Auriculotherapy is based on the notion that body structures and functions are somehow "mapped" on the outer surface of the ear. It can be defined as the stimulation of the skin of the ear for diagnosing and treating health problems in other parts of the body. The two main approaches have overlapping terminology and techniques but different theoretical foundations. The original approach —commonly called ear acupuncture, auricular acupuncture, or auriculoacupuncture—is said to date back to ancient China and involves insertion of acupuncture needles to stimulate points on the ear. It is based on traditional Chinese notions related to the flow of nonmaterial energy through hypothetical channels called meridians, but current versions of this approach postulate that it works through a system of reflexes that are organized on the outer surface of the ears [1,2].
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Auriculotherapy is based on the notion that body structures and functions are somehow "mapped" on the outer surface of the ear. It can be defined as the stimulation of the skin of the ear for diagnosing and treating health problems in other parts of the body. The two main approaches have overlapping terminology and techniques but different theoretical foundations.
The original approach —commonly called ear acupuncture, auricular acupuncture, or auriculoacupuncture—is said to date back to ancient China and involves insertion of acupuncture needles to stimulate points on the ear. It is based on traditional Chinese notions related to the flow of nonmaterial energy through hypothetical channels called meridians, but current versions of this approach postulate that it works through a system of reflexes that are organized on the outer surface of the ears [1,2].
This version of auricular acupuncture relates "acupuncture points" to organ function and includes "master points" said to alleviate pain, activate glands, produce sedation, and "balance" the left and right halves of the brain .
The "modern" approach—most commonly called auriculotherapy—is said to have been "discovered"during the early s by Paul Nogier, a French neurologist who proposed that: The body surface and internal organs are represented on the ear in a pattern that resembles an inverted fetus homunculus , as shown in the diagram to the right. Problems in any part of the body are reflected by increased tenderness at a corresponding point on the ear. Electrical stimulation, acupuncture, or massage of the appropriate point leads to a dramatic abolition or decrease in pain in the corresponding body part.
Later, Nogier produced additional diagrams in which the part s of the ear said to represent a specific organ varied according to the "phase" of the ailment. The zones in Phase 1 are now said to correlate with normal physiology or acute pathology.
Phase 2 is said to correspond to degenerative conditions, with thc "inverted fetus" transformed into an upright position. Phase 3 is said to correspond to subacute and chronic conditions, with the homunculus rotated about half way.
Thus the points related to remote structures are said to be found at up to three locations depending on the stage of the disease process . Some organs and structures in the Chinese auricular system differ from those postulated by Nogier because the Chinese model focuses on functional observations and, rather than using anatomic descriptions, the Chinese identified some points with functional or metaphorical names. Auricular Medicine International now claims that "auricular medicine has become a medical system of its own" and that "auricular diagnosis can be used to discover over different diseases, including internal, gynecological, five sense organs, and all other physical and mental aberrations.
Google searches for "auriculotherapy" and "auriculoacupuncture" indicate that "auriculotherapy" is far more common but the terms are often used interchangeably. The terms ear acupuncture or auricular acupuncture are used when the stimulation is achieved by inserting acupuncture needles, When specific points or zones on the ear are stimulated by manual pressure, the approach is called auricular acupressure or ear reflexology.
Acupuncture points on the ear can also be stimulated with lasers, magnets, and ear pellets. In the remainder of this article, I will use auriculotherapy to mean any and all of these approaches. Proponents claim auriculotherapy is effective against facial pain and various ailments throughout the body. They further claim that detection of electrical conductance and tenderness can reveal specific points that can be stimulated to alter abnormal reflex patterns in the brain, internal organs, and other regions of the body.
A leading acupuncture textbook states that "The auricular somatotopic system seems to operate as a miniature transmitter-receiver in direct contact with the nervous system.
Its Web site directory lists about certified practitioners in the United States. Practical Considerations There is no logical reason to believe that ear maps are valid. There are no known anatomical or physiological pathways through which points on the ear are connected to the rest of the body. Even if new pathways were discovered, they could not explain how organ dysfunctions could be detected or how the locations could rotate according to the stage of a disease. Auriculoacupuncture is also postulated to act through a reflex action related to specific points on the ear that become tender or painful to touch.
A few others have found relationships, but the basic claims are so preposterous that it is safe to assume that the map concept will never be substantiated. Only a few studies have tested whether auriculotherapy can relieve pain.
One was a well-designed two-part experiment that involved 36 patients who suffered from chronic pain. One part compared the effects of stimulating designated points and control points unrelated to the painful area. The second part compared stimulation of designated points with a no-stimulation placebo control. After pain-relief scores showed no differences in either experiment, the authors concluded that auriculotherapy was not effective therapeutic procedure for chronic pain .
Can auriculotherapy cure disease? Even if auriculotherapy can provide pain relief, I doubt that it would be cost-effective to use it for that purpose. As noted above, the evidence of effectiveness is slim. The studies were not set up to test whether auriculoacupuncture would enable the patients to reduce or eliminate their pain medication. Even if it can, it would probably be much more expensive than medication. Moreover, the setting in which auriculoacupuncture is administered should be taken into account.
It might be safe to obtain it at a medical center that is doing research based upon what is known about human anatomy and physiology. However, it is very foolish to seek advice or treatment from people who rely on far-fetched ideas about how the body works. References History of auricular medicine. Auricular Medicine International Web site, accessed Feb 1, Helms JM.
Frank BL, Soliman N. Obesity treatment through auricular therapy and auricular medicine. Medical Acupuncture 14 1 , Auricular diagnosis. Andersson E and others. Are auriculotherapy maps reliable for chronic musculoskeletal pain disorders: A double-blind evaluation.
Acupuncture in Medicine 3 , Melzack, Katz J. Auriculotherapy fails to relieve chronic pain. A controlled crossover study. JAMA ,
Contact Auriculotherapy Auriculotherapy, also known as ear acupuncture, is a medical technique that was discovered and developed by Dr. The originality of the conception of Paul NOGIER is based on the fact that he considered that the diseases can be treated and cured by using physical approach. The XIXth and the XXth centuries were the centuries where the chemistry was omnipotent and where the medical therapy was based upon this chemistry. For every disease, a chemical drug.
Escola Raphaël Nogier de Auriculoterapia Clínica