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8/4/2019 Acup Comp Report
1/6
. . . . . .. fl 1':1 U ~ 'fl rJ 'fl1 ~ t" '0 fl LLCI::: fl 11 U ~ 'fl rJ H ff lJ H ff 1 U
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Alternative Medicine, TM/CAM) ' ~ ~ l J n l ' : i r J i l l J ~ l J~ ,
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O il basic training an d safety i l l acupuncture) t{]'W
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f l l ' l ~ ~ L ~ l J ' 1 ' 1 uSection ~ 2 , : r 1 ; j ' t l ~3 t ~ ' O ~
Accidents and untoward reactions ~ ~"llluri
L Needle quality
2. Position of patient
3. Fainting
4, Convulsions
5. Pain
6. Stuck needle
7. Broken needle
8, Local infection
9, Burning during moxibustion .,: ,I , . . . . d I
U tlfl 1I1fl'W f J ~f l ~ l J f I{j fl 11 I.J HU 1) 1J '11'0
f l l U ' l : : ~ l ' h f i t y ' l ' 1 . uSection ~ 2 , : r T ~ O ~5 t ~ ' O ~..! '" l: "I.! '
Injury to important organ " I l ' ~ f l d U d : : L ' I H ' I 1 U U!l'Iun
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f f ' U l t 1 f l l ~'11MI'tIU t"IN ' V I t : J l m t l l l J f l ' H U ~ 1 J l t J
",.J JII . . . : !l J l ' W ' U L l l 1 ' Y 1 6 ' V l 1 1 f ) ~ ~mU'Utl1VfJltll'.i pleuritic
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iI .'1 '" " ' . " , !II 13. ~ 1 l 1 f J U " t J ' l 1 1 f l ' i l l f l f l 1 1 ~ H ' V I d f l C U t l Uu n n
r : l ~ l ~ l J''If'U f l ' H l l N i h t J " l S 1 1 W U 1 i 1 U l ~ t J ; 1 ~ ~...
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r I 7-13 121J 11 t,,-U Pneumothorax , Hepatitis H .
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t f l ~ ' i l 1 f l f l 1 ' ; j H . u ~ l J ' V l l f f l l ' j 1 1 0 n u u n ~ ~ f l ' : n U11
lPUJ Adrian Whitel4
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8/4/2019 Acup Comp Report
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...~ 1 1 H Y I1 Significant and serious adverse events associated with acupuncture practices
II
I
f1
L a ' 9 0 U ' ]
Trauma Pneumothorax
Hemothorax
Heart and Pericardium
Blood vessels-Brain, spinal cord
, l A ,n _ ~ . ~ ~
18
12
39
1
Ii
Peripheral nerve 9
Other sites ' ~ u r iBaker's cyst( 1), Kidney(2), Liver(3) 6
2. Infection Hepatitis B 189
HIV
Auricular chondritis- 4
38
IIII
F . .J:.f U l l
ingitis
Spinal infection
Septicemia- - ~ ..-.
Necrotizing fasciitits and toxic shock
8
1
6
8
3
Septic arthritis
Abscess-_.""
7
13
Skin 10
Others 'lluft Atrial myxoma( 1), Infected compartment( 1), i
3. Miscellaneous
Eyebal1{ 1), OsteomyelitisO), Musc leO), Peritoneum( I) , Pleura(1)~ ~ - - .
Herpes zoster reactivation
Collapse
I
event . Seizure
Exacerbation o f asthma,
85 !4
Skin conditions 5
Others 'lr)'UftRegional pain syndrome(2), Fractured needle(2), 46
Dangerously drowsy(42)
Totals 715
f l f l U t l 1 H ~ 1 f 1White A. A cumulative review o f the range and incidence of significant adverse events associated
with acupuncture. Acupunct Med. 2004 Sep;22(3):125.
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Ut}'lJf1f11lJt1110 Guidelines on basic training and safetyt ; QI . - Q t . 4"in acupuncture t W l ~ l f l H f l l ~' U S f l ' i l l f l U t J ~ f l T . i l J f l l ' i
'JI " ""'. '1 "" "" " ' . '!:'!
8/4/2019 Acup Comp Report
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. .i:'f1'Wni:lH l'lfU
c r : l J 1 j i } : l J u 1 ' i ' V 1 E J l h L ~ : l J U ' C l ~ c r l P . . lh'l!
/ ~ i f ' U ; m " ilY w
U ' W ' Y l m 1 < l ! ~ ' l J m ~1 U f f ( 1 l ' U ' U ~nl':i'U eJ .:ji"j
U'W'Ylm:J '11 ~ ' l J m f ) ' U f f ( 1 l ' U ' U ~fl1'J U 0 ~
ttJn'IfU lW fliiiin 1H'Wtl1'lJ1(lWn'l:f'U1 1 V 1 ' U 1 m . h : : ~ 1 f 1 f l i i f l f h t ~ l J
o '!1 d (t 4 ...J .$;11f111 N-l t 'IJ:lJ UU(:; U10.:JO 1fl1'} VI a H l l l f f ~Ul.; j
m 1 : : : U l 1 ' m ~ f l U1 ) l n m ' ; j N ' U ~ l J l'liU Pleuritic chest
pain, dyspnea, severe pain If)ullu 1JlJii:Jfl1'J
I ~ ~fJ:lJfI"11:lJ-n;ellJ1Ufl1S ~ u l ' l ~ i J 1 m d a ~ ~ ' U ' H1mn'flf l l 1 ~ U ' Y l J n ~ [ ) ' W 4'liU n T H ~ ~ 6 l J ~ ' l l m n rresuscitate
H l ~ ' W 1 e ' l J f l 1 1 $ 1 ' f l ~ f . l f i ' ' U f f m U ' W U 1 U 1 C l ~ i i f 1 1 1 : l J
'" . . d liJ.'1 d j " d oS ~ ...tfHHJfl11l1H)flT'.iff:J1l"flp;!U1tJ l'lJUlliU nC11f1qjtH)
!'l11iim'.l'.l" l ~ N1'U. f111:::Um f l e f 1 f l U t ~ f l ' l l'i ~1!J'Jj''l1iu"f l 1 ' H ~t J U f V l 1 l J 1 1 1 , j ' e ~ . : J ~ f )1llil 18
I.Acupuncture expertise' ~ U r l f l 1 , H l f . , ' j n m u ~ N 1 U n 1 H J u w N U ~ l J
2. Description o f patient
'HlJlfJO.:j f l 1 ' , j 8 i u 1 V " ' f l ' l l N : : : ~ f > - : j i J1fJ 1'161fJ
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' J 1 u ' i ! v h f l h H . l I H . j ' W U u ~ , j ' uf lu ff l ' l : J1 t l1 f lU
1 ~ m J 1 u ~ v h ' W l J l h f l ' H ' 1 f ) m 1 : : : ~ t m l ! i J u v U m 1 f J
IiitJ n l' J fJ iI t ~ lJ t 'li 'U fil1:; immunosuppression,bleeding tendency e J l f 1 1 ' l d 1 f ' i t y ~ U 1 ~ i J 1 t 1 l J 1 ' W
u - n m J i h l ~ l J ~ a 1 h : i h . ! m ' J 1 I , u ~ l J f 1 1 ' : : i i U ~ U O ' \ l r u :
l J l ' W ' ! J U ' W ' V H m ~ t ~ ' l J v f ~ f 1 1 ' i 1 i h l ' i l t ) ~ l l J
let
1.
2.
3. The acupunctureA S i o / ' ; : , ~ . ,
r 1 1 ' J ' i ~ \ l OH I fJ'IH'lJ U fll':i 11~ t"UJ 'H ~ f1 fll'J
i'm n " l l J n ~ 1 JC 1 1 f 1 1 ' l ~ b t i t l ' U . b~ ~ ~ l l m h i . , ' j 1~ 3 J ~ ilflD d . d o C ( '" w ~ d.J, j/1I1'\..t1
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3.
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4. The adverse event
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5.
6.
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Blood gas, CBC 1 1 h n : d ' m n ~ ' . , ) ' ' ' H ' u n ~ i h u
-QI ~ Q.I "f H l f l ' V f J i ~ l n m l 1 m : n f l T l : : U V l ' n l l H f l ' W
5. Discussion
l n ~ m l ; : u V l ' f I ~ f l l J u r i f l i b t t ~ ' n t J . : J l ' W 1'lf'U unl'J..
" i J m h " M ~ i h l J ~ l ' i lh ~ l~ 1 J ~ 1 J H' Y I l j t ) ' 1 6 1 ~ t h r l t . ) !
tfl''W fl of(flu'U:lll t 'Um':i -rla'U)'Wfll1:: 11vn n.ffllJ ~ .. J
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til\ll'il" ~ t n ~ 8 ' U mltJ'H~ f)'U ltll ~ ' U u r i ~ t J , l t J l i l J11\1n T ~ i 'fl1;j 1U' n W l l l J ~ l l Jf l ' j j ~ m ' : i o r ~ ! n t l ~ l J ( l f l l 1 ' J ' W
..J1 a Q.I OIIQ q ..cIIl4ltllof I l l : :UWif l"JtJUmJ'WAll tJ ':ill1fHf1l'HfI'VY1A'\Jt).:j
" "~ i h t J i ~ u f i " ; - 3 { j m ' H ~ l J f l 1 n l t J ~ l l Jh f i ' j ~ f ) l J f l ~
ri lfi f.\!f) t h ~ m'U()1Ull ~ d j f i l ' ~111ijf) nl J 111fl'HflltJ
~ h f J
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guidelines to promote use of alternative medicines.
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2. World Health Organization. General Guidelines fo r
J1ethodologies On Research and El'aluatian of
Traditional Medicine. Geneva: World Health
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3. World Health Organization. Guidelines on basic
training and safety in acupuncture. Geneva: World
Health Organization, 1999.
4. Maruoka N, Kinoshita K, Waldsaka -So Spinal cord
injury by a brok.en acupuncture needle--a case report.
No Shinkei Geka. 1986 May;I4(6):785-7.
5. ViIke GM. Wulfert EA. Case reports of tw o patients
with pneumothorax following acupuncture. J Emerg
Med. 1997 Mar-Apr; I 5(2): 155-7.
6. Bret te l HF. Acupuncture as a cause o f death. MMW
Mll1Ich Med Wochenschr. 1981 Jan 16;123(3):97-8.
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Laegeforen. 1994 Ap r 20;1l4(lO}:1192-4.
8. Norbeim AI. Adverse efTects of acupuncture: a study
of the literoture for the years 1981-1994. J AlternComplement Med. 1996 $ummer;2(2) :29 1-7
9. Niggemann B, Gruber C. Side-effects of
complementary an d altemative medjcine. Allergy.
2003 Aug;58(S):707-16.
10. Peuker E. Gronemeyer D. Rare but serious
complications o f acupuncture: traumatic lesions.
Acupunct Aled. 2001 Dec; I 9(2):103-8
I I . de Groot M. Acupuncture: complications.
contraindications and informed consent. rorsch
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Compleme1lt Ther Aled. 200 I Jun;9(2):98-1 04.
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o f acupuncture: a systematic review. Am J