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Atrial fibillation can acupuncture help?

Q I suffer from atrial fibrillation and have heard that acupuncture can help restore the heart to its normal sinus rythm. Is this the case? If so how would I find an acupuncturist who specialised in this field?

 

A: There are some early indications that acupuncture may have an anti-arrhythmic effect in patients with atrial fibrillation. A study published earlier this year
 
 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3312232/
 
concluded that there appeared to be benefits and that further large scale trials would be valuable to test the hypothesis more carefully.
 
However, it is only fair to say that needling a single point such as Neiguan repeatedly is not a fair representation of what a traditional acupuncturist does in practice. Although there is considerable overlap between eastern and western systems the arrhythmia typical of AF could be classified in several different ways within Chinese medicine, and the practitioner would be guided by evidence other than simply a reading of the rate of the pulse. That in turn would mean that ten people with AF might receive ten different treatments. To that extent, it is not that straightforward to extrapolate from research studies like this and conclude that 'acupuncture works'. 
 
The skill of the practitioner lies in making sense of the symptom of AF within an entirely different theoretical framework, and understanding each presentation in each individual patient as unique. The best advice we can give any prosepctive patient is to contact a BAcC member local to them to seek a short face to face consultation at which they can be given a better assessment of whether acupuncture might benefit them.
 
The one caution with AF is that most patients are taking some form of medication to control the problem, and the cessation of medication can quickly provoke a return of the symptoms. For people involved in highly technical or responsible work this might represent a serious risk. We would always recommend that any member contemplating treating someone with a condition like AF should talk to the patient's GP to esnure that nothing they do will undermine the current treatment regime. 
 
 

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