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Unlike plenty of other mystic beliefs, the practical nature of acupuncture has the benefit of making it readily falsifiable through the form of a sham study. In 2013 David Colquhoun wrote a fascinating and damning review of the evidence against acupuncture in the journal Anesthesia & Analgesia. Despite the wealth of evidence debunking acupuncture, we continue to see poorly conducted trial after poorly conducted trial popping up, with credulous claims from journalists in otherwise sane publications.
The study consisted of bathing rats in ice baths for an hour per day for 14 days and running current through the rats’ with electrified needles, as if this bears any relation to what happens in your high street acupuncture clinic. I don’t have much time for critics of animal trials for life-saving treatments, but this is a trial that animal rights activists might want to take a serious look at.

So what questions are essential to ask now that we can change human DNA through gene editing technology? In a sham study we can compare genuine acupuncture, in which real acupuncturists provide treatment, to sham acupuncture in which researchers go through the motions, randomly poking or randomly pretending to poke their patients with needles. It is often alleged that acupuncture is an ancient medical practice that has been refined and revered for thousands of years. The fact that the study was conducted on rats takes the study out of the realms of the foolish and into the realms of the downright ludicrous. It is inconceivable that bathing rats in ice baths and jabbing them with electrified needles for the purposes of justifying a Chinese medical practice debunked hundreds of years ago could have any possible productive outcome.
More research has been done into acupuncture than practically any other kind of alternative medicine, yet the evidence from thousands of studies points conclusively to the fact that acupuncture, at worst, is completely ineffective and, at best, is no more effective than a placebo.
In reality acupuncture is indeed an ancient medical practice, but it has in fact been in decline for thousands of years. Acupuncture and other alternative medicines are not somehow unique providers of the placebo effect’s wondrous power.

It certainly doesn’t tell us anything useful about acupuncture, except maybe that certain acupuncture scientists have even less of a clue what they are doing than we ever gave them credit for. Astoundingly, the benefit of acupuncture is so poor that in plenty of studies, even compared to no treatment, the benefits of acupuncture are practically impossible to notice. This is why for a genuine medicine to be approved, it must not just be better than nothing; it must be shown in a placebo-controlled trial to be more effective than a placebo. Indeed, any randomized, controlled trial worth its salt will not just test against a placebo, it will test against the next best alternative treatment (but that’s a subject for another post).

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