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H.L. Wen of Hong Kong was the first physician to report successful treatment of addiction withdrawal symptoms with acupuncture (Wen, 1973). He observed that an opium addict receiving electro acupuncture as pre-surgical analgesia experienced relief of withdrawal symptoms. The point stimulated was the ear acupuncture point corresponding to the Lung. Subsequently, Wen conducted several basic clinical pilot studies which formed the basis of subsequent research.

HL Wen MD
HSIANG LAI WEN MD
1923 – 2017

Bullock (1987) studied 54 chronic alcohol abusers in an inpatient (although they could leave during the day) AA-type setting that were randomly assigned to either the NADA treatment or needling at nearby ear points (the “sham” group). Acudetox receivers showed significantly better outcomes regarding attendance, self-reported desire for alcohol and drinking episodes, and readmission for detoxification.

Bullock (1989) replicated that study with 80 chronic alcohol abusers. Twenty-one (21) of the 40 patients in the NADA protocol group completed the 8-week treatment program as compared to 1 of the 40 patients in the sham group. Sham receivers self reported twice the number of drinking episodes and were more than twice as likely to be readmitted for detoxification within 6 months. This study, published in the esteemed British medical journal, The Lancet, garnered considerable attention and credibility for AcuDetox.

Washburn (1993) reported that opiate addicted individuals receiving correct site acupuncture showed significantly better program attendance relative to subjects receiving acupuncture on placebo sites.

Placebo Designed Studies

Results from then-available placebo designed studies support the conclusion that the effectiveness of acupuncture in facilitating abstinence with alcohol, opiate and cocaine addicted subjects is not due to a simple placebo effect (Brewington, 1994).

Konefal (1995) examined the efficacy of different ear acupuncture protocols with patients with various addiction problems. Subjects (321) were randomly assigned to one of three groups:- a one needle protocol using the Shen Men point; the five-needle NADA AcuDetox protocol; or the five-needle AcuDetox protocol plus selected body points for self-reported symptoms. All groups showed an increase in the proportion of drug-free urine tests over the course of treatment. (Subjects with the single needle protocol showed significantly less improvement compared to the other two groups.)

Shwartz, Saitz, Mulvey and Brannigan (1999) published a multi-variant, retrospective cohort study of 8,011 clients discharged from publicly funded detoxification programs in Boston (USA.). Comparison of outpatient (AcuDetox plus traditional detoxification/counselling) programs with residential (short-term detoxification without AcuDetox), showed AcuDetox recipients less likely to relapse. Only 18% of the AcuDetox clients were readmitted to treatment within six months, as opposed to 36% of the residential clients.

A pilot study in Klamath Falls, Oregon by Russell, Sharp and Gilbertson (2000) of 86 addicted clients with chronic histories of arrest found a statistically significant increase in program retention for AcuDetox outpatient treatment as opposed to a historical no-acupuncture control group. Researchers noted positive trends towards fewer new arrests, fewer positive urinalysis results, and a shorter time needed to move through treatment phases/levels.

A Yale University study (Avants, 2000) of 82 cocaine-dependent methadone-maintained subjects, randomly assigned to three groups, found statistically significant results for cocaine-free urine: fifty-eight (58 %) of the AcuDetox group as compared to 24% of the sham control group and 9% of the relaxation video control group.

The Yale study was a pilot for a larger, six-site nationwide study that yielded less favourable findings (Margolin, et al. 2002). This trial published in Journal of the American Medical Association (JAMA) found no statistically significant difference between the AcuDetox group and the control groups concluding, “Our study therefore does not support the use of acupuncture as a stand-alone treatment for cocaine addiction.” (Of note, between the first Yale study and the larger study, the protocol was modified slightly with less clinical recovery support offered to the study subjects and with reimbursement for study participation regardless of use. The study’s conclusion is noteworthy in that NADA has always supported the concept and practice of AcuDetox as an adjunctive treatment which should not be used as a stand-alone recovery intervention.)

Researchers in Arizona (Bier et al. 2002) studied AcuDetox for nicotine dependent subjects (141). At one month, 10% of subjects receiving AcuDetox only were not smoking as compared to those receiving sham acupuncture along with education/counselling (22%) or those receiving real AcuDetox along with the clinical intervention (40%).

An Adjunct Intervention

While originally discovered and developed as an adjunct intervention for acute opiate withdrawal, the NADA protocol has since proved an effective tool across various addictions, both substance and behavioural “process” type addictions, across different client populations, and across the continuum of care. Over the last thirty years, NADA practitioners have found AcuDetox helpful in treating persons dependent upon opiates, alcohol, cocaine, poly-substances, marijuana, methamphetamine, prescription medication, as well as those addicted to acting out with food, sex, gambling, etc.

Research References:

  1. Avants SK, Margolin A, Holford TR, Kosten TR (2000). A randomized controlled trial of auricular acupuncture for cocaine dependence. Archives of Internal Medicine, 160(5): 2305-2312.
  2. Bier ID, Wilson J, Studt, P, Shakleton, M (2002). Auricular acupuncture, education and 
smoking cessation: A randomized, sham controlled trial. American Journal of Public Health, 92, 1642 – 1647.
  3. Brewington V, Smith M, Lipton D (1994). Acupuncture as a detoxification treatment: An analysis of controlled research. Journal of Substance Abuse Treatment, 11(4): 289-307.
  4. Bullock ML, Culliton PC, Olander RT (1989, June 24). Controlled trial of acupuncture for severe recidivistic alcoholism. The Lancet,1435-1439. 

Bullock ML, Ulmen AJ, Culliton PD, and Olander RT (1987 May-June). Acupuncture treatment of alcohol recidivism. Alcoholism: Clinical and Experiential Research, 11(3): 292-295.
  5. Konefal J, Duncan R, Clemence C (1995). Comparison of three levels of auricular acupuncture in an outpatient substance abuse treatment program. Alternative Medicine Journal, 2(5)1.
  6. Margolin A, Kleber HD, Avants SK, et al (2002). Acupuncture for the treatment of cocaine addiction: A randomized controlled trial. JAMA, 287(1): 55-63.
  7. Russell LC, Sharp B, Gilbertson B (2000). Acupuncture for addicted patients with chronic histories of arrest. A pilot study of the Consortium Treatment Center. Journal of Substance Abuse Treatment, 19: 199-205.
  8. Shwartz M, Saitz R, Mulvey K, Brannigan P (1999). The value of acupuncture detoxification programs in a substance abuse treatment system. Journal of Substance Abuse Treatment, 17(4): 305-312.
  9. Smith MO Brewington V, and Culliton P (1998) Acupuncture in addiction treatment. In Sherman, B. R., Sanders, L.M., Trinh, C. (Eds.) Addiction and Pregnancy: Empowering Recovery Through Peer Counseling. Praeger Publishing.
  10. Washburn AM, Fullilove RE, Fullilove MT, et al (1993 July / August). Acupuncture heroin detoxification: A single blind clinical trial. Journal of Substance Abuse Treatment, 10 (4): 345-351.
  11. Wen HL. Cheng SYC (1973). Treatment of drug addiction by acupuncture and electrical stimulation. Asian Journal of Medicine, 9, 138-141.

Resource:

NADA Training Resource Manual (2010) Includes excerpted material from Smith, Brewington, Culliton (1998)

30 comments

  1. Your account of H.L. Wen’s pioneering work in the application of acupuncture for addiction withdrawal symptoms truly sheds light on the intersection of ancient practices and modern medical challenges. It’s fascinating to see how techniques such as acupuncture, which have been utilized for centuries, are being integrated into contemporary treatment strategies. Wen’s initial observations and subsequent research highlight the importance of seeking holistic approaches to health, especially in a field as complex and stigmatized as addiction.

  2. It’s fascinating to consider how H.L. Wen’s pioneering work in acupuncture for addiction treatment has influenced later research and practices. The results from Bullock’s studies highlight not only the potential efficacy of acupuncture but also emphasize the importance of holistic approaches in addressing addiction.

  3. The exploration of acupuncture as a treatment for addiction withdrawal symptoms is indeed a fascinating topic that intersects both traditional healing practices and contemporary medical research. H.L. Wen’s work has laid a crucial foundation for understanding how acupuncture can influence addiction recovery, particularly through methods like electro-acupuncture. It raises important questions about the role of holistic approaches in addressing substance use disorders.

  4. It’s fascinating to delve into the historical context of acupuncture’s role in addiction recovery, particularly through the lens of Dr. H.L. Wen’s pioneering work. His discovery in 1973 not only laid the foundation for further research but also highlights an intriguing intersection between traditional practices and modern medical approaches. I find it compelling how a method like electro-acupuncture, often seen as a holistic or alternative approach, can yield significant benefits in a clinical setting. This brings to light the importance of integrative medicine, which seeks to harmonize the best of both worlds to offer more comprehensive care for individuals struggling with substance abuse.

  5. It’s fascinating to see how early pioneers like H.L. Wen laid the groundwork for understanding acupuncture in addiction treatment. I’ve been curious about the integration of traditional practices in modern therapeutic contexts. The results from Bullock’s studies highlight the potential benefits of acupuncture, especially considering how treatment success often heavily relies on the patient’s mindset and environment.

    1. It’s great to hear your interest in the intersection of traditional practices and modern therapy, particularly when it comes to acupuncture and addiction treatment. H.L. Wen’s early work really was foundational in shifting how we view these ancient techniques—showing that they can have a place alongside more conventional methods.

  6. It’s fascinating to see how H.L. Wen’s pioneering work in acupuncture for addiction treatment is still influencing newer research. The idea that acupuncture can help alleviate withdrawal symptoms opens up so many avenues for alternative therapies in addiction recovery. I wonder how contemporary practices are integrating this knowledge with other holistic approaches, such as mindfulness or nutritional therapy.

    1. H.L. Wen’s contributions to acupuncture for addiction treatment certainly set an important precedent, but the conversation about its integration with other holistic approaches raises interesting questions. While there seems to be a growing body of evidence supporting acupuncture’s role in alleviating withdrawal symptoms, the real challenge comes in how it meshes with practices like mindfulness and nutritional therapy.

    2. It’s interesting to think about how acupuncture’s role in addiction treatment connects with other holistic methods. H.L. Wen certainly laid a strong foundation that we’re still building on today. In contemporary practice, there’s a noticeable shift toward integrative approaches that combine acupuncture with mindfulness techniques or even nutritional therapy.

  7. It’s fascinating to see how acupuncture has been integrated into addiction treatment, particularly through the pioneering work of H.L. Wen. The application of electro acupuncture as a means to alleviate withdrawal symptoms presents such a promising intersection of traditional medicine and modern therapeutic approaches. It makes me reflect on how many alternative therapies have been overlooked in mainstream medicine—especially when considering the chronic nature of addiction and the recurrent struggles many face.

    1. I’m glad you found the connection between acupuncture and addiction treatment intriguing. H.L. Wen really pushed some boundaries, didn’t he? It’s easy to overlook alternative therapies in a medical world that often leans heavily on pharmaceuticals. The chronic nature of addiction really shows how important it is to explore every avenue we can find.

      1. I completely agree with you about the importance of exploring alternative therapies like acupuncture, especially in the context of addiction treatment. H.L. Wen’s work certainly challenges the traditional approaches we often see in healthcare. It’s refreshing to think about how these non-pharmaceutical methods can complement more conventional treatments.

        I really appreciated how the article dives into the complexities of addiction and highlights the role of alternative treatments like acupuncture, which often get sidelined in conventional discussions.
        ‘Addiction’
        https://www.acudetoxcapetown.co.za/addiction/.

    2. You’ve touched on an important point about the integration of traditional practices like acupuncture into modern addiction treatment. H.L. Wen’s work really opens up a conversation about how we can blend ancient wisdom with contemporary science to address tough challenges like addiction. Electroacupuncture is particularly intriguing because it taps into the body’s natural pathways, potentially offering relief from withdrawal symptoms without the heavy reliance on pharmaceuticals that can sometimes complicate recovery.

      1. It’s great to see you engaging with this topic. The idea of integrating traditional practices like acupuncture into modern recovery strategies adds a layer of depth to how we approach treatment. H.L. Wen does a fantastic job of bridging the gap between ancient practices and contemporary science, showing us that wisdom from the past can still hold relevance in our current understanding of health.

      2. You’ve highlighted something that resonates deeply with many who explore the intersection of ancient practices and modern medicine. Traditional modalities like acupuncture bring a unique perspective, one that emphasizes balance and holistic wellness, which can feel particularly relevant in the context of addiction treatment.

    3. I completely agree with your thoughts on acupuncture and its role in addiction treatment. H.L. Wen’s work really does illustrate how blending traditional practices with modern approaches can create innovative solutions for complex issues like addiction. Electroacupuncture, in particular, seems to offer a unique way to address both physical and psychological symptoms during withdrawal.

      1. It’s great to see your enthusiasm for acupuncture in the context of addiction treatment. H.L. Wen really has shed light on how we can incorporate traditional methods into modern therapeutic practices. There’s something compelling about electroacupuncture in particular. The way it can stimulate points to address both the physical pain and the emotional challenges of withdrawal makes it a fascinating area for further exploration.

    1. It’s interesting to hear your thoughts on Acudetox and its potential benefits for anxiety, sleep disturbances, and the reduction of pharmaceuticals. Many people are looking for holistic options that address these concerns without the side effects that can come with traditional medications. The way Acudetox seems to tap into the body’s natural healing process is compelling.

    2. You’ve touched on some really important points about Acudetox and its potential benefits. It’s fascinating to see how an ancient practice can find such relevance in our modern lives, especially when tackling issues like withdrawal symptoms and anxiety. A lot of people can feel overwhelmed by the reliance on pharmaceuticals, and the growing interest in holistic approaches is encouraging.

      1. It’s interesting how ancient practices like Acudetox have found their way into contemporary health discussions, isn’t it? I’ve read about some studies suggesting that acupuncture can help regulate the nervous system, which many people today really need, especially given our fast-paced lives.

        1. You’re onto something with the way ancient practices are bubbling back to the surface, almost like those leftovers you forgot in the back of the fridge that somehow come out perfectly fine after a reheat! Acudetox, in particular, is like the secret sauce that sparks conversations at both hip cafes and family gatherings.

          1. You’ve captured that feeling perfectly—there’s something so intriguing about these ancient practices making their way back into our modern lives. It’s almost like rediscovering a timeless recipe that you’ve forgotten about. Acudetox really is fascinating; it’s a simple yet profound way that connects both body and mind. I love seeing how it generates discussions, whether it’s in a trendy café setting or the comfort of family gatherings.

          2. It’s so true—there’s something really special about how these ancient practices, like Acudetox, are weaving their way back into our contemporary wellness conversations. I think it speaks volumes about our craving for genuine connections, both to our own well-being and to each other. Rediscovering something like a timeless recipe goes beyond just the physical; it’s about nurturing and grounding ourselves in ways that often feel lost in the noise of modern life.

      2. It’s really something how these ancient practices like Acudetox can resonate so strongly with what we’re experiencing today, isn’t it? It makes you think about how people from centuries ago were dealing with stress and emotional pain long before we had all these pills and quick fixes at our fingertips. There’s this timeless wisdom that seems to bridge the gap between their world and ours.

    3. It’s interesting to see how Acudetox is making waves in discussions around anxiety and sleep issues. A lot of people really resonate with the idea of finding alternatives to pharmaceuticals, especially when it comes to managing withdrawal symptoms and cravings. There’s something quite centering about the acupuncture approach; many find it fosters a sense of calm and balance that can be tough to achieve otherwise.

      1. You’re absolutely spot on about Acudetox! It’s pretty wild to see how it’s stepping in as a calm oasis in a sea of pharmaceuticals. I mean, who wouldn’t want to trade in their pill organizer for a cozy acupuncture session? There’s something almost zen about it, right?

      2. It’s really striking how Acudetox has caught people’s attention in the context of anxiety and sleep issues. I think a big part of that shift toward alternatives to pharmaceuticals is rooted in a growing desire for more natural approaches to health. The idea of using something as ancient as acupuncture to support mental well-being resonates with many, especially those who have felt the weight of withdrawal symptoms or cravings.

      3. It really is fascinating how Acudetox is gaining traction in the conversation around anxiety and sleep issues. The shift away from pharmaceuticals to more holistic approaches like acupuncture resonates with so many people. Personally, I’ve seen friends find relief through acupuncture, and it’s impressive how something so ancient can still hold relevance today.

    4. It’s interesting to see how many people are looking for alternatives to manage their stress, anxiety, and sleep issues. Those benefits of Acudetox you mentioned resonate with many who seek a more holistic approach. It’s not just about alleviating symptoms but also about making healthier choices in the long run.

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