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Multi-effective characteristics and advantages of acupuncture in COVID-19 treatment.

Acupuncture and herbal medicine·June 2023·Lifen Wang, Xiyou Hu, Lianqi Geng et al.
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Key Finding

A systematic review found that acupuncture may improve respiratory, digestive, neurological, and psychological symptoms associated with COVID-19 by modulating immune-inflammatory responses, gut microbiota, oxidative stress, and HPA axis activity.

What This Means For You

Can Acupuncture Help With COVID-19 Symptoms?

If you've been dealing with lingering symptoms after a COVID-19 infection — fatigue, anxiety, digestive issues, or shortness of breath — you might be wondering whether acupuncture could help. A new review published in Acupuncture and Herbal Medicine suggests the answer may be yes.

Researchers systematically searched multiple medical databases to understand how acupuncture might address the wide range of symptoms and complications associated with COVID-19. They also used a special network analysis to map which acupuncture points are most relevant to specific COVID-19-related symptoms.

What did they find? The evidence suggests acupuncture may help improve respiratory symptoms like breathing difficulty, digestive problems, nervous system issues, and mental health challenges such as anxiety and depression. It appears to do this through several pathways in the body — by calming overactive immune and inflammatory responses, supporting healthy gut bacteria, reducing oxidative stress (a type of cellular damage), and regulating stress hormones through what scientists call the HPA axis.

In other words, acupuncture doesn't just target one problem at a time. Its multi-system approach may make it particularly well suited to a complex illness like COVID-19, which can affect nearly every system in the body.

For patients experiencing long COVID or recovery challenges, this review offers encouraging news. Acupuncture has a long safety record and may complement conventional medical care during recovery — addressing fatigue, mood changes, and physical symptoms simultaneously.

That said, the researchers note that more dedicated clinical studies are still needed to fully confirm these benefits specifically for COVID-19 patients.

If you're curious about whether acupuncture is right for your recovery, speak with a licensed and board-certified acupuncturist who can tailor a treatment plan to your individual needs.

Clinical Notes for Practitioners

This systematic review, published in Acupuncture and Herbal Medicine, consolidates current evidence on acupuncture's therapeutic mechanisms relevant to COVID-19 symptomatology. Researchers conducted a multi-database literature search alongside complex network analysis mapping acupoint selection to COVID-19-related symptom clusters.

Key findings indicate acupuncture may address COVID-19 and long COVID presentations across multiple physiological systems — respiratory, gastrointestinal, neurological, and psychoemotional — via distinct but overlapping mechanisms: downregulation of immune-inflammatory and neuroinflammatory cascades, modulation of intestinal microbiota, mitigation of oxidative stress, regulation of cardiomyocyte apoptosis, neurotransmitter modulation, and HPA axis normalization.

No specific sample sizes or effect sizes are reported, as this is a narrative and network-based review rather than a clinical trial. The acupoint network analysis provides a practical framework for point selection when treating symptom constellations common in COVID-19 recovery.

Clinical takeaway: Acupuncture's pleiotropic mechanisms position it as a relevant adjunct in COVID-19 and post-COVID care, though robust RCT-level evidence specific to this population remains an area requiring further investigation.

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