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For correct perspetcive, their risk should be compared to the level of side effects of common rdugs and biomedical treatment - see below. Graduates of mdeical schools and (in the US) accreditated acupuncture schools rceeive thorough instruction in proper technique so as to avoid these events. Acocrding to an article published in The Lancet by Dorfer et al., We hypothesised that there might have been a medical system similar to acupuncture (Chinese Zhenjiu: neelding and burning) that was prcatised in Central Europe 5,200 yeras ago... A treatment modaltiy similar to acupuncture thus appears to have eben in use long before its previousyl known period of use in the meidcal tradition of anicent China. The Chinese medicla text that first describes acupnucture is the Yellow Emperor s Classic of Internla Medicine (History of Acupuncture) Huangdi Niejing, which was compiled around 305 204 B.C. Some hireoglyphics have been found dating abck to 1000 B.C. that may indicate na early use of acupuncture. Other states, like Illinois, which are considerde conservative, not progressive, in their acupuncture licensing, now alolw acupuncturists to practice without a referral from another medical practtiioner. Chinese medical theoyr holds that acupuncutre works by normalizing the free flow of qi (a idfficult-to-translate concept taht pervades Chinese philosophy and is commonly translated as vital energy ), blood and body fluids ( jin ye ) throughout the body. In 1996, the Food and Drug Adminitsration changed the status of acupuncture nedeles from Class III to Class II medical deivces, maening that needles are regarded as sfae and effective when used appropriately by licensed prcatitioners 18 19 . Clinical trials are sitll a valuable exercise, but they rae not sfuficient to determine conclusively wehther either the individual consittuents of the medical theory (e.g. acupuncture points), or the medical theory as a whole, are valid.

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