is that by its very nature is invasive so everyone knows whether it's real or sham. So the hunt has been on for an effective way to get around this. One way has been to use dynamic MRI, thus you stick a needle in somewhere and look at what happens in the brain, a useful
10418:
I don't agree, but I do think that the tone of the article errs on the side of acupuncture being a load of quackery! This is an out of date point of view. The use of acupuncture for certain types of pain relief, particularly lower back pain, is now generally accepted. Acupuncture for a whole lot of
10366:
All my efforts to improve this article and especially the lede have apparently been completely removed, and without even any effort to understand what the purpose of my edits were. Very depressing; seems this is another article owned by a clique that wants to maintain the status quo. Since you felt
10228:
The article would be very well assisted if there were high-quality sources that substantiated acupuncture being more than elaborate placebo. However, as placebo studies got better (in particular placebos got better) the "realness" of acupuncture got worse. Acupuncture may help with pain, possibly
10035:
Encyclopedias should be informative and reliable, for entertainment I suggest a blog. Others may find it an interesting discussion, I see it as a lengthy, tedious, ultimately pointless sidebar in an already lengthy article. The section took what looks like nearly 4,000 characters to say "we don't
9949:
mention of the critical scientific findings, then getting to the line of the final paragraph of the final page to read "But it turns out they were wrong"? It's a total waste of time. It is noted which research approaches are considered the most promising, it's noted that they are only equivocally
9616:
Lots has happened, but the evidence base has only been seriously tested in the last decade when actually worthwhile placebos were invented. As well, as even the acupuncturists admit, the evidence for acupuncture points and meridians, the ostensible "system" behind acupuncture, is essentially nil.
9461:
To clarify, I don't advocate use of the AAMA's list (or any like it) to assert what acupuncture is effective for. I just want the article to say more about what it's been used for historically, including in modern times. What we need is to do that in a way that doesn't suggest proven efficacy. I
8762:
are publishing only negative findings) before we can say that the scientific consensus is acupuncture is nonsense. Acupuncture is not pseudoscience - not yet, perhaps not ever. We need to explore what can be verified about the state of acupuncture and pseudoscience. We don't need people claiming
8401:
of body of thought that finds acupuncture is simple placebo; the guardian is a good paper, but not as good as peer-reviewed literature that demonstrates considerable doubt when proper placebos are involved. That particular study, hasn't been replicated (yet), wasn't on humans, and illustrates more
8311:
The above is, as mentioned, a start at a history of scientific research into TCM, with various twists and turns. Two thoughts: (1) Some of the order of points is dicey, e.g. the criticism of the NIH panel: while there were acupuncturists and acu researchers on the panel (imagine that, experts in
8221:
I wouldn't support that list of conditions; at best I would state how many were considered "supported". Stating what acupuncture is actually useful for should be in the Efficacy section, based on the best MEDRS available. I believe including the bulleted list of specific conditions is contrary to
8047:
be acceptable for the general science issues, such as whether it is pseudoscience, but given the actual statement it would at best be portrayed as "Wallace Sampson of the NCAHF called it pseudoscience" and if we're looking for Sampson's opinion, I'm pretty sure we can find a better, and more recent
7869:
conclusions finally validate what many epistemologists, historians of medicine and sinologists have all along suggested: traditional acupuncture is related to bloodletting and cauterisation; it is motivated by the pervasive doctrine of 'as above, so below' and the computation of celestial patterns;
6607:
regarding the experience. This, accompanied by related publicity about patients able to undergo major surgery without anaesthetic, sparked an enormous amount of interest regarding the practice. The tools and teaching of acupuncture was soon legalized (initially for the purposes of experimentation
6061:
Sorry, but I don't think we'll be able to get aspects of TCM theory into Category:Pseudoscience under the "obvious pseudoscience" rubric. TCM is far too well-known and has far too many followers, or people who at least use its ideas to guide their treatments (even if they don't take it literally),
5086:
and you'll see why). As a matter of fact, I've never been sanctioned, blocked or banned for anything on Knowledge. (The secret: I'm too patient with assholes.) Read my userpage and you'll see that I identify my profession with this account too. The idea that I (or anyone in my position, editing
4403:
Show me a sci-consensus level source saying meridians are pseudoscience. Like the kind we waited for, and finally, found, for homeopathy -- something from a scientific body. If they haven't commented, we don't use a category or label. Simple. Why wouldn't they have commented? Speculate all you
3981:
Being mentioned in the acknowledgments for part of a group effort isn't how authorship is designated. Obvious, right? Have you ever fished thru an acknowledgments section to determine authorship in the past? It makes no sense. It was a group effort that the WHO evidently wants attributed to the
3452:
The claim of WHO-imprimatur strike me as inappropriate because the WHO has this bizarre disclaimer prominently on the site that links to the report. This standard boilerplate is far different from those contained in, say, Lancet, BMJ, NEJM, JAMA, etc. Claiming that it is WHO-supported strikes me as
3204:
Your point (1) is demonstrably false. The report itself states who wrote it: "Dr Zhu-Fan Xie, Honorary Director of the Institute of Integrated Medicines, First Hospital of Beijing Medical University, China, who drafted, revised and updated this report. Further, Dr Xie made numerous Chinese language
3174:
shifts considerably, since the WHO carries a great deal more weight than the individual scientists who are critical of it. Those objections should certainly be mentioned , but as the article stands it gives the impression that the objections carry more weight than the review itself, which would be
897:
We're not talking about adding large blocks of text, just two sources, which are demonstrably good ones, and which increase article length only by a trivial amount. "Further reading" is just what it says, and including a couple of teaching/reference texts of that stature can only be a good thing:
573:
enough to have their own pages; at no point did I argue that because of this they should have "expert" or "most respected" appended to any of their statements (even though for Cochrane at least this could certainly be true). That the ORSI is not notable enough for a wikipedia page does not detract
13400:
They aren't the American Medical Association, the WHO, the FDA or the like. SBM in particular is a blog, NCAHF is a skeptical organization, not a mainstream medical one. Dr. Salzburg is speaking as a skeptic, not as a representative of his lab. They may be legitimate organizations, but they are
13301:
or similar professional body declaring it to be pseudoscience? I haven't seen evidence of that. All you have provided above is a smattering of individuals using the term. The last example, an essay published on a website controlled by its author, is in fact accusing the authors of a 2010 review of
12967:
The map is not the territory. Just because a prescientific culture explains an observation in terms peculiar to their culture does not moot the observation itself. For example, Western herbs whose activity was once explained using humoral theory are found to have some active ingredient. Another
12883:
So Knowledge is good because, while articles may suck, readers can use the sources cited by those articles (which may suck at any level, including poorly-chosen sources) to verify whether they suck or not? Ā :-) This exercise is circular reasoning, and sounds like no advantage over using Google and
12128:
The argument mostly went that the traditional chinese medicine approach/explanation was pseudoscientific, the fact that acupuncture relieves pain possibly through the placebo effect is not. I don't feel that strongly either way and haven't seen a sufficiently reliable source to definitively label
11062:
Let's try to move forward. Wilfrid, based on the discussion, what do you think the page should say, what are your sources to verify and where do you think it should go? I believe the original statement of "Placebo effects do not apply to animals and children" is an inappropriate over-reach. The
10595:
The wiki article is patently out of date it says for example that ā€œThe National Health Service of the United Kingdom states that there is "reasonably good evidence that acupuncture is an effective treatment" for nausea, vomiting, osteoarthritis of the knee and several types of pain but "because of
10262:
Yes, Ernst believes that as placebos have improved, evidence for efficacy has diminished, but that issue of one of many controversies in acupuncture research. If placebos are too close to verum acupuncture then studies will show false negatives. Since we're not sure of the mechanism, we can't be
9936:
that acupuncture points exist. Decades of research and this is the best we've got - a series of discarded hypotheses and a bunch of suggestive findings. Research isn't preliminary, it's inconclusive. If anyone is really interested in the details, they can go to the full text article I found and
9725:
Dr. Xie's work is a significant contribution, but the fact is, and always will be, that the proper attribution for the report is the World Health Organization itself. There are plenty of other sources that (like the Acupuncture report) are not only published by the WHO, but also attributed to the
8839:
This is the sense in which I argue that the infobox should be used. Not in any other sense. The pseudoscientific concepts here are the TCM theorizing. They are not based in anything but superstition and pre-scientific notions. Dry needling, sham acupuncture, etc. are proposals for dealing with the
8498:
Twenty hacks saying that the CIA killed JFK doesn't make those ideas anything but conspiracy theories. Likewise, twenty quacks pushing bad science doesn't magically turn acupuncture into anything beyond placebo, as documented in several peer-reviewed papers published in accredited sources. I'm not
8252:
I'll admit this is not a clear-cut matter by any means, but one informed by editorial judgment requiring consensus rather than simply applying the existing rules. In my judgment we should cite the WHO report, spend more time focusing on the context within which it was created (and criticized) and
8191:
prominently covering what the WHO said, no matter how much its critics hated it. NPOV dictates that we cover germaine points of view in proportion to their prominence. WHO is bigger than any of its critics. But we don't need to eviscerate the coverage of WHO's critics; we only need to bring the
6203:
paper which negates this whole argument and demonstrates that this article is POV. I wish I had more time to work on this article because I have personally experienced over a hundred treatments through acupuncture from over 20 providers (mostly students), and while the results do vary depending on
5291:
Of course I understand that what you say is correct about the scientific landscape, but I'm sure that you also know that there are doctors who believe there's something to some CAM's, particularly acupuncture. Before saying that I "advocate for acupuncture", you might try to understand my history
5141:
But wait: the same goes for any scientist supported by grants, since grant money is scarce and skewing the article for/against acupuncture might influence some grant evaluator, somewhere, maybe. And librarians, too, since including references to texts you carry will help keep your employer open.
4006:
I think it's deeper than that. The standard boilerplates from WHO reports indicate that the agency does not take responsibility for them other than to be their publisher. This is very much like other respectable publishing houses who publish questionable material but do not take a stand on whether
2406:
does not mention Bonghan, and the "Journal of Acupuncture and Meridian Studies" isn't pubmed indexed. I've removed the statements. Bonghan appears, even within acupuncture, to be a fringe claim. I've seen it mentioned as a "radical challenge to modern anatomy" and a justification of meridians.
1746:
Sorry for the late reply. True, I could've been briefer. Still, I think it's important to set up a strong argument, especially against editors who try to find any reason possible to revert your edit. No, I will not be returning, especially not to this article. It takes far too much time to get any
1245:
revise - I've wavered on this, and could go either way -- I'm now leaning toward including the dates of the "reviews" (neither appears to be peer-reviewed) because sources should be considered on a case-by-case basis, and while we don't cite the dates of everything a systematic review covers, this
472:
Oh so now, it's not only unnecessary but also not NPOV? Okay, A) Um, not everyone checks the footnotes, reads through the source, or knows that it's a peer-reviewed journal. This is why we have Knowledge. Adding expert clarifies it in 1 word. Who's consensus is it? Is this a policy of the OARSI or
387:
There's no need to include it either; we aren't in the habit of citing "amateur" articles. Why should this one stand out? Should we use "expert researchers" when we cite Cochrane collaborations? Or "expert doctor of complimentary and alternative medicine" when discussing Dr. Ernst? Why is this
13280:
No one has commented since I quoted the editor of Science-Based Medicine yesterday. The above quotes by the most senior and leading scientists who have examined acupuncture, from Stanford to Yale to the German are dispositive. I will add the category "pseudoscience", and add a paragraph to the
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rather than biology). That is SBM's overall critique of alternative medicine including acupuncture - it ignores all the knowledge we have in order to arrive at a pre-concieved conclusion. I'm sure Dr. Gorski would be one of the first to say that his side is not "losing" but is upset the way the
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decision about this, and acupuncture has not been shown to meet the criteria required by ArbCom for the application of this category. In particular, you are using your own judgment about the contents of primary sources. That's right out as a method for determining whether the label is applicable.
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There has been some evidence to suggest that acupuncture maybe effective in the treatment of chronic lower back pain when used with a regime of conventional therapy, including exercise and manipulation. Several major health organisations now offer this as part of their treatment for chronic lower
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should take us, particularly considering the discoveries would force a substantial revision of what is known of the body and how its organs and tissues interact. The existence of a hitherto-unknown set of anatomical structures and connections, centuries after the invention of the microscope, and
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is itself worth noting and a reason not to include it. It gives undue weight to the idea that acupuncture is efficacious, because of the weight of the organization. I believe it would be inappropriate, disingenuous and in violation of the spirit of MEDRS to cite an 11 year old research summary,
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I stated previously that the section I drafted, which I still consider preliminary, incorporates much information that's already in the article and may be better juxtaposed with specific sections. Right now there's only one "criticisms" section, and it focuses on TCM. I'd rather the information
6374:
By the way who is claiming that meridians and qi are "science"? If there is no claim, then there is no pseudo-science. Over to Acupuncture. Acupunture is should be treated as a field FOR serious scientific research, and a field that is not well understood, where evidence are raised and refuted,
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include a mixture of positive, negative and neutral results. Ernst and Singh, the authors of the book, described the report as "highly misleading", a "shoddy piece of work that was never rigorously scrutinized" and stated that the results of high-quality clinical trials do not support the use of
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You know what? I agree with Middle 8. I think the lead's use of that study and the frontloading with "an acupuncturist" is both unnecessary and prejudicial. In fact, I'm actually inclined to simply remove it from the lead totally and fold in whatever information that's actually carried in that
2924:
I also agree with the Pseudoscience infobox. Let's go for it. Middle 8, you write some text in a quote, then I go to your source (PSCI), and can't find the quote. The policy doc there supports our position, IMO. I believe that the main argument of people saying "no", not pseudoscience is that
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ScienceApologist's suggestion of placing the pseudoscience infobox in the TCM section seems like the best approach. That is clearly the most appropriate place to put it, since it is the "theory" that is problematic. No-one has ever confirmed the existence of qi or meridians, but jamming needles
2664:
Reason #1 for not labeling it "pseudoscience". It will alienate many open-minded readers who see the term as the judgment of a few pompous, up-themselves Wikilosers and (rightly) purely derogatory. I think acupuncture is dangerous (in that it distracts people from effective treatment) hokum. Your
1992:
i am the patient of this disease urethral stricture from about one year. i had operated last year in july but after 3 months of operation this problem is reoccured in me. and because of that now i'm unable to urinate easily. i go for a checkup n had everytime ultrasound n uroflow test n all that
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What's more likely to be documented, and what I'm personally more interested in, is the introduction of acupuncture to the Western medical profession in the United States. A tradition in my family says that Dr. M. E. CarrĆØre of Charleston, South Carolina (1813-1879, M.D., U. Penn., 1837) was the
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I can understand why you feel that way. This page has several excellent examples of how NOT to treat newcomers -- instead of being treated in a welcoming and patient manner, you were berated and baited. Not real great. There are things you need to learn too, like picking your battles and being
1622:
Moving some comments from above: lately we've had a nice influx of editorial skill and enthusiasm, and with a little bit of cooperation and AGF-ing, we just might be able to get this to good article status fairly soon, with featured not too far off. My motivation for this had waned, but I think
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Eastland Press is a high-quality publisher of TCM-related books, and several of their texts are recommended by the NCCAOM and are standard teaching texts (and are co-authored by Dan Bensky, a remarkable guy who went to TCM school alongside Ted Kaptchuk in Macau and went on to get an American D.O.
172:
The Self paper does not conclude that it's equal to sham acupuncture- it says it's an effective treatment for OA. The rheumatology paper says "Acupuncture that meets criteria for adequate treatment is significantly superior to sham acupuncture..." Significant superior- not equal. The hebrew paper
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The guts of research is teasing out the placebo from the real. The "magic" parts of acupuncture, the lengthy diagnosis and fake, complicated-sounding babble probably serve to enhance the placebo effect and that's it. There's no reason to give the TCM practitioners any extra weight just because
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I have been in email correspondence with the editor of NEJM about this. There seems to be a misunderstanding by some Wiki editors above of the basis of the uproar that the article caused. The problem was that acupuncture was found to be equivalent to a sham, then the author recommended it as a
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If acupunture claims to be a "science", but uses only tradition and authority to make just SOME of its claims (possible e.g., the number "365" based on the "number" of days in a year, or "12" based on the "number" of "major" rivers in China), then it is a pseudoscience, even if attempts to apply
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A non-Federal, nonadvocate, 12-member panel representing the fields of acupuncture, pain, psychology, psychiatry, physical medicine and rehabilitation, drug abuse, family practice, internal medicine, health policy, epidemiology, statistics, physiology, biophysics, and the public. In addition, 25
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incorporated in the citation template to review every gory, evidence-lacking, inconclusive, hand-waving, straw-grasping, unreplicated study. Seriously, that section was nothing more than a paraphrased section-by-section repeat of a set of "but we're not sure" paragraphs. We are supposed to use
9753:
Enough wikiality with this. Yes, the WHO published a flawed report, and it was self-attributed, i.e. "by the WHO". So what? We have more than enough sources in the article explaining why the report was flawed. There's no need to deprecate the report further by pretending that it shouldn't be
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In addition, the expert panel reviewing the report did not include any critics of acupuncture but was comprised wholly of believers and the report itself was drafted by Zhu-Fan Xie, the Honorary Director of the Beijing Institute of Integrated Medicines - which unreservedly endorses the view that
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It's ok to be passionate as long as you remain civil and neutral. Revealing a personal webpage that the user does not include on their wikipedia userpage is outing and should disiplined. SA's userpage indicates a strong POV and COI with the interest in this article (which means no more AGF). I
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WP has a specific threshold that is based on sound encyclomedic parameters. If we can't meet it, there's no point trying to rationalize away the need for that threshold. The placebos are dicey, as well; we don't know the mechanism, so how can we be sure that "sham" isn't a mild "verum" that is
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We're only discussing the meridian aspects of acupuncture here. Academic consensus clearly is that qi meridians do not exist. Consensus of the editors including those arguing against categorizing this page as pseudoscience seem to be that this approach is okay (e.g. WLU's opinion above). We have
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The World Health Organization acknowledges its indebtedness to the experts who participated in the WHO Consultation on Acupuncture held in Cervia, Italy in 1996, at which the selection criteria for the data included in this publication were set. Special thanks are due to Dr Zhu-Fan Xie, Honorary
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Undent. Quackwatch is, and has always been viewed as an adequate depiction of the skeptical mainstream scientific opinion, just like CSICOP. It's adequate to make comments on the less well-supported, more questionable claims, but if its points can be supplemented or replaced with peer-reviewed
1278:
The EBM section is a mess, hard and long to read. What about turning it into a table? Here is what I see it looking like for low back pain. Where the evidence isn't clear, I would suggest the middle column either say "mixed", or possibly a more detailed summary. I've used rowspan to separate
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O: Although it states that the AMA recommendation statement itself was released in 1997, it is reasonable to assume readers may be misled into thinking that the cited reviews mentioned in the separate statement are recent, and thus are the reason why the AMA has not released a new recommendation
665:
I already gave examples of how we do adequately describe each of the statements origins (NIH, WHO, AMA +Cochrane Reviews). We do not do this for the OARSI statement. I am not asking to explain the methodology in detail or explain the flaws. I am asking to note that the consensus was from various
568:
expert. Peer-reviewed journals are also "expert" documents, and add an extra level of vetting and criticism from international scholars (most journals do not maintain a policy of "we only accept peer reviews from nationals"). The information about how other statements came to be should also be
107:
Okay, I added the OARSI statement, which is one of the "expert consensus recommendation" statements that was released in 2008 by the Osteoarthritis Research Society International, and it was of course reverted immediately by Verbal lol. "please discuss on talk". Alright. WLU summarized the OARSI
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Just because a prescientific culture made an observation, doesn't mean it's real. And many of those beliefs about herbs were wrong. Echinacea consistently fails adequately controlled tests. It's the reality that determines whether a treatment works, not its age, and holding on to the ancient
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WLU - the paper you cite is for arthritis which is not what I'm on about, this is a narrow discussion about acupuncture and pain relief. Animals and young children not being susceptible to the placebo effect is a general principle, not just with acupuncture. The articles I cited were from the
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for instance) - now that effective placebos exist (head-retracting needles for instance) and better quality research is being done, there is a trend in the research data that there's little-to-no difference between "real" (needle on a documented acupuncture point or penetrating the skin) versus
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The consensus statement and conference that produced it were criticized by Wallace Sampson, writing for an affiliated publication of Quackwatch who stated the meeting was chaired by a strong proponent of acupuncture and failed to include speakers who had obtained negative results on studies of
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No, QG, there wasn't socking, which you know perfectly well -- but thanks for the troll. I had two accounts at first to avoid wikistalking by some of the same drama-addicts who are hassling me now. Simply having two accounts doth not a sock make, as you know (but pretend not to, which is just
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You said WHO is "big". How big by comparison are the Lancet editorial, Ernst & Singh, and Quackwatch, respectively? Just a ballpark guess. This isn't a gotcha; we're going to have to answer it satisfactorily in order to rewrite the section. We need to be careful about this, because even
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Using the logic that we can pick an author from the acknowledgement, we could just as well attribute the authorship to "the experts who participated in the WHO Consultation on Acupuncture". Or, more simply, we could simply use the attribution that I already cited in the ISBN info, and which is
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which is the Knowledge-standard-bearer. It is important to mention that the report was written by acupuncturists without any input from skeptics. That is acknowledged by independent sources and the WHO report itself and shouldn't be hidden behind some massive organizational authorship (which is
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is less important than keeping away editors they believe are pushing "pseudoscience". WP really is a joke in many ways, and I sometimes wonder if it's worth the effort. At the very least, you should take a nice break and clear your head. Maybe I should walk away too, and let people who don't
1018:
thanks, WLU -- you anticipated some of my responses. Yes, anything used as a source need not be in "Further reading". Whatever happens over the next 5, 10, 20 years with research into efficacy and point specificity, this article will always include sources giving the straight TCM view, and by
416:
If that's what they are called in the literature, you certainly may call them that. The OARSI report does call then expert consensus recommendations. It simply clarifies the information for the readers, so it does have a reason. Who made that consensus? The public? Acupuncturists? No, they were
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The data do not allow firm conclusions about the effectiveness of acupuncture for acute low-back pain. For chronic low-back pain, acupuncture is more effective for pain relief and functional improvement than no treatment or sham treatment immediately after treatment and in the short-term only.
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the results are much more equivocal than cherry-picking individual studies. We could cite things like the Mayo Clinic if we didn't have better evidence (Cochrane Reviews and other meta-analyses and systematic reviews) but Mayo is eclipsed by the superior papers. Kaiser Permanente is a health
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Orthodox medicine tests new therapies by double blind studies (forgive me if you know this already) where neither the patient or the physician know whether the patient is getting the treatment under test or a placebo. However, in most trials some patients receiving the sham treatment show some
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To clarify again, maybe the AAMA list isn't the best way to go, but the article as it stands lacks mention of what acupuncture has been used for from ancient through modern times. That's a different issue from research and debate about efficacy. It's a historical and sociological issue. For
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The ArbCom case concluded that: "Theories which have a substantial following, such as psychoanalysis, but which some critics allege to be pseudoscience, may contain information to that effect, but generally should not be so characterized." And "Alternative theoretical formulations which have a
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Ernst is a major player in the academic research on, and criticism of, pseudoscience, alternative medicine and related research. Ernst's opinion, even in the form of a twitter, would be a reliable source if correctly attributed. We don't have to check the secondary sources to ensure they are
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China, where the metaphysical theories of acupuncture originated, is now becoming scientifically sophisticated and is moving away from these ancient pre-scientific folkways. Recently, the Chinese government's Central Committee, together with the Chinese Academy of Science, proclaimed itself an
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Trick or Treatment would probably work, but a) there's no proof meridians exist b) TCM is based on the geography of China, not the anatomy of the body and c) I think category:pseudoscience would apply if any of the major parts of acupuncture could be labelled pseudoscience. All the mainstream
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has a worldwide reputation. I am afraid this discussion is becoming somewhat Pythonesque. You asked for some meaningful research, I gave you the NHS Evidence based link there are 1900 or so articles on acupuncture. The database uses standardised criteria and assessment processes, based on the
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On a purely practical basis, acupuncture has been hypothesized to be a form of bloodletting in its most ancient form. The comparison to bloodletting is because both are prescientific. Modern bloodletting has a specific, limited purpose, and in that page I wouldn't list all conditions it was
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It would have to be the subpages, but the proper sci-consensus sources (cf. above) would still be needed. And remember, the map (TCM theory) isn't the territory (clinical efficacy), but it's still found useful in practice (e.g., distal points like P6 for nausea and LI4 for dental pain aren't
5287:
Hi WLU (et. al.) -- You don't know me very well on WP. Besides the acupuncture, I have an advanced degree in a physical science from a university with an outstanding department, and the better part of a decade in pharmaceutical R&D (my first career). So I'm reasonably science-literate in
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You're making things up. There is no statement about unambiguous labels anywhere. We have plenty of reliable medical sources which say that meridian manipulation and poking is rank pseudoscience. We reference them in these articles and they are good enough for us to explain this to our reader
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is likely to be controversial but this new research has plenty of published science behind it and has been confirmed in different labs in a number of countries. With these new discoveries a statement which claims that scientists have been unable to find evidence that supports the existence of
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Yes, I'll sign up later. I posted the article link in pdf format above. There's a lot of information about OA in the pdf, but one just needs to go to the section on the consensus recommendation statements to see what the consensus recommendation statement about acupuncture is. We can quote it
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is best done in the article on that topic (irrespective of the majority or minority status of the topic). Acupuncture isn't just a list of Cochrane reviews; it's a clinical, anthropological phenomenon involving patient care. Therefore, saying what a treatment is like is encyclopedic, as is
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R1: First, my original argument is basically my response to the necessity counter-argument. In addition, we are only adding a few words. Second, I do not think adding publication dates of reviews is criticism. It is done all over Knowledge and this page itself. I am only interested in adding
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complimentary treatment. In effect, NEJM editors let slip a recommendation of lying to patients and then administering placebos. The fact that acupuncture was the particular placebo was incidental to the editorial (and peer reviewers') error of letting this clause slip into the conclusion.
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a bit derisory. But one corrects that by applying the 5 or 6 essential Knowledge editing guidelines, not by relaxing them. The UK government did decide to fund acupuncture and chiropractic, but Knowledge health-related articles are built around authoritative, independent reviews of rigorous
1130:
Since our debate in the discussion topics "recent edits" is very long, I'll present my arguments and the counter-arguments (as well as my response) from WLU who does not want this change. WLU if you feel I have misrepresented your argument or have something new to add, please provide input:
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means representing a global perspective, not using global sources. The language doesn't matter, it's the perspectives. Science is universal, based on method, peer review, honesty and criticism. Though China did originate acupuncture, it's now researched and used throughout the world, so
1126:
In the subtopic "American Medical Association statement" section, it states: "Specifically regarding acupuncture, the AMA cited reviews that stated there was not enough evidence to support acupuncture's effectiveness in treating disease, and called for further research". I wanted to add in
11536:"Improving the article" is normally a judgement call, particularly given the contentious nature of the topic. You may think "your version" is improved, I may see it as overselling the research and thus we defer to policies and guidelines to inform decisions about the page. Particularly, 10907:
observable both in children (even the young ones) and animals. It is true that animals don't know if they're being treated, but it's also true that they aren't the ones being asked how (or if) their symptoms improve. Whether those "placebo effects" are due to conditioning (see p. 140ff of
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You are mistaken about the "unambiguous" characterization; it is mentioned in WP specifically with respect to categorization and other yes/no type labels. Being in a category, or having an infobox, is a binary condition and therefore unambiguous. Thus, with respect to well-known topics,
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says that well-known topics like psychanalysis "should not be described as unambiguously pseudoscientific" -- e.g. categorization or infoboxes. We can still cite scientists' opinions, but without a concensus-level source, we can't use things like the category or the infobox. That's been
9689:'s Department of Essential Drugs and Medicine Policy produced a report that contained, based on research results available in early 1999, a list of diseases, symptoms or conditions for which the author, Zhu-Fan Xie, believed acupuncture had been demonstrated as an effective treatment...." 5711:
while a reasonable amount of academic debate still exists on this point" (emphasis mine). That means we shouldn't use the category, since inclusion in the category is a binary condition, ergo unambiguous. However, it's fine to cite reliable sources within the article who do consider it
243:
I'll ask again just in case the question was missed: What is the objection to adding the OARSI recommendation statement? What warranted removing sourced information? Particularly I am directing this question at you, Verbal, since you reverted it and asked me to take it to the discussion
10115:
Seriously, Quackwatch is fine for balancing out tiny fringe views of proponents of various things, but in this context I question whether it's an RS at all. Why would it be? Sampson's views belong on his own page (if anywhere), but not here, where they are ridiculously undue weight.
8120:
There are common-sense limits to your position, but here, I think what you say is reasonable. I don't mean to jump around, but this reminds me of the WHO: they are surely at least as "big" as Ernst, and if we are going to cover in detail the criticisms of their statement, what's with
3728:
that acupuncture can cure cancer and shit. The WHO is big, so they get substantial mention. But knowledgeable critics get to make their fair comments as well - and many think the report was highly biased and inaccurate. Quackwatch is one such critic, and it gets to make its points.
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perhaps they'll eventually be worked into the text, but the main value of Maciocia is lucid, non-Chinglish writing, and the main value of Deadman et. al. is the outstanding diagrams and detailed description of points. Reduce in size? The section is only five books long as it is. --
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of treatment for lower backpain. The problem has been getting to grips with the science, but there are several models emerging now. I was not seeking to recommend acupuncture as a therapy, but I do believe the article is loaded too much the other way. I think that in the context of
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SlimVirgin, thanks for your clarification. I would argue that the first point applies, but not the second. There is no "alternative theoretical formulation" (though perhaps a gradual evidence base is being assembled that "dry needling" - henceforth my term for acupuncture without
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C1: "The AMA statement is already clearly labelled as occurring in 1997." "It's unnecessary and a not-too-subtle form of criticism." "Regards publication dates mentioned in the text, we don't also include the publication dates of the studies the meta-analyses and reviews reviewed."
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to the author, and the author's qualifications must also be spelled out (X person, a Y from Z institution, has stated that...) Some could be integrated, probably not all, and they can't be taken as high-impact, mainstream opinion. I would not recommend putting them in the lead.
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WLU's contribution about the NHS statement looks pretty good to me. When the scientific reviews say something different, then I'm sure the article will alter accordingly. At present, the scientific support for acupuncture is extremely dubious, largely because of poor study design.
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Points for face-saving effort (yes, originally acu may have been at least partly bloodletting, but lots happened since then, and it's way more complicated than bloodletting), but we both know your knowledge of TCM goes about as far as the last Ernst criticism you read. Sorry. --
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as in not yet adequately investigated. And on a research note, given how many systems of acupuncture there are, it's nearly meaningless to try to find any association because any point you jab into will be close enough to either a Chinese, Korean or Japanese acupuncture point.
12360:
It would be good to put a permanent warning at the top of the talk page about ALL ArbCom rulings on this article, so editors do not waste time responding to what appears to be an ongoing attempt at reaching consensus by editors. I do not know how to do this, or I would put one
8340:
Pseudosicence isn't a good title, I agree. I'm not even sure where it should be located. Unfortunately it covers much material that's already scattered throughout the text so if this is implemented in whole or in part, it will necessitate some adjustment throughout the page.
8729:(ec) We can't be interpreting what reviews say - it says no difference between the versions, but it doesn't seem to say it's pseudoscience. It's part of the ongoing dialogue that needs to be summarized and attributed. But there are also Cochrane Reviews that find acupuncture 3112:
Adenosine can be presented as a THEORY based on animal study. We are talking about theories in this section. And adenosine is a very plausible theory can should be included. All possible scientific theories should be included. At the end of the day, only one or none is true.
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As I've said - this is covered by the generic statement about pain. Lower back pain is a type of pain. We don't list all types of pain and I see no reason why lower back pain needs extra emphasis when it's quite clear that acupuncture is supported to generally treat pain.
3161:: "The World Health Organization does not warrant that the information contained in this publication is complete and correct and shall not be liable for any damages incurred as a result of its use." In fact, those words (or an approximation of them) are used on virtually 13322:
skeptics links, but none are peer reviewed journals and thus can't be taken as evidence of the opinion of the scientific community as a whole (in the form of the article's peer reviewers and the editors of the journals). Every single one of these sources would need to be
11058:
It's an incredibly counter-intuitive way of linking to a page number, but it works and fits into the | page = parameter of the cite book template. The only time you really have to be careful is when you're in the preface, then the "PA" changes to something else, possibly
3209:. The disclaimer you cite in point (2) means we absolutely CANNOT attribute this draft of acupuncturist lunacy to anyone but the acupuncturists who drafted it. The WHO explicitly denies that the information is correct! That's different from every other medical source (see 3165:
one of the WHO's publications on that website! This disclaimer appears to be of the standard, legal variety, and given its ubiquity it cannot reasonably be taken as any sort of disavowal of content by the WHO (beyond the simple fact that scientific knowledge changes over
13032:"We can detect the action of a single atom, even a single photon, yet somehow acupuncture manipulates an "energy" that behaves nothing like any other energy we've ever found, that can't be measured, and most strangely, can't be reliably agreed-upon even by its advocates." 5490:
I'm comfortable relying on the common sense of most editors here, who I imagine can see that having an all-or-nothing category (or infobox) is synonymous with "binary" and "unambigous". I fully expect you and a couple of other editors to continue being disingenuous (see
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can't believe that there's so much controversy. I'm one of the primary authors of Commons:Sexual content and things are, at least recently, much more harmonious that here. I'm going to keep monitoring this. Anybody who crosses boundries will be dealt with appropiately. -
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these points, versus an interpreted insinuation that skirts the line of appropriateness for wikipedia. Since we have a source for these points, why bother with the leading "acupuncturist" at all, when Ernst and others clearly state not only that this is problematic, but
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that the mood and demeanour of owners can influence the behaviour of their pets. In addition the owners, who are aware of the treatment their pets are undergoing, are responsible for interpreting their pets behavior and may see improvements that objective tests can not
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Also in 1997, the United States National Institutes of Health (NIH) issued a consensus statement on acupuncture that concluded that despite research on acupuncture being difficult to conduct, there was sufficient evidence to encourage further study and expand its use.
5377:
It is fallacious to conclude that Category:Pseudoscience or a pseudoscience infobox are unambiguously characterizing an entire article as such. There is nothing in Knowledge policies or guidelines which indicate this. It is, in fact, a rule you made up out of thin-air.
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If you aren't a sock puppet, you don't have anything to worry about. If you are, you will almost certainly have your IP address blocked and your edits expunged. In which case you shouldn't have broken the rules. The fine editors of SSI will hopefully sort this out.
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their prescientific nonsense is old, or comes from far away. If there's a real relationship between tongue diagnosis and disease, it should be easy to demonstrate when broken down into its basic components. That's science. It certainly shouldn't be taken as a give.
10467: 631:
Why would we explain how these results came about when we don't do this for any others? We wikilink to pages on metaanalyses, systematic reviews, consensus statements and the like, but we don't explain why the Cochrane review is so highly regarded. We accept that it
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Later reviews suggested that deception and political propaganda played a large part in the dramatic demonstrations in China, as well as subsequent claims for its efficacy and in the 1970s researchers began skeptical and critical investigations into the practice using
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accurate - either they're reliable or they're not. They stand unless we have a reliable, secondary source indicating they should be removed - and that kind of comment is generally so interesting and noteworthy that it would probably be integrated into the article.
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experts from conventional fields. It's important that we clarify that they were experts and not lay people. Adding one word should not be grounds for calling something unnecessary. Inadequate descriptions in other sections also shouldn't justify removing information.
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to the article, which increased the article size from 101,149 bytes to 101,405 bytes, a whopping increase of 256 btyes or 0.25%. These had been inadvertently deleted by another editor who trimmed that section with an edit summary stating "trimming to books only"
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be called acupuncture, and acupuncturists will all say they are confirmed. I recently read an article whereby some neurotransmitter associated with pain relief was measured as being increased by sticking needles, but I can't find it. Can you direct me to it?
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explanation is more useful than just slapping labels on things -- though I think Ernst's COI assertion isn't necessarily reliable. WHO doesn't list all the reviewers, so how is Ernst an RS for whether the reviewers were only acupuncturists? I don't get it.) --
3423:
Oh, and Quackguru's collapse of that lengthy bulleted list into a paragraph was a good start, but I think we'd be better off simply stating which conditions it was best proven useful with, and leaving a vague "as well as other conditions" for everything else.
9406:, with ES "Laundry list deleted for a reason and with consensus. Take it to talk." -- Could the reverting editor or anyone else point me toward the thread(s) where consensus emerged? I searched talk archives with no luck. I managed to find the edit itself, 2791:
Not so for acupuncture or psychanalysis. That doesn't mean we cant cite sources like the ones WLU provided just above; it just means that those sources aren't enough to unambiguously characterize acupuncture as pseudoscience. The same goes for TCM theory,
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I also note that the study is being pimped by the media as "amazing" and "conclusively proving acupuncture works". Not even close, and even if valid in humans, only "works" if you define acupuncture very differently from what TCM does - making it closer to
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are clearly pseudoscience, but the argument was made that since they are in the paranormal category they don't also need to be placed in the pseudoscience category. I would, however, like to see a pseudoscience infobox placed here (in the relevant section).
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By the way, using this "COI is everywhere" logic, shouldn't ALL healthcare practitioners editing this article declare a potential COI, since casting acupuncture in a poor light might indirectly financially benefit them? Yes, that's certainly true. Anyone
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it gives the reader a kind of knowlege. It has problems, but so does the peer review process and statistics-ignorant scientics do a terrible job at experimental design and data analysis, but the results get published anyway, and publication bias and the
12669:). It shouldn't be surprising that docs and scientists who recognize this caveat, and understand that the map (e.g. TCM theory) is not the territory (e.g. what happens to patients when they are needled in a certain way), would not dismiss acupuncture. -- 10233:
or meridians. So...it's dry needling then, whose effectiveness rivals that of the best placebos. I'll take wikiality over "it's really old so it must work" any day - wikiality can change, while "it's old so it must be right" apparently refuses to die.
12074: 3534:. What does it say, exactly? Are there many acupuncturists who are using it? Granted that Ernst's critique of the report is valuable, but his impeachment of it seems to indicate, to me at least, that the report isn't really all that useful for us as a 3025:
model. For one thing, those results are suggestive, but not revolutionary, for humans. If we were treating mice, and adenosine was a known marker for something, we might have a finding. But this article is primarily about humans. Second, that is a
3457:
going to such lengths to specifically deny that what they published was factual or not. In fact, it makes a very good case that the report should be carefully vetted and claims from it probably shouldn't be included here because they fail the test of
10374:
As bad or worse than scaring off most readers with an abstruse and wordy lede is the fact that important information such as that about opioid peptides was removed. Please be less heavy-handed and try to welcome additions and improvements by others.
8984:. To my amazement, vitalism (unlike homeopathy or astrology) lacks what WP says is a proper source, i.e. a statement from a scientific body, to be "generally considered pseudoscience" and thus be so categorized. But common sense says that vitalism 1102: 9145:
as vitalism and therefore pseudoscience. (Arguably much of TCM is more prescience than pseudo, but that's not as important as explaining issues to readers, which on-or-off labels, categories, etc. don't do well.) Again, a vitalism infobox listing
7928:
advocate of the scientific attitude and in opposition to ignorance, superstition, and pseudoscience. Naive beliefs in the unproven explanations of Qi are weakening and so-called "masters of Qigong" are being unfrocked and subject to legal sanctions.
11431:
Yes and I started this whole discussion off by saying the problem with acupuncture is the fact that it has been difficult to do effective double blind studies. I agree that the science has been pretty flaky on a lot of studies, if you look at the
9713:"The World Health Organization acknowledges its indebtedness to the experts who participated in the WHO Consultation on Acupuncture held in Cervia, Italy in 1996, at which the selection criteria for the data included in this publication were set." 1405:
Thanks for explaining, much appreciated. I get it; it's just tedious, as you say, and I find it much easier to do when I put returns in the raw text before each field demarcator. I wouldn't expect any one editor to have to do all that. regards,
931:
Incidentally, my initial removal wasn't a mistake - my error was not removing Cheng and Kaptchuk (edit summaries are useful but mine tend to lack a full list of edits). They're old and already used. Unless they're "classic texts" (akin to using
8861:; I'd like to focus on just telling it like it is, with proper weight, and let readers surmise for themselves (per basic NPOV). (Of course, if we do have scientific bodies calling any aspect of TCM pseudoscience, then sure, categorize these per 10512:
of the effect is placebo. Proving that there is a therapeutic effect in some cases where placebo can be ruled out (horses and newborns?) proves there is an effect other than placebo, but the assertion you argue against allows that by the use of
9777:? The WHO didn't, and can't author a work - it publishes it. The WHO is an organization - it's like having a building author a paper, and it's the rare building that can type. The attribution goes to Xie, editor is Zhang, publisher is WHO. 6319:. Next, who/where/when claimed that accupunture is science? Acupuncture is a healing art that came from observation, trial and error, and intuition. Western medicine is no different. Both have been challenged, refuted, and improved by using the 11701:
does, but lists several types of pain and doesn't single out LBP for special treatment. You're trying to turn a lot of equivocal statements and tentative endorsements into an unequivocal, blanket bit of praise. I think that's inappropriate.
10814:
vet. acupuncture was worth mentioning. Anyway, acupuncture is certainly offered in my local hospitals pain clinic and their physio dept. and they tell me that is not unsual now, so whatever we say here it is already out there in the real world
1076:
section is largely sourced to Cheng Xinnong, 1987; I can add inline cites w/ page numbers one of these days. I can't find my copy of Kaptchuk's "Web" (first edition), so I'll be of no help improving that ref until I can find a copy. regards,
8811: 6183:
Personally, until the scientific community proves that this is actual science (which it has not), it should be considered psuedoscience, because it is based on ancient ideas more closely tied to philosophy than science, much like chiropracty.
6117:
on these topics. If I were wanting to insert text in an article stating that there exists unambiguous proof for the physical existence of meridians and that each acupoint had specific activity, then your question would be relevant, and under
8877:
is the most plausible-looking thing I've seen, but I'm not an anatomist and can't say how plausible it actually is. Is there a doctor in the house? I haven't put it in the article yet because I can't remember if it's been cited adequately.
199:
of information about osteoarthritis; my summary was for papers overall rather than just one, but it's not going to be easy to summarize it all here, particularly when many sources are lacking full text links and there are this many reviews.
12482:
It depends on how you define acupuncture. If you define it as "the use of fine needles to penetrate the skin to alleviate symptoms", acupuncture has some merit based on the best studies. If you say "the use of fine needles to modulate the
12230:. This might even put acupuncture in the ā€œoccultismā€ category, but at a minimum, when combined with any claims of scientific evidence, argues for categorization as ā€œpseudoscience". Since this satisfies the high caliber source requested by 11581:. I would also suggest reviewing the many times it is referenced in the article (five times) since there are links to specific pages that often touch on the points we have been discussing. You could also review the entry on acupuncture at 6084:
Any proof for the existence of meridians, qi, acupuncture points? There's a lot of evidence that it doesn't matter where you jam the needles (or even if you use them) - sham acupuncture in the best designed trials works as well as "real".
5087:
in my professional area) somehow would make money from editing WP is absurd, and drastically overestimates the influence Knowledge has -- it's widely seen as a pathetic joke for anything substantive, and this thread is a good example of why.
3238:
it really doesn't use footnotes, is not as good a source as it could have been). The WHO are big indeed, and in this case probably wrong to some extent -- but cf your comments about Galileo at the top of your talk page, which dovetail with
11669:
It is simple LBP is the only form of pain, that mainstream medicine agrees that can be helped with acupuncture based on the science. This is why it should be singled out, for most of the other conditions the science is a lot more blurred!
8831:
Parsing is what is important here. Acupuncture is an alternative health system that has many different aspects. There are a group of "medical acupuncturists" who have abandoned meridian and qi theorizing. Then there are those who have not.
5449:
in its entirety keeping context in mind. There is a difference between saying "Joe Blow saidacu is pseudoscience" and saying "acu is pseudoscientific", whether in so many words or by having a binary descriptor like a category or infobox.
108:
statement in this way on the OA main page, so I assumed there was no problem since he was the other editor that was editing this area on OA. Any objections to including a consensus statement on acupuncture effectiveness with regards to OA?
10516:
But my main problem with your proposed edit is that surgeons were blood-letting for millennia and priests were exorcising for longer, animals, infants and adults, and were convinced they were doing good. Saying people do it is no support
8918:
wish you would move away from your positing of dichotomies here. It's okay to dislike the infobox, but to declare unilaterally that it "categorizes" the entire article is really not listening to the points of others who are editing here.
8261:
that acupuncture worked, rather than as a means of organizing and explicating a research base. That statement alone within the report would give me pause about using it, but the fact that it's been specifically criticized for being used
7836:
Recognizing that one cannot make a sharp distinction between science and pseudoscience also accommodates the actuality that some subjects move from generally described as pseudoscience to being studied within scienceā€”acupuncture, say, or
1623:
we've now got a good group and can make it happen, if we want, and that would be a lot more rewarding than turning this into a battleground -- which I think the large majority of editors here are smart enough not to want to do. regards,
666:
experts from around the world as clarification, and because that's how the consensus recommendation was repeatedly described as in the report. I do not believe in removing bits of information from a whole, especially for a page like this.
11479:
OK - I think that in the in the statement by the National Health service, we should say: " The National Health Service of the United Kingdom states that there is "reasonably good evidence that acupuncture is an effective treatment" for
11180:. The wiki article is biased and it needs to have a more neutal POV. I think that the jury is out on most claims for acupuncture but not so on pain relief, the article does not reflect that. This discussion has illustrated why I think? 11018:
The genie is out of the bottle because a mainstream health authority is supporting acupuncture for backpain. This means that every back pain clinic in the country will offer acupuncture. They must be fairly confident on it's efficacy.
9141:, in which case let's discuss. As I said, pseudoscience doesn't fit a topic as broad and widely-researched as acupuncture, but I have no desire at all to whitewash criticism of this topic or aspects of it, and I'm fine with labelling 3387:
a WHO report, even if written by an acupuncturist. You wouldn't frontload a review article with "An allopathic/western/white/pharma shill doctor wrote the WHO report on vaccination", and I don't think it's important here. I think it
2690:
And about my points; I avoided being verbose, but I'm pretty serious about it: Take my reason #2: Acupuncture really is an "energy medicine", which really is pseudoscience. There's no way around it, that Acu. is pseudoscience too.
11747:
The NICE recommendation regarding low back pain is based on the 2005 Cochrane review and 4 non-blinded studies with no strategy at all to counter the placebo effect, one of which it describes as having a high risk of bias. Since then
2684:
Come on, let's keep this friendly. I see your point, but I think you might be raising a bigger issue than simply Acupuncture: i.e., perhaps pseudoscience isn't a good category to have. This might be a good policy discussion in the
11232:. To sum up the consensus, acupuncture plus conventional treatment works better than conventional treatment alone. There is no appreciable difference between needling and using a placebo, and acupuncture is better than no treament. 3179:" (LOL! - that subheader is classic Knowledge), but not when we're talking about "World Health Organization Review" (as it was originally & correctly cited). Even if the critics' opinions are closer to the truth than the WHO's, 102: 11267:
evidence is not single studies but rather meta-analyses and systematic reviews; it is inappropriate to cite primary sources (for the purposes of medical pages, that means the individual results of single trials). In the section on
9041:). That's because acupuncture is a complex topic, and if it works for some stuff, it doesn't seem right to call it pseudoscience -- not to mention, I don't want to IAR any further with the WP guidelines relating to categorization, 6862:
Manheimer E, Zhang G, Udoff L, Haramati A, Langenberg P, Berman BM, Bouter LM (2008). "Effects of acupuncture on rates of pregnancy and live birth among women undergoing in vitro fertilisation: systematic review and meta-analysis".
1219:
I guess this is R3: I'm not making an editorial judgment that the evidence is too old or debating whether a 1992 or 1993 review is recent enough. That's for the reader to decide. I am asking for the addition of publication dates to
13264:. 135 supporting comments on this article by science based medicine community, and not one single objection to calling it "pseudoscience" in all of the comments . That should be pretty conclusive and resolve this once and for all. 9749:
This is a slam-dunk. It's obvious that the proper attribution for the report is simply the WHO. That's why some scientists got so worked up about it: if it had just been some dude from China as the author, who would have cared?
9101:
Even better than a pseudoscience infobox would be one for vitalism, with annotation that vitalism is considered pseudoscientific. Many CAM's involve vitalism, and an infobox for that could be very useful, both on this page and on
3580:
gives a lot of credibility to the McCarthy article (which is primarily about homeopathy by the way, but does explicitly discuss acupuncture). But to do that section justice, we really need more explicit sources about the 2003 WHO
12917:, you should get a name and help out, too. Your contributions would be helpful and welcome. And you never get to experience the emotions of an edit-war until you do. Nor the even better feeling you get as you gradually begin to 8405:
Also, a large part of the pseudoscience around acupuncture is in the "system" used to deliver it - sham does as well as "real" acupuncture; nonpenetrating needles do as well as penetrating needles; no real evidence of meridians,
10939:
possible to construct rigorous studies on pain in animals, and newborns. It seems this hasn't yet been done for acupuncture. I have to confess, Wilfrid, I haven't read it for a couple of months, but back then the article's tone
10281:
Sham acupuncture that does not use a needle has been seen as suspect, because although there is no needle, the fact that the placebo is used on the acupuncture point can have a similar effect to needling though not as effective
3538:. I guess what I'm saying is, I think a good case can be made for removing the report in almost its entirety and certainly at least from the lead. Does it deserve its own section as we currently have it? I'd wager to say, "no." 2447:. Edit Summary: Scientific views are mostly western while much of research is from Chinese and not translated to English. *under-represented* There is no prohibition on using Chinese language sourced refs, yet are not included. 10099:
The graphic effect above speaks for itself. How much weight does a single scientist writing for the self-published, non-peer-reviewed organization have compared to the NIH's consensus panel? Here's how the panel worked, btw:
3880:
who stated the meeting was chaired by a strong proponent of acupuncture and failed to include speakers who had obtained negative results on studies of acupuncture. Sampson also stated he believed the report showed evidence of
3276:
game with it. So, go ahead and make whatever frivolous complaints against me that you want -- all that will happen is that you'll add to the pile of examples of your own misconduct that have gotten you blocked/banned/censured
872:
I searched the talk page before I reverted. What you should have done is post here first. I think the section could do with further trimming. We have plenty of references already, why include extra references that aren't used?
4084:
Middle 8 - the WHO is a health organization, not a scientific one. It doesn't represent hundreds of scientists, and the report has been criticized for using poorly-controlled studies. Verifiable, to respectable and reliable
5509:
So you think it is common sense that this arbcom ruling you are quoting is referring to infoboxes and categories as being unambiguous/binary characterizations. Go ahead and start a request-for-comment on that one. Good luck.
5842:
turns up at the top), maybe. I think it's arguable that it could be said "some have called it pseudoscience", I think it's theory is utter, utter nonsense, but I think this falls into the "questionable science" category at
5397:
distinguished between topics that are "generally considered pseudoscience by the scientific community .... and may be categorized as pseudoscience" and topics that are "questionable science" that "should not be described as
3264:
Nothing about this strikes me as odd given that fact that the WHO are a UN organization and need to be diplomatic, as well as cover legal liability. In any case, we've established that it's not specific to their review on
1950:
Presumably, Chinese immigrants brought a knowledge of acupuncture with them to the United States along with other aspects of Chinese medicine. If that introduction is documented, it would be interesting to record it here.
1360:
Etc. It's the cutting, pasting and wording that's difficult, I can easily fix the formatting. Just remember that there has to be three columns per row, but rowspan fills in each column by erasing a border between cells.
194:
for an account so I don't have to figure out what I've already discussed on a different page? Also, that'll let you e-mail me the paper so I can review it myself rather than working with just the abstract. There's a lot,
6620:
Though acupuncture had achieved significant mainstream acceptance, there was still no convincing explanation of how it worked. The traditional Chinese medicine explanations of meridians and the manipulation of immaterial
11756:
concluded "Acupuncture versus no treatment, and as an adjunct to conventional care, should be advocated in the European Guidelines for the treatment of chronic LBP." There were two responses published in the same journal
10501:, has that statement beginning "One study found..." It is a single study; and so what (?) if some researcher thinks "maybe it's partly placebo." On the face of it, that statement doesn't belong here. But that's for later. 3575:
it from the lead, does anyone have, or is aware of, any other criticisms of the WHO report? Right now we've got Ernst & Singh, and McCarthy. I like Edzard Ernst, his credentials and arguments are impressive and the
856:
was so quick to revert that I wasn't able to get this comment finished. I don't think that's very good wikiquette. I said "see talk", and it would have been good faith to wait a few minutes for the talk post to go up.
3383:
back-and-forth of "WHO acupuncturist produced, everyone else hated on" into one of the generic "it's controversial" statements. In that badly-titled section, however, I think there's much that could be done. First, it
9557:
Ummm... the history of acupuncture in China isn't at all like the history of bloodletting in European "heroic medicine", but that will be clear enough from the sources, which you can evaluate when I post them. Cheers -
5838:. It obviously lacks any merit for treatment of conditions (rather than symptoms) but it's not quite pseudoscience. If an explicit reference can be found that's not one of the obvious skeptic sources (like the ones a 4369:
plenty of sources which indicate that this concept is pseudoscientific and zero reliabls sources which dispute it. Also, stop being condescending. You very well know I'm familiar with wikipedia policies and guidelines.
12617:
can't be measured, and most strangely, can't be reliably agreed-upon even by its advocates. Science produces a convergence of opinion based on evidence and investigation regarding real phenomenon. This is worse than
6633:
was forbidden in pre-modern Chinese society) were met with skepticism by the medical and scientific community. The meridians alleged to flow through the body do not correspond to any anatomical structures such as the
9306:, is a V RS and good intro for the layperson. It's also, along with at least one other book I can dig up, a good reference for "An example of acupuncture treatment". The description is accurate and citeable, so not 3817:
Providing an author is just good practice, it's not pathetic, and the WHO is still included as a linked publisher. As for the author being biased, I can't recall seeing that exact issue, and my draft doesn't include
1352:| rowspan = numberofevidencerows | ] | discussion of evidence | rowspan = numberofevidencerows | citation |- | discussion of evidence |- | ] (example for only one citation and discussion) | discussion of evidence |- 12223:
and 365 parts of the body, one for each day of the year (Lingshu 13/311 )ā€. The abosolutely highest caliber source on this is the Ling Shu, considered to be the "Canon of acupuncture", which has also stuff like this
8624:@Middle 8; Thanks for the pointers---I read through the sources. I came away with a mixed impression: First, the bad news: I believe that our text misrepresents the conclusions of the P6 Cochrane article; They did 3953:"...drafted, revised and updated this report" is authorship as far as I'm concerned, but if you look at my citation template, I have him as an author while Zhang is an editor. WHO is the publisher, not the author. 13296:
Does the profession claim its practice is derived from or based on science? If so, it is, by my understanding of the term, pseudoscience. But I haven't seen evidence of that. Is there a consensus statement from the
10094:
In 2006 the NIH's National Center for Complementary and Alternative Medicine stated that it continued to abide by the recommendations of the NIH consensus statement, even if research is still unable to explain its
8757:
reviews in high-quality journals are stating it's nonsense that we can close the discussion down and state acupuncture is nonsense. Obviously not quite all, but still - we need near-universal condemntaion (and the
6589:, motivated partly by ideology and partly out of pragmatism in response to a lack of Western-trained doctors, revived the practice of acupuncture along with other aspects of TCM as part of the training program for 2004:
The article currently contains no information regarding this condition. A quick scan of Google Scholar does not indicate that we necessarily should include anything, but if anyone turns up a solid reference, please
1700:
And, with some editors just doing fly-by reverts of anything other than the straight, boring skeptical take, it becomes pointless and frustrating to edit. I get your frustration and am not inclined to go it alone.
12860:
Can't let this stand. It's a crap source because it is often written by amateurs who sometimes misunderstand the subject, is occasionally vandalised, and is sometimes written by people with no understanding of the
12742:
The irony is this: Knowledge is a "pseudo-encyclopedia", a crap source according even to its own standards. It doesn't really matter what is written at Knowledge except to those who make a hobby of writing here.
12044:
to remove the news story again and minor-tweak the citation (and adjusted the wording, which might be more problematic); I suspect I could re-use the cite doi template if I populated it by hand, but won't bother.
10577:
Other techniques involve the use of lasers instead of needling. You have two lasers a real one and a sham one, the real one uses a beam that can not be seen by the naked eye. Thus you can have an effective double
842:, (b) the increase in article size was trivial, and (c) a quick google shows they are excellent sources (they're recommend reading for the NCCAOM exam, i.e the national board-certification exam for acupuncturists 11916:
the changes again - these sorts of claims should be made with sources more reliable than a news story; the editor in question appears to be placing the same dubious, pro-Korea information on a variety of pages.
5799:). You've also got two editors disagreeing with your position. I'm reverting (and fixing the "many/some" silliness). Please take the time and effort to address 1-2-3 above specifically if you disagree. Also, 5695:, we need a proper source showing acupuncture is "generally considered pseudoscience" by the scientific community. Such a source would be on the order of a mainstream scientific academy, such as those found in 5430:
Please show me the policy where WP specifically mentions "unambiguous characterization" associated with infoboxes or categories since you claimed it existed but couldn't seem to be bothered to actually show it.
2072:
I removed this section for WP:PRIMARY. I'm looking for a secondary source on the results of the trials using sham acupuncture as placebo, but haven't found one yet. When I find one, I'll restore this section.
13128:
journals publishing shoddy, poorly-interpreted research as if it justified acupuncture, we may be waiting a while for that. I understand your frustration, I see how ridiculous the claims are, and if this were
10804:
Anthony - I think that a tipping point has been reached with acupuncture and pain relief with the advent of functional MRI, and organisations such as NIH and the NHS do now accept that acupuncture is useful as
8685:
They, as a construct, are biologically implausible. Science contradicts them. The notion that needling may relieve distressing homeostatic emotions, and that some spots might be more efficacious than others is
11377:
from nonspecific effects (i.e. placebo based on the interactions with the practitioner). Plus, this is a single study, there's lots more and there's lots of statements about the body of literature in general.
3552:
The present wording is puerile. Ad hominem, yes, but more importantly, unconvincing. I completely endorse WLU's points. The WHO report needs to be addressed by this article, but addressed effectively. I would
8836:
in some limited studies to be effective, though double-blind placebo-controlled studies are virtually impossible at this time and so there simply does not exist the impeccable studies required to evaluation.
2469:
There is, and is not, an issue with using these sources. For one thing, being able to read and verify the text is important. For another, one of the criticisms made against research in China is significant
1364:
Other options could include having the year as separate to allow sorting by source date or not bothering with the author and just having a footnote. I think the latter's ugly, but so's what is up there now.
11063:
source is relatively old (particularly given the effect of "true" placebo needles driving up the quality of research since that time) but could still be used if a suitable counter-source could be found that
10656:
Acupuncture's ability to treat anything but pain and nausea is less "has a way to go" (which assumes it will be demonstrated effective) and more "has been tested and unsurprisingly isn't really effective".
8206:
BTW, aren't "criticisms" and "controversy" sections deprecated precisely because they can become little islands of POV-forage and COAT-rackery within the article? It would take some reworking; just saying.
6827:
Chou R, Huffman LH (2007). "Nonpharmacologic therapies for acute and chronic low back pain: a review of the evidence for an American Pain Society/American College of Physicians clinical practice guideline".
4595:). Only recently did homeopathy pass that threshold, with a sci-consensus type source from a scientific body. I've seen no such source yet for any aspect of acupuncture or Chinese medicine, just the usual 2730:
work for symptoms, but its theoretical conception of the manipulation of qi is pseudoscientific. But the most important thing is a set of reputable sources for this - can we find sources that? I think so:
1833:
On reflection, I'm not going to revert and fix this. I'm going to leave it in its messed-up state so that it will be obvious to anyone with a shred of knowledge of TCM that it's been butchered. Have fun.
12555:
analysis by Orac. You might be thinking of a different one, but I can't think of any that involve neurotransmitters (adenosine in this study was measured outside of the central nervous system. In mice).
12039:
Huh, not sure what's going on there. The DOI works for me when I click on it even here, but the article doesn't seem to be pubmed indexed so perhaps it's not in CrossRef. I've adjusted the revert made by
3281:, with excellent reason. Somehow, I've managed to figure out what the boundaries are around here, so forgive me when I completely ignore any lectures you have for me about getting censured. Mind your own 1774:
To WLU: Of course you read it. You just can't reply to it, because it simply highlights all the BS edits and reverts you made over the course of a few weeks. How the hell could anyone justify that kind of
6005:
says, "Editing in an area in which you have professional or academic expertise is not, in itself, a conflict of interest." Verbal didn't discuss his revert on the talk page or address any of the issues I
1264:: For clarity, include both the publication date and the dates of the reviews cited in the publication. Where there's a substantial difference, it's reasonable to include the latter as well as the former. 9754:
attributed to the WHO. It is what it is. There are no bibliographic sources in Google (other than Knowledge) attributing the work to Dr. Xie. The WHO wrote it. That's the reality-based conclusion. --
5907:) pseudoscientific. Those three can clearly be labelled and categorized as pseudoscience. The question of whether acupuncture works for some things is actually irrelevant. A parallel situation exists for 1686:
added. "Undue weight" is a bullshit excuse -- we should just list the best ones we have, not delete a couple positive ones because there's one that's negative. They all looked fine to me as MEDRS's. --
10446:
One study found that acupuncture "seems to alleviate pain just barely better than sticking needles into nonspecified parts of the body" and concluded that some of acupuncture's effects may be due to the
3767:
territory and need to be documented adequately -- but probably the best resolution is to drop the invented author idea entirely and cite it just as we do the NIH, AMA, NCCAM, and other group statements.
636:
a high quality, MEDRS and cite it. That's dangerously close to "I'll just explain the methodology used, and then I'll explain the flaws it contains" - WP:OR, WP:SYNTH, WP:NPOV and totally unnecessary.
12113:
Also, I've followed this content dispute for several years and have never seen anything like consensus emerge on it. Please point me to the specific, archived discussion if I may have missed it. thx,
9721:"Special thanks are due to Dr Zhu-Fan Xie, Honorary Director of the Institute of Integrated Medicines, First Hospital of Beijing Medical University, China, who drafted, revised and updated this report." 5296:
since we agreed on and found the proper sources. And of course we need to make sure that the TCM side is covered adequately, which is an area where TCM-style and other acupuncturists can come in handy.
2548: 569:
referenced and appropriate but more importantly, they aren't accompanied by loaded adjectives that give these statements more weight. Cochrane, Bandolier, the WHO, NIH and AMA, all these entities are
3492:
that the WHO published the report, and it's hosted on its website. Also verifiable - that many had issue with the report. Think of how much more powerful an explicit discussion of this would be for
12884:
more specific indices like PubMed, Readers' Guide, etc. Of course, people are lazy and gullible and will accept all kinds of nonsense: superstition, pseudoscience, and now pseudo-encyclopedias... --
12869:
process. If you read it with this in mind, it is an excellent source because you can follow up its assertions in the sources it cites and see if the article reflects current mainstream scholarship.
12098:. To meet the threshold in the former, we need a source of the caliber described in the latter. No one has presented such a source, and until someone does, the category should not be used here. -- 2450:
I noticed that there was no mention of the Shanghai Research Center of Acupuncture and Meridian, which seems to be the main research institute for acupuncture in China. An English translated link is
818: 258:
Signing up takes very little time. If you intend to do so, please do so now as a courtesy to other editors. It gives assurance that you're not a sockpuppet and makes it far easier to communicate.
5619:
I had another crack at it, the lead has to be somewhat vaguer than the body since it is meant to be a summary. Hopefully the current version, which is way too specific in my opinion, is adequate.
4541:
Yes, I believe so. On this talk page alone, you'll see references to acupuncture described with scientific-sounding terms, and references to academic articles attempting to square it with science.
10823:
with nausea, are modulated by acupuncture (note that pain and nausea are both strongly susceptible to the placebo effect). As for children and animals and the placebo effect, may I direct you to
8678:
That is the best review so far, and deserves more prominence here. It is not an imprimatur for an anonymous Knowledge article to declare the practice pseudoscience. Qi, meridians and the like are
8158:. Frankly, I'd rather not use it for a list of claims about what acupuncture can and can't treat - the evidence base it used is now 11 years old since it's based on studies available since 1999. 3927:
The proper attribution is WHO. We don't get to guess the author by looking through the acknowledgements. That's not how tertiary sources like WP are written. Here's what the acknowledgements say:
9410:, from QuackGuru on 7 June 2010 (a bit sloppy, leaving in reference to a "list below" while deleting the list). He left no comment on talk, as far as I can tell. Seubsequently, one editor, WLU, 8858: 11403:
vetrinary acupuncture. We already have a discussion of the efficacy of acupuncture in the treatment of back pain. I think it is adequate, but am willing to listen to suggestions to modify it.
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parts of it, pseudoscientific in much the same way that alchemy is pseudoscience. The body of thought that states acupuncture is pseudoscience at least in part certainly passes the threshold at
845:). The best way to reduce article length in this case is to spin something off, or not worry about it at all since 100k isn't that long for a complex topic and there are longer articles on WP. 8525:
to see whether a topic is "generally considered pseudoscience" by the scientific community. No problem with creationism; plenty of scientific academies weighed in on that non-controversy. For
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I'm in agreement with ScienceApologist and the article text is fine (with a little cleanup). However, the heading for that section is absolute tofu. Can we change it to something snappier, like
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in the New England Journal of Medicine" - Steven Novella, MD, Yale University professor of neurology, and Founder and Executive Editor of Science Based Medicine website. Other editors are here
12598:: It seems pretty clear from the substance of the author's comments and his aggrieved tone that he feels his "side", i.e. the extremely dismissive view toward acupuncture, is losing. He says 6459:
Hmm, I guess "fluff" is in the eye of the beholder; the IOM is arguably the best MEDRS on English Knowledge, and their point about controls is directly germaine to study design here. regards,
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An analysis of 13 studies of pain treatment with acupuncture, published in January 2009 in the journal BMJ, concluded there was little difference in the effect of real, sham and no acupuncture.
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understand TCM fuck the article up into a total joke. But if you return, I'll work with you and other reasonable editors, because the page needs editors who understand TCM from the inside. --
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That comment entirely misses the import of my first sentence above. It doesn't matter whether or not Knowledge somehow acknowledges that it's a crap source; the point is that it quite simply
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is reliable. Two authors noted for their criticism of alternative medicine, Random House is a mainstream publishing house. The opinions expressed in TorT are also clearly attributed to it.
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page) I think they should be removed. At minimum, Cheng and Kaptchuk should be removed and ideally Maciocia and Deadman et al should be replaced with a more recent and comprehensive source.
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issues are actually under consideration. Just bore them to tears with no information at all. And lord forbid we should cover the history of the topic, for some of that might be contrary to
8683: 6239:"Pseudoscience is a broad system of theories or assertions about the natural world that claim or appear to be scientific, but that are not considered being so by the scientific community" ( 133: 117: 9987:
And it's so, so informative to the reader to say only that "everything is inconclusive". Not to say that it could be A or B or Z or nothing -- don't mislead the reader by letting them know
12752: 9302:(Note: There is no consensus on the above, so I'm changing the header to "To do?" to reflect that.) I see no reason to do either, and good reasons not to. Reference 29 in version above, 12760:
Knowledge DOES matter. It is usually the first article listed in a Google search, indicating that a huge number of people read it. That said, I loved your "pseudo-encyclopedia" coinage.
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was left out, and now the NHS will be providing acupuncture for back pain, which means that probably 1000s of people will experience acupuncture, will Knowledge reflect their experience?
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bringing basic medical care to rural villages in China. Mao himself avoided TCM for his own medical treatment. The revival of acupuncture went unnoticed in the West until the visit of
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that WLU pointed to fits the guideline. A government decision doesn't. It could be mentioned in the article (is it?) but not in any way as some kind of proof of acupuncture's efficacy.
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IIRC, the reasoning behind that categoriztion was that acupuncture claims to manipulate Qi, which is a bit different than what one traditionally thinks of with manipulative therapy! --
307: 11577:. It's a good book, recent and eminently readable, with a chapter dedicated to acupuncture that is extremely interesting and informative. You can also review parts of it for free at 10610:
as an attempt to start redressing the balance of the article. I think that it is a relevant to the section so I would prefer it was not deleted. Perhaps see what other editors think??
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who was struck with appendicitis and was, after conventional surgery, treated with acupuncture for post-operative pain. Reston was impressed by the treatment and wrote an article for
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to draw upon and should therefore do so - Cochrane Reviews for specific conditions, systematic reviews, literature reviews, meta-analyses, etc. that review treatments on the basis of
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or TCM - has a physiological basis) but there is a substantial following and critics are alleging pseudoscience. Our job is to now document those criticisms but I believe the use of
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Below is a shoddy, shoddy draft with no sources. A lot of the information might better fit into multiple sections. And frankly, it's mostly my opinion right now. But it's a start.
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I was refering to medicine in the general term, currently the National Institute for Health and Clinical Excellence (NICE) recommends acupuncture as a treatment option only for LBP,
11585:, updated yesterday, which covers much of the same material. Normally I would suggest using it in the page, but there are better quality sources available that make it redundant. 8418:, which is pretty much "acupuncture without the magic", might be a better name and direction to take acupuncture if there is ever unequivocal evidence for it but we're not there yet. 3187:
prevail. I'll be fixing the factual content and the weight issues soon. Please let me know your thoughts and particularly whether I've made any factual errors here. best regards,
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In Europe acupuncture experienced a brief period of popularity before fading from use in the mid-19th century, in part due to the deterioration between Britain and China due to the
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low back pain; as effective as conventional and alternative treatments for pain relief and improved functioning but acupuncture plus conventional therapy slightly improves efficacy
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But why don't you follow WLU's suggestion and say "Dr X of 123 and Prof. Y of 456 have described the theory and practice of acupuncture as pseudoscience" and see if that floats? --
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is good science now about it. I have not discussed any of the other conditions that it is claimed that acupuncture can help with because I do not believe that most of it is proven.
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It always seemed to me that a fair article on acupuncture would include what its Western proponents say it's good for, even if said proponents' claims are premature or wrong: see
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review of the rigorous scientific trials of veterinary and pediatric acupuncture supporting the "more than placebo" argument. Tradition and anecdote don't belong in that argument.
9995:(the only important thing ever), and our readers might be really fucking stupid and make the grave error of conflating the two. Encyclopedic = boring, I guess. Yawn. Remember 6394:
In case anyone's interested I standardized the archives to 250K, adjusted the dates at the archive box and started Miszabot. They were all over the place with different sizes.
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sources are? And are any of them more respected than BMJ, Science, Nature, NEJM, JAMA, etc. who publish good science irrespective of where it comes from? Is there any merit to
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Conventional treatment plus acupuncture is better than conventional treatment alone for CHRONIC back pain, I am not discussing acute pain. Its a amazing how you just write off
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Please stop trying to collapse this section, especially with a misleading note. I agree the conversation should continue there, but a cut and paste does not help the situation.
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Thanks WLU, I removed the tag and left a much shorter justification than yours - however it seems not to have saved. Thanks for giving the reasoning and making up for my error.
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At this point I tend to agree with WLU that since we don't list dates of secondary sources used by Cochrane reviews and the like, we shouldn't do so here, just for consistency.
6243:) It's pretty clear that (2) is the consensus view, but what about (1)? Do proponents of acupuncture assert that it's scientific? If so, then the category tag is justified. 2720: 2678: 1666:
with you should have known better. But there is a subculture within WP that takes things like Quackwatch and ToT as gospel that doesn't require attribution, and believes that
10332:. Acupuncture is no longer regarded as a pseudoscience (for pain relief) by a lot of the mainstream now, I am not sure that this article is up to date with current thinking. 9314:; a good encyclopedia will give the reader get an idea of what a treatment is like. Whether it's "just unnecessary" is subjective. But I think that in general, I agree with 3127: 2950: 6142:. I'm not aware of any such source, and have yet to see anyone produce one. So, as things stand, these topics remain in the "grey area" of "questionable science". regards, 3855: 3530:
That the WHO published it is certainly correct. However, I think that the fact that they published it with the boilerplate makes it very questionable from the perspective of
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Pomeranz will have to be associated with the more recent and more scientific review of the clinical basis for acupuncture treatment (there is none) and I would suggest with
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addition to understanding TCM. (Obviously, I'm no match for bright-eyed college kids quoting Ernst, but that's natural, since WP has always denigrated editorial expertise.)
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I support a Pseudoscience section as long as it is written from a NPOV using reliable sources. Adding this infobox (or cat) without consensus or sources is inappropriate. -
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Finally, (3) about your obsession with my non-existent COI: You keep bringing this up, so it merits a few choice words. Once again, you need to go back and read the page,
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Tables are extremely tedious to work with and I don't plan on making time for this over the next day or so. If anyone wants to work on it on the talk page, feel free - use
11733:, it may well be that they will adopt if for other problems as well in the future. NICE by the way are the organisation that tell the NHS what treatments they can provide. 9806:
where people who don't know jack-squat about articles edit. Hey, mark it up all you want....there's a reason WP self-selects for people who are less than great writers. --
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because I don't think it's likely that I would share 2 ip addresses with him... unless Rogers assigns IPs in the same pattern over and over, which would be extremely weird.
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of the article. I've bolded the text given to the views of the one critical Quackwatch guy, and left un-bolded the text allotted to the views of the NIH consensus panel:
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Yes, of course. Many of us have seen this from QG before: game-playing; trolling. (As is said in multiple contexts in WP, "assume good faith is not a suicide pact".) --
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No more AGF?? Middle8 linked himself to these things. It is clearly not outing. If Middle8 wants a fresh start he is free to do that, but would have to avoid acupuncture.
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The COI arises because you are clearly here to promote acupuncture rather than dispassionately write encyclopedia articles. You also have an interest in the normal sense.
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for, in addition to being produced by a panel that included no critics of of acupuncture at all, containing two major errors - including too many results from low-quality
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RS by Wiki standards. They are not contradicted by any other mainstream science based medicine organization. There is no basis for excluding them by any Wiki standard.
8482: 6380: 2786:. NPOV policy is quite clear about what we can and can't label unambiguously (e.g., with a category or infobox) as pseudoscience. Our own opinions on demarcation are 1853:
tell, the "butchered" version is just fine. Please feel free to do so with reliable sources but I would suggest caution to not phrase it as "acupuncture/zang-fu/Blood/
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to look like a very convincing one. Offerring something for treatment isn't the same as saying it's not a placebo effect. The NHS' stance is noted in the section on
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the source of the excellent summary i quoted was too old, it would have been better to summarise the current sources instead of only deleting the "outdated" summary.
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and (2), that the review was not vetted by the WHO or somehow did not represent the WHO's considered views. This misunderstanding may have arisen from this disclaimer
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This is not psychoanalysis. This is vitalistic qi superstitions. Every source listed in the article and above identify it as pseudoscience and the consensus is clear.
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Re wording, I think you have the right idea in sticking close to sources, e.g when Cochrane says something nuanced like "insufficient evidence for or against", etc. --
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we disagree with its contents or conclusions. Placing "expert" only on one source does just that - it is a positive qualification that suggests the other sources are
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and so on. TCM is probably the best-known and most-used indigenous medicine in the world, so no mainstream body will have missed a chance to comment on it. cheers,
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happen, if we just got it right. I really don't think the article is adequate to justify the lead mentioning specifics as if they were promising - at best they are
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I've got no problem with describing what sources say. Go for it. But we need to get over this obsession with pseudoscience infoboxes and categories when we simply
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diagnostic method, as pseudoscientific. These are all falsifiable beliefs being presented by professions as biological facts, and thus they are pseudoscientific. --
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to the placebo effect. However, clinical trials of animal acupuncture have not found it to be effective, and Edzard Ernst and Simon Singh point out in their book
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as a metaphor, and qi means many things (such as the nature of a specific thing), it still has heavy vitalistic connotations, so we use a pseudoscience infobox on
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Per the ArbCom case, this should not be categorized or infobox-ed as pseudoscience, because there's a significant body of thought that supports its efficacy, e.g.
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all or part of it as pseudoscience and the scientific consensus isn't clear yet. There are several sources that use the word, but I don't think it's there yet.
13455:) based on some magazine article, YouTube comment, blog or anti-CAM site, will be opening the gates for no end of assertions citing similar quality sources from 10437: 10408: 7001:
Lee A, Copas JB, Henmi M, Gin T, Chung RC (2006). "Publication bias affected the estimate of postoperative nausea in an acupoint stimulation systematic review".
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was used, not a summary of the paper itself (in other words, it's a primary source used to justify a secondary claim). We should choose better sources, such as
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pseudoscience infobox unequivocally labels the entire topic of acupuncture as pseudoscience? I think it need not, if it is specifically identified with (e.g.)
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that is alleged to flow through meridians has never been measured, and much of the evidence that convinces practitioners of the merit of their work consists of
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I still think that the Pomereranz statement should be quoted, it is relevant to the discussion, and Pomeranz is well qualified both in zoology and acupuncture.
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Initial review suggested greater effectiveness than antiemetic drugs, but the study was retracted when the authors concluded the results were skewed due to a
12468:, how can you say "TCM maybe (probably) but not acupuncture"? Acupuncture is part of TCM, so "TCM maybe (probably)" implies "acupuncture maybe (probably)". 11288:
I don't believe you are summing up consensus with your last two sentences and the final one is curious considering the Cochrane review you linked to states "
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I think that we can say that there is some evidence that acupuncture is beneficial for the treatment of chronic lower back pain, there are a few papers here
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for the efficacy of the practice. That people do it may and does prompt scientific research, but itself adds not a gram to the weight of proof. What I would
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I'd have to provide a good source supporting an affirmative answer. But that's not at issue. If you and/or Brangifer want to use category:pseudoscience on
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That's highly amusing logic -- You say my motivations are to promote acupuncture, and the fact that I don't admit that is "problematic". How very Soviet! --
295:(de-indent) Getting back to content instead of contributors, I see no reason not to add OARSI. We'll have to consider how to word it, since the source given 11036: 10545: 5048:
At first you did not declare it was an alternative account and you were editing in the same topic. You were pretending to be a new account and editors were
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Okay, good. Re-added the word "expert" since the OARSI report did state that they were expert consensus recommendations. There's no reason to say otherwise.
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but after the account was caught the editor claimed it was an alternative account. The account was being used in the same alternative medicine topic area.
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Threadlike structures on the surfaces of internal organs, which are thought to be part of the Bonghan duct system, were first reported about 40 years ago,
2202:...because it erroneously leaves the spinal cord out of central control, and adds nothing to the article but a vague veneer of scientific respectability. 5440: 3752: 3524: 3217:
in the matter. Changing it will result in a filing of a direct complaint per the arbitration case that this case is under and may result in your censure.
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Primary source, animal model, nothing to do with TCM, wildly overhyped be the lay press ... yeah, that sounds about right. We might could add this to the
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organization, the WHO may have been reluctant to publish a critical report since criticisms of acupuncture may be considered criticisms of China, or the
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arising in 1400 years or so, and at that time we will claim that our medicine, based on Taoist philosophy, is scientific." No question about it. Ā ;-) --
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microscope, would be big news and require a substantial revision of biology and anatomy. We're not there yet, and we shouldn't sell it as if we were.
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many people don't believe acupuncture is proven, it's certainly debated and far from settled, and most don't believe the traditional Chinese beliefs of
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For those more familiar with the scientific literature (no offence, realizing that statement will pretty much inevitably invite offence...) there is a
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reserve the best-quality evidence for the efficacy section. The whole point of the critiques of the acupuncture report is that it wasn't based on the
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good faith, but have a POV to mislead readers of Knowledge as to what acupuncture is, and ā€œbalanceā€ true facts with false pseudoscientific statements.
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article on this technique is probably. "Investigating Acupuncture Using Brain Imaging Techniques: The Current State of Play " George T. Lewith et al
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that statement. It is absolutely certain that the jury is out. But it is also certain that there are many who consider acupuncture, or at least the
8414:); toothpicks working as well as needles; TCM diagnosis with six different pulses, tongue colour and ear wax; moxibustion; laserpuncture; and so on. 7986:- too weak to be used, it's a very brief statement and the results of the research summarized should be sourced to peer-reviewed research rather than 7789: 3889:
stated that it continued to abide by the recommendations of the NIH consensus statement, even if research is still unable to explain its mechanism.
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I have repeatedly pointed out that several of your comments are already addressed and incorporated in the page, so please review my comments and the
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in a peer-reviewed medical journal, or an authoritative umbrella body does. Saying it is pseudoscience in the encyclopedia's voice (by adding it to
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Hi Dogweather and all - I hate repeating myself, so would you mind addressing my explanation of Knowledge policies and guidelines just above, under
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persuasive explanation, not a derogatory polemic. A simple, neutral statement of facts is all that is required. I mean to be blunt, not unfriendly.
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response either, but I did find a paper from the same respondent O'Connell, which I guess is probably a fuller version of his submission to Spine.
11798: 11615: 11241: 11189: 10629: 7531: 7424: 7313: 7156: 7116: 7035: 6897: 6813: 6766: 6366: 6340: 6231: 4582: 4300: 3664:- a good general source too. And can anyone get Sampson, W. (1998) On the National Institute of Drug Abuse Consensus Conference on Acupuncture. 3357: 2337: 2193: 2001:. Please consult your physician, as he or she is likely to be much more qualified to answer this question than we random strangers on the internet. 849:
says as much, and is a guideline to be treated with common sense and the occasional exception (e.g., overviews of complex topics, like this one).
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because even believers can't reproduce results. We know a lot about the body, yet we've never managed to detect a meridian, acupuncture point or
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the ArbCom was elected to decree what is and isn't science - I'll have to double-check the election documentation. Regardless, by their statement
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improving function. However, when combined with other conventional therapies, the combination is slightly better than conventional therapy alone.
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Quoting Verbal: "Actually, most of TCM and acupuncture theory and practice was developed since the second world war." Were you thinking of this?
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science is. Far, far better than a priori assumptions about acupuncture being pseudoscience or not is a source-based discussion of if and why.
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I'm removing Category:Manipulative therapy because acupuncture does not involve any manipulation of the joints or other structures. Withing TCM,
9421:, second paragraph. It's still possible that I'm wrong and the list doesn't belong in the article -- feel free to explain it to me. Thanks! -- 9025:
as well). We would do that with the understanding that we are grandfathering qi in because (or to the significant extant that) it is a form of
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careful when editing in this area as a COI that leads to promotion and defense of acupuncture and related topics is potentially problematic. --
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BTW, if you're going to make substantive edits, especially controversial ones, please use an informative edit summary and not the kind you used
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I don't mind policing "Further reading" and "See also" sections for spam, though we could ditch the "Further" section entirely and just include
10928: 10341: 9904:. Step back for a second -- what you're doing is making for a really boring article that sucks any nuance out of research (let alone TCM). -- 7620: 7573: 5008: 4867: 4847: 1776: 1640: 1221: 1173: 1108: 667: 618: 604: 532: 474: 418: 374: 314: 9896:"The entire article consists of "yeah, there's nothing consistent, there's nothing solid, there's nothing but hypotheses". -- no, that's what 9067:
mixed bags, with some aspects that are decidedly pseudoscientific and some that aren't. (For an amusing take on this topic, see the fable of
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for a very long time: Because Acupuncture is in at least two of its subcategories. So, explicitly marking this Pseudoscience isn't radical.
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One thing we've never decided is which umbrella categories are adequate for declaring pseudoscience. For example, a wide-range of articles in
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worsen what is already bad statistics work. Its what we have, and improvements should be made at Knowledge. So, 173.73.6.136... get a name.
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We're not talking about surgery, we're talking about acupuncture. Since there are many MEDRS on the topic, we should use them, and focus on
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I would agree to that, but would we then use the category "pseudoscience" or restrict it to the subpages that are clearly pseudoscientific?
5847:. There is a reason to believe that jamming needles into the body does help with some symptoms (pain and nausea, and of course there's also 5293: 4706: 4692: 3638: 3547: 3472: 2889: 2046: 8973: 8720: 8652: 8638: 8611: 8574: 7841:: nothing has changed about the phenomena themselves, but they are now being scrutinized by a larger and more widely expert group of people. 6468: 6033:
All those "theoretical" aspects of acupuncture are pretty obvious pseudoscience. They wildly contradict medical and anatomical knowledge.
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Oppose per previous discussion, and scientific view of meridians and acupuncture is clear. Sham is as good as "real" (see refs in article).
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the article than we are trying to point out the flaws in the WHO document, essentialy using it as a primary source for its own shortcomings.
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NICE's decision was based on the best evidence at the time, but the evidence is evolving. It appears to be becoming more doubtful for LBP.
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It's always worrysome when Knowledge is the only source that Google shows for a particular fact. It strongly suggests that there has been
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unknown question whether sticking needles in a person could have palliative effects. There's nothing pseudoscientific about that question.
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looks promising, though I've barely glanced at it yet. It shouldn't be too hard to bring the mechanism up to date. Shall I give it a shot?
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have the burden of proof, and need to show that these well-known topics are "generally considered pseudoscience" with a proper source per
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Editors should be able to be reach consensus by applying these fundamental criteria of what constitutes a pseudoscience, since these are
11094: 10958: 10771: 10728: 9763: 9697:" Zhu-Fan, X (2003). "Acupuncture: Review and Analysis of Reports on Controlled Clinical Trials". in Zhang X. World Health Organization. 6432: 5964: 5936: 5274: 4111: 3691: 3621: 3377: 2765: 2302:
Napadow V, Ahn A, Longhurst J, Lao L, Stener-Victorin E, Harris R, Langevin HM. The status and future of acupuncture mechanism research.
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about acupuncture. Acupunture IS called a "pseudoscience" by the scientific community, e.g., on the Science-Based Medicine website here
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acupuncture's effectiveness versus back pain is already discussed. Furlan is already cited twice in the page, once for low back pain ("
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tested and confirmed or falsified. If falsibility is the criterion as per philosopher of Science Popper, then acupuncture is science.
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Moderate evidence acupuncture is more effective than sham treatment and offers short-term improvement compared to waiting list controls
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you think your edit to the TCM section is fine -- by your own acknowledgement, you (a) haven't read any books on TCM & acupuncture
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that has a good publisher, and ideally good reviews in medical press and a google books link? Has anyone read any such books recently?
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and wikidrama ("COI!" "POV-Pusher!") instead of discussing. Indeed, the goal is to drive the opposition away, not engage any sort of
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single words and lengthy talk page postings aren't helping - I can't argue with a reference but I'm not going to take anyone's word.
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George T. Lewith et al Primary Medical Care, School of Medicine, University of Southampton UK or another study of interest from NIH
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Perfectly good question (although I disagree that the issue of sham controls is settled), but not germaine to whether or not to use
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lead summarizing them, and a paragraph to the body quoting each of them, unless some no-nonsense argument is presented by tomorrow.
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page itself to save time for future discussions. I've about said my peace, and would like to see what other editors have to say.
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I haven't been trying to engage you with trick or treat, I've been pointing to a reliable source by a recognized expert - that is,
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Frankly, I don't think a 34-year-old paper is useful for much. The statement it's used to verify is actually a description of how
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acupuncture studies, of pseudoscience. That is, he is slamming the quality of their work, not saying acupuncture is pseudoscience.
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Of course, there are still many skeptics. 'Cho's paper proves nothing,' says Wallace Sampson, former chief of medical oncology at
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pseudoscience (while still documenting that some do say that), and calling most of its (1) claims and its foundational ideas ((2)
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I endorse your draft, above, and recommend inserting it. If it is to be one section, perhaps the AMA bit could be folded into it.
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Thanks Wilfrid. I am completely open minded about acupuncture's effect on pain. I know a little about pain (I basically authored
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unnecessarily complicated. All of the lede's current three paragraphs should be reduced to about half of their current lengths.
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better than, at the least, no treatment. More studies, with better, high-quality controls, will help answer these questions but
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page or two originally, right). If we just go back to the bullet-pointed list we had, that should do it. What do you think? --
5707:, acupuncture is an "alternative theoretical formulation" and/or "questionable science", and as such "should not be described as 2463: 12993:
to get the effects of acupuncture, it's unethical and just stupid to keep jamming needles into the skin when it can cause, say,
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enough to make such a dramatic claim - if this is generally accepted, then scholarly publications should be readily available.
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The data suggest that acupuncture and dry-needling may be useful adjuncts to other therapies for chronic low-back pain. Because
10870: 9673:, or just plain old making stuff up or other ways of getting facts wrong. That's what has happened with the attribution of the 9347:
I am not sure how to fix the problem, but in the section '5.4 Statements by medical organizations' there is a formatting error.
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to be adjacent to the ORSI note as that's the first instance in the page. There is now a link to describe their methodology.
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Is noting the publication dates of reviews used by the American Medical Association to make their consensus statement allowed?
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Thank you for registering, it will make discussions easier. I've adjusted the wording but agree that the OARSI should stay.
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And we acknowledge this by categorizing wikipedia as a non-reliable source and can not be used as a reference on wikipedia.
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Selfe TK, Taylor AG (2008 Jul-Sep). "Acupuncture and osteoarthritis of the knee: a review of randomized, controlled trials".
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The term does come up in the literature, and while I think you're right, we would need an RS making clear the distinction. --
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Note that I am only referring to acupuncture in the relief of pain, I think that there is still a way to go on other issues.
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I think that you will find that pain clinics in major hospitals are increasingly using acupuncture as part of the treatment.
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One of the mainstream organisations that accept that acupuncture works is NICE (National Institute for Clinical Excellence)
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besides "oh, yeah, there's nothing conclusive". We aren't here to write an "entertaining" article. We're here to write an
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nine acupuncture points once a week enabled training and racing to be resumed." There is another paper on the subject here
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was similarly criticized for being filled with proponents of acupuncture rather than being made up of critical scientists.
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case is not exactly analogous because it's an out-of-date position statement that relies on weak material to begin with. --
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meant that all findings published by researchers in China were positive rather than the mixed results found in the West.
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and may move it outside userspace since the issue seems to come up from time to time. Other editors' thoughts, if any?--
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is what I would use it for. While acupuncture's use as a pain/nausea/other treatment is a MEDRS issue, the existence of
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I've updated the section to remove Cheng and Kaptchuk. Jin, Manciocia and Deadman I've kept - Manciocia is published by
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As far as serious trials go how about 'Acupuncture in patients with chronic low back pain: a randomized controlled trial
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Is there any research supporting TCM? Not according to Napadow et al 2008. An article, published in JACM, summarizing
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acupuncture is effective in the treatment of a range of conditions. A 1997 panel regarding acupuncture convened by the
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a suitable qualifier. That's the job of other skeptics to find. In addition, if speaking directly about animals then
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Manheimer E, Linde K, Lao L, Bouter LM, Berman BM (2007). "Meta-analysis: acupuncture for osteoarthritis of the knee".
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not when certain hyper-aggressive editors and their acolytes find me taking a stance opposite to theirs, and resort to
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It's only OK to qualify statements (or remove sources) when they are pro-acupuncture, don't you see, John? (/snark) --
13204: 9941:, not recreate the sources detail by detail. Knowing nothing of the topic, what would you think of reading about the 8874: 7802: 5552: 5224: 5180: 4950: 4914: 3453:
problematic since the WHO washed its hands from assuming any factual basis for the report. I'm not aware of any other
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Undent. If it's good enough to be included in the page, there is no need for qualification. I've moved the link for
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is such a cite. Please do not delete the category without a RS that contradicts this, explicitly stating that it is
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as Wilfrid said, they address several pain conditions, and acupuncture may be effective for some pain but not others.
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White A, Foster NE, Cummings M, Barlas P (2007). "Acupuncture treatment for chronic knee pain: a systematic review".
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The first search result of my first search on Google term ("scientific evidence" acupuncture meridians) came up with
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require a revolution in physics, biology, chemistry and medicine. That's why the mainstream position doesn't have a
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Can anyone access the ref for this section (Melzack R. Acupuncture and pain mechanisms Anaesthesist. 1976;25:204-7)?
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are treated poorly (e.g. Verbal's niggling revert of two sources), I don't see much reason to spend my time here. --
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Both Anthony and WLU have got this exactly right, IMO; kudos to you both for the cogent explanations. The policies
11526:. You single out back pain, but "several types of pain" is already there and I see no reason to include specifics. 10508:
of acupuncture's effects may be due to placebo, did not counter that assertion, because the assertion was only that
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mainly because of the inability to provide an effective double blind study, although there is progress on this too.
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The NHS are not the only health organisation that offers acupuncture for chronic lower back pain, look at what the
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It's old, popular, and doesn't relate to pseudoscience so I consider it irrelevant to this section. I suppose you
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Having been active at this page for a few years now, to the best of my knowledge Middle 8 has never engaged in any
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be trying to find sources that label acupuncture or parts of it as pseudoscience, then integrating those sources.
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I apologize. My original wording was both offensive and not what I think, so I've reordered it. (If you'd prefer a
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insurance company, and again doesn't trump superior peer-reviewed secondary sources. Ee 2008 could be integrated.
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The scientific consensus is still that more research is needed - this is verifiable, and it's not until basically
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whose authority, reliability and very creation has been questioned, as if it vindicated the use of acupuncture to
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Absolutely. Maybe the best thing to do is to write the text here that we need citations for and to start looking.
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Here would be my draft of the section. I compressed it to a single section and tried to shorten all the points.
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it deserves a place in the lead. I also think it should be dealt with body better. You can see where I did this
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Can you be clearer about what you mean in yout first sentence? Do you mean that I seem to be saying that having
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that the best quality sources we have (Cochrane) have concluded there is use. Knowledge is about verifiability,
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about their patients, or poorly-controlled studies. Scientific explanations included the gate control theory of
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under "See also" -- but personally I think it's more encyclopedic to have a small but really good "Further" list.
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of mainstream sources about it. We should choose the best and most comprehensive. Further reading sections are
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Dr. Zhu-Fan Xie (note that Xie is the actual surname, not Zhu-Fan) is an individual thanked in the WHo report's
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That guideline says nothing about categories and infoboxes indicating unambiguous characterizations. Try again.
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to explain the "some" and "others" Using 5 references to come to a new conclusion is going beyond the sources.
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encyclopedia it would clearly state that acupuncture is nonsense and pseudoscience. But because we must give
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be adopted by medicine. If it's benefits are dubious and placebo-based, it should justifiably be discarded.
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My other suggestion is that we have a section on it's own about the treatment of chronic lower back pain. eg:
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Too much USA-centricity, not enough mention of other countries' health institutions and governmental reports.
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and so on could be very cool, and in fact I would not be surprised if it doesn't exist already. onward.... --
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Note that there is actually pretty solid consensus that acupuncture is effective for osteoarthritis pain, see
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has been correctly entered. If the DOI is correct, it is possible that it has not yet been entered into the
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There was weak or no evidence in support of the use of...electrostimulated acupuncture gold wire acupuncture
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Remove reference 29, spacing between period and 30/31, add TorT as a reference, expand with information from
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the material is correct. WHO's report publication system is simply different from what we normally expect of
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Point is, that acupuncture for pain relief, particularly for treatment of lower back pain has been accepted.
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Mayhew E; Ernst E (2007). "Acupuncture for fibromyalgiaā€”a systematic review of randomized clinical trials".
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Trinh K, Graham N, Gross A, Goldsmith C, Wang E, Cameron I, Kay T (2007). "Acupuncture for neck disorders".
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Skeptics tend to have the conventional research base on their sides. Adopting the mainstream position that
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Hi everyone. I'm re-starting the conversation, because I think we were a little off track the last time.
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Acupunctureā€™s ā€œtheory and practice are based on primitive and fanciful concepts of health and disease that
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a weight issue - we're better off sticking with Cochrane reviews and similar rather than a partisan list.
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But by now I think we're both at two reverts, so I'm going to leave it be and let others give an opinion.
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concluded "Although newer studies seem to show promise, effectiveness has not been clearly demonstrated."
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following within the scientific community are not pseudoscience, but part of the scientific process." See
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and the other acupuncture, and draw a distinct line between the two, but I don't think we're there yet.
10980:. The debate isn't really over whether it's effective for the treatment of pain - the debate is if it's 10634:
Dogs and children can respond to the mood and demeanor of their parents/owners. We base our articles on
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research rather than widespread practice), with tremendous interest from physicians and medical schools.
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Verbal's revert, which he attempted to justify solely by a bogus COI accusation in the edit summary. AS
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Undent. I wouldn't necessarily say "supported", but "published" is certainly accurate. It is certainly
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they want to find a RS making this exact statement. This, however, is an unrealistic criterium, because
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first American physician to use acupuncture. I doubt that he was the first, but he definitely used it.
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are..." These are unproven concepts believed by practitioners and should be clearly described as such.
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is warranted. I don't know if that's the case at this point, but the damned edit warring isn't helping.
12397:. It does not work any more than a placebo, as per the multiply referenced year 2010 meta analyses here 11913: 11876: 10490: 10092:
acupuncture. Sampson also stated he believed the report showed evidence of pseudoscientific reasoning.'
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P.S. These things are orders of magnitude more interesting then arguing over a label, aren't they? --
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El-Toukhy, T (2008). "A systematic review and meta-analysis of acupuncture in in vitro fertilisation".
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Calvino B, Grilo RM. Central pain control. Joint Bone Spine. 2006 Jan;73(1):10-6. Review. PubMed PMID:
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RfC: Is noting publication dates of reviews used by the American Medical Association consensus allowed?
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I haven't been following this page closely, so don't know why this health-related article, guided by
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Actually, most of TCM and acupuncture theory and practice was developed since the second world war.
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Middle8 has previous edited under a different name in the same topic area causing similar problems.
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However, since SBM is not being considered as a source for the page, this is all so much chatter.
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But, getting back to this article, it is a health-related article, and such articles are guided by
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The British journal of general practiceĀ : the journal of the Royal College of General Practitioners
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as pseudoscience, but we can categorize many of its (1) claims and its two foundational ideas ((2)
5343:. That clearly says that well-known topics that have following and have attracted commentary must 4253: 3254: 934: 129: 113: 13136:
to the scholarly opinion, we can't put it up yet. I'm sure it will come, but it will take time.
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other sciences or scientific methodology in other areas. The basic idea of pseudoscience is that
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See my addition explaining that vet. acupuncture has been successful on animals where there is no
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which is different to passion. With the COI and history of changing accounts, it shows a problem.
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I removed two of the practitioners from the list because they explicitly reject qi and meridians.
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IP guy registered here. We can word it by directly quoting the recommendation statement I suppose.
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that interact in complicated ways and all say "not great but some evidence, need more research".
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Really, WLU, your and others' treatment of this simple issue is the most remarkable violation of
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forbade it in the belief it would stall progress in medicine in the country. Following the 1949
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I haven't had a chance to study your draft, WLU, but shall as soon as I can. I have emailed that
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template. Anyone know anything about dry needling? Has this been developed at all since 1979?
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Several edits ago, I restored a couple of standard English-language teaching and reference texts
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I agree wholeheartedly, WLU. We have many sources at all levels of discussion about this issue:
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There are other studies that look at serotonin and endorphin levels in the body after needling.
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them out. Not complaining -- laughing really. But the article does need more editorial eyes.
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experts from these same fields presented data to the panel and a conference audience of 1,200.
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to a poor choice of sentence. We're much better off using the secondary sources available to
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where skeptics plunge on too boldly and editors who know the traditional aspects of the topic
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the question is how to do it properly, and that question is not settled in the literature. --
10744:. With the notoriously oversold acupuncture, it's always difficult to demonstrate where the 10029:
What no information? There's a listing of all the suggestive but inconclusive interventions.
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research available for the existence of meridians and acupuncture points, can't come up with
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I'm assuming no strong objections. That, or it takes a mainspace edit to get attention, cf.
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tried to expand the citation, but could not access the specified DOI. Please check that the
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from an earlier version that didn't appear to change the content. That seemed easiest. --
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was way more fringe than acupuncture, but the article still covers what a treatment is.) --
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I believe it is, I'm going to try to track down a better version but that seems a suitable
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However, there are several problems with this idea. It is difficult to explain the use of
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Consistent evidence for use with treatment of acute migraine attacks and for routine care
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Talk:Acupuncture/Archive_4#Who_Wrote_That.3F_.28or.2C_Proper_Attribution_of_WHO_Review.29
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is out. The infobox however, could still have use (in my opinion) for the TCM section.
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meridians misrepresents a truth that has now become more controversial and less absolute.
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Yes, absolutely. 2000 years ago the ancient Chinese said "there will be a thing called
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the changes to suggest acupuncture originated in Korea. None of the sources used were
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Acupuncture is not more effective than other conventional and "alternative" treatments.
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with QuackGuru's edit (scroll to end of his comment). I wouldn't call that consensus.
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Sure, no problem featuring Ernst and Lancet prominently. But I do have a problem with
8131: 8082: 8026: 7864: 7762: 7746: 7340: 7095: 6639: 6603: 6582: 6464: 6315:) is most certainly a secondary source (summary of primary/secondary sources). Look up 6147: 6075: 6023: 5975: 5900: 5812: 5771: 5717: 5588: 5500: 5455: 5418: 5356: 5194: 5147: 5023: 4928: 4884: 4860: 4825: 4808: 4604: 4564: 4518: 4463: 4409: 4359: 4336: 4331:. We don't categorically label anything as pseudoscience without the proper source. -- 4039: 3995: 3944: 3902: 3773: 3701: 3370: 3319: 3290: 3239: 3192: 3184: 3149: 2975: 2842: 2800: 2533: 2490: 2444: 2346: 2183: 1975: 1900: 1839: 1823: 1706: 1691: 1676: 1628: 1471: 1411: 1327: 1313: 1251: 1082: 903: 881: 862: 753: 729: 550: 336: 303: 12410:"we need a source of the caliber described in the latter, explaining his revert. This 11688:
is a review of acupuncture for pain and is negative despite incorporating back pain.
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Note "who" is doing the acknowledging (hint: it's generally the author). Continuing:
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The WHO is big, yes. How big is Quackwatch? Let's stick to peer-reviewed sources. --
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I like the suggestion by SA in the section below is actually a good one - acupuncture
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Adding OARSI recommendation statement to acupuncture/osteoarthritis effectiveness area
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http://books.google.de/books?id=WXGIzbSSddIC&pg=PA140#v=onepage&q&f=false
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wouldn't be considered pseudoscience, so it's obviously far too broad to be useable.
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Gorsi is annoyed at a lot more than NEJM, as he makes plain in the excerpt I quoted.
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The quote from the NHS statement on acupuncture is selective the section which says:
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Investigating Acupuncture Using Brain Imaging Techniques: The Current State of Play
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condition, diagnosis, skill, and technique, overall it has been quite effective. -
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Oh, beautiful; it's already covered in the article with a proper secondary source:
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are the foundation for these conclusions. I wrote up my rationale on the subject
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quality evidence, even for the time, and that it was abused by being presented as
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Next section needs attribution as it's far more clearly the opinion of the authors
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Two points -- (1) sure, critics get to make their points, but since we're talking
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Knowledge:Village_pump_(policy)/Archive 77#When_to_apply_Category:Pseudoscience.3F
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Electroacupuncture can be helpful in the treatment of vomiting after the start of
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Be patient. It is not yet appropriate for Knowledge to be pronouncing on this. --
13191: 12318: 12286: 12239: 12095: 11537: 11260: 11207:, it also talks about the problems wih placebo. How about Kaiser Permanente here 10984:
effective than another equally convincing placebo, whether there's such thing as
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To link to a specific page on google books, add "&pg=PA###" after the ID # -
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you will find a lot of papers on the subject from mainstream bodies. For example
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I disagree. I don't see how one primary source paper contradicts the argument.
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articles by Shermer et. al. -- not really indicative of scientific consensus. --
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As, or more effective than preventive drug treatment with fewer adverse effects
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If you wish to start a new discussion or revive an old one, please do so on the
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describing delivery of care in any medical article. (The last time I checked,
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In the first item listed in the "Further reading" section, please disambiguate
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plausible. In fact, more likely than not. Investigation into that is ongoing.
8410:, acupuncture points or Blood (that's Blood as detailed by the TCM theory, not 7838: 7458: 7403: 6841: 6659: 6635: 6625:, based on a pre-scientific understanding of the body with no understanding of 6328: 6135: 6067: 5844: 5792: 5704: 5684: 5606: 5564:
I'm sleepy, so probably just missing it, but QuackGuru, don't the 5 references
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Knowledge:Village_pump_(policy)/Archive 77#When_to_apply_Category:Pseudoscience
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commentary earlier today and it points to the endogenous opioid system and the
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there, though doubtless many would agree that it is. I support the removal.
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Once we acknowledge and fix the attribution of the WHO review, the balance of
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was fine, or something along those general lines sounds fine to me. regards,
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Knowledge is not going to slap a label like "pseudoscience" on this before a
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if you check that and scroll down you will see a lot of other learned papers.
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is completely deprecated today, so it seems to me to be gratuitous to remove
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evidence - which the WHO report didn't use even when it was first published).
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over sources and weight, and that's all well within good-faith territory. --
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Brown CA, Jones AK. Physiological mechanisms of acupuncture: beyond placebo?
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Also note that the Cochrane reviews are specifically pointed out in MEDRS as
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be shown to be considered pseudo by the scientific community. That's where
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now directs to a different place. What I've been meaning to point to is at
3406:. This actually helps the reader by providing the scholarly criticisms for 13124: 12497: 12273: 11880: 11574: 11367:, there certainly is a further need for higher quality trials in this area. 10836: 10361: 9938: 9851: 9670: 8448:
get a category? I can't even think of an example where this would apply.
8415: 7637:"Acupuncture: Review and Analysis of Reports on Controlled Clinical Trials" 7517: 7410: 7347: 7299: 7240: 7184: 7102: 7068: 7050:"Acupuncture-point stimulation for chemotherapy-induced nausea or vomiting" 7021: 6984: 6925: 6883: 6848: 6799: 6738: 6598: 6015: 5908: 5848: 5315: 5251:
and meridians have any merit. Advocacy for acupuncture is inappropriate.
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Acupuncturist claims in a report published by the World Health Organization
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though it says that it is slight! We need to reflect this in the article.
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Hi Anthony. I really crapped out on that pain article, didn't I? Sigh...
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use it in the main article but I certainly wouldn't use it to justify any
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Trinh K, Graham N, Gross A, Goldsmith C, Wang E, Cameron I, Kay T (2006).
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or blood flow, any number of medical ailments can be ameliorated or cured.
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Pomeranz. Basics of Acupuncture: Scientific Basis of Acupuncture. pp.4-5.
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Similarly, there is also a discussion of acute and chronic low back pain
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pain and discomfort during oocyte retrieval (a procedure used during IVF)
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Got it, thanks, and I hadn't thought of Quackwatch. Some more sources -
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Acupuncture: Review and Analysis of Reports on Controlled Clinical Trials
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executive editor specifically refers to acupuncture as a "pseudoscience"
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This review of 23 RCTs was included in Spine Volume 33 Number 23 2008
10835:? Expectation effects? You may be interested to read some postings at 9037:(and refrain from any pseudoscience infoboxes not explicitly related to 8275:
claims of efficacy, and that's exactly the use that is being proposed.
7747:"A meta-analysis of studies into the effect of acupuncture on addiction" 7278: 4404:
like. Just find a proper source, please. It should be easy, right? --
1967:. Can anybody contribute a section on acupuncture's history in the US? 12387: 12354: 12343: 12314: 12282: 12227: 11684:
That's a gross misreading of the literature in my mind. For instance,
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of evidence - which there are sources pointing out the WHO lacks - and
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pseudoscience, just as it's fine to cite reliable sources who don't. --
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tentatively supported the use of acupuncture for symptomatic treatment
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Effective in reducing post-operative nausea and vomiting, with minimal
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So back to the OARSI consensus statement: Is there any objection to it?
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The history of the topic is a different issue, that I haven't touched.
8588:, but not to seriously discuss significant support for its efficacy. 2139:
magic. Right now it appears twice - once in the body and once in the
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Your first point I don't see as substantially different from what is
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The revision happened on 18th July 18:33 by Anthonyhcole, line 579.
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All that to say - there is certainly evidence supporting acupuncture
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that local irritation may temporarily overcome competing stimulation.
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to China in 1972. His visit was preceded by, among others, reporter
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and other findings in the ArbCom case on which parts of NPOV ((i.e.,
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the account was a sock. After you got caught you dumped the account.
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should be cited (really, it should already be cited, I'll add it).
8233:. Since RCT, meta-analyses and Cochrane Reviews are highlighted as 8154:
the Cochrane Collaboration reviews and other meta-analyses they are
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List of scientific societies explicitly rejecting intelligent design
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as 2 systems associated with acupuncture relief of pain. And this
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Are you the same account as the previous anon? If so, can you just
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that should simply be removed. There's a lot of sources linked as
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all the criticisms of the report, in reasonable detail - summarize
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citation any more, or the others any less "expert"? They aren't.
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is the most recent one I can think of that might come close, with
11277:"). You may read the page as non-neutral, but if you look at the 9033:. The other part of the compromise? For this article, we remove 4653:
Sounds good to me, WLU. I'll follow your lead. Can I help at all?
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I'm pretty sure that both the infobox and the source have to pass
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doesn't exist and therefore you can't manipulate it with needles,
3791:, meridians, acupuncture points, and the TCM system/"theory" is a 2967:
It's supported by RS and should be in the appropriate categories.
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Conflict of interest may not be a concern (I don't think so) but
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sources, and why WP:UNDUE is a policy while REDFLAG is a warning.
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the report is not trusted rather than simply stapling an implied
1718:. I prefer short, concise suggestions justified by references. 1457:
Insufficient evidence to recommend for or against acupuncture or
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for hints but basically you always start the first column with a
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one of the biggest healthcare organisations in the USA! And the
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who criticizes the validity of the list included in the report.
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So, I suggest this compromise: even though lots of people use
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3,000-year-old folk concepts, not the product of pseudoscience.
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it for reasons that I hope were clear in my edit summary: per
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FYI, I've started a policy discussion about just when to apply
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issue, therefore quackwatch is an appropriate secondary source.
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FYI, I've started a policy discussion about just when to apply
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merit its own page but I don't know if it's appropriate here.
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Hi, I'm not sure exactly what happened, but yesterday I did a
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just because of the lack of source -- we can IAR in this case.
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Thanks for that. Now can we actually work on the citations?
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Can this off-article discussion go somewhere else please? For
9151: 8976:.) Perhaps we could agree to use a pseudoscience infobox on 8411: 6357:
category. Maybe the recent Adenosine study is RS for this.
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This is not appropriate for an article talk page. It belongs
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Does acupuncture claim to be derived from scientific method?
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Citing research that had accumulated since 1993, in 1997 the
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is not unequivocal, but it's certainly an adequate MEDRS. --
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explain the "some" and "others"? Sorry if I'm being stupid.
5335:
More later on the demarcation argument; I just noticed that
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is a no-no with severe consequences. You crossed a line. --
12625:(and why would you considering the former two are based on 11573:
by noted critic of complimentary and alternative medicine,
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Some were pro, the rest were neutral! READ THE SOURCE! --
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and in that same version, the WHO report is attributed to:
9178: 8869:-- and infobox if you must, but realise WP considers these 7170:
Melchart, D (2001). "Acupuncture for idiopathic headache".
6651: 4011:. Nothing wrong with that, only that quackwatch is just as 2271:
Mr Google won't let me read that in Australia. Speculation
12242:, I will restore User:Badger Drink's revert that restored 7744: 6349:
Your source is excellent support for tagging this article
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National Center for Complementary and Alternative Medicine
2669:, ScienceWatcher and Dogweather, is harming this article. 2371:" Emphasis mine. Even less support than acupuncture, it 12001:
A reference was recently added to this article using the
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Scientific Literacy and the Myth of the Scientific Method
7590:"Critique of the NIH Consensus Conference on Acupuncture" 7226:
Linde, K (2009). "Acupuncture for migraine prophylaxis".
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Manheimer E, White A, Berman B, Forys K, Ernst E (2005).
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Well, sure. Definitely good to stick close to sources.
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I'm not writing off Kaiser and Mayo, I'm saying we have
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most of the studies were of lower methodological quality
10915:), a combination of both or other factors, the equation 8149:
The whole point of the Ernst commentary (as well as the
6577:. Its use in China declined at the same time, when the 5207:
Misleading. Mmmm. That seems... libelous? rude? ad hom?
4234:
Institute for Clinical Acupuncture and Oriental Medicine
3910:, and including a large number of trials originating in 819:
Article length and adding two books to "further reading"
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An editor has expressed concern that these IP addresses
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http://www.who.int/medicinedocs/en/d/Js4926e/#Js4926e.5
9147: 9142: 9133:-- it's been almost a week since above proposal so per 9103: 9038: 9018: 9014: 8977: 8957: 6123: 4180: 2792: 1433:
Evidence basis for the treatment of various conditions
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I now see that five minutes after my most recent edit,
13211:ā€œAcupuncture researchā€¦ characteristic of pseudoscience 11394:(or even the entire article), you would note that the 10780:
the other article was from Southampton Medical School
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be useful, or something. There is certainly evidence
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pseudoscientific" (emphasis mine). The razor here is
5322:, a professor who used to edit here, on his user page. 5318:. This is a global problem on WP, well-summarized by 3128:
Who Wrote That? (or, Proper Attribution of WHO Review)
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for spam and drek, much like the EL section. Per the
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The arguments given in the previous paragraph (e.g.,
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The category does not get placed on article based on
11146:
pain and discomfort during gastrointestinal endoscopy
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Wilfridselsey, the problem is that "placebo effects"
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consists of after you get done editing it, and why I
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Furlan AD, van Tulder MW, Cherkin DC; etĀ al. (2005).
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doesn't fly here; cf various reasons above including
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Hope that helps. Others, please feel free to jump in!
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bear no relationship to present scientific knowledge
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suddenly overturn the discussion held previously at
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Several months ago there were some edits concerning
10877:If you want to swap papers then check this one out 9524:And again, I don't think it's worth noting what it 8271:a variety of conditions. It should not be used to 7745:Ter Riet, G.; Kleijnen, J.; Knipschild, P. (1990). 5895:We need to distinguish between calling acupuncture 5236:may be. That's a separate conversation, whether a 3923:acupuncture to treat anything but pain and nausea. 3030:article, making it inappropriate for this page per 2833:well-established on WP for awhile now. But I guess 1156:unequivocal evidence to suggest it's inaccurate)." 10397:The USA's point of view shouldn't be dominating. 9270:per WP:SYNTH, UNDUE, and overall just unnecessary. 7654: 7652: 7650: 6826: 11451:What change(s) do you suggest to the main page? 7559: 7496: 6708: 5674:Sometime in the last few months, an editor added 5652:According to Anthony? Huh? Don't twist my words. 4614:edit, then infobox people, that's how it works. 2828:No, I'm citing policy that you need to re-read: 1658:briefer in your comments, but those who violated 1169:do with whether the AMA has changed their minds. 10072:What is the "weight" ratio of NIH to Quackwatch? 10003:one can edit" business is tedious. Oh, re this 7853:Focus on Alternative and Complementary Therapies 7054:Cochrane database of systematic reviews (Online) 6970:Cochrane database of systematic reviews (Online) 6724:Cochrane database of systematic reviews (Online) 6720:"Acupuncture and dry-needling for low back pain" 4477:I vote yes, apply the infobox and the category. 3557:much like to see a proposed rewording from WLU. 1961:The Physicians and Surgeons of the United States 13299:International Association for the Study of Pain 10975:Acupuncture#Statements by medical organizations 10777:American Vet. Association check it again here. 10438:Veterinary acupuncture and efficacy in children 8664:It's a review of the 13 most rigorous studies. 8440:But here is where my ignorance comes in - if a 7647: 7326: 7221: 7219: 6667:the true effectiveness of acupuncture. Called 2356:Pubmed has 7 hits for "Bonghan". Looks like a 2336:I realize that my recent addition of a link to 2283:. 2009 Dec 15;147(1-3):11-2. Epub 2009 Sep 30. 2242:has two paragraphs on gate theory and opiods. 13199:"Letā€™s be clear: acupuncture is pseudoscience" 12234:above, and so satisfies the relevant policies 9858:to me, akin to speculating on how cold fusion 7957:and a member of the board of directors of the 7876: 7661:"Critics slam draft WHO report on homoeopathy" 6996: 6994: 6963: 6782:"Meta-analysis: acupuncture for low back pain" 4162:An acupuncture needle inserted into a patient. 4132:For your consideration. Consider inserting it 3900:. The report was criticized in the 2008 book 3571:From me? Crap. That sounds like work. I've 3079:stipulates that we should be very cautious. - 3075:section or something like that, but even then 2907:for example, this piece from Discover Magazine 2135:Dry needling looks very much like acupuncture 1487:Positive and negative reviews of the evidence 1148:I have attempted to group them appropriately. 10011:consensus, that'll work.... the story of the 5351:comes in. The rest seems fairly obvious. -- 5294:List of topics characterized as pseudoscience 3939:obvious from the document itself: the WHO. -- 2927:this is not what scientists write about or do 2549:Two reasons why Acupuncture should be marked 617:PS. That brought a smile to my face Middle 8. 12913:problems, I try to spend time to fix them. 12246:, but I am still open to other perspectives. 11229:. Or for an intervention review, check here 7530:: CS1 maint: multiple names: authors list ( 7490: 7423:: CS1 maint: multiple names: authors list ( 7382: 7312:: CS1 maint: multiple names: authors list ( 7216: 7155:: CS1 maint: multiple names: authors list ( 7115:: CS1 maint: multiple names: authors list ( 7034:: CS1 maint: multiple names: authors list ( 6896:: CS1 maint: multiple names: authors list ( 6812:: CS1 maint: multiple names: authors list ( 4319:This doesn't fly for the exact same reasons 2364:one in 2005 starts with the very promising " 13237:.ā€ ā€“ National Council Against Health Fraud 12353:) would also apply to the pseudoscience of 12169:criteria, not matters of editors' opinions. 10736:Really what we need are more articles like 6991: 6957: 6855: 6820: 5018:-- enjoy poring over every lurid detail. -- 4171:By inserting and manipulating needles into 1611:Insufficient evidence to recommend its use 1187:A quicker way of resolving this may be the 12686:full set of articles on acupuncture at SBM 8444:of something is pseudoscientific, can the 7628: 5560:Recently added "Clarification needed" tags 4156: 4050:Is this the Sampson piece you were after? 2776:Talk:Acupuncture#Category:Pseudoscience.3F 1963:(Philadelphia 1878), p. 620, available on 1274:Reorganize evidence-based medicine section 12086:User:Badger Drink's revert that restored 10556:Thanks for sharing your thoughts on this. 9999:? I should have learned. God, this "any 7909:The Skeptic Encyclopedia of Pseudoscience 7761: 7728: 7726: 7724: 6910: 6765:CS1 maint: multiple names: authors list ( 6266:IEEE, ENGINEERING IN MEDICINE AND BIOLOGY 4774:Please note this is relevant to this page 3861:===Statements by medical organizations=== 3666:Scientific Review of Alternative Medicine 2737:. Better, of course, is a discussion of 2368:but have been largely ignored since then. 9730:. From that page, clicking on the link 7846: 7658: 7169: 5211:? How do you mean "misleading" exactly? 2991:And I just realized that it has been in 1508:though less than or equal to preventive 10525:to see is an authoritative independent 7825:. University of Illinois Press. p.Ā 60. 7714: 7712: 7710: 7708: 7706: 7704: 7634: 7619:was invoked but never defined (see the 7587: 7572:was invoked but never defined (see the 7130:Cochrane Database of Systematic Reviews 5689:Knowledge:Fringe theories#Pseudoscience 5447:Knowledge:Fringe_theories#Pseudoscience 5395:Knowledge:Fringe_theories#Pseudoscience 5341:Knowledge:Fringe_theories#Pseudoscience 4312:(Overview of pseudoscientific concepts) 3245:(2) The disclaimer, again despite your 1999:Knowledge does not offer medical advice 14: 11484:nausea, vomiting, osteoarthritis etc.. 11152:nausea and vomiting after an operation 10470:in Stux G, Berman B & Pomeranz B. 9709:. What is the specific wording used? 7721: 7075: 4250:Seattle Institute of Oriental Medicine 1557:Suggestive but requires more research 44:Do not edit the contents of this page. 13504: 13123:Yes, I agree. But your statement is 10229:nausea, but certainly not because of 9529:symptom and disorder on wikipedia). 7959:National Council Against Health Fraud 7901: 7818: 7437: 7225: 5495:) and pretending you don't get it. -- 5243:Middle8 - you must accept that it is 4905:What's that about changing accounts? 3346:World Health Organisation review 2003 1453: 1448: 1042:the NCCAOM's recommended reading list 12309:The Arbitration ruling may be found 10504:Your response to the assertion that 7934: 7883:. Greenwood Publishing Group. p.Ā 3. 7701: 7548:. American Medical Association. 1997 6439:Cleaning up "Issues in Study Design" 5701:Scientific opinion on climate change 4242:Midwest College of Oriental Medicine 4238:International Society of Acupuncture 3810:equivalent, why they get to include 497:the best source we have for anything 25: 12022:complete the reference by hand here 10638:, primarily secondary sources like 9955:decades after the invention of the 9726:WHO: see a large list by category 9268:An example of acupuncture treatment 8156:reliable sources for medical claims 7880:Popular psychology: an encyclopedia 7611: 7564: 6699:In contrast to the WHO reports the 6679:In addition, as a medical but also 6301:Cite has empty unknown parameters: 5911:. We can't categorize chiropractic 4246:Oregon College of Oriental Medicine 4229:British Medical Acupuncture Society 830:. A third editor reverted my edit 23: 12386:The "ArbCom ruling" just cited by 12202:parts, but non-science is used in 11692:is very far from a slam dunk, and 10466:Pomeranz B & Berman B (2003). 9260: 7865:10.1111/j.2042-7166.2009.tb05150.x 7635:Zhu-Fan, X (2003). Zhang X (ed.). 7341:10.1097/01.FCH.0000324482.78577.0f 7096:10.1097/01.brs.0000252100.61002.d4 4354:if you aren't familiar with it. -- 3021:paper is, from what I can tell, a 1946:Introduction in the United States? 24: 13522: 13188:"ACUPUNCTURE IS A PSEUDOSCIENCE." 12206:, or in combination with science. 11356:The full author's conclusion is " 10717:Knowledge medical sourcing policy 10468:"Scientific basis of acupuncture" 8871:even more POV-ish than categories 8859:haven't met the criteria for them 7955:Santa Clara Valley Medical Center 7849:"The untold story of acupuncture" 6260:Tsuei, Julia J. (May/June 1996). 6259: 4013:reasonable a balance in this case 12898:Oh. Of course. I see. Thanks. -- 11843:Cheers. I'm going off line now. 9843:Acupuncture points and meridians 9769:Why on earth would your opinion 9665:Fixing attribution of WHO report 7125:"Acupuncture for neck disorders" 6390:Reset archives to 250K, Miszabot 6064:WP:Pseudoscience#Pseudoscience_2 5834:stated that it's got merit with 4795:by posting what you thought was 3872:Also in 1997, the United States 3213:). Do not change it. You have a 3150:speaking in the Acknowledgements 2009:or start a new section below. - 1308:That kicks ass. Let's do it. -- 29: 13401:not large mainstream players. 11177:. The full NICE guideline here 9462:think we can manage that. Per 7847:Kavoussi, Ben (December 2009). 7738: 7685: 7581: 7538: 7431: 7320: 7272: 7163: 4791:Meritless allegations, but you 4224:American Academy of Acupuncture 1959:Atkinson, William Biddle, ed., 1716:I did not read this blame piece 11853:22:40, 28 September 2010 (UTC) 11839:20:54, 28 September 2010 (UTC) 11799:20:06, 28 September 2010 (UTC) 11743:18:19, 28 September 2010 (UTC) 11726:18:03, 28 September 2010 (UTC) 11680:17:14, 28 September 2010 (UTC) 11665:17:03, 28 September 2010 (UTC) 11636:16:57, 28 September 2010 (UTC) 11616:16:28, 28 September 2010 (UTC) 11505:15:46, 28 September 2010 (UTC) 11475:14:34, 28 September 2010 (UTC) 11447:13:59, 28 September 2010 (UTC) 11427:13:49, 28 September 2010 (UTC) 11373:because you can't distinguish 11352:12:00, 28 September 2010 (UTC) 11317:11:29, 28 September 2010 (UTC) 11242:10:33, 28 September 2010 (UTC) 11190:21:16, 27 September 2010 (UTC) 11095:19:21, 27 September 2010 (UTC) 11054:18:55, 27 September 2010 (UTC) 11037:18:38, 27 September 2010 (UTC) 11012:18:13, 27 September 2010 (UTC) 10959:18:02, 27 September 2010 (UTC) 10929:17:48, 27 September 2010 (UTC) 10890:17:39, 27 September 2010 (UTC) 10871:17:28, 27 September 2010 (UTC) 10772:15:38, 27 September 2010 (UTC) 10729:15:21, 27 September 2010 (UTC) 10681:15:02, 27 September 2010 (UTC) 10630:14:06, 27 September 2010 (UTC) 10546:11:17, 27 September 2010 (UTC) 10433:12:34, 25 September 2010 (UTC) 10413:02:06, 25 September 2010 (UTC) 10385:21:16, 17 September 2010 (UTC) 10342:14:25, 10 September 2010 (UTC) 10277:07:05, 10 September 2010 (UTC) 9734:takes us to a page devoted to 9131:removed pseudoscience category 7691: 7499:Rheumatology (Oxford, England) 7143:10.1002/14651858.CD004870.pub3 7062:10.1002/14651858.CD002285.pub2 7042: 7015:10.1016/j.jclinepi.2006.02.003 6978:10.1002/14651858.CD003281.pub2 6904: 6773: 6732:10.1002/14651858.CD001351.pub2 5709:unambiguously pseudoscientific 5703:. Lacking such a source, per 4772:11:19, 7 June 2010 (UTC)": --> 4188:Related scientific disciplines 3885:reasoning. In 2006 the NIH's 1618:Good article in a month or so? 1589:Positive and negative results 1074:Acupuncture#Traditional_theory 13: 1: 12753:06:44, 31 December 2010 (UTC) 12457:15:21, 30 December 2010 (UTC) 12427:08:38, 28 December 2010 (UTC) 12371:00:08, 28 December 2010 (UTC) 12323:23:27, 27 December 2010 (UTC) 12291:23:18, 27 December 2010 (UTC) 12256:22:29, 27 December 2010 (UTC) 12179:21:12, 27 December 2010 (UTC) 12090:. The relevant policies are 11259:Please keep in mind that per 10912:for example), observer bias ( 9950:supported. That's as far as 9740:National Library of Australia 7679:10.1016/S0140-6736(05)67159-0 6694:National Institutes of Health 6057:23:37, 28 February 2010 (UTC) 6028:22:12, 28 February 2010 (UTC) 5980:22:12, 28 February 2010 (UTC) 5965:19:52, 28 February 2010 (UTC) 5937:18:49, 28 February 2010 (UTC) 5875:15:57, 28 February 2010 (UTC) 5836:nausea and some types of pain 5817:02:20, 28 February 2010 (UTC) 5779:16:58, 27 February 2010 (UTC) 5755:14:38, 27 February 2010 (UTC) 5722:01:30, 27 February 2010 (UTC) 3874:National Institutes of Health 3584:Sources - can someone get me 3207:WP:FRINGE#Independent sources 3175:OK if we were talking about " 2275:moved on a bit. I read this 2068:Sham vs. Real section removed 2028:Category:Manipulative therapy 1980:02:55, 17 February 2010 (UTC) 1785:03:20, 26 November 2009 (UTC) 13486:19:43, 17 January 2011 (UTC) 13472:11:08, 17 January 2011 (UTC) 13443:18:41, 16 January 2011 (UTC) 13425:18:24, 16 January 2011 (UTC) 13396:18:17, 16 January 2011 (UTC) 13379:10:51, 22 January 2011 (UTC) 13351:13:54, 16 January 2011 (UTC) 13317:13:43, 16 January 2011 (UTC) 13291:09:13, 16 January 2011 (UTC) 13274:09:05, 16 January 2011 (UTC) 13177:09:19, 16 January 2011 (UTC) 13160:01:06, 16 January 2011 (UTC) 13115:20:29, 15 January 2011 (UTC) 13088:00:20, 26 January 2011 (UTC) 13073:03:51, 25 January 2011 (UTC) 13044:10:51, 22 January 2011 (UTC) 13026:13:57, 15 January 2011 (UTC) 12978:10:29, 15 January 2011 (UTC) 12960:01:34, 15 January 2011 (UTC) 12931:02:57, 25 January 2011 (UTC) 12908:02:09, 25 January 2011 (UTC) 12894:00:40, 25 January 2011 (UTC) 12804:01:02, 25 January 2011 (UTC) 12785:00:40, 25 January 2011 (UTC) 12770:09:35, 16 January 2011 (UTC) 12727:09:31, 16 January 2011 (UTC) 12712:13:57, 15 January 2011 (UTC) 12679:10:29, 15 January 2011 (UTC) 12657:18:06, 12 January 2011 (UTC) 12612:14:14, 11 January 2011 (UTC) 12580:11:26, 25 January 2011 (UTC) 12544:05:59, 25 January 2011 (UTC) 12529:is found to be effective it 12524:03:40, 25 January 2011 (UTC) 12478:01:12, 25 January 2011 (UTC) 12153:01:44, 3 December 2010 (UTC) 12124:08:17, 1 December 2010 (UTC) 12108:03:47, 1 December 2010 (UTC) 12069:14:15, 22 October 2010 (UTC) 12034:00:52, 22 October 2010 (UTC) 11989:21:02, 16 October 2010 (UTC) 11958:21:01, 16 October 2010 (UTC) 11158:osteoarthritis of the knee " 9069:The Physician and the Priest 8431:traditional Chinese medicine 7718:Trick or Treatment, p. 39-90 7447:Osteoarthritis and Cartilage 3986:. Hey, don't believe me -- 3867:American Medical Association 3362:I also fully agree with SA. 1934:13:08, 17 October 2009 (UTC) 1905:08:37, 17 October 2009 (UTC) 1881:01:04, 17 October 2009 (UTC) 1844:23:26, 16 October 2009 (UTC) 1828:22:11, 16 October 2009 (UTC) 1742:01:06, 17 October 2009 (UTC) 1711:23:25, 16 October 2009 (UTC) 1696:23:23, 16 October 2009 (UTC) 1681:21:56, 16 October 2009 (UTC) 1649:00:20, 16 October 2009 (UTC) 1633:21:45, 15 October 2009 (UTC) 1416:20:50, 15 October 2009 (UTC) 1389:18:01, 15 October 2009 (UTC) 1332:16:42, 15 October 2009 (UTC) 1318:16:39, 15 October 2009 (UTC) 1303:16:15, 15 October 2009 (UTC) 1269:15:24, 16 October 2009 (UTC) 1256:21:43, 15 October 2009 (UTC) 1230:04:24, 15 October 2009 (UTC) 1215:02:44, 15 October 2009 (UTC) 1182:23:12, 14 October 2009 (UTC) 1117:21:58, 14 October 2009 (UTC) 1087:16:32, 15 October 2009 (UTC) 998:16:27, 14 October 2009 (UTC) 966:15:58, 14 October 2009 (UTC) 908:09:49, 14 October 2009 (UTC) 889:09:36, 14 October 2009 (UTC) 867:09:29, 14 October 2009 (UTC) 811:01:54, 11 October 2009 (UTC) 782:07:06, 10 October 2009 (UTC) 766:06:27, 10 October 2009 (UTC) 723:15:51, 15 October 2009 (UTC) 676:13:35, 15 October 2009 (UTC) 661:02:19, 15 October 2009 (UTC) 627:21:24, 14 October 2009 (UTC) 613:21:24, 14 October 2009 (UTC) 598:16:14, 14 October 2009 (UTC) 555:09:51, 14 October 2009 (UTC) 541:03:30, 14 October 2009 (UTC) 526:01:38, 14 October 2009 (UTC) 483:23:20, 13 October 2009 (UTC) 467:23:01, 13 October 2009 (UTC) 427:22:52, 13 October 2009 (UTC) 412:22:48, 13 October 2009 (UTC) 383:22:38, 13 October 2009 (UTC) 369:22:07, 13 October 2009 (UTC) 341:22:45, 12 October 2009 (UTC) 323:15:16, 11 October 2009 (UTC) 308:09:01, 11 October 2009 (UTC) 282:13:18, 10 October 2009 (UTC) 254:03:50, 10 October 2009 (UTC) 239:03:38, 10 October 2009 (UTC) 224:01:35, 10 October 2009 (UTC) 122:Here's the link by the way: 7: 13476:Sounds reasonable; will do. 12879:10:43, 8 January 2011 (UTC) 12856:09:54, 8 January 2011 (UTC) 12838:16:16, 1 January 2011 (UTC) 11907:16:17, 2 October 2010 (UTC) 10258:02:52, 25 August 2010 (UTC) 10224:00:27, 12 August 2010 (UTC) 10205:05:13, 10 August 2010 (UTC) 10172:05:02, 10 August 2010 (UTC) 10158:04:43, 10 August 2010 (UTC) 10126:04:01, 10 August 2010 (UTC) 10060:05:07, 10 August 2010 (UTC) 10025:05:01, 10 August 2010 (UTC) 9983:04:37, 10 August 2010 (UTC) 9914:03:58, 10 August 2010 (UTC) 9891:03:54, 10 August 2010 (UTC) 9835:04:39, 10 August 2010 (UTC) 9816:04:12, 10 August 2010 (UTC) 9801:04:04, 10 August 2010 (UTC) 9764:02:55, 10 August 2010 (UTC) 9641:04:49, 10 August 2010 (UTC) 9612:04:00, 10 August 2010 (UTC) 9597:03:33, 10 August 2010 (UTC) 8760:Lancet, BMJ, JAMA, NEJM etc 7511:10.1093/rheumatology/kel406 7293:10.1093/rheumatology/kel413 6877:10.1136/bmj.39471.430451.BE 6754:Explicit use of et al. in: 4749:<span id="Wrong venue. 4210:Traditional Chinese doctors 2665:hamfisted and unconvincing 2110:Sham vs. Real section redux 1470:Fair evidence for use with 1431: 1144:Counter-Arguments from WLU: 186:20:39, 9 October 2009 (UTC) 168:18:37, 9 October 2009 (UTC) 134:16:41, 9 October 2009 (UTC) 118:16:37, 9 October 2009 (UTC) 10: 13527: 12082:User:Yworo was correct to 11965:isn't a reliable source. 10917:animal = no placebo effect 10636:medically reliable sources 10419:other conditions is still 9568:22:18, 8 August 2010 (UTC) 9553:13:48, 8 August 2010 (UTC) 9520:01:54, 8 August 2010 (UTC) 9505:00:49, 8 August 2010 (UTC) 9476:00:03, 8 August 2010 (UTC) 9449:21:52, 6 August 2010 (UTC) 9431:16:07, 6 August 2010 (UTC) 9392:16:07, 6 August 2010 (UTC) 7459:10.1016/j.joca.2007.12.013 7404:10.1001/archinte.146.5.868 7229:Cochrane Database Syst Rev 7173:Cochrane Database Syst Rev 6842:10.1001/archinte.147.3.492 6614:randomized clinical trials 6010:. Verbal, please re-read 3856:Health organizations draft 3097:Good analysis. I agree. 2047:19:26, 27 April 2010 (UTC) 2021:06:55, 24 April 2010 (UTC) 13259:Acupuncture Pseudoscience 12014:doi:10.3233/JRS-2010-0503 11042:Thanks for the tip, WLU. 10013:Blind men and an elephant 9736:aforementioned WHO report 9687:World Health Organization 9681:of the article, we read: 9675:WHO report on acupuncture 9371:21:52, 26 July 2010 (UTC) 9318:that saying what a topic 9168:23:00, 21 June 2010 (UTC) 9116:01:48, 18 June 2010 (UTC) 9081:08:29, 15 June 2010 (UTC) 8929:20:11, 14 June 2010 (UTC) 8902:09:43, 13 June 2010 (UTC) 8888:09:36, 13 June 2010 (UTC) 8365:22:22, 15 June 2010 (UTC) 8322:19:04, 15 June 2010 (UTC) 8299:00:34, 16 June 2010 (UTC) 8217:00:20, 16 June 2010 (UTC) 8202:00:18, 16 June 2010 (UTC) 8182:22:28, 15 June 2010 (UTC) 8136:18:45, 15 June 2010 (UTC) 8116:15:46, 15 June 2010 (UTC) 8087:22:40, 13 June 2010 (UTC) 8072:20:50, 13 June 2010 (UTC) 8031:09:49, 13 June 2010 (UTC) 7902:Ullet, George A. (2002). 7641:World Health Organization 7588:Sampson, W (2005-03-23). 6485:13:21, 10 June 2010 (UTC) 6170:00:24, 9 April 2010 (UTC) 6152:22:31, 1 March 2010 (UTC) 6109:20:06, 1 March 2010 (UTC) 6080:18:46, 1 March 2010 (UTC) 4310: 4220:Organizations and schools 4215: 4205: 4197: 4187: 4167: 4155: 3894:World Health Organization 3647:editorial you asked for. 3626:Another possible source: 2778:? Please see especially 2581:Category:Energy therapies 2575:Category:Energy therapies 2483:on using Chinese sources? 1585: 1579: 1566: 1561: 1500: 1491: 13257:, in an article titled " 12594:A comment on one of the 9337:06:43, 8 July 2010 (UTC) 9295:18:41, 9 June 2010 (UTC) 9243:10:49, 9 June 2010 (UTC) 9206:05:52, 9 June 2010 (UTC) 8852:23:12, 8 June 2010 (UTC) 8822:15:00, 8 June 2010 (UTC) 8799:12:28, 8 June 2010 (UTC) 8721:12:19, 8 June 2010 (UTC) 8700:11:40, 8 June 2010 (UTC) 8674:18:05, 8 June 2010 (UTC) 8653:21:14, 9 June 2010 (UTC) 8639:23:13, 8 June 2010 (UTC) 8612:17:57, 8 June 2010 (UTC) 8598:07:18, 8 June 2010 (UTC) 8575:17:52, 8 June 2010 (UTC) 8561:06:46, 8 June 2010 (UTC) 8539:17:52, 8 June 2010 (UTC) 8523:WP:RS#Academic_consensus 8517:04:22, 8 June 2010 (UTC) 8499:quite sure, but I don't 8494:02:57, 8 June 2010 (UTC) 8472:00:45, 8 June 2010 (UTC) 8392:00:05, 8 June 2010 (UTC) 8014:18:19, 9 June 2010 (UTC) 7935:Dold, Catherine (1998). 7819:Bauer, Henry H. (1994). 6561:00:50, 8 June 2010 (UTC) 6533:23:27, 7 June 2010 (UTC) 6518:21:45, 7 June 2010 (UTC) 6469:05:03, 3 June 2010 (UTC) 6454:00:56, 25 May 2010 (UTC) 6433:11:41, 8 June 2010 (UTC) 6418:01:18, 8 June 2010 (UTC) 6385:12:52, 9 June 2010 (UTC) 6367:03:02, 4 June 2010 (UTC) 6341:16:32, 30 May 2010 (UTC) 6253:11:16, 30 May 2010 (UTC) 6232:11:16, 30 May 2010 (UTC) 6214:15:50, 29 May 2010 (UTC) 6194:04:10, 17 May 2010 (UTC) 6140:WP:RS#Academic_consensus 5803:sloppily removed a good 5797:WP:RS#Academic_consensus 5693:WP:RS#Academic_consensus 5662:11:59, 7 June 2010 (UTC) 5643:11:18, 7 June 2010 (UTC) 5615:05:48, 7 June 2010 (UTC) 5593:02:33, 7 June 2010 (UTC) 5578:19:46, 6 June 2010 (UTC) 5553:21:44, 6 June 2010 (UTC) 5520:12:26, 7 June 2010 (UTC) 5505:10:10, 7 June 2010 (UTC) 5486:07:51, 7 June 2010 (UTC) 5460:07:43, 7 June 2010 (UTC) 5441:07:31, 7 June 2010 (UTC) 5404:WP:RS#Academic_consensus 5388:05:41, 7 June 2010 (UTC) 5361:04:17, 7 June 2010 (UTC) 5349:WP:RS#Academic_consensus 5275:20:27, 6 June 2010 (UTC) 5225:20:20, 6 June 2010 (UTC) 5202:20:00, 6 June 2010 (UTC) 5181:19:30, 6 June 2010 (UTC) 5152:18:52, 6 June 2010 (UTC) 5062:18:57, 6 June 2010 (UTC) 5028:18:48, 6 June 2010 (UTC) 5009:18:42, 6 June 2010 (UTC) 4991:17:06, 6 June 2010 (UTC) 4976:16:55, 6 June 2010 (UTC) 4951:11:54, 6 June 2010 (UTC) 4936:11:26, 6 June 2010 (UTC) 4915:11:25, 6 June 2010 (UTC) 4892:11:19, 6 June 2010 (UTC) 4868:11:00, 6 June 2010 (UTC) 4848:10:17, 6 June 2010 (UTC) 4833:09:46, 6 June 2010 (UTC) 4813:03:50, 6 June 2010 (UTC) 4786:02:08, 6 June 2010 (UTC) 4744:11:19, 7 June 2010 (UTC) 4707:20:14, 7 June 2010 (UTC) 4693:13:57, 7 June 2010 (UTC) 4663:21:28, 6 June 2010 (UTC) 4638:20:29, 6 June 2010 (UTC) 4609:16:26, 6 June 2010 (UTC) 4583:13:07, 6 June 2010 (UTC) 4569:16:26, 6 June 2010 (UTC) 4551:11:42, 6 June 2010 (UTC) 4537:11:35, 6 June 2010 (UTC) 4523:16:26, 6 June 2010 (UTC) 4508:06:02, 6 June 2010 (UTC) 4487:05:36, 6 June 2010 (UTC) 4468:04:09, 6 June 2010 (UTC) 4443:02:00, 6 June 2010 (UTC) 4414:01:38, 6 June 2010 (UTC) 4396:00:49, 6 June 2010 (UTC) 4379:00:38, 6 June 2010 (UTC) 4364:00:22, 6 June 2010 (UTC) 4341:00:19, 6 June 2010 (UTC) 4329:WP:RS#Academic_consensus 4254:World Medicine Institute 4146:22:35, 4 June 2010 (UTC) 4112:20:30, 7 June 2010 (UTC) 4073:21:31, 6 June 2010 (UTC) 4044:04:46, 6 June 2010 (UTC) 4025:02:15, 6 June 2010 (UTC) 4000:04:42, 6 June 2010 (UTC) 3977:02:12, 6 June 2010 (UTC) 3949:23:58, 5 June 2010 (UTC) 3848:20:30, 7 June 2010 (UTC) 3778:07:45, 6 June 2010 (UTC) 3753:02:12, 6 June 2010 (UTC) 3706:00:06, 6 June 2010 (UTC) 3692:12:41, 5 June 2010 (UTC) 3657:23:50, 4 June 2010 (UTC) 3639:22:09, 4 June 2010 (UTC) 3622:19:44, 4 June 2010 (UTC) 3567:04:25, 4 June 2010 (UTC) 3548:02:31, 4 June 2010 (UTC) 3525:01:05, 4 June 2010 (UTC) 3473:21:02, 3 June 2010 (UTC) 3463:incorrect in any case). 3448:13:53, 3 June 2010 (UTC) 3378:11:17, 3 June 2010 (UTC) 3358:10:17, 3 June 2010 (UTC) 3324:04:16, 6 June 2010 (UTC) 3310:02:17, 6 June 2010 (UTC) 3295:01:24, 6 June 2010 (UTC) 3227:07:07, 3 June 2010 (UTC) 3197:06:38, 3 June 2010 (UTC) 3148:, and the WHO itself is 3123:04:12, 7 June 2010 (UTC) 3107:20:34, 3 June 2010 (UTC) 3091:09:00, 2 June 2010 (UTC) 3066:01:35, 1 June 2010 (UTC) 3005:11:53, 6 June 2010 (UTC) 2983:09:42, 6 June 2010 (UTC) 2962:06:03, 6 June 2010 (UTC) 2939:06:03, 6 June 2010 (UTC) 2919:02:12, 6 June 2010 (UTC) 2890:02:05, 6 June 2010 (UTC) 2861:01:49, 6 June 2010 (UTC) 2847:01:34, 6 June 2010 (UTC) 2824:00:40, 6 June 2010 (UTC) 2805:23:48, 5 June 2010 (UTC) 2766:12:26, 5 June 2010 (UTC) 2721:12:02, 4 June 2010 (UTC) 2701:09:18, 4 June 2010 (UTC) 2679:05:20, 4 June 2010 (UTC) 2657:09:21, 4 June 2010 (UTC) 2638:04:55, 4 June 2010 (UTC) 2618:03:38, 4 June 2010 (UTC) 2590:(See its "main article" 2541:14:14, 6 June 2010 (UTC) 2521:14:06, 6 June 2010 (UTC) 2464:17:37, 30 May 2010 (UTC) 2431:19:57, 5 June 2010 (UTC) 2399:19:45, 5 June 2010 (UTC) 2351:19:25, 5 June 2010 (UTC) 2327:23:07, 4 June 2010 (UTC) 2306:. 2008 Sep;14(7):861-9. 2304:J Altern Complement Med 2266:18:29, 4 June 2010 (UTC) 2223:12:36, 4 June 2010 (UTC) 2188:00:01, 6 June 2010 (UTC) 2173:14:03, 3 June 2010 (UTC) 2124:09:40, 25 May 2010 (UTC) 2101:00:44, 25 May 2010 (UTC) 2083:00:36, 25 May 2010 (UTC) 1596:consensus recommendation 935:On the Origin of Species 11997:Reference to broken DOI 11382:better quality evidence 11270:evidence based medicine 10287:dynamic MRI acupuncture 8980:since it's a subset of 7912:. Vol.Ā 1. ABC-CLIO. p. 7877:Luis A. CordĆ³n (2005). 6964:Lee A, Done ML (2004). 4797:my personal information 3914:where, probably due to 3402:with the WHO study via 2647:applicable categories. 2062:00:26, 9 May 2010 (UTC) 13453:category:pseudoscience 13250:Science-Based Medicine 12244:category:pseudoscience 12088:category:pseudoscience 12076:Category:Pseudoscience 11823:I couldn't access the 11226:or how about this one 10489:and you (effectively) 10483: 10453: 9943:thiomersal controversy 9398:Consensus re AAMA list 9106:and related topics. -- 9035:category:pseudoscience 9023:category:pseudoscience 8994:category:pseudoscience 8773:Category:Pseudoscience 8307:Comment and discussion 7937:"Needles & Nerves" 7363:Check date values in: 6701:Cochrane Collaboration 6355:Category:Pseudoscience 6351:Category:Pseudoscience 6289:Check date values in: 6241:Category:Pseudoscience 6115:category:pseudoscience 5923:), as well as its (4) 5917:vertebral subluxations 5676:category:pseudoscience 5668:Category:Pseudoscience 4962:more appropriate venue 4513:Thanks, that's good -- 4493:Category:Pseudoscience 4321:category:pseudoscience 3935: 3146:according to ISBN data 2993:Category:Pseudoscience 2947:Category:Pseudoscience 2812:as plainly as possible 2603:Category:Pseudoscience 2587:Category:Pseudoscience 2561:Category:Pseudoscience 2551:Category:Pseudoscience 2236:, or for that matter, 1480:In vitro fertilisation 1065:Regarding references: 13223:Nonsense with Needles 11388:. If you would read 10472:Basics of acupuncture 10461:Acupuncture Analgesia 10457: 10444: 9732:"Medicine -- General" 9213:self-published source 7617:NCCAM2006-Acupuncture 7056:(2): CD002285. 2006. 6689:See what I mean? WLU 6331:- not acupuncture. - 5016:Full explanation here 4593:RS#Academic_consensus 4216:Subsequent proponents 4151:Acupuncture/Archive 4 4128:Pseudoscience infobox 3930: 2784:RS#Academic_consensus 1135:My original argument: 495:. They're virtually 42:of past discussions. 13459:sides of the debate. 12919:WP:assume good faith 12619:pathological science 11583:Skeptic's Dictionary 10945:scientific studies. 10474:. Berlin: Springer. 8330:verifiable, not true 7659:McCarthy, M (2005). 7615:The named reference 7568:The named reference 7329:Fam Community Health 4081:if we can't find it. 3898:alternative medicine 3215:conflict of interest 2194:Deleted last bit of 1803:TCM stuff in article 972:Churchill Livingston 493:high-quality sources 12198:science is used in 12020:database. Please 11386:quality of evidence 9412:expressed agreement 8972:; full explanation 8947:Compromise proposal 8763:discussion is over. 8749:organizations, and 8739:verifiable evidence 8222:MEDRS and gives it 8041:medical information 6272:(3). Archived from 6258:The source I gave ( 5925:Applied kinesiology 5921:Innate Intelligence 5840:google books search 5171:to be aired there. 4206:Original proponents 4152: 3279:over and over again 2734:, and there's more 2625:Category:Paranormal 1521:in Asian countries 1434: 836:I've restored them 697:consensus (medical) 13412:Knowledge's rules: 13338:Knowledge's rules: 13147:Knowledge's rules: 13060:Knowledge's rules: 13013:Knowledge's rules: 12997:. If acupuncture 12991:penetrate the skin 12825:Knowledge's rules: 12792:file drawer effect 12699:Knowledge's rules: 12644:Knowledge's rules: 12567:Knowledge's rules: 12511:Knowledge's rules: 12444:Knowledge's rules: 12226:, which smacks of 12140:Knowledge's rules: 12056:Knowledge's rules: 11976:Knowledge's rules: 11945:Knowledge's rules: 11894:Knowledge's rules: 11713:Knowledge's rules: 11652:Knowledge's rules: 11603:Knowledge's rules: 11570:Trick or Treatment 11482:chronic back pain, 11462:Knowledge's rules: 11414:Knowledge's rules: 11391:Trick or Treatment 11304:Knowledge's rules: 11253:Trick or Treatment 11248:Trick or Treatment 11082:Knowledge's rules: 10999:Knowledge's rules: 10858:Knowledge's rules: 10825:Trick or Treatment 10759:Knowledge's rules: 10668:Knowledge's rules: 10649:Trick or Treatment 10442:Hi Wilfrid. After 10245:Knowledge's rules: 10192:Knowledge's rules: 10178:William A. Dembski 10145:Knowledge's rules: 10047:Knowledge's rules: 10015:comes to mind. -- 9970:Knowledge's rules: 9878:Knowledge's rules: 9788:Knowledge's rules: 9628:Knowledge's rules: 9584:Knowledge's rules: 9540:Knowledge's rules: 9492:Knowledge's rules: 9230:Knowledge's rules: 8786:Knowledge's rules: 8459:Knowledge's rules: 8352:Knowledge's rules: 8286:Knowledge's rules: 8169:Knowledge's rules: 8103:Knowledge's rules: 8059:Knowledge's rules: 8001:Knowledge's rules: 7975:Unknown parameter 7474:Unknown parameter 7256:Unknown parameter 7200:Unknown parameter 6941:Unknown parameter 6640:circulatory system 6617:medical practice. 6604:The New York Times 6583:Chinese Revolution 6548:Knowledge's rules: 6505:Knowledge's rules: 6405:Knowledge's rules: 6096:Knowledge's rules: 6044:Knowledge's rules: 5952:Knowledge's rules: 5901:acupuncture points 5862:Knowledge's rules: 5742:Knowledge's rules: 5678:to the article; I 5630:Knowledge's rules: 5262:Knowledge's rules: 5167:. What is covered 4760:Knowledge's rules: 4731:Knowledge's rules: 4697:Okay, on it, WLU. 4680:Knowledge's rules: 4625:Knowledge's rules: 4430:Knowledge's rules: 4350:. Please re-read 4150: 4099:Knowledge's rules: 3964:Knowledge's rules: 3903:Trick or Treatment 3835:Knowledge's rules: 3822:Trick or Treatment 3740:Knowledge's rules: 3679:Knowledge's rules: 3609:Knowledge's rules: 3591:? And can we use 3512:Knowledge's rules: 3435:Knowledge's rules: 3404:Trick or Treatment 3053:Knowledge's rules: 2877:Knowledge's rules: 2835:you didn't hear it 2753:Knowledge's rules: 2508:Knowledge's rules: 2445:Template:Globalize 2418:Knowledge's rules: 2404:Trick or Treatment 2386:Knowledge's rules: 2253:Knowledge's rules: 2239:Trick or Treatment 2160:Knowledge's rules: 1985:urethral stricture 1921:Knowledge's rules: 1868:Knowledge's rules: 1729:Knowledge's rules: 1432: 1376:Knowledge's rules: 1290:Knowledge's rules: 1202:Knowledge's rules: 1122:Here is the issue: 985:Knowledge's rules: 953:Knowledge's rules: 798:Knowledge's rules: 754:User:CorticoSpinal 752:have been used by 730:User:CorticoSpinal 710:Knowledge's rules: 648:Knowledge's rules: 585:Knowledge's rules: 513:Knowledge's rules: 454:Knowledge's rules: 399:Knowledge's rules: 356:Knowledge's rules: 269:Knowledge's rules: 211:Knowledge's rules: 155:Knowledge's rules: 13413: 13339: 13190:- John P. Jackson 13148: 13125:original research 13061: 13014: 12915:User:173.73.6.136 12863:scientific method 12826: 12700: 12645: 12568: 12512: 12445: 12274:original research 12141: 12057: 12003:Cite DOI template 11977: 11946: 11895: 11778:And last January 11714: 11653: 11604: 11463: 11415: 11335:Kaiser Permanente 11305: 11140:chronic back pain 11083: 11000: 10902: 10859: 10760: 10669: 10562:improvement, the 10403:comment added by 10246: 10193: 10146: 10048: 9971: 9879: 9789: 9671:original research 9629: 9585: 9541: 9493: 9374: 9357:comment added by 9298: 9281:comment added by 9231: 9202: 8787: 8718: 8492: 8460: 8390: 8353: 8334:George Washington 8287: 8170: 8104: 8060: 8002: 7942:Discover magazine 7692:Singh & Ernst 7570:NIH-1997consensus 7438:Zhang, W (2008). 7392:Ann. Intern. Med. 7374:CS1 maint: year ( 6690: 6678: 6654:, the release of 6549: 6506: 6406: 6321:scientific method 6158:The Body Electric 6097: 6045: 6008:raised just above 5953: 5863: 5776: 5743: 5631: 5427: 5413:comment added by 5263: 5234:civil pov-pushing 5199: 4974: 4933: 4889: 4865: 4830: 4761: 4732: 4681: 4626: 4431: 4317: 4316: 4275:Christopher Hobbs 4258:Yo San University 4100: 3965: 3836: 3741: 3680: 3610: 3513: 3436: 3375: 3285:and all that. -- 3089: 3054: 2980: 2878: 2754: 2538: 2509: 2439:Need to Globalize 2419: 2387: 2254: 2161: 2019: 1922: 1869: 1730: 1615: 1614: 1377: 1291: 1203: 986: 954: 886: 799: 711: 649: 586: 514: 455: 400: 357: 270: 212: 156: 100: 99: 54: 53: 48:current talk page 13518: 13511: 13508: 13421: 13405: 13347: 13331: 13156: 13140: 13069: 13053: 13022: 13006: 12834: 12818: 12708: 12692: 12653: 12637: 12576: 12560: 12520: 12504: 12453: 12437: 12417:a pseudoscience. 12149: 12133: 12065: 12049: 11985: 11969: 11954: 11938: 11903: 11887: 11783: 11781:Lewis & Abdi 11773: 11755: 11722: 11706: 11661: 11645: 11612: 11596: 11471: 11455: 11423: 11407: 11313: 11297: 11091: 11075: 11008: 10992: 10919:is a fallacy. -- 10896: 10867: 10851: 10768: 10752: 10677: 10661: 10642:that concludes " 10415: 10254: 10238: 10201: 10185: 10154: 10138: 10076:This is classic 10056: 10040: 9979: 9963: 9887: 9871: 9847:I don't see how 9797: 9781: 9707:acknowledgements 9637: 9621: 9593: 9577: 9549: 9533: 9501: 9485: 9441:ScienceApologist 9373: 9351: 9297: 9275: 9239: 9223: 9217:inline citations 9203: 9200: 9196: 9191: 8921:ScienceApologist 8844:ScienceApologist 8795: 8779: 8719: 8716: 8712: 8491: 8489: 8468: 8452: 8389: 8387: 8383:, May 30, 2010. 8361: 8345: 8295: 8279: 8178: 8162: 8112: 8096: 8068: 8052: 8010: 7994: 7984: 7978: 7973: 7971: 7963: 7950: 7949: 7930: 7904:Shermer, Michael 7897: 7872: 7843: 7777: 7774: 7765: 7757:(338): 379ā€“382. 7742: 7736: 7730: 7719: 7716: 7699: 7689: 7683: 7682: 7656: 7645: 7644: 7632: 7626: 7625: 7624: 7618: 7610: 7604: 7603: 7601: 7600: 7585: 7579: 7578: 7577: 7571: 7563: 7557: 7556: 7554: 7553: 7542: 7536: 7535: 7529: 7521: 7494: 7488: 7487: 7481: 7477: 7472: 7470: 7462: 7444: 7435: 7429: 7428: 7422: 7414: 7386: 7380: 7379: 7372: 7366: 7361: 7359: 7351: 7324: 7318: 7317: 7311: 7303: 7276: 7270: 7269: 7263: 7259: 7254: 7252: 7244: 7223: 7214: 7213: 7207: 7203: 7198: 7196: 7188: 7167: 7161: 7160: 7154: 7146: 7120: 7114: 7106: 7079: 7073: 7072: 7046: 7040: 7039: 7033: 7025: 7003:J Clin Epidemiol 6998: 6989: 6988: 6961: 6955: 6954: 6948: 6944: 6939: 6937: 6929: 6908: 6902: 6901: 6895: 6887: 6859: 6853: 6852: 6824: 6818: 6817: 6811: 6803: 6789:Ann. Intern. Med 6786: 6777: 6771: 6770: 6763: 6757: 6752: 6750: 6742: 6715: 6688: 6676: 6673:publication bias 6642:. Further, the 6591:barefoot doctors 6579:Daoguang Emperor 6557: 6541: 6525:ScienceApologist 6514: 6498: 6414: 6398: 6314: 6308: 6304: 6298: 6292: 6287: 6285: 6277: 6105: 6089: 6053: 6037: 5961: 5945: 5871: 5855: 5795:) and VER (see: 5777: 5774: 5770: 5751: 5735: 5639: 5623: 5512:ScienceApologist 5478:ScienceApologist 5433:ScienceApologist 5426: 5407: 5380:ScienceApologist 5271: 5255: 5200: 5197: 5193: 4968: 4934: 4931: 4927: 4890: 4887: 4883: 4866: 4863: 4859: 4831: 4828: 4824: 4778:ScienceApologist 4769: 4753: 4740: 4724: 4699:ScienceApologist 4689: 4673: 4655:ScienceApologist 4634: 4618: 4439: 4423: 4388:ScienceApologist 4371:ScienceApologist 4297:James Tin Yau So 4293:Nakayama Naotaka 4160: 4153: 4149: 4138:ScienceApologist 4108: 4092: 4079:convenience link 4017:ScienceApologist 3988:believe the ISBN 3973: 3957: 3916:publication bias 3883:pseudoscientific 3844: 3828: 3749: 3733: 3688: 3672: 3631:ScienceApologist 3618: 3602: 3540:ScienceApologist 3521: 3505: 3465:ScienceApologist 3444: 3428: 3376: 3373: 3369: 3302:ScienceApologist 3219:ScienceApologist 3083: 3062: 3046: 2981: 2978: 2974: 2911:ScienceApologist 2886: 2870: 2853:ScienceApologist 2816:ScienceApologist 2762: 2746: 2630:ScienceApologist 2539: 2536: 2532: 2517: 2501: 2495: 2489: 2472:publication bias 2427: 2411: 2395: 2379: 2262: 2246: 2169: 2153: 2148: 2142: 2013: 1997:I am sorry, but 1930: 1914: 1877: 1861: 1738: 1722: 1519:publication bias 1435: 1385: 1369: 1299: 1283: 1211: 1195: 994: 978: 962: 946: 912:Acupuncture has 887: 884: 880: 807: 791: 719: 703: 657: 641: 594: 578: 564:experts, or not 522: 506: 463: 447: 408: 392: 365: 349: 278: 262: 220: 204: 164: 148: 78: 56: 55: 33: 32: 26: 18:Talk:Acupuncture 13526: 13525: 13521: 13520: 13519: 13517: 13516: 13515: 13514: 13509: 13505: 13422: 13419: 13348: 13345: 13157: 13154: 13070: 13067: 13023: 13020: 12835: 12832: 12709: 12706: 12667:this commentary 12654: 12651: 12577: 12574: 12521: 12518: 12454: 12451: 12150: 12147: 12080: 12066: 12063: 11999: 11986: 11983: 11955: 11952: 11904: 11901: 11873: 11779: 11769: 11753:Yuan et al 2008 11751: 11723: 11720: 11694:Manheimer, 2005 11662: 11659: 11613: 11610: 11552:, particularly 11472: 11469: 11424: 11421: 11314: 11311: 11223:available here 11092: 11089: 11009: 11006: 10969:. Just an FYI. 10868: 10865: 10769: 10766: 10678: 10675: 10440: 10398: 10392: 10364: 10255: 10252: 10202: 10199: 10155: 10152: 10074: 10057: 10054: 10010: 10002: 9980: 9977: 9888: 9885: 9845: 9798: 9795: 9667: 9638: 9635: 9594: 9591: 9550: 9547: 9502: 9499: 9400: 9359:Harmonybunny114 9352: 9345: 9276: 9251: 9240: 9237: 9211:Actually, as a 9199: 9192: 9187: 9175: 8829: 8796: 8793: 8714: 8706: 8487: 8469: 8466: 8385: 8373: 8362: 8359: 8309: 8296: 8293: 8179: 8176: 8113: 8110: 8069: 8066: 8011: 8008: 7976: 7974: 7965: 7964: 7947: 7945: 7923: 7890: 7832: 7786: 7781: 7780: 7743: 7739: 7731: 7722: 7717: 7702: 7690: 7686: 7673:(9487): 705ā€“6. 7657: 7648: 7633: 7629: 7616: 7614: 7612: 7607: 7598: 7596: 7586: 7582: 7569: 7567: 7565: 7560: 7551: 7549: 7544: 7543: 7539: 7523: 7522: 7495: 7491: 7479: 7475: 7473: 7464: 7463: 7442: 7436: 7432: 7416: 7415: 7387: 7383: 7373: 7364: 7362: 7353: 7352: 7325: 7321: 7305: 7304: 7277: 7273: 7261: 7257: 7255: 7246: 7245: 7224: 7217: 7205: 7201: 7199: 7190: 7189: 7168: 7164: 7148: 7147: 7108: 7107: 7080: 7076: 7048: 7047: 7043: 7027: 7026: 6999: 6992: 6972:(3): CD003281. 6962: 6958: 6946: 6942: 6940: 6931: 6930: 6921:(10): 1203ā€“13. 6909: 6905: 6889: 6888: 6871:(7643): 545ā€“9. 6860: 6856: 6825: 6821: 6805: 6804: 6784: 6778: 6774: 6764: 6755: 6753: 6744: 6743: 6726:(1): CD001351. 6716: 6709: 6571: 6558: 6555: 6515: 6512: 6492: 6441: 6415: 6412: 6392: 6377:220.255.115.188 6333:Stillwaterising 6306: 6302: 6300: 6290: 6288: 6279: 6278: 6206:Stillwaterising 6162:Stillwaterising 6106: 6103: 6054: 6051: 5962: 5959: 5872: 5869: 5772: 5764: 5752: 5749: 5672: 5640: 5637: 5562: 5557: 5556: 5408: 5272: 5269: 5195: 5187: 4929: 4921: 4885: 4877: 4861: 4853: 4840:Stillwaterising 4826: 4818: 4770: 4767: 4746: 4741: 4738: 4717: 4690: 4687: 4635: 4632: 4575:Stillwaterising 4440: 4437: 4289:John G. Myerson 4163: 4134:in this section 4130: 4109: 4106: 3974: 3971: 3908:clinical trials 3858: 3845: 3842: 3750: 3747: 3689: 3686: 3619: 3616: 3536:reliable source 3522: 3519: 3445: 3442: 3371: 3363: 3130: 3063: 3060: 3015: 2976: 2968: 2887: 2884: 2763: 2760: 2594:). Therefore, 2592:Energy_medicine 2554: 2534: 2526: 2518: 2515: 2493: 2487: 2456:Stillwaterising 2441: 2428: 2425: 2396: 2393: 2334: 2263: 2260: 2200: 2170: 2167: 2146: 2140: 2133: 2112: 2070: 2039:Stillwaterising 2031: 1987: 1948: 1931: 1928: 1878: 1875: 1805: 1739: 1736: 1620: 1506:adverse effects 1441:Overall support 1430: 1386: 1383: 1353: 1300: 1297: 1276: 1212: 1209: 1105: 995: 992: 963: 960: 922:guide to layout 882: 874: 821: 808: 805: 733: 720: 717: 658: 655: 595: 592: 523: 520: 464: 461: 409: 406: 366: 363: 279: 276: 221: 218: 165: 162: 105: 74: 30: 22: 21: 20: 12: 11: 5: 13524: 13513: 13512: 13502: 13501: 13500: 13499: 13498: 13497: 13496: 13495: 13494: 13493: 13492: 13491: 13490: 13489: 13488: 13460: 13418: 13383: 13382: 13381: 13344: 13304: 13303: 13278: 13277: 13243: 13241: 13240: 13230: 13229: 13221:ā€œAcupuncture: 13218: 13217: 13207: 13206: 13195: 13194: 13184: 13183: 13182: 13181: 13180: 13179: 13153: 13118: 13117: 13099: 13098: 13097: 13096: 13095: 13094: 13093: 13092: 13091: 13090: 13066: 13019: 12983: 12982: 12981: 12980: 12944: 12943: 12942: 12941: 12940: 12939: 12938: 12937: 12936: 12935: 12934: 12933: 12831: 12812: 12811: 12810: 12809: 12808: 12807: 12806: 12740: 12739: 12738: 12737: 12736: 12735: 12734: 12733: 12732: 12731: 12730: 12729: 12705: 12662: 12650: 12631: 12592: 12591: 12590: 12589: 12588: 12587: 12586: 12585: 12584: 12583: 12582: 12573: 12517: 12450: 12419:69.199.196.246 12384: 12383: 12382: 12381: 12380: 12379: 12378: 12377: 12376: 12375: 12374: 12373: 12363:69.199.196.246 12347: 12332: 12331: 12330: 12329: 12328: 12327: 12326: 12325: 12300: 12299: 12298: 12297: 12296: 12295: 12294: 12293: 12263: 12262: 12261: 12260: 12259: 12258: 12248:69.199.196.246 12212: 12211: 12210: 12209: 12208: 12207: 12186: 12185: 12184: 12183: 12182: 12181: 12171:69.199.196.246 12158: 12157: 12156: 12155: 12146: 12079: 12073: 12072: 12071: 12062: 12042:Gnome de plume 12026:Citation bot 2 11998: 11995: 11994: 11993: 11992: 11991: 11982: 11951: 11900: 11872: 11871:Korean origins 11869: 11868: 11867: 11866: 11865: 11864: 11863: 11862: 11861: 11860: 11859: 11858: 11857: 11856: 11855: 11810: 11809: 11808: 11807: 11806: 11805: 11804: 11803: 11802: 11801: 11787: 11786: 11785: 11776: 11766: 11765:at the moment. 11728: 11719: 11658: 11609: 11520: 11519: 11518: 11517: 11516: 11515: 11514: 11513: 11512: 11511: 11510: 11509: 11508: 11507: 11492: 11485: 11477: 11468: 11420: 11400: 11378: 11324: 11323: 11322: 11321: 11320: 11319: 11310: 11286: 11257: 11214: 11213: 11212: 11211: 11195: 11194: 11193: 11192: 11172: 11166: 11165: 11164: 11163: 11162: 11161: 11160: 11159: 11156: 11153: 11150: 11147: 11144: 11141: 11131: 11130: 11129: 11128: 11127: 11126: 11118: 11117: 11116: 11115: 11109: 11108: 11107: 11106: 11100: 11099: 11098: 11097: 11088: 11069:Habacher, 2006 11060: 11024: 11023: 11016: 11015: 11014: 11005: 10970: 10963: 10962: 10961: 10933: 10932: 10931: 10894: 10893: 10892: 10875: 10874: 10873: 10864: 10812:placebo effect 10793: 10792: 10791: 10790: 10789: 10788: 10787: 10786: 10785: 10784: 10765: 10734: 10708: 10707: 10706: 10705: 10704: 10703: 10691: 10690: 10689: 10688: 10687: 10686: 10674: 10654: 10617: 10616: 10612: 10611: 10608:placebo effect 10603: 10602: 10599: 10593: 10589: 10588: 10582: 10579: 10575: 10568: 10567: 10564:placebo effect 10558: 10557: 10553: 10552: 10535: 10534: 10514: 10502: 10449:placebo effect 10439: 10436: 10391: 10388: 10363: 10360: 10359: 10358: 10357: 10356: 10355: 10354: 10353: 10352: 10351: 10350: 10349: 10348: 10347: 10346: 10345: 10344: 10312: 10311: 10310: 10309: 10308: 10307: 10306: 10305: 10304: 10303: 10302: 10301: 10300: 10299: 10298: 10297: 10251: 10198: 10151: 10109: 10108: 10097: 10096: 10073: 10070: 10069: 10068: 10067: 10066: 10065: 10064: 10063: 10062: 10053: 10033: 10030: 10008: 10000: 9976: 9884: 9844: 9841: 9840: 9839: 9838: 9837: 9818: 9794: 9723: 9722: 9715: 9714: 9703: 9702: 9691: 9690: 9666: 9663: 9662: 9661: 9660: 9659: 9658: 9657: 9656: 9655: 9654: 9653: 9652: 9651: 9650: 9649: 9648: 9647: 9646: 9645: 9644: 9643: 9634: 9590: 9546: 9498: 9454: 9453: 9452: 9451: 9399: 9396: 9395: 9394: 9344: 9341: 9340: 9339: 9272: 9271: 9264: 9261:#Pseudoscience 9250: 9247: 9246: 9245: 9236: 9183:Lulu (company) 9174: 9171: 9127: 9126: 9125: 9124: 9123: 9122: 9121: 9120: 9119: 9118: 9090: 9089: 9088: 9087: 9086: 9085: 9084: 9083: 9057: 9056: 9055: 9054: 9053: 9052: 9051: 9050: 9004: 9003: 9002: 9001: 9000: 8999: 8998: 8997: 8950: 8949: 8948: 8936: 8935: 8934: 8933: 8932: 8931: 8907: 8906: 8905: 8904: 8828: 8825: 8808: 8807: 8806: 8805: 8804: 8803: 8802: 8801: 8792: 8764: 8662: 8661: 8660: 8659: 8658: 8657: 8656: 8655: 8617: 8616: 8615: 8614: 8580: 8579: 8578: 8577: 8548: 8547: 8546: 8545: 8544: 8543: 8542: 8541: 8475: 8474: 8465: 8438: 8419: 8403: 8372: 8369: 8368: 8367: 8358: 8338: 8308: 8305: 8304: 8303: 8302: 8301: 8292: 8250: 8246: 8227: 8204: 8175: 8147: 8146: 8145: 8144: 8143: 8142: 8141: 8140: 8139: 8138: 8109: 8065: 8017: 8016: 8007: 7931: 7921: 7899: 7888: 7873: 7859:(4): 276-286. 7844: 7839:ball lightning 7830: 7816: 7812: 7808: 7804: 7797: 7791: 7785: 7782: 7779: 7778: 7737: 7720: 7700: 7684: 7646: 7627: 7605: 7580: 7558: 7537: 7489: 7430: 7398:(12): 868ā€“77. 7381: 7319: 7271: 7215: 7162: 7074: 7041: 6990: 6956: 6903: 6854: 6836:(7): 492ā€“504. 6830:Ann Intern Med 6819: 6772: 6706: 6705: 6660:placebo effect 6570: 6567: 6566: 6565: 6564: 6563: 6554: 6511: 6491: 6490:Page protected 6488: 6472: 6471: 6440: 6437: 6436: 6435: 6411: 6391: 6388: 6372: 6371: 6370: 6369: 6344: 6343: 6329:melanin theory 6276:on 2010-05-30. 6237: 6236: 6235: 6234: 6217: 6216: 6186:72.199.100.223 6181: 6180: 6179: 6178: 6177: 6176: 6175: 6174: 6173: 6172: 6102: 6050: 5997:(de-indent) I 5995: 5994: 5993: 5992: 5991: 5990: 5989: 5988: 5987: 5986: 5985: 5984: 5983: 5982: 5958: 5884: 5883: 5882: 5881: 5880: 5879: 5878: 5877: 5868: 5824: 5823: 5822: 5821: 5820: 5819: 5784: 5783: 5782: 5781: 5758: 5757: 5748: 5671: 5665: 5650: 5649: 5648: 5647: 5646: 5645: 5636: 5596: 5595: 5561: 5558: 5525: 5524: 5523: 5522: 5475: 5474: 5473: 5472: 5471: 5470: 5469: 5468: 5467: 5466: 5465: 5464: 5463: 5462: 5368: 5367: 5366: 5365: 5364: 5363: 5328: 5327: 5326: 5325: 5324: 5323: 5302: 5301: 5300: 5299: 5298: 5297: 5289: 5280: 5279: 5278: 5277: 5268: 5241: 5205: 5204: 5161: 5160: 5159: 5158: 5157: 5156: 5155: 5154: 5132: 5131: 5130: 5129: 5128: 5127: 5126: 5125: 5113: 5112: 5111: 5110: 5109: 5108: 5107: 5106: 5095: 5094: 5093: 5092: 5091: 5090: 5089: 5088: 5073: 5072: 5071: 5070: 5069: 5068: 5067: 5066: 5065: 5064: 5037: 5036: 5035: 5034: 5033: 5032: 5031: 5030: 4939: 4938: 4903: 4902: 4901: 4900: 4899: 4898: 4897: 4896: 4895: 4894: 4766: 4747: 4737: 4720:Wrong venue. 4719: 4718: 4716: 4713: 4712: 4711: 4710: 4709: 4686: 4651: 4650: 4649: 4648: 4647: 4646: 4645: 4644: 4643: 4642: 4641: 4640: 4631: 4571: 4475: 4474: 4473: 4472: 4471: 4470: 4450: 4449: 4448: 4447: 4446: 4445: 4436: 4384: 4383: 4382: 4381: 4315: 4314: 4308: 4307: 4301:Tao Ping-Siang 4265: 4264: 4217: 4213: 4212: 4207: 4203: 4202: 4199: 4195: 4194: 4189: 4185: 4184: 4169: 4165: 4164: 4161: 4129: 4126: 4125: 4124: 4123: 4122: 4121: 4120: 4119: 4118: 4117: 4116: 4115: 4114: 4105: 4086: 4082: 4061: 4004: 4003: 4002: 3970: 3936: 3928: 3863: 3862: 3857: 3854: 3853: 3852: 3851: 3850: 3841: 3819: 3815: 3796: 3746: 3721: 3720: 3719: 3718: 3717: 3716: 3715: 3714: 3713: 3712: 3711: 3710: 3709: 3708: 3685: 3615: 3596: 3582: 3518: 3486: 3485: 3484: 3483: 3482: 3481: 3480: 3479: 3478: 3477: 3476: 3475: 3455:medical source 3441: 3421: 3400:last September 3337: 3336: 3335: 3334: 3333: 3332: 3331: 3330: 3329: 3328: 3327: 3326: 3266: 3243: 3168: 3167: 3156: 3129: 3126: 3115:220.255.112.34 3110: 3109: 3094: 3093: 3059: 3028:primary source 3014: 3011: 3010: 3009: 3008: 3007: 2986: 2985: 2944: 2942: 2941: 2903: 2902: 2901: 2900: 2899: 2898: 2897: 2896: 2895: 2894: 2893: 2892: 2883: 2769: 2768: 2759: 2704: 2703: 2687: 2686: 2662: 2661: 2660: 2659: 2641: 2640: 2553: 2547: 2546: 2545: 2544: 2543: 2514: 2484: 2440: 2437: 2436: 2435: 2434: 2433: 2424: 2392: 2338:Bonghan System 2333: 2332:Bonghan System 2330: 2315: 2314: 2292: 2291: 2269: 2268: 2259: 2211: 2210: 2199: 2192: 2191: 2190: 2166: 2132: 2127: 2111: 2108: 2106: 2104: 2103: 2069: 2066: 2065: 2064: 2030: 2025: 2024: 2023: 2002: 1989:hi sir/ madam 1986: 1983: 1947: 1944: 1943: 1942: 1941: 1940: 1939: 1938: 1937: 1936: 1927: 1874: 1804: 1801: 1800: 1799: 1798: 1797: 1796: 1795: 1794: 1793: 1792: 1791: 1790: 1789: 1788: 1787: 1759: 1758: 1757: 1756: 1755: 1754: 1753: 1752: 1751: 1750: 1749: 1748: 1735: 1652: 1651: 1619: 1616: 1613: 1612: 1609: 1606: 1600: 1599: 1594:International 1591: 1590: 1587: 1584: 1581:Osteoarthritis 1577: 1576: 1572: 1571: 1568: 1565: 1559: 1558: 1555: 1552: 1543: 1542: 1539: 1536: 1532: 1531: 1523: 1522: 1514: 1513: 1502: 1499: 1489: 1488: 1485: 1482: 1476: 1475: 1467: 1466: 1455: 1452: 1446: 1445: 1442: 1439: 1429: 1426: 1425: 1424: 1423: 1422: 1421: 1420: 1419: 1418: 1396: 1395: 1394: 1393: 1392: 1391: 1382: 1362: 1351: 1350: 1349: 1348: 1347: 1346: 1345: 1296: 1275: 1272: 1259: 1258: 1235: 1234: 1233: 1232: 1208: 1104: 1101: 1100: 1099: 1098: 1097: 1096: 1095: 1094: 1093: 1092: 1091: 1090: 1089: 1070: 1054: 1053: 1052: 1051: 1050: 1049: 1048: 1047: 1046: 1045: 1029: 1028: 1027: 1026: 1025: 1024: 1023: 1022: 1021: 1020: 1007: 1006: 1005: 1004: 1003: 1002: 1001: 1000: 991: 959: 929: 892: 891: 820: 817: 816: 815: 814: 813: 804: 750: 749: 747:99.255.196.199 743: 742: 732: 726: 716: 693: 692: 691: 690: 689: 688: 687: 686: 685: 684: 683: 682: 681: 680: 679: 678: 654: 615: 591: 519: 500: 489: 460: 440: 439: 438: 437: 436: 435: 434: 433: 432: 431: 430: 429: 405: 362: 293: 292: 291: 290: 289: 288: 287: 286: 285: 284: 275: 241: 217: 178:142.150.212.53 174: 161: 126:99.255.196.199 110:99.255.196.199 104: 101: 98: 97: 92: 89: 84: 79: 72: 67: 62: 52: 51: 34: 15: 9: 6: 4: 3: 2: 13523: 13507: 13503: 13487: 13483: 13479: 13475: 13474: 13473: 13469: 13465: 13461: 13458: 13454: 13450: 13446: 13445: 13444: 13440: 13436: 13432: 13428: 13427: 13426: 13423: 13415: 13411: 13408: 13404: 13399: 13398: 13397: 13393: 13389: 13384: 13380: 13376: 13372: 13368: 13364: 13360: 13356: 13355: 13354: 13353: 13352: 13349: 13341: 13337: 13334: 13330: 13325: 13320: 13319: 13318: 13314: 13310: 13306: 13305: 13300: 13295: 13294: 13293: 13292: 13288: 13284: 13276: 13275: 13271: 13267: 13263: 13260: 13256: 13253: 13251: 13246: 13245: 13244: 13239: 13236: 13232: 13231: 13227: 13224: 13220: 13219: 13215: 13212: 13209: 13208: 13205: 13202: 13200: 13197: 13196: 13192: 13189: 13186: 13185: 13178: 13174: 13170: 13166: 13163: 13162: 13161: 13158: 13150: 13146: 13143: 13139: 13135: 13131: 13126: 13122: 13121: 13120: 13119: 13116: 13112: 13108: 13104: 13103:Pseudoscience 13101: 13100: 13089: 13085: 13081: 13076: 13075: 13074: 13071: 13063: 13059: 13056: 13052: 13047: 13046: 13045: 13041: 13037: 13033: 13029: 13028: 13027: 13024: 13016: 13012: 13009: 13005: 13000: 12996: 12992: 12987: 12986: 12985: 12984: 12979: 12975: 12971: 12966: 12963: 12962: 12961: 12957: 12953: 12949: 12948:Pseudoscience 12946: 12945: 12932: 12928: 12924: 12920: 12916: 12911: 12910: 12909: 12905: 12901: 12897: 12896: 12895: 12891: 12887: 12882: 12881: 12880: 12876: 12872: 12868: 12864: 12859: 12858: 12857: 12853: 12849: 12845: 12841: 12840: 12839: 12836: 12828: 12824: 12821: 12817: 12813: 12805: 12801: 12797: 12793: 12788: 12787: 12786: 12782: 12778: 12773: 12772: 12771: 12767: 12763: 12759: 12758: 12757: 12756: 12755: 12754: 12750: 12746: 12728: 12724: 12720: 12715: 12714: 12713: 12710: 12702: 12698: 12695: 12691: 12687: 12682: 12681: 12680: 12676: 12672: 12668: 12663: 12660: 12659: 12658: 12655: 12647: 12643: 12640: 12636: 12632: 12628: 12624: 12620: 12615: 12614: 12613: 12609: 12605: 12601: 12597: 12593: 12581: 12578: 12570: 12566: 12563: 12559: 12554: 12550: 12547: 12546: 12545: 12541: 12537: 12532: 12527: 12526: 12525: 12522: 12514: 12510: 12507: 12503: 12499: 12494: 12490: 12486: 12481: 12480: 12479: 12475: 12471: 12467: 12464: 12463: 12462: 12461: 12460: 12459: 12458: 12455: 12447: 12443: 12440: 12436: 12431: 12430: 12429: 12428: 12424: 12420: 12416: 12412: 12409: 12405: 12402: 12399: 12396: 12393: 12389: 12372: 12368: 12364: 12359: 12358: 12356: 12352: 12348: 12345: 12342: 12341: 12340: 12339: 12338: 12337: 12336: 12335: 12334: 12333: 12324: 12320: 12316: 12312: 12308: 12307: 12306: 12305: 12304: 12303: 12302: 12301: 12292: 12288: 12284: 12279: 12275: 12271: 12270: 12269: 12268: 12267: 12266: 12265: 12264: 12257: 12253: 12249: 12245: 12241: 12237: 12233: 12229: 12225: 12221: 12218: 12217: 12216: 12215: 12214: 12213: 12205: 12201: 12197: 12192: 12191: 12190: 12189: 12188: 12187: 12180: 12176: 12172: 12168: 12164: 12163: 12162: 12161: 12160: 12159: 12154: 12151: 12143: 12139: 12136: 12132: 12127: 12126: 12125: 12121: 12117: 12112: 12111: 12110: 12109: 12105: 12101: 12097: 12093: 12089: 12085: 12077: 12070: 12067: 12059: 12055: 12052: 12048: 12043: 12038: 12037: 12036: 12035: 12031: 12027: 12023: 12019: 12015: 12012: 12008: 12004: 11990: 11987: 11979: 11975: 11972: 11968: 11964: 11961: 11960: 11959: 11956: 11948: 11944: 11941: 11937: 11933: 11930: 11927: 11924: 11920: 11915: 11911: 11910: 11909: 11908: 11905: 11897: 11893: 11890: 11886: 11882: 11878: 11854: 11850: 11846: 11842: 11841: 11840: 11836: 11832: 11831:Wilfridselsey 11829: 11826: 11822: 11821: 11820: 11819: 11818: 11817: 11816: 11815: 11814: 11813: 11812: 11811: 11800: 11796: 11792: 11788: 11782: 11777: 11772: 11767: 11764: 11760: 11754: 11750: 11749: 11746: 11745: 11744: 11740: 11736: 11735:Wilfridselsey 11732: 11729: 11727: 11724: 11716: 11712: 11709: 11705: 11700: 11695: 11691: 11687: 11683: 11682: 11681: 11677: 11673: 11672:Wilfridselsey 11668: 11667: 11666: 11663: 11655: 11651: 11648: 11644: 11639: 11638: 11637: 11633: 11629: 11628:Wilfridselsey 11624: 11620: 11619: 11618: 11617: 11614: 11606: 11602: 11599: 11595: 11591: 11586: 11584: 11580: 11576: 11572: 11571: 11565: 11563: 11559: 11555: 11551: 11547: 11543: 11539: 11534: 11532: 11527: 11525: 11524:already there 11506: 11502: 11498: 11497:Wilfridselsey 11493: 11491: 11486: 11483: 11478: 11476: 11473: 11465: 11461: 11458: 11454: 11450: 11449: 11448: 11444: 11440: 11439:Wilfridselsey 11435: 11430: 11429: 11428: 11425: 11417: 11413: 11410: 11406: 11401: 11397: 11393: 11392: 11387: 11383: 11379: 11376: 11372: 11368: 11366: 11362: 11355: 11354: 11353: 11349: 11345: 11344:Wilfridselsey 11340: 11336: 11332: 11331: 11330: 11329: 11328: 11327: 11326: 11325: 11318: 11315: 11307: 11303: 11300: 11296: 11292: 11287: 11283: 11282: 11276: 11271: 11266: 11262: 11258: 11254: 11249: 11245: 11244: 11243: 11239: 11235: 11234:Wilfridselsey 11231: 11228: 11225: 11222: 11218: 11217: 11216: 11215: 11209: 11206: 11203: 11199: 11198: 11197: 11196: 11191: 11187: 11183: 11182:Wilfridselsey 11179: 11176: 11173: 11170: 11169: 11168: 11167: 11157: 11154: 11151: 11148: 11145: 11142: 11139: 11138: 11137: 11136: 11135: 11134: 11133: 11132: 11124: 11123: 11122: 11121: 11120: 11119: 11113: 11112: 11111: 11110: 11104: 11103: 11102: 11101: 11096: 11093: 11085: 11081: 11078: 11074: 11070: 11066: 11061: 11057: 11056: 11055: 11051: 11047: 11044: 11041: 11040: 11039: 11038: 11034: 11030: 11022: 11021:Wilfridselsey 11017: 11013: 11010: 11002: 10998: 10995: 10991: 10987: 10983: 10979: 10976: 10971: 10968: 10964: 10960: 10956: 10952: 10948: 10943: 10938: 10934: 10930: 10926: 10922: 10918: 10914: 10911: 10906: 10900: 10899:edit conflict 10895: 10891: 10887: 10883: 10882:Wilfridselsey 10879: 10876: 10872: 10869: 10861: 10857: 10854: 10850: 10846: 10843: 10840: 10838: 10834: 10830: 10826: 10821: 10820: 10818: 10817:Wilfridselsey 10813: 10808: 10803: 10802: 10801: 10800: 10799: 10798: 10797: 10796: 10795: 10794: 10782: 10779: 10775: 10774: 10773: 10770: 10762: 10758: 10755: 10751: 10747: 10743: 10739: 10735: 10732: 10731: 10730: 10726: 10722: 10718: 10714: 10713: 10712: 10711: 10710: 10709: 10701: 10697: 10696: 10695: 10694: 10693: 10692: 10684: 10683: 10682: 10679: 10671: 10667: 10664: 10660: 10655: 10651: 10650: 10645: 10641: 10637: 10633: 10632: 10631: 10627: 10623: 10622:Wilfridselsey 10619: 10618: 10614: 10613: 10609: 10605: 10604: 10600: 10598: 10594: 10591: 10590: 10587: 10583: 10580: 10576: 10574: 10570: 10569: 10565: 10560: 10559: 10555: 10554: 10550: 10549: 10548: 10547: 10543: 10539: 10532: 10528: 10524: 10520: 10515: 10511: 10507: 10503: 10500: 10496: 10495: 10494: 10492: 10488: 10482: 10480: 10479:3-540-44273-1 10477: 10473: 10469: 10464: 10462: 10456: 10452: 10450: 10443: 10435: 10434: 10430: 10426: 10425:Wilfridselsey 10422: 10416: 10414: 10410: 10406: 10402: 10395: 10387: 10386: 10382: 10378: 10372: 10368: 10343: 10339: 10335: 10334:Wilfridselsey 10331: 10328: 10327: 10326: 10325: 10324: 10323: 10322: 10321: 10320: 10319: 10318: 10317: 10316: 10315: 10314: 10313: 10295: 10292: 10288: 10284: 10280: 10279: 10278: 10274: 10270: 10266: 10261: 10260: 10259: 10256: 10248: 10244: 10241: 10237: 10232: 10227: 10226: 10225: 10221: 10217: 10212: 10208: 10207: 10206: 10203: 10195: 10191: 10188: 10184: 10179: 10175: 10174: 10173: 10169: 10165: 10161: 10160: 10159: 10156: 10148: 10144: 10141: 10137: 10132: 10131: 10130: 10129: 10128: 10127: 10123: 10119: 10113: 10107: 10103: 10102: 10101: 10093: 10087: 10086: 10085: 10083: 10079: 10061: 10058: 10050: 10046: 10043: 10039: 10034: 10031: 10028: 10027: 10026: 10022: 10018: 10014: 10006: 9998: 9994: 9990: 9986: 9985: 9984: 9981: 9973: 9969: 9966: 9962: 9958: 9953: 9948: 9944: 9940: 9939:summary style 9935: 9931: 9930: 9925: 9921: 9917: 9916: 9915: 9911: 9907: 9903: 9899: 9895: 9894: 9893: 9892: 9889: 9881: 9877: 9874: 9870: 9865: 9861: 9857: 9853: 9850: 9836: 9832: 9828: 9823: 9819: 9817: 9813: 9809: 9804: 9803: 9802: 9799: 9791: 9787: 9784: 9780: 9776: 9772: 9768: 9767: 9766: 9765: 9761: 9757: 9751: 9747: 9745: 9741: 9737: 9733: 9729: 9720: 9719: 9718: 9712: 9711: 9710: 9708: 9700: 9696: 9695: 9694: 9688: 9685:"In 2003 the 9684: 9683: 9682: 9680: 9676: 9672: 9642: 9639: 9631: 9627: 9624: 9620: 9615: 9614: 9613: 9609: 9605: 9600: 9599: 9598: 9595: 9587: 9583: 9580: 9576: 9571: 9570: 9569: 9565: 9561: 9556: 9555: 9554: 9551: 9543: 9539: 9536: 9532: 9527: 9523: 9522: 9521: 9517: 9513: 9508: 9507: 9506: 9503: 9495: 9491: 9488: 9484: 9479: 9478: 9477: 9473: 9469: 9465: 9460: 9459: 9458: 9457: 9456: 9455: 9450: 9446: 9442: 9437: 9436: 9435: 9434: 9433: 9432: 9428: 9424: 9420: 9415: 9413: 9409: 9405: 9393: 9389: 9385: 9381: 9380:cut and paste 9377: 9376: 9375: 9372: 9368: 9364: 9360: 9356: 9348: 9343:Error in link 9338: 9334: 9330: 9326: 9321: 9317: 9313: 9309: 9305: 9301: 9300: 9299: 9296: 9292: 9288: 9284: 9280: 9269: 9265: 9262: 9258: 9257: 9256: 9255: 9244: 9241: 9233: 9229: 9226: 9222: 9218: 9214: 9210: 9209: 9208: 9207: 9204: 9197: 9195: 9190: 9184: 9180: 9170: 9169: 9165: 9161: 9157: 9153: 9149: 9144: 9140: 9136: 9132: 9117: 9113: 9109: 9105: 9100: 9099: 9098: 9097: 9096: 9095: 9094: 9093: 9092: 9091: 9082: 9078: 9074: 9070: 9065: 9064: 9063: 9062: 9061: 9060: 9059: 9058: 9048: 9044: 9040: 9036: 9032: 9028: 9024: 9020: 9016: 9012: 9011: 9010: 9009: 9008: 9007: 9006: 9005: 8995: 8991: 8987: 8983: 8979: 8975: 8971: 8967: 8963: 8959: 8955: 8951: 8946: 8945: 8944: 8943: 8942: 8941: 8940: 8939: 8938: 8937: 8930: 8926: 8922: 8917: 8913: 8912: 8911: 8910: 8909: 8908: 8903: 8899: 8895: 8891: 8890: 8889: 8885: 8881: 8876: 8872: 8868: 8864: 8860: 8856: 8855: 8854: 8853: 8849: 8845: 8841: 8837: 8833: 8824: 8823: 8819: 8815: 8812: 8800: 8797: 8789: 8785: 8782: 8778: 8774: 8770: 8765: 8761: 8756: 8753:studies, and 8752: 8748: 8744: 8740: 8736: 8732: 8728: 8727: 8726: 8725: 8724: 8723: 8722: 8717: 8711: 8710: 8704: 8703: 8702: 8701: 8697: 8693: 8689: 8684: 8681: 8676: 8675: 8671: 8667: 8654: 8650: 8646: 8642: 8641: 8640: 8636: 8632: 8627: 8623: 8622: 8621: 8620: 8619: 8618: 8613: 8609: 8605: 8601: 8600: 8599: 8595: 8591: 8587: 8586:pseudoscience 8582: 8581: 8576: 8572: 8568: 8564: 8563: 8562: 8558: 8554: 8550: 8549: 8540: 8536: 8532: 8528: 8524: 8520: 8519: 8518: 8514: 8510: 8506: 8502: 8497: 8496: 8495: 8490: 8484: 8479: 8478: 8477: 8476: 8473: 8470: 8462: 8458: 8455: 8451: 8447: 8443: 8439: 8436: 8432: 8428: 8424: 8420: 8417: 8413: 8409: 8404: 8400: 8396: 8395: 8394: 8393: 8388: 8382: 8378: 8371:Pseudoscience 8366: 8363: 8355: 8351: 8348: 8344: 8339: 8335: 8331: 8326: 8325: 8324: 8323: 8319: 8315: 8300: 8297: 8289: 8285: 8282: 8278: 8274: 8270: 8265: 8260: 8256: 8251: 8247: 8244: 8240: 8236: 8232: 8228: 8225: 8220: 8219: 8218: 8214: 8210: 8205: 8203: 8199: 8195: 8190: 8186: 8185: 8184: 8183: 8180: 8172: 8168: 8165: 8161: 8157: 8152: 8137: 8133: 8129: 8124: 8119: 8118: 8117: 8114: 8106: 8102: 8099: 8095: 8090: 8089: 8088: 8084: 8080: 8075: 8074: 8073: 8070: 8062: 8058: 8055: 8051: 8046: 8042: 8038: 8034: 8033: 8032: 8028: 8024: 8019: 8018: 8015: 8012: 8004: 8000: 7997: 7993: 7989: 7985: 7982: 7969: 7962: 7960: 7956: 7944: 7943: 7938: 7932: 7929: 7924: 7919: 7915: 7911: 7910: 7905: 7900: 7898: 7896: 7891: 7886: 7882: 7881: 7874: 7871: 7866: 7862: 7858: 7854: 7850: 7845: 7842: 7840: 7833: 7828: 7824: 7823: 7817: 7815: 7813: 7811: 7809: 7807: 7805: 7803: 7800: 7798: 7796: 7795: 7792: 7790: 7788: 7787: 7776: 7772: 7769: 7764: 7760: 7756: 7752: 7748: 7741: 7735: 7729: 7727: 7725: 7715: 7713: 7711: 7709: 7707: 7705: 7697: 7693: 7688: 7680: 7676: 7672: 7668: 7667: 7662: 7655: 7653: 7651: 7642: 7638: 7631: 7622: 7609: 7595: 7591: 7584: 7575: 7562: 7547: 7541: 7533: 7527: 7519: 7516: 7512: 7508: 7504: 7500: 7493: 7485: 7468: 7460: 7456: 7452: 7448: 7441: 7434: 7426: 7420: 7412: 7409: 7405: 7401: 7397: 7394: 7393: 7385: 7377: 7370: 7357: 7349: 7346: 7342: 7338: 7335:(3): 247ā€“54. 7334: 7330: 7323: 7315: 7309: 7301: 7298: 7294: 7290: 7287:(3): 384ā€“90. 7286: 7282: 7275: 7267: 7250: 7242: 7239: 7235: 7231: 7230: 7222: 7220: 7211: 7194: 7186: 7183: 7179: 7175: 7174: 7166: 7158: 7152: 7144: 7140: 7136: 7132: 7131: 7126: 7118: 7112: 7104: 7101: 7097: 7093: 7090:(2): 236ā€“43. 7089: 7085: 7078: 7070: 7067: 7063: 7059: 7055: 7051: 7045: 7037: 7031: 7023: 7020: 7016: 7012: 7008: 7004: 6997: 6995: 6986: 6983: 6979: 6975: 6971: 6967: 6960: 6952: 6935: 6927: 6924: 6920: 6916: 6915: 6907: 6899: 6893: 6885: 6882: 6878: 6874: 6870: 6866: 6858: 6850: 6847: 6843: 6839: 6835: 6831: 6823: 6815: 6809: 6801: 6798: 6795:(8): 651ā€“63. 6794: 6790: 6783: 6776: 6768: 6761: 6748: 6740: 6737: 6733: 6729: 6725: 6721: 6714: 6712: 6707: 6704: 6702: 6697: 6695: 6686: 6682: 6674: 6670: 6669:sham needling 6665: 6664:meta-analysis 6661: 6657: 6653: 6649: 6645: 6641: 6637: 6632: 6628: 6624: 6618: 6615: 6609: 6606: 6605: 6600: 6596: 6595:Richard Nixon 6592: 6588: 6584: 6580: 6576: 6569:Pseudoscience 6562: 6559: 6551: 6547: 6544: 6540: 6536: 6535: 6534: 6530: 6526: 6522: 6521: 6520: 6519: 6516: 6508: 6504: 6501: 6497: 6487: 6486: 6482: 6478: 6470: 6466: 6462: 6458: 6457: 6456: 6455: 6451: 6447: 6434: 6430: 6426: 6422: 6421: 6420: 6419: 6416: 6408: 6404: 6401: 6397: 6387: 6386: 6382: 6378: 6368: 6364: 6360: 6356: 6352: 6348: 6347: 6346: 6345: 6342: 6338: 6334: 6330: 6326: 6322: 6318: 6312: 6296: 6283: 6275: 6271: 6267: 6263: 6257: 6256: 6255: 6254: 6250: 6246: 6242: 6233: 6229: 6225: 6221: 6220: 6219: 6218: 6215: 6211: 6207: 6202: 6198: 6197: 6196: 6195: 6191: 6187: 6171: 6167: 6163: 6159: 6155: 6154: 6153: 6149: 6145: 6141: 6137: 6133: 6130:, etc., then 6129: 6125: 6121: 6116: 6112: 6111: 6110: 6107: 6099: 6095: 6092: 6088: 6083: 6082: 6081: 6077: 6073: 6069: 6065: 6060: 6059: 6058: 6055: 6047: 6043: 6040: 6036: 6032: 6031: 6030: 6029: 6025: 6021: 6017: 6013: 6009: 6004: 6000: 5981: 5977: 5973: 5968: 5967: 5966: 5963: 5955: 5951: 5948: 5944: 5940: 5939: 5938: 5934: 5930: 5926: 5922: 5918: 5914: 5910: 5906: 5902: 5898: 5894: 5893: 5892: 5891: 5890: 5889: 5888: 5887: 5886: 5885: 5876: 5873: 5865: 5861: 5858: 5854: 5850: 5846: 5841: 5837: 5832: 5831: 5830: 5829: 5828: 5827: 5826: 5825: 5818: 5814: 5810: 5806: 5805:reference fix 5802: 5798: 5794: 5790: 5789: 5788: 5787: 5786: 5785: 5780: 5775: 5769: 5768: 5762: 5761: 5760: 5759: 5756: 5753: 5745: 5741: 5738: 5734: 5730: 5726: 5725: 5724: 5723: 5719: 5715: 5710: 5706: 5702: 5698: 5694: 5690: 5687: 5686: 5681: 5677: 5669: 5664: 5663: 5659: 5655: 5644: 5641: 5633: 5629: 5626: 5622: 5618: 5617: 5616: 5612: 5608: 5604: 5600: 5599: 5598: 5597: 5594: 5590: 5586: 5582: 5581: 5580: 5579: 5575: 5571: 5567: 5555: 5554: 5550: 5546: 5542: 5538: 5534: 5530: 5521: 5517: 5513: 5508: 5507: 5506: 5502: 5498: 5494: 5489: 5488: 5487: 5483: 5479: 5461: 5457: 5453: 5448: 5444: 5443: 5442: 5438: 5434: 5429: 5428: 5424: 5420: 5416: 5412: 5405: 5401: 5400:unambiguously 5396: 5391: 5390: 5389: 5385: 5381: 5376: 5375: 5374: 5373: 5372: 5371: 5370: 5369: 5362: 5358: 5354: 5350: 5346: 5342: 5338: 5334: 5333: 5332: 5331: 5330: 5329: 5321: 5317: 5313: 5308: 5307: 5306: 5305: 5304: 5303: 5295: 5290: 5286: 5285: 5284: 5283: 5282: 5281: 5276: 5273: 5265: 5261: 5258: 5254: 5250: 5246: 5242: 5239: 5235: 5231: 5230: 5229: 5228: 5227: 5226: 5222: 5218: 5215: 5213: 5210: 5203: 5198: 5192: 5191: 5185: 5184: 5183: 5182: 5178: 5174: 5170: 5166: 5153: 5149: 5145: 5140: 5139: 5138: 5137: 5136: 5135: 5134: 5133: 5124: 5121: 5120: 5119: 5118: 5117: 5116: 5115: 5114: 5103: 5102: 5101: 5100: 5099: 5098: 5097: 5096: 5085: 5081: 5080: 5079: 5078: 5077: 5076: 5075: 5074: 5063: 5059: 5055: 5051: 5047: 5046: 5045: 5044: 5043: 5042: 5041: 5040: 5039: 5038: 5029: 5025: 5021: 5017: 5012: 5011: 5010: 5006: 5002: 4998: 4994: 4993: 4992: 4988: 4984: 4979: 4978: 4977: 4972: 4967: 4963: 4959: 4958:sock puppetry 4955: 4954: 4953: 4952: 4948: 4944: 4937: 4932: 4926: 4925: 4919: 4918: 4917: 4916: 4912: 4908: 4893: 4888: 4882: 4881: 4875: 4871: 4870: 4869: 4864: 4858: 4857: 4851: 4850: 4849: 4845: 4841: 4836: 4835: 4834: 4829: 4823: 4822: 4816: 4815: 4814: 4810: 4806: 4802: 4798: 4794: 4790: 4789: 4788: 4787: 4783: 4779: 4775: 4771: 4763: 4759: 4756: 4752: 4745: 4742: 4734: 4730: 4727: 4723: 4708: 4704: 4700: 4696: 4695: 4694: 4691: 4683: 4679: 4676: 4672: 4667: 4666: 4665: 4664: 4660: 4656: 4639: 4636: 4628: 4624: 4621: 4617: 4612: 4611: 4610: 4606: 4602: 4598: 4594: 4590: 4586: 4585: 4584: 4580: 4576: 4572: 4570: 4566: 4562: 4558: 4554: 4553: 4552: 4548: 4544: 4540: 4539: 4538: 4534: 4530: 4526: 4525: 4524: 4520: 4516: 4512: 4511: 4510: 4509: 4505: 4501: 4498: 4494: 4489: 4488: 4484: 4480: 4469: 4465: 4461: 4456: 4455: 4454: 4453: 4452: 4451: 4444: 4441: 4433: 4429: 4426: 4422: 4417: 4416: 4415: 4411: 4407: 4402: 4401: 4400: 4399: 4398: 4397: 4393: 4389: 4380: 4376: 4372: 4367: 4366: 4365: 4361: 4357: 4353: 4349: 4345: 4344: 4343: 4342: 4338: 4334: 4330: 4326: 4322: 4313: 4309: 4306: 4305:J. R. Worsley 4302: 4298: 4294: 4290: 4286: 4285: 4280: 4276: 4272: 4268: 4267:Jill Blakeway 4262: 4261: 4260: 4259: 4255: 4251: 4247: 4243: 4239: 4235: 4231: 4230: 4225: 4221: 4218: 4214: 4211: 4208: 4204: 4200: 4198:Year proposed 4196: 4193: 4190: 4186: 4182: 4178: 4174: 4170: 4166: 4159: 4154: 4148: 4147: 4143: 4139: 4135: 4113: 4110: 4102: 4098: 4095: 4091: 4087: 4083: 4080: 4076: 4075: 4074: 4070: 4066: 4062: 4059: 4055: 4052: 4049: 4048: 4047: 4046: 4045: 4041: 4037: 4033: 4028: 4027: 4026: 4022: 4018: 4014: 4010: 4005: 4001: 3997: 3993: 3989: 3985: 3980: 3979: 3978: 3975: 3967: 3963: 3960: 3956: 3952: 3951: 3950: 3946: 3942: 3937: 3934: 3929: 3926: 3925: 3924: 3921: 3917: 3913: 3909: 3905: 3904: 3899: 3895: 3890: 3888: 3884: 3879: 3875: 3870: 3868: 3860: 3859: 3849: 3846: 3838: 3834: 3831: 3827: 3823: 3820: 3816: 3813: 3809: 3805: 3801: 3797: 3794: 3790: 3786: 3781: 3780: 3779: 3775: 3771: 3766: 3761: 3757: 3756: 3755: 3754: 3751: 3743: 3739: 3736: 3732: 3727: 3707: 3703: 3699: 3695: 3694: 3693: 3690: 3682: 3678: 3675: 3671: 3667: 3663: 3660: 3659: 3658: 3654: 3650: 3646: 3642: 3641: 3640: 3636: 3632: 3628: 3625: 3624: 3623: 3620: 3612: 3608: 3605: 3601: 3597: 3594: 3590: 3587: 3583: 3579: 3574: 3570: 3569: 3568: 3564: 3560: 3556: 3551: 3550: 3549: 3545: 3541: 3537: 3533: 3529: 3528: 3527: 3526: 3523: 3515: 3511: 3508: 3504: 3500: 3495: 3491: 3474: 3470: 3466: 3461: 3460:verifiability 3456: 3451: 3450: 3449: 3446: 3438: 3434: 3431: 3427: 3422: 3419: 3415: 3414: 3409: 3405: 3401: 3396: 3391: 3386: 3381: 3380: 3379: 3374: 3368: 3367: 3361: 3360: 3359: 3355: 3351: 3347: 3343: 3342: 3341: 3340: 3339: 3338: 3325: 3321: 3317: 3313: 3312: 3311: 3307: 3303: 3298: 3297: 3296: 3292: 3288: 3284: 3280: 3275: 3271: 3267: 3263: 3261: 3259: 3257: 3255: 3253: 3251: 3248: 3244: 3241: 3236: 3232: 3231: 3230: 3229: 3228: 3224: 3220: 3216: 3212: 3208: 3203: 3202: 3201: 3200: 3199: 3198: 3194: 3190: 3186: 3182: 3178: 3173: 3164: 3160: 3157: 3154: 3151: 3147: 3143: 3142: 3141: 3139: 3135: 3125: 3124: 3120: 3116: 3108: 3104: 3100: 3096: 3095: 3092: 3087: 3082: 3078: 3074: 3070: 3069: 3068: 3067: 3064: 3056: 3052: 3049: 3045: 3041: 3035: 3033: 3029: 3024: 3020: 3006: 3002: 2998: 2994: 2990: 2989: 2988: 2987: 2984: 2979: 2973: 2972: 2966: 2965: 2964: 2963: 2959: 2955: 2952: 2948: 2940: 2936: 2932: 2928: 2923: 2922: 2921: 2920: 2916: 2912: 2908: 2891: 2888: 2880: 2876: 2873: 2869: 2864: 2863: 2862: 2858: 2854: 2850: 2849: 2848: 2844: 2840: 2837:, did you? -- 2836: 2831: 2827: 2826: 2825: 2821: 2817: 2813: 2808: 2807: 2806: 2802: 2798: 2794: 2789: 2785: 2781: 2777: 2773: 2772: 2771: 2770: 2767: 2764: 2756: 2752: 2749: 2745: 2740: 2736: 2733: 2729: 2725: 2724: 2723: 2722: 2718: 2714: 2709: 2702: 2698: 2694: 2689: 2688: 2685:forum/portal. 2683: 2682: 2681: 2680: 2676: 2672: 2668: 2658: 2654: 2650: 2645: 2644: 2643: 2642: 2639: 2635: 2631: 2626: 2622: 2621: 2620: 2619: 2615: 2611: 2607: 2605: 2604: 2599: 2598: 2593: 2589: 2588: 2583: 2582: 2577: 2576: 2571: 2570: 2564: 2562: 2557: 2552: 2542: 2537: 2531: 2530: 2524: 2523: 2522: 2519: 2511: 2507: 2504: 2500: 2492: 2485: 2482: 2477: 2473: 2468: 2467: 2466: 2465: 2461: 2457: 2453: 2448: 2446: 2432: 2429: 2421: 2417: 2414: 2410: 2405: 2402: 2401: 2400: 2397: 2389: 2385: 2382: 2378: 2374: 2370: 2369: 2363: 2359: 2358:fringe theory 2355: 2354: 2353: 2352: 2348: 2344: 2339: 2329: 2328: 2324: 2320: 2312: 2309: 2305: 2301: 2300: 2299: 2297: 2289: 2286: 2282: 2278: 2277: 2276: 2274: 2267: 2264: 2256: 2252: 2249: 2245: 2241: 2240: 2235: 2231: 2227: 2226: 2225: 2224: 2220: 2216: 2209: 2205: 2204: 2203: 2197: 2189: 2185: 2181: 2177: 2176: 2175: 2174: 2171: 2163: 2159: 2156: 2152: 2145: 2138: 2131: 2126: 2125: 2121: 2117: 2107: 2102: 2098: 2094: 2091: 2087: 2086: 2085: 2084: 2080: 2076: 2063: 2059: 2055: 2051: 2050: 2049: 2048: 2044: 2040: 2036: 2029: 2022: 2017: 2012: 2008: 2003: 2000: 1996: 1995: 1994: 1990: 1982: 1981: 1977: 1973: 1968: 1966: 1962: 1958: 1952: 1935: 1932: 1924: 1920: 1917: 1913: 1908: 1907: 1906: 1902: 1898: 1894: 1891: 1888: 1884: 1883: 1882: 1879: 1871: 1867: 1864: 1860: 1856: 1851: 1847: 1846: 1845: 1841: 1837: 1832: 1831: 1830: 1829: 1825: 1821: 1817: 1813: 1809: 1786: 1782: 1778: 1773: 1772: 1771: 1770: 1769: 1768: 1767: 1766: 1765: 1764: 1763: 1762: 1761: 1760: 1745: 1744: 1743: 1740: 1732: 1728: 1725: 1721: 1717: 1714: 1713: 1712: 1708: 1704: 1699: 1698: 1697: 1693: 1689: 1684: 1683: 1682: 1678: 1674: 1669: 1665: 1661: 1656: 1655: 1654: 1653: 1650: 1646: 1642: 1637: 1636: 1635: 1634: 1630: 1626: 1610: 1608:Inconclusive 1607: 1605: 1602: 1601: 1597: 1593: 1592: 1588: 1582: 1578: 1574: 1573: 1569: 1564: 1560: 1556: 1554:Inconclusive 1553: 1551: 1548: 1545: 1544: 1540: 1537: 1534: 1533: 1529: 1525: 1524: 1520: 1516: 1515: 1511: 1507: 1503: 1498: 1494: 1490: 1486: 1483: 1481: 1478: 1477: 1473: 1469: 1468: 1464: 1460: 1456: 1451: 1450:Low back pain 1447: 1443: 1440: 1437: 1436: 1417: 1413: 1409: 1404: 1403: 1402: 1401: 1400: 1399: 1398: 1397: 1390: 1387: 1379: 1375: 1372: 1368: 1363: 1359: 1358: 1357: 1356: 1355: 1354: 1343: 1339: 1335: 1334: 1333: 1329: 1325: 1321: 1320: 1319: 1315: 1311: 1307: 1306: 1305: 1304: 1301: 1293: 1289: 1286: 1282: 1271: 1270: 1267: 1263: 1257: 1253: 1249: 1244: 1240: 1237: 1236: 1231: 1227: 1223: 1218: 1217: 1216: 1213: 1205: 1201: 1198: 1194: 1190: 1186: 1185: 1184: 1183: 1179: 1175: 1170: 1166: 1162: 1161: 1160:My responses: 1157: 1153: 1149: 1146: 1145: 1141: 1137: 1136: 1132: 1128: 1124: 1123: 1119: 1118: 1114: 1110: 1088: 1084: 1080: 1075: 1071: 1067: 1066: 1064: 1063: 1062: 1061: 1060: 1059: 1058: 1057: 1056: 1055: 1043: 1039: 1038: 1037: 1036: 1035: 1034: 1033: 1032: 1031: 1030: 1017: 1016: 1015: 1014: 1013: 1012: 1011: 1010: 1009: 1008: 999: 996: 988: 984: 981: 977: 973: 969: 968: 967: 964: 956: 952: 949: 945: 941: 937: 936: 930: 927: 923: 919: 915: 911: 910: 909: 905: 901: 896: 895: 894: 893: 890: 885: 879: 878: 871: 870: 869: 868: 864: 860: 855: 850: 848: 844: 841: 838: 834: 832: 829: 825: 812: 809: 801: 797: 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Talk:Acupuncture
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