Acupuncture "not as safe as advertised"

Of course, someone open to new evidence should it be forthcoming, but feels there is currently sufficient evidence to say acupuncture doesn't do more than placebo, is just confirming their own bias and doesn't have an open mind. :rolleyes:

Of course, you aren't confirming your own bias. Perhaps I can dent that for you. Consider what it is you are accepting as evidence:

So look, I get it. It's the Internet so you don't have to be civil... but I am a live human so you can perhaps try "discussing" instead of "attacking." I am here to learn not to be pushed around (I, like most people, don't take well to that).

Anyway....

Your points are valid. I am NOT claiming to be an expert on the subject and I have never conducted a clinical trial so I am most likely over estimating the validity of these studies. Contrary to your post, I don't hold a very strong opinion on this subject (outside of the fact that I love learning new things and it seems as if there may POSSIBLY be something for science to gain here).

There are a LOT of negative studies but there are also a lot of positive results from seemingly respectable sources as well. To a person who has never conducted a research study it seems illogical that EVERY acupuncture study with a positive results is flawed. If that is the case I stand corrected and caulk it up to my own inexperience with the subject at hand.

Among many other things, I don't believe in a magical sky god, I don't believe in fairies or gnomes, I don't believe in chi, I don't believe in ghosts or psychics who read spirits. I don't believe these things because science has shut the door on them.

If you are positive that science has shut the door completely on acupuncture as well then I will take that under consideration (if it is possible for you to respond without vitriol I am genuinely interested in your opinion on this, if not please save your time and mine and refrain from responding).

To me, it just doesn't seem that science has completely shut the door on this subject yet... but I am completely open to the possibility that I am wrong. And again, contrary to your pointed opinion, I would be happy to learn I am wrong because that means I am learning something new.
 
So look, I get it. It's the Internet so you don't have to be civil... but I am a live human so you can perhaps try "discussing" instead of "attacking." I am here to learn not to be pushed around (I, like most people, don't take well to that).

Anyway....

Your points are valid. I am NOT claiming to be an expert on the subject and I have never conducted a clinical trial so I am most likely over estimating the validity of these studies. Contrary to your post, I don't hold a very strong opinion on this subject (outside of the fact that I love learning new things and it seems as if there may POSSIBLY be something for science to gain here).

There are a LOT of negative studies but there are also a lot of positive results from seemingly respectable sources as well. To a person who has never conducted a research study it seems illogical that EVERY acupuncture study with a positive results is flawed. If that is the case I stand corrected and caulk it up to my own inexperience with the subject at hand.

Among many other things, I don't believe in a magical sky god, I don't believe in fairies or gnomes, I don't believe in chi, I don't believe in ghosts or psychics who read spirits. I don't believe these things because science has shut the door on them.

If you are positive that science has shut the door completely on acupuncture as well then I will take that under consideration (if it is possible for you to respond without vitriol I am genuinely interested in your opinion on this, if not please save your time and mine and refrain from responding).

To me, it just doesn't seem that science has completely shut the door on this subject yet... but I am completely open to the possibility that I am wrong. And again, contrary to your pointed opinion, I would be happy to learn I am wrong because that means I am learning something new.

Dang, I was trying so hard to be civil. I edited my post from the original several times and everything. Surely you can consider the tone you yourself set, "So the research that shows positive results is bad and only the research that shows negative results can be trusted?

Sounds a little like confirmation bias to me."
. A little winky just wasn't enough to overcome that accusing stereotype.


However, what I really wanted to do was point out to you why people are so mislead by this particular claim. The book, "Snake oil Science", would be a good one for you to read. Valid science is often misused to mislead people and acupuncture research is one of the most misused research out there. When people are not familiar with how to interpret research it's easy to be mislead by valid science.


Science hasn't shut the door though it's my opinion they will eventually. Because there is so much bad science supporting acupuncture, there are a lot of medical researchers out there looking at acupuncture with a very open mind. From what I know about the Chinese culture, the history of face saving, the problems with medical research coming out of China, and the unfortunate body of research on acupuncture without valid controls and no treatment arms, I am not hopeful acupuncture will ever be vindicated.

Other people are. More power too them. I'm sorry the research resources are going to be further wasted on this magical treatment, but such is the historic reality of science.
 
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Science hasn't shut the door though it's my opinion they will eventually. Because there is so much bad science supporting acupuncture, there are a lot of medical researchers out there looking at acupuncture with a very open mind. From what I know about the Chinese culture, the history of face saving, the problems with medical research coming out of China, and the unfortunate body of research on acupuncture without valid controls and no treatment arms, I am not hopeful acupuncture will ever be vindicated.

Other people are. More power too them. I'm sorry the research resources are going to be further wasted on this magical treatment, but such is the historic reality of science.

Fair enough, thanks for the reasoned reply (my apologies for the original post, tone is hard to convey in written word).

I guess what is tripping me up here is that, with the other things I mentioned (fairies, gnomes, ghosts, psychics, etc) the science is about as conclusive as it is going to get. At this point we can assume that any "scientific" study showing positive results are complete snake oil. There are no respectable scientists doing research on gnomes.

Acupuncture on the other hand seems to be a little different (again, looking the subject from the outside). There are some seemingly respectable people working on this subject (seemingly is the problem on my side I suspect).

I have no doubt there are people who consider themselves credible who are doing water dosing research but they are risking their scientific career (if they really have one to begin with).

I did a quick search for "water dosing" on Phys.org (which I feel is a very respectable source for scientific information) and that search didn't turn up a single result on the first 4 pages (I stopped looking after that). On the other hand, a search for "acupuncture" resulted in 100's of hits. To me that seems to imply that science has not YET closed the door on the subject (but it looks to be heading in that direction).

One other thing I wanted to ask about. You mentioned the bias coming out of Asia but many of the studies I am finding are coming out of Europe and the U.S.? Are you saying that a lot of these studies are conducted by Asians in these other nations? If that is the case it does really change things.

In the end, my take is this. In my completely unprofessional opinion (which means I don't have anything to really base this on :D ) odds of water dosing, ESP, or gnomes being proven positive by science are .001% (there is always a possibility but the odds are really REALLY low). The odds on acupuncture are also against but we are talking about 25% or so. After this thread I might push that down some, but I still don't believe acupuncture is down at the same level of skepticism as gnomes (YET).

Thanks again for the reply.
 
....
I guess what is tripping me up here is that, with the other things I mentioned (fairies, gnomes, ghosts, psychics, etc) the science is about as conclusive as it is going to get. At this point we can assume that any "scientific" study showing positive results are complete snake oil. There are no respectable scientists doing research on gnomes.

Acupuncture on the other hand seems to be a little different (again, looking the subject from the outside). There are some seemingly respectable people working on this subject (seemingly is the problem on my side I suspect).
Snake oil science is like that. We are all lulled into false conclusions based on small pilot studies and/or research results not later found repeatable. You are not the only one. Even people trying to be good critical thinkers (and I include myself) are misled from time to time by valid but inadequate or improperly done scientific research.


....I have no doubt there are people who consider themselves credible who are doing water dosing research but they are risking their scientific career (if they really have one to begin with).
Not sure what you mean by, "consider themselves credible" but there are a lot of well qualified scientists who research less than credible subjects. Some of the work is important, ruling in or out incredible claims. Some is ideology driven and even if it starts out well, can end in an intelligent educated scientist who won't let go of a disproved hypothesis the person has invested a career researching. Michael Behe and his irreducible complexity hypothesis is one example.


....I did a quick search for "water dosing" on Phys.org (which I feel is a very respectable source for scientific information) and that search didn't turn up a single result on the first 4 pages (I stopped looking after that). On the other hand, a search for "acupuncture" resulted in 100's of hits. To me that seems to imply that science has not YET closed the door on the subject (but it looks to be heading in that direction).
The medical community has most certainly not closed the door on acupuncture. But some of us, who have looked closer at the clinical trials that include decent placebos and are properly blinded, have come to the conclusion there is no there there, just a lot of snake oil science (which differs slightly from purely bad science).

I know not everyone can go out and read a book. Maybe you could find time for our own Dr Hall's blog entry in "Science Based Medicine" on Snake Oil Science. I haven't heard her recent talk on the subject, but I see there is a new video on it up on the web site: Fairy Tale Science and Placebo Medicine. That gives you two options, reading or viewing. It's well worth your time.

Badly Shaved Monkey has a comment on acupuncture research on the link to Dr Hall's Berlin talk:
1. Asthma/acupuncture study: Dr Hall said we don’t want patients to just feel better, we want them to be better. Actually the situation is even a bit more feeble as a ‘positive’ result. The patients saying they “feel better” are doing so under the pressure of social conventions, which she described at another point in the talk. We don’t really know whether the patients do feel better or are just prepared to say they do regardless of their actual subjective experience.

And here's a NYTs book review of the Snake Oil book.
With equal dexterity Dr. Bausell introduces us to Dr. Smith, a fictional physician who becomes interested in acupuncture and convinced that it helps his patients. Enthusiastically organizing a series of research studies to confirm his conviction, Dr. Smith falls victim to an even more complicated set of scientific, psychological and emotional confounders than did Sarah, all of which invalidate his science and make his treatment appear far more effective than it actually is.

It is, of course, not only research into alternative therapies that is compromised by the pitfalls Dr. Bausell describes. Exactly the same subtle problems bedevil orthodox research, and they are often the source of the contradictory studies and here-today-gone-tomorrow treatment vogues that drive patients crazy.
It doesn't just drive patients crazy, it results in people wrongly dismissing valid research as just "here-today-gone-tomorrow" as well.


The field of scientific esp research went down this road in the past. There are still people today trying to prove there is something to it, including looking at mechanisms that it might work by. There are many snake oil science studies out there with positive esp results. Ray Hyman has done a lot of work on the snake oil science of the paranormal.

It's tempting to buy the idea there is something turning up in these results.


....One other thing I wanted to ask about. You mentioned the bias coming out of Asia but many of the studies I am finding are coming out of Europe and the U.S.? Are you saying that a lot of these studies are conducted by Asians in these other nations? If that is the case it does really change things.
There are two different things which lead to false conclusions about acupuncture. One is the original promising results out of China. A lot of those studies document supposed people who undergo surgery just using acupuncture anesthesia. Of those studies one or two people actually can control surgical pain with their mind, but it's the individuals not the acupuncture, and the rest, it turns out, aren't really getting drug free surgery. It's just that the drugs are left out of the research write up.

The other problem is the one in the Western research of which the bulk of positive results either have very small sample sizes or very poor control for placebo effect (or both).


....In the end, my take is this. In my completely unprofessional opinion (which means I don't have anything to really base this on :D ) odds of water dosing, ESP, or gnomes being proven positive by science are .001% (there is always a possibility but the odds are really REALLY low). The odds on acupuncture are also against but we are talking about 25% or so. After this thread I might push that down some, but I still don't believe acupuncture is down at the same level of skepticism as gnomes (YET).

Thanks again for the reply.
Hopefully, and only after reading a lot more about interpreting scientific research results rather than just taking someone's word for it, you will put those acupuncture odds down to .001%, and learn a whole lot about applying critical thinking to accepted science as well as to bad science. :)
 
So look, I get it. It's the Internet so you don't have to be civil... but I am a live human so you can perhaps try "discussing" instead of "attacking." I am here to learn not to be pushed around (I, like most people, don't take well to that).

Anyway....

Your points are valid. I am NOT claiming to be an expert on the subject and I have never conducted a clinical trial so I am most likely over estimating the validity of these studies. Contrary to your post, I don't hold a very strong opinion on this subject (outside of the fact that I love learning new things and it seems as if there may POSSIBLY be something for science to gain here).

There are a LOT of negative studies but there are also a lot of positive results from seemingly respectable sources as well. To a person who has never conducted a research study it seems illogical that EVERY acupuncture study with a positive results is flawed. If that is the case I stand corrected and caulk it up to my own inexperience with the subject at hand.

Among many other things, I don't believe in a magical sky god, I don't believe in fairies or gnomes, I don't believe in chi, I don't believe in ghosts or psychics who read spirits. I don't believe these things because science has shut the door on them.

If you are positive that science has shut the door completely on acupuncture as well then I will take that under consideration (if it is possible for you to respond without vitriol I am genuinely interested in your opinion on this, if not please save your time and mine and refrain from responding).

To me, it just doesn't seem that science has completely shut the door on this subject yet... but I am completely open to the possibility that I am wrong. And again, contrary to your pointed opinion, I would be happy to learn I am wrong because that means I am learning something new.
OK by me as long as you do not defame the FSM and the glory of his noodly appendages, nor claim no fear of the return of Chthulhu when those who believe shall be saved by being eaten first!!!!! (think of the force - FSM light/Chthulhu dark..........)
 
A lot of the problems stem from the currently unreliable studies out of China.
I think researchers suspect that one of the problems with acupuncture research in China is that they only publish the positive studies. http://www.ncbi.nlm.nih.gov/pubmed/9551280 "Some countries publish unusually high proportions of positive results. Publication bias is a possible explanation. Researchers undertaking systematic reviews should consider carefully how to manage data from these countries"

Slight derail: there's a similar thing with St John's wort for major depression - a review was positive but... although St John’s Wort was significantly more effective than placebo, this was only true when studies from German-speaking countries were examined.
 
I think researchers suspect that one of the problems with acupuncture research in China is that they only publish the positive studies. http://www.ncbi.nlm.nih.gov/pubmed/9551280 "Some countries publish unusually high proportions of positive results. Publication bias is a possible explanation. Researchers undertaking systematic reviews should consider carefully how to manage data from these countries"

Slight derail: there's a similar thing with St John's wort for major depression - a review was positive but... although St John’s Wort was significantly more effective than placebo, this was only true when studies from German-speaking countries were examined.
In China, there is a scientific/political movement to bring medical science up to Western standards at the same time there is still a strong cultural/political force preserving old face-saving habits. I watched a lot of the interaction while I was following the SARS outbreak. The initial outbreak simmered for a couple months in Guangdong Province, and was not properly investigated as no one with the authority to do something wanted to admit there was a problem they couldn't handle themselves. The information circulated in infectious disease circles about a pneumonia that was killing hospital workers before the Hong Kong patient zero infected 9 world travelers on an elevator.

As time went on, the Central Chinese government tried to encourage adequate reporting of cases and seemed willing to work with the WHO who sent investigators. But local mayors and politicians covered some outbreaks up. There are many very good researchers in China that recognize there is a problem. I think they are effecting change.


The SJW research is intriguing, think I'll look into that.
 
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I think researchers suspect that one of the problems with acupuncture research in China is that they only publish the positive studies. http://www.ncbi.nlm.nih.gov/pubmed/9551280 "Some countries publish unusually high proportions of positive results. Publication bias is a possible explanation. Researchers undertaking systematic reviews should consider carefully how to manage data from these countries"

Slight derail: there's a similar thing with St John's wort for major depression - a review was positive but... although St John’s Wort was significantly more effective than placebo, this was only true when studies from German-speaking countries were examined.

Mao pushed TCM and acupuncture as examples of methodologies that were superior to Western science. In the case of TCM he inadvertently showed that scientific method was the only way for progress and while that research program produced artemisinin it also showed that the majority of TCM materials were useless. After he died, many senior scientists were sent out over the world to attempt to catch up with the West. Anecdotally, one I met, was particularly dismissive of both TCM and acupuncture. But with the sheer mass of TCM and acupuncturists that still practice in China, it is hardly surprising they try to justify their livelihoods in the way you mention. India has the same problem in publishing in the worlds of homeopathy and aurveyda.
 

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