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I suffer from anosmia - lack of sense of taste and smell. Interested to know who, in the field of acupuncture/Chinese medicine, you would recommend I talk to? Based in London, SW1. Thanks.

We have been asked this question a number of times, and our answer has always been:

Google is a massively powerful search facility, and if you google 'acupuncture anosmia' it looks as though there are a number of studies which give cause for hope. If you look carefully, however, you will see that there is but one studyhttp://aim.bmj.com/content/21/4/153.longwhich is frequently quoted, generating a number of secondary references. This study, what we call an n=1 case study because it is the report of a single case, is important because it suggests that there may be something worth looking at in the use of acupuncture treatment. The weakness of n=1 studies, of course, is that they are not designed to test acupuncture, and the positive outcome could have arisen for any number of reasons, especially since the case study can provide no evidence for the sudden onset of the problem.That is not to say that acupuncture treatment is not worth trying. The use of Traditional Chinese medicine involves a great deal of questioning and examination to determine the state and flow of the energies of the body, called 'qi', and the state of the organs which are responsible for all of the functional aspects of the body. Even where there is no obvious cause from a conventional medical point of view, it is rare for a symptom to stand alone in Chinese medicine other than where it derives from a blockage. In this case, if the blockage is removed, the function is restored. We strongly suspect that this is what happened in the case study, and blockages of this kind can sometimes occur for no obvious reason.Generally speaking, though, a pattern of disharmony will generate a number of symptoms or changes in function, not all of which are clinically significant from a conventional perspective, and these may point t specific imbalances affecting Organic function. Note that we capitalise the word 'Organ' - what we understand by this in Chinese medicine is a great deal more than a physical unit in the body. The Chinese understanding of an Organ embraced functions on all levels, body mind and spirit, and when practised properly Chinese medicine can legitimately claim to be holistic.The best advice we can give is that you visit a BAcC member local to you for advice on whether they think that acupuncture treatment may be of benefit, and to discuss briefly with you the other aspects of your health which may indicate wider patterns which in turn may link to your problem. That is not to say that there may not be as simple a treatment as the one described in the paper, and one of the points used has the Chinese name 'Welcome Fragrance' suggesting that it may have a direct bearing on the sense of smell. You would certainly not do any harm. However, we would be more likely to look at this as a functional disturbance and be looking at other factors in the system which might point to a treatable pattern.We have had a look through all of the databases again and found references to these four papers which give mixed outcomes for treatment
  1. Vent J, Wang DW, Damm M. Effects of traditional Chinese acupuncture in post-viral olfactory dysfunction. Otolaryngol Head Neck Surg. 2010;142:505–509. doi: 10.1016/j.otohns.2010.01.012.[PubMed] [Cross Ref]
  2. Silas J, Doty RL. No evidence for specific benefit of acupuncture over vitamin B complex in treating persons with olfactory dysfunction. Otolaryngol Head Neck Surg. 2010;143:603. [PubMed]
  3. Damm M, Vent J. Response to: no evidence for specific benefit of acupuncture over vitamin B complex in treating persons with olfactory dysfunction, by Jonathan Silas and Richard L. Doty. Otolaryngol Head Neck Surg. 2010;143:603–604. [PubMed]
  4. Anzinger A, Albrecht J, Kopietz R, Kleemann AM, Schöpf V, Demmel M, Schreder T, Eichhorn I, Wiesmann M. Effects of laserneedle acupuncture on olfactory sensitivity of healthy human subjects: a placebo-controlled, double-blinded, randomized trial. Rhinology. 2009;47:153–159. [PubMed]
and don't really give us much cause to be over-optimistic. However, what we said above about blockages and energetic weaknesses is probably a great deal more relevant than studies which are either too small to underpin any conclusions or too specific to one variant of anosmia. Chinese medicine was always and remains the treatment of the person, not the named condition, in the expectation that if the system is in good balance it will repair itself and function as it should. This seems to us a better statement of what we are trying to achieve than 'acupuncture treats x and y', and having used this kind of approach for many, many years we have seen enough problems resolve for which there was no evidence to suggest that a short course of treatment is always worth trying, and will certainly cause no harm.

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