
Acupuncture for Insomnia & Sleep Disorders.
Insomnia symptoms include difficulty falling asleep, staying asleep, falling back asleep or waking up unusually early. Vivid dreaming, frequent night-time urination and night sweating also affects a person's quality of sleep.
Other common sleep disorders include restless legs syndrome, teeth grinding, loud snoring and obstructive sleep apnoea. Young children are commonly troubled by bed-wetting.
It can help to look into the quality of your sleep if you often wake up with a foggy head and struggle to get going in the mornings.
What Does The Research Say?
The following insights are obtained from systematic reviews and analysis of clinical trials investigating the efficacy of Chinese medicine and acupuncture for insomnia & sleep disorders.
2021 Evidence-Based Complementary and Alternative Medicine
The comprehensive evaluation results show that scalp acupuncture is effective in treating insomnia.
A total of 21 studies were included in this study, and a total of 1606 cases were included. The comprehensive evaluation results show that scalp acupuncture is effective in treating insomnia. Compared with the control group, scalp acupuncture can significantly improve the effective rate of treating insomnia. The PSQI score subgroup analysis showed that the PSQI score of the head was significantly better than that of the drug and blank group, but there was no significant difference from other acupuncture methods. Sensitivity analysis showed that scalp acupuncture ameliorates the PSQI score better, but excluding any item had high heterogeneity. Meta regression analysis of PSQI score according to different intervention measures in the control group showed that the difference of intervention measures in the control group was the source of heterogeneity. In terms of adverse events, the scalp acupuncture group had no adverse events, which was significantly better than the control group. Based on this study, we found that scalp acupuncture is effective and safe in the treatment of insomnia.
Efficacy and Safety of Scalp Acupuncture for Insomnia: A Systematic Review and Meta-Analysis Fu-gui Liu, Ai-hua Tan, Chao-qun Peng, Yun-xia Tan, Ming-chao Yao
2020 Annals of Palliative Medicine
Acupuncture treatment of insomnia is efficacious, not because of its placebo effect.
Acupuncture is a common alternative therapy for clinical treatment of insomnia. As the underlying mechanism is yet unclear, its efficacy is often considered as placebo effect. To clarify whether acupuncture treatment of insomnia is only due to its placebo effect, a systematic review and a meta-analysis were designed based on the comparison between acupuncture and sham acupuncture.
Compared to the sham groups, acupuncture significantly decreased the PSQI score (P<0.0001). A subgroup analysis showed that the selection of sham acupuncture methods did not affect the results of PSQI. A subgroup of two trials with a total of 141 participants with major depressive disorder did not show any significant reductions in total PSQI scores (P=0.11). In addition, a significant difference was detected in the change of Insomnia Severity Index (ISI) scores (362 adult patients, 4 trials) between acupuncture and sham acupuncture (P<0.0001). The PSG and actigraphy data from acupuncture and the sham did not reveal any significant differences in the sleep structure changes.
For the selection of sham acupuncture, both methods performed similarly in a clinical setting. Moreover, insomnia patients with major depression disorder were not recommended to use only acupuncture treatment.
Placebo effect of acupuncture on insomnia: a systematic review and meta-analysis Liu C, Xi H, Wu W, Wang X, Qin S, Zhao Y, Zheng S, Wan Q, Xu L.
2020 Nature and Science of Sleep
Ten sessions of electroacupuncture can improve the sleep quality of patients with insomnia without serious adverse effects.
Results of the current trial provide supportive evidence that electroacupuncture can be an effective, safe, and well-tolerated non-pharmacological intervention for insomnia, using validated placebo control and validated subjective questionnaires. Further long-term studies with objective sleep measures are needed for a more definitive conclusion.
Efficacy and Safety of Electroacupuncture for Insomnia Disorder: A Multicenter, Randomized, Assessor-Blinded, Controlled Trial Lee B, Kim BK, Kim HJ, Jung IC, Kim AR, Park HJ, Kwon OJ, Lee JH, Kim JH.
2020 BioMedicine
Consumption of jujube seed had a positive impact on improving the sleep quality of postmenopausal women and could be recommended as a useful herbal medication.
The results show that the medicinal jujube seed capsule improved the sleep quality of postmenopausal women. Thus, it could be recommended as a safe plant with fewer complications compared to chemical and hormone drugs for the treatment of sleep disorders. Also, during the period of consuming jujube seed capsule in this study, except for a few cases of gastrointestinal disorders and in similar studies with this herbal medicine, consumers have reported no specific side effects. Therefore, considering that about one-third of adults in the world suffer from sleep disorders, the high prevalence of sleep disorders in postmenopausal women, and the lower cost of treatment by jujube seed capsule compared to other treatments, it is suggested implementing this treatment as a useful method in improving sleep quality in postmenopausal women.
Investigation the effect of jujube seed capsule on sleep quality of postmenopausal women: A double-blind randomized clinical trial Mahmoudi R, Ansari S, Haghighizadeh MH, Maram NS, Montazeri S.
2020 Complementary Therapies in Medicine
Acupuncture was superior to sham/placebo acupuncture in treating insomnia.
A total of 15 studies involving 1108 patients. Meta-analysis results showed that acupuncture therapy was superior to sham/placebo acupuncture in terms of improving Pittsburgh sleep quality index (PSQI), insomnia severity index (ISI), total sleep time (TST), sleep-onset latency (SOL), wake after sleep onset (WASO), sleep efficiency (SE), even during the follow-up period, acupuncture therapy was superior to sham/placebo acupuncture on PSQI.
Based on the outcomes included in this study, the efficacy of acupuncture was superior to that of placebo acupuncture in treating insomnia. Types of acupuncture therapy and placebo may underestimate the efficacy of acupuncture in different ways.
The effects of acupuncture versus sham/placebo acupuncture for insomnia: A systematic review and meta-analysis of randomized controlled trials Zhang J, He Y, Huang X, Liu Y, Yu H
2020 BioMed Research International
Acupuncture may be an effective and safe treatment in obstructive sleep apnea patients.
Besides, acupuncture may also reduce apnea-hypopnea index (AHI) and Epworth Sleepiness Score (ESS) and improve LSaO2 of obstructive sleep apnea patients. This result is more significant in moderate and severe obstructive sleep apnea patients patients. These evidences may be useful to clinicians, patients, and health policy makers with regard to the application of acupuncture in obstructive sleep apnea patients. However, further high-quality RCTs are needed to confirm the efficacy and safety of acupuncture for obstructive sleep apnea patients patients.
Acupuncture for Obstructive Sleep Apnea (OSA) in Adults: A Systematic Review and Meta-Analysis Liaoyao Wang, Jia Xu, Yijun Zhan, Jian Pei
2019 Evidence-Based Complementary and Alternative Medicine
Acupuncture therapy is an effective and safe treatment for chronic pain-related insomnia.
In our current study, we pooled the data from nine studies involving 944 patients. Our pooled analysis indicated that acupuncture treatment was significantly better than drugs group in improving effective rate and cure rate and in debasing PSQI score and VAS score. In addition, compared with sham acupuncture, manual acupuncture treatment has an advantage in improving the effective rate and reducing the PSQI score, but the two groups have no statistical significance in improving the cure rate. In this meta-analysis, only four studies reported relevant adverse events. The combined data showed no significant difference in adverse reactions between acupuncture group and control group. Therefore, we can carefully recommend that acupuncture is as safe as control group for CPRI. In addition, adverse events were relatively mild, mainly including bruises, soreness, nausea, dizziness, and other discomforts. These adverse events can be effectively avoided by strengthening the aseptic operation specification, and improving the professional ability of doctors. Based on the findings of our included studies, we propose that acupuncture is an effective and safe therapy for patients with CPRI.
Acupuncture for Chronic Pain-Related Insomnia: A Systematic Review and Meta-Analysis Fushui Liu, Jianyu You, Qi Li, Ting Fang, Mei Chen, Nana Tang, Xiaojun Yan
2019 Integrative Medicine Research
Acupuncture using pattern identification led to significantly improved total effectiveness rate compared to medication for insomnia.
Our main results suggest that both of manual acupuncture and electroacupuncture used with pattern-identification may improve sleep duration, quality of subjective sleep, and daytime function of patients compared with medication. Acupuncture using pattern-identification is one type of individualized therapy and use in actual clinical setting. Our result may provide useful evidence to practitioners in clinical practice because this design may reflect acupuncture treatment in real world.
Acupuncture using pattern-identification for the treatment of insomnia disorder: a systematic review and meta-analysis of randomized controlled trials Kim SH, Jeong JH, Lim JH, Kim BK
2018 Disability and Rehabilitation
Standard acupuncture was significantly more effective for restless legs syndrome severity than control conditions.
The current management of restless leg syndrome is primarily pharmacological, and medications can have unwanted side effects.
Repetitive transcranial magnetic stimulation, exercise, compression devices, counterstrain manipulation, infrared therapy, and standard acupuncture may reduce restless leg syndrome severity.
Vibration pads, cryotherapy, yoga, compression devices, and acupuncture may improve some sleep-related outcomes in restless leg syndrome.
Non-pharmacological interventions for RLS may cause placebo effects and rehabilitation professionals should control for this possibility in future investigations.
Non-pharmacological interventions for restless legs syndrome: a systematic review of randomised controlled trials Harrison EG, Keating JL, Morgan PE.
2018 Medicine
Acupuncture might have effect in decreasing the number of micturition episodes, incontinence episodes, and nocturia episodes.
Overactive bladder is stated as the occurrence of urinary urgency which will cause negative impacts and decrease patients’ health-related quality of life. The aim of this systematic review is to assess the efficiency and safety of acupuncture for adults with overactive bladder (OAB) comparing with sham-acupuncture, drugs, and acupuncture plus drugs.
Acupuncture might have effect in decreasing the number of micturition episodes, incontinence episodes, and nocturia episodes. However, the evidence is insufficient to show the effect using acupuncture alone or the additional effect to drugs in treating OAB.
Acupuncture for adults with overactive bladder: A systematic review and meta-analysis of randomized controlled trials Zhao Y, Zhou J, Mo Q, Wang Y, Yu J, Liu Z.
2018 Sleep Medicine Reviews
The results showed that even fragile populations such as the elderly and dialysis patients can benefit from acupressure to improve sleep quality.
Thirty-two eligible randomized controlled trials of moderate to high quality which employed polysomnography, actigraphy, or self-assessment sleep quality tools were included. We conducted a meta-analysis using a random effects model with the Pittsburgh sleep quality index (PSQI) as the primary outcome measure (968 adult patients, 13 trials) for trials investigating the effects of traditional Chinese medicine acupressure compared with standard and sham treatments.
We performed subgroup analyses to detect sources of heterogeneity, identify the use of acupoints in different populations and explore the contributions of PSQI domains to the total score change. Comparison with the sham group (7 trials with 385 patients) yielded low heterogeneity and an overall effect of 13%–19% improvement in the PSQI score. Based on data from four trials (n = 250), sleep latency and sleep duration were most affected. No adverse effects were reported in any of the reviewed trials.
Acupressure effect on sleep quality: A systematic review and meta-analysis Alexander Waits, You-Ren Tang, Hao-Min Cheng, Chen-Jei Tai, Li-Yin Chien
2017 Journal of Acupuncture and Meridian Studies
The combination of acupuncture and a low dose of gabapentin (300 mg/d) is clinically effective in treating restless legs syndrome and has an additional therapeutic benefit compared to gabapentin alone.
The study aimed to investigate the effectiveness of medical acupuncture as an additional treatment to gabapentin for controlling restless legs syndrome (RLS) symptoms. Forty-six RLS patients were randomly assigned to either receive 10 sessions of acupuncture plus gabapentin or gabapentin alone over four weeks, with their symptoms assessed before, immediately after, and eight weeks after treatment. Results showed that the experimental group had significantly better improvements in VAS, IRLSRS, and PSQI compared to the control group. After the treatment, both groups had significant improvements in VAS and IRLSRS, while only the experimental group had a significant improvement in PSQI.
Evaluation of Acupuncture in the Treatment of Restless Legs Syndrome: A Randomized Controlled Trial Raissi GR, Forogh B, Ahadi T, Ghahramanpoori S, Ghaboussi P, Sajadi S
2017 Sleep Medicine Reviews
The severity of primary restless legs syndrome symptoms can be significantly ameliorated by acupuncture.
Complementary and alternative therapies have been found to be effective in both primary and secondary restless legs syndrome (RLS). The severity of primary RLS symptoms can be significantly ameliorated by exercise training, transcutaneous spinal direct current stimulation, pneumatic compression devices, light therapy, repetitive transcranial magnetic stimulation, and acupuncture. Pneumatic compression devices and yoga also improve RLS-related disorders. Exercise training is highly efficacious in the reduction of symptom severity in uremic RLS and related effects such as poor quality of life. Endovenous laser ablation may be a good choice for patients with concurrent RLS and superficial venous insufficiency.
Complementary and alternative therapies for restless legs syndrome: An evidence-based systematic review Xu XM, Liu Y, Jia SY, Dong MX, Cao D, Wei YD.
2017 Journal of Physics Conference Series
Acupuncture treatment effectively improved the quality of sleep and the quality of life for chronic hemodialysis patients.
Twenty-eight hemodialysis patients suffering from insomnia were divided randomly into two groups, an acupuncture group (n = 15) who received acupuncture treatment at the points HT7 Shenmen, PC6 Neiguan, GV20 Baihui, and EX-HN1 Sishenchong, anda control group (n = 13) who underwent a sham procedure in which a needle was inserted into an elastic bandage at the same points. The acupuncture treatment was done during hemodialysis twice a week for five weeks. PSQI scores and the WHOQOL-BREF were assessed before treatment, after the fifth treatment, and at the end of the treatment. Significant differences were found in the PSQI score and in the WHOQOL-BREF between the acupuncture group and the control group by the end of the period of treatment. Acupuncture treatment effectively improved the quality of sleep and the quality of life for these chronic hemodialysis patients.
The effect of acupuncture treatment for insomnia in chronic hemodialysis patients J A Widjaja, C Simadibrata, A Srilestari, M B H Marbun
2016 Complementary Therapies in Medicine
Acupuncture compared to sham/placebo and pharmacotherapy showed statistically significant results for insomnia.
Acupuncture is widely used in Asia and increasingly in Western countries. We performed a systematic review and meta-analysis to examine the effects of acupuncture for insomnia. Acupuncture compared to sham/placebo and pharmacotherapy showed statistically significant results. However, the evidence is limited by bias in the included studies and heterogeneity. Well-designed studies are needed to confirm the results identified in this review.
A systematic review of acupuncture for sleep quality in people with insomnia Shergis JL, Ni X, Jackson ML, Zhang AL, Guo X, Li Y, Lu C, Xue CC
2016 Evidence-Based Complementary and Alternative Medicine
Both manual acupuncture and electroacupuncture were effective in improving the apnea/hypopnea index and mean SaO2 in the treatment of obstructive sleep apnea.
To the best of our knowledge, this is the first meta-analysis aiming to assess the clinical effect of acupuncture therapy in the treatment of obstructive sleep apnea; six studies involving 362 subjects were selected in our study.
The findings of our work suggest that manual acupuncture was more effective in the improvement of apnea/hypopnea index, apnea index, hypopnea index, and mean SaO2 when compared with nonspecific treatment; electroacupuncture could further improve apnea/hypopnea index and apnea index; there was no significant difference regarding the improvement of hypopnea index and SaO2. Regarding the comparison of manual acupuncture and nasal continuous positive airway pressure (nCPAP) therapy, manual acupuncture was more effective in improving apnea/hypopnea index. No adverse events associated with acupuncture therapy were documented.
The Clinical Effect of Acupuncture in the Treatment of Obstructive Sleep Apnea: A Systematic Review and Meta-Analysis of Randomized Controlled Trials Zheng-tao Lv, Wen-xiu Jiang, Jun-ming Huang, Jin-ming Zhang, An-min Chen
2015 Sleep Medicine
Chinese herbal medicine was superior to placebo and benzodiazepine drugs and was superior to benzodiazepines and psychotherapy alone as an adjunct therapy in terms of subjective sleep quality and quantity and safety.
In this study, we systematically reviewed 79 RCTs investigating a variety of Chinese herbal medicine (CHM) treatments for participants with insomnia. We also performed meta-analyses to estimate the efficacy of CHM on subjective sleep quality assessed by validated instruments, patient-rated sleep parameters, clinician-reported severity, and PSG results, as well as to determine the safety of CHM.
Overall, this systematic review and meta-analysis showed that CHM was superior to placebo and benzodiazepine drugs (BZDs) when used as a monotherapy and was superior to BZDs and psychotherapy alone as an adjunct therapy in terms of subjective sleep quality and quantity and safety. CHM was not associated with more benefit than non-BZDs, although the risks were less. These results suggest that CHM could be a promising alternative therapy with a good benefit–risk ratio.
Updated clinical evidence of Chinese herbal medicine for insomnia: a systematic review and meta-analysis of randomized controlled trials Xiaojia Ni, Johannah Linda Shergis, Xinfeng Guo, Anthony Lin Zhang, Yan Li, Chuanjian Lu, Charlie Changli Xue
2013 International Review of Neurobiology
The clinical efficacy of acupuncture appeared to be supported by evidence obtained from basic neuroendocrinological studies.
A number of studies have demonstrated that acupuncture may modulate a wide range of neuroendocrinological factors following stimulation of acupoints. Evidence has suggested that the clinical efficacy of acupuncture in treatment of insomnia is potentially mediated by a variety of neurotransmitters including norepinephrine, melatonin, gamma-aminobutyric acid, and β-endorphin. However, due to the complexity, these findings are far from conclusive. More research is necessary. More rigors methodology and integrated approach to evaluate both clinical and basic research evidence are required for future studies.
Acupuncture for the treatment of insomnia Kaicun Zhao
2009 The Journal of Alternative and Complementary Medicine
Clinical studies have shown that acupuncture may have a beneficial effect on insomnia compared with Western medication.
Forty-six (46) randomized trials involving 3811 patients were included, and the methodological quality of trials was generally fair in terms of randomization, blinding, and intention-to-treat analysis. Meta-analyses showed a beneficial effect of acupuncture compared with no treatment and real acupressure compared with sham acupressure on total scores of Pittsburgh Sleep Quality Index. Acupuncture was superior to medications regarding the number of patients with total sleep duration increased for >3 hours. However, there was no difference between acupuncture and medications in average sleep duration. Acupuncture plus medications showed better effect than medications alone on total sleep duration. Similarly, acupuncture plus herbs was significantly better than herbs alone on increase of sleep rates. There were no serious adverse effects with related to acupuncture treatment in the included trials.
Acupuncture for Treatment of Insomnia: A Systematic Review of Randomized Controlled Trials Cao H, Pan X, Li H, Liu J.
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Although well-conducted clinical research can help members of the public to make better-informed decisions about their healthcare, we do not make any claims that any particular treatment may be efficacious for any individual person.
When you consult with our Chinese medicine practitioners, you'll receive personalised advice and treatment based on your symptoms and Chinese medicine diagnosis.
Scientific References
Browse our collection of scientific clinical research on acupuncture for insomnia & sleep disorders.
It includes recent and reputable papers published by peer-reviewed journals within the last 10 years.

2021, May 24
Efficacy and Safety of Scalp Acupuncture for Insomnia: A Systematic Review and Meta-Analysis
Evidence-Based Complementary and Alternative Medicine
Scalp acupuncture is effective and safe in the treatment of insomnia, which is worthy of clinical application. However, due to the limited number of included literature, the methodology of some studies is slightly low and the quality of literature is slightly poor. In the future, we need to design rigorous, large sample, multiple center randomized controlled study to further verify the conclusion of this study.
Fu-gui Liu, Ai-hua Tan, Chao-qun Peng, Yun-xia Tan, Ming-chao Yao Full Article

2020, Dec 10
Efficacy and Safety of Electroacupuncture for Insomnia Disorder: A Multicenter, Randomized, Assessor-Blinded, Controlled Trial
Nature and Science of Sleep
Ten sessions of electroacupuncture can improve the sleep quality of patients with insomnia without serious adverse effects. Thus, it can be recommended as an effective, safe, and well-tolerated intervention.
Lee B, Kim BK, Kim HJ, Jung IC, Kim AR, Park HJ, Kwon OJ, Lee JH, Kim JH. Full Article

2020, Dec 1
Investigation the effect of jujube seed capsule on sleep quality of postmenopausal women: A double-blind randomized clinical trial
BioMedicine China Medical University
Consumption of the jujube seed capsule had a positive impact on improving the sleep quality of postmenopausal women and could be recommended as a useful herbal medication.
Mahmoudi R, Ansari S, Haghighizadeh MH, Maram NS, Montazeri S. Full Article

2020, Nov 1
The effects of acupuncture versus sham/placebo acupuncture for insomnia: A systematic review and meta-analysis of randomized controlled trials
Complementary Therapies in Medicine
Based on the outcomes included in this study, the efficacy of acupuncture was superior to that of placebo acupuncture in treating insomnia. Types of acupuncture therapy and placebo may underestimate the efficacy of acupuncture in different ways.
Zhang J, He Y, Huang X, Liu Y, Yu H Full Article

2020, Mar 6
Acupuncture for Obstructive Sleep Apnea (OSA) in Adults: A Systematic Review and Meta-Analysis
BioMed Research International
Acupuncture therapy is effective for OSA patients in reducing AHI and ESS and in improving the LSaO2 of various severities, especially in moderate and severe OSA patients. High-quality trials are urgently needed.
Liaoyao Wang, Jia Xu, Yijun Zhan, Jian Pei Full Article

2020, Jan
Placebo effect of acupuncture on insomnia: a systematic review and meta-analysis
Annals of Palliative Medicine
Compared to the sham groups, acupuncture significantly decreased the Pittsburgh Sleep Quality Index (PSQI) score. In addition, a significant difference was detected in the change of Insomnia Severity Index (ISI) scores between acupuncture and sham acupuncture. The authors concluded that acupuncture treatment of insomnia is efficacious, not because of its placebo effect.
Liu C, Xi H, Wu W, Wang X, Qin S, Zhao Y, Zheng S, Wan Q, Xu L. Full Article

2019, Sep
Acupuncture using pattern-identification for the treatment of insomnia disorder: a systematic review and meta-analysis of randomized controlled trials
Integrative Medicine Research Korea Institute of Oriental Medicine
Acupuncture using pattern identification led to significantly improved total effectiveness rate compared to medication. With regard to PSQI, as compared to the control group, acupuncture using pattern identification was similar to medication. However, this study has limitations of high risk of bias, not using a standardized pattern-diagnosis-treatment and not comparing with standarized acupuncture without pattern identification.
Kim SH, Jeong JH, Lim JH, Kim BK Full Article

2019, Jun 24
Acupuncture for Chronic Pain-Related Insomnia: A Systematic Review and Meta-Analysis
Evidence-Based Complementary and Alternative Medicine
Acupuncture therapy is an effective and safe treatment for CPRI, and this treatment can be recommended for the management of patients with CPRI. Due to the low quality and small sample size of the included studies, more rigorously designed RCTs with high quality and large sample size are recommended in future.
Fushui Liu, Jianyu You, Qi Li, Ting Fang, Mei Chen, Nana Tang, Xiaojun Yan Full Article

2018, Mar 21
Non-pharmacological interventions for restless legs syndrome: a systematic review of randomised controlled trials
Disability and Rehabilitation
The current management of restless leg syndrome is primarily pharmacological, and medications can have unwanted side effects. Repetitive transcranial magnetic stimulation, exercise, compression devices, counterstrain manipulation, infrared therapy, and standard acupuncture may reduce restless leg syndrome severity. Vibration pads, cryotherapy, yoga, compression devices, and acupuncture may improve some sleep-related outcomes in restless leg syndrome.
Harrison EG, Keating JL, Morgan PE. Full Article

2018, Feb 23
Acupuncture for adults with overactive bladder: A systematic review and meta-analysis of randomized controlled trials
Medicine
The combined results showed that electroacupuncture (EA) may be more effective than sham electroacupuncture (sham EA) in improving the 24-hour nocturia episodes and EA may enhance tolterodine for relieving voiding symptoms and enhancing patients’ quality of life. Acupuncture might have effect in decreasing the number of micturition episodes, incontinence episodes, and nocturia episodes.
Zhao Y, Zhou J, Mo Q, Wang Y, Yu J, Liu Z. Full Article

2017, Oct
Evaluation of Acupuncture in the Treatment of Restless Legs Syndrome: A Randomized Controlled Trial
Journal of Acupuncture and Meridian Studies Medical Association of Pharmacopuncture Institute
Based on the findings of the present study, acupuncture plus a low dose of gabapentin (300 mg/d) is clinically useful in the treatment of restless legs syndrome during 8 weeks follow up, and also has an additive therapeutic effect over gabapentin alone in patients with restless legs syndrome.
Raissi GR, Forogh B, Ahadi T, Ghahramanpoori S, Ghaboussi P, Sajadi S Full Article

2017, Aug 30
The effect of acupuncture treatment for insomnia in chronic hemodialysis patients
Journal of Physics Conference Series
Acupuncture treatment effectively improved the quality of sleep and the quality of life for these chronic hemodialysis patients.
J A Widjaja, C Simadibrata, A Srilestari, M B H Marbun Full Article

2017, Jun 19
Complementary and alternative therapies for restless legs syndrome: An evidence-based systematic review
Sleep Medicine Reviews
The severity of primary RLS symptoms can be significantly ameliorated by exercise training, transcutaneous spinal direct current stimulation, pneumatic compression devices, light therapy, repetitive transcranial magnetic stimulation, and acupuncture.
Xu XM, Liu Y, Jia SY, Dong MX, Cao D, Wei YD. Full Article

2016, Jun
A systematic review of acupuncture for sleep quality in people with insomnia
Complementary Therapies in Medicine
Acupuncture compared to sham/placebo and pharmacotherapy showed statistically significant results. However, the evidence is limited by bias in the included studies and heterogeneity. Well-designed studies are needed to confirm the results identified in this review.
Shergis JL, Ni X, Jackson ML, Zhang AL, Guo X, Li Y, Lu C, Xue CC Full Article

2016, Apr 4
The Clinical Effect of Acupuncture in the Treatment of Obstructive Sleep Apnea: A Systematic Review and Meta-Analysis of Randomized Controlled Trials
Evidence-Based Complementary and Alternative Medicine
Compared to control groups, both MA and EA were more effective in improving AHI and mean SaO2. In addition, MA could further improve apnea index and hypopnea index compared to control.
Zheng-tao Lv, Wen-xiu Jiang, Jun-ming Huang, Jin-ming Zhang, An-min Chen Full Article

2015, Dec
Updated clinical evidence of Chinese herbal medicine for insomnia: a systematic review and meta-analysis of randomized controlled trials
Sleep Medicine
Overall, oral CHM used as a monotherapy or as an adjunct to conventional therapies appears safe, and it may improve subjective sleep in people with insomnia. However, the typical effect of CHM for insomnia cannot be determined due to heterogeneity. Further study focusing on individual CHM formula for insomnia is needed. The development of a comparable placebo is also needed to improve the successful blinding in RCTs.
Xiaojia Ni, Johannah Linda Shergis, Xinfeng Guo, Anthony Lin Zhang, Yan Li, Chuanjian Lu, Charlie Changli Xue Full Article

2015, Feb 11
Actigraph Evaluation of Acupuncture for Treating Restless Legs Syndrome
Evidence-Based Complementary and Alternative Medicine
Standard but not randomized acupuncture reduced the abnormal leg activity of nocturnal activity and early sleep activity. No side effects were observed. The results indicate that standard acupuncture might improve the abnormal leg activity in restless legs syndrome patients and thus is a potentially suitable integrative treatment for long-term use.
Pan W, Wang M, Li M, Wang Q, Kwak S, Jiang W, Yamamoto Y Full Article

2013, Jan
Acupuncture for the treatment of insomnia
International Review of Neurobiology
A number of studies have demonstrated that acupuncture may modulate a wide range of neuroendocrinological factors following stimulation of acupoints. Evidence has suggested that the clinical efficacy of acupuncture in treatment of insomnia is potentially mediated by a variety of neurotransmitters including norepinephrine, melatonin, gamma-aminobutyric acid, and β-endorphin.
Kaicun Zhao Full Article

2009, Nov
Acupuncture for Treatment of Insomnia: A Systematic Review of Randomized Controlled Trials
The Journal of Alternative and Complementary Medicine Society for Acupuncture Research
Acupuncture appears to be effective in treatment of insomnia. Meta-analyses showed a beneficial effect of acupuncture compared with no treatment and real acupressure compared with sham acupressure on total scores of Pittsburgh Sleep Quality Index. Acupuncture was superior to medications regarding the number of patients with total sleep duration increased for >3 hours. Acupuncture plus medications showed better effect than medications alone on total sleep duration. Similarly, acupuncture plus herbs was significantly better than herbs alone on increase of sleep rates. There were no serious adverse effects with related to acupuncture treatment in the included trials.
Cao H, Pan X, Li H, Liu J. Full Article
