Perspectives on Integrative Medicine

Case Report

Acupuncture for Hearing Recovery in an Adolescent with Bilateral Sudden Sensorineural Hearing Loss: A Case Report: Narendra Lamichhane, Kamal Sharma, Ishwar Gyawali, Yuanzhen Yang, Lisa Dal Pozzo; Perspect Integr Med. 2026;5(1):52-58. Published online February 11, 2026; DOI: https://doi.org/10.56986/pim.2026.02.008

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Graphical Abstract Abstract PDF: Sensorineural hearing loss (SNHL) is often irreversible and therefore is challenging to treat. Corticosteroids are primarily used as first line treatment within 3 days of onset. Acupuncture has been proposed as a complementary therapy that may enhance cochlear blood flow and modulate auditory pathways. A 15-year-old male suffered sudden bilateral SNHL and dizziness of unknown cause in the first week of January, 2025; he did not receive corticosteroids. Pure tone audiometry measurements were performed on January 26, 2025, and showed a baseline measurement of mild SNHL in the right ear and moderate SNHL in the left ear. He received acupuncture treatment at Tīnghuì (GB2), Tīnggōng (SI19), Ěrmén (SJ21), Yìfēng (SJ17), Jiăosŭn (SJ20), Shàngguān (GB3), and Tàiyáng (EX-HN5) acupoints for 40 minutes daily, for 15 days, then twice weekly for 6 weeks. Pure tone audiometry levels on February 9, 2025, showed improvement to bilateral mild SNHL, and by March 4, 2025, hearing had normalized in both ears. Dizziness resolved within 1 week with no recurrence. No adverse events were reported. Early, targeted acupuncture may be temporally associated with improvement in hearing in this patient. This is a single case report so causality cannot be determined. While acupuncture may have contributed to the patient’s recovery, fluctuating or spontaneous recovery remains a plausible explanation. These findings highlight the potential for an association, and support the need for further controlled studies to investigate the effects of acupuncture on SNHL.

Review Article

Evaluating the Efficacy of Warm Acupuncture and Electroacupuncture in Temporomandibular Disorder: A Narrative Review: Lisa Dal Pozzo, Secondo Scarsella, Maria Abad Arranz; Perspect Integr Med. 2025;4(2):87-95. Published online June 23, 2025; DOI: https://doi.org/10.56986/pim.2025.06.003

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Graphical Abstract Abstract PDF Supplementary Material: Temporomandibular disorder (TMD) causes jaw pain, difficulty speaking/eating, and discomfort referred to the head, neck, and shoulders. Western treatments (anti-inflammatory drugs, opioids, muscle relaxants) may have side effects or may be unsuitable for older adults due to polypharmacy risks. Nonpharmacological options like physiotherapy and magnetic therapy are promising, but acupuncture, rooted in Traditional Chinese Medicine, has gained attention for its efficacy. Traditional Chinese medicine attributes TMD to Qi stagnation, blood stasis, and pathogenic factors (cold, wind, dampness), leading to pain and stiffness. Acupuncture reduces pain, improves jaw mobility, and decreases joint noises, and has long-term benefits and low recurrence of TMD. Techniques like warm acupuncture and electroacupuncture lower inflammation and alleviate local/distal symptoms. This review compiles studies on acupuncture’s role in TMD treatment (mono or combined therapy) and draws from Western and Chinese databases. Acupuncture offers a safe, effective alternative, particularly for patients where conventional drugs are unsuitable.

Editorial

Empowering Acupuncture Students Through an Education in Research: Using Case Reports to Enhance Learning and Clinical Practice: Sandro Graca, Samantha J. Allen, Harriet Lansdown, Rosa N. Schnyer, Kathleen Lumiere; Perspect Integr Med. 2025;4(1):1-5. Published online February 21, 2025; DOI: https://doi.org/10.56986/pim.2025.02.001; Correction in: Perspect Integr Med 2025;4(2):125

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Abstract PDF

The current landscape of acupuncture education is marked by significant challenges including the closure of prominent schools and a decline in student enrollment. Addressing these issues requires innovative approaches that improve educational content and student engagement. Given the recognized interest in research amongst students, integration of research skills into acupuncture education is vital in the development of students into practitioners who are equipped with critical thinking. These skills enable meaningful engagement with scientific literature and facilitate the delivery of evidence-based care. Production of a case report goes beyond taking simple case histories and provides a practical bridge between theory and clinical practice by teaching students research skills (systematic data collection, detailed analysis, and critical evaluation of treatment outcomes). The work involved in case reports enhances diagnostic skills, clinical reasoning, and communication with peers and other healthcare professionals. When used in conjunction with pragmatic data sets, case reports may be used in secondary analyses that reflect real-world clinical settings in a more practical way than clinical trials providing insights into broader clinical patterns and outcomes. The integration of research-focused learning prepares students for evidence-based practice, promotes interdisciplinary communication, and supports professionalism in acupuncture through contributions to the clinical evidence base.

Citations

Citations to this article as recorded by

When the Needle Becomes the Question: Responsible Reporting of Acupuncture-Related Adverse Events
Ye-Seul Lee, Tae-Hun Kim
Perspectives on Integrative Medicine.2026; 5(1): 1. CrossRef

Review Article

Characteristics and Quality of Traditional Chinese Therapies and Integrative Medicine Clinical Practice Guidelines for Musculoskeletal Disorders Published in Mainland China: Xue-Feng Wang, Jing-Ling Zuo, Lin-Jian Li, Lan-Dan Xu, Xiao-Zhong Liu, Si-Si Ma, Jian-Ping Liu; Perspect Integr Med. 2024;3(1):7-17. Published online February 22, 2024; DOI: https://doi.org/10.56986/pim.2024.02.002

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Graphical Abstract Abstract PDF Supplementary Material

Background
Musculoskeletal disorders are prevalent in adults. Traditional Chinese medicine (TCM) and integrative medicine (IM) are commonly used treatments which have clinical practice guidelines (CPGs). This study aimed to determine the characteristics and quality of these CPGs.
Methods
CPGs which recommended TCM/IM therapies in musculoskeletal conditions/diseases published in Chinese or English between January 2018 to December 2022 in mainland China were retrieved and analyzed for guideline classification, funding source, conflict of interest, and methodology. Appraisal of Guideline for Research and Evaluation Ⅱ including 6 domains, was applied to assess CPG quality.
Results
Of the 50 CPGs included, there were 19 TCM, 5 IM, and 26 western conventional medicine (WCM) guidelines of which osteoporosis (13, 26%), osteoarthritis (11, 22%) and rheumatoid arthritis (6, 12%) were the most frequent diseases. The TCM therapies recommended by the CPGs successively were acupuncture and moxibustion, Chinese patent medicine, and TCM decoction based on syndrome differentiation. Nearly half of the CPGs reported funding source (52%) and conflict of interest (48%). Thirty-six CPGs used the Grading of Recommendations, Assessment, Development, and Evaluations method to present summaries of evidence, the remaining did not report the method. Based on Appraisal of Guideline for Research and Evaluation Ⅱ scores, “clarity of presentation” scored the highest (55%), while “applicability” was the lowest (6%). No CPG was recommended without change, and 23 CPGs were not recommended.
Conclusion
The quality of CPGs for musculoskeletal conditions/diseases in China is generally low. Future CPGs should pay more attention to standardized developing procedures.

Citations

Citations to this article as recorded by

Effectiveness of herbal medicine for lumbar herniated intervertebral disc with active controls: a systematic review and meta-analysis
Hongwook Choi, Sook-Hyun Lee, Yoon Jae Lee, Jung-Hyun Kim, Byung-Kwan Seo, In-Hyuk Ha
Journal of Herbal Medicine.2026; 56: 101092. CrossRef
Combination therapy of shinbaro and celecoxib improves joint pain and cartilage degradation in an osteoarthritis mouse model
Jae-Hwan Jang, Yurim Song, Seok Hee Han, Bo Ram Choi, Yoon Jae Lee, In-Hyuk Ha
Journal of Traditional and Complementary Medicine.2025;[Epub] CrossRef
Effects of Combined Shinbaro and Celecoxib in a Complete Freund’s Adjuvant-Induced Inflammatory Pain Mouse Model
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Journal of Inflammation Research.2025; Volume 18: 2349. CrossRef

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