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·ÎÀÌÅÍÅë½Å 2002³â 1¿ù 1ÀÏ 
Tuesday January 1 5:35 PM ET
Ear Acupuncture No Cure for Cocaine Addict-Study

CHICAGO (Reuters) - Treating cocaine abusers with acupuncture
needles inserted in their ears, a technique growing in popularity, was
no more effective in conquering addiction than relaxation therapy, a
study said on Tuesday.

Some of the 620 cocaine-dependent adults divided into three groups in
the study did cut their usage, but the reduction was the same whether
they underwent five-times-weekly auricular (ear) acupuncture
treatments, relaxation therapy or acupuncture needle insertions not
designed to have any therapeutic effect.

``We did not find acupuncture more effective than a needle insertion or
relaxation control in reducing cocaine use,'' said Dr. Arthur Margolin of
the Yale University School of Medicine in New Haven, Connecticut.

Writing in this week's Journal of the American Medical Association
(news - web sites), Margolin said auricular acupuncture is widely used
-- more than 400 abuse clinics in the United States and Europe offer it
-- but the mechanism by which it is supposed to work is a mystery.

In the study, the subjects underwent eight weeks of treatment and
were offered counseling as well. Only 279 completed the program, and
fewer than one out of five reported having interaction with a counselor
each week.

``Our study ... does not support the use of acupuncture as a
stand-alone treatment for cocaine addiction or when patients receive
only minimal concurrent psychosocial treatments,'' Margolin wrote.
``Research will be needed to examine the contribution of acupuncture
when provided in an ancillary role.''

......................................
BBC
Sunday, 13 August, 2000, 09:56 GMT 10:56 UK
Acupuncture for cocaine addiction
Acupuncture needles were inserted into the ear

Acupuncture is a promising treatment for cocaine addiction, say
researchers.
 
A team from Yale University successfully used the alternative therapy
to treat an addiction for which there are few effective treatments.

Volunteers received a form of the therapy called auricular acupuncture
in which needles are inserted into specific parts of the outer ear.

Tests on urine samples showed that these volunteers were less likely
to have taken cocaine during the study than others who were not
offered the therapy.

Alternative therapies can be combined with the arsenal of Western
treatments for fighting addiction
 
Dr Arthur Margolin, Yale University 

Lead researcher Dr Arthur Margolin said: "Our study supports the use
of acupuncture for cocaine addiction and shows that alternative
therapies can be combined with the arsenal of Western treatments for
fighting addiction."

Results showed that 54.8% of participants tested free of cocaine during
the last week of treatment, compared to 23.5% and 9.1% in the two
control groups.

Those who completed acupuncture treatment also had longer periods of
sustained abstinence compared to participants in the control groups.

Dr Margolin said acupuncture had the added benefit of being cheap, and
having few, if any, side effects.

Heroin and cocaine users

The study included 82 participants who were addicted to both heroin
and cocaine.

They received methadone for their heroin addiction, but they continued
to use cocaine.

The volunteers in the two control groups either received "control"
acupuncture in which needles were inserted into their ears, but not in
crucial areas, or a form of relaxation therapy.

All volunteers had treatment five times a week for eight weeks.

Urine samples were taken three times a week to assess cocaine use.

In addition to the study treatments, participants also received individual
and group counseling.

Dr Margolin said: "Controlled clinical research of acupuncture is in its
infancy, and while our positive findings are gratifying, further research
is needed to replicate the results and to better understand how to
combine acupuncture with existing treatments for addiction."

The researchers used a protocol drawn up by the National Acupuncture
Detoxification Association (NADA).

Treatment consisted of inserting 3 to 5 small needles in both outer ears
which remain in place for about 45 minutes.

The research is published in the journal Archives of Internal Medicine.
...............................