Acupuncture and Traditional Chinese Medicine

Frequently Asked Questions

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Yes, acupuncture is safe. Acupuncture needles are made from sterile stainless steel and are single use so that the risk of contamination or infection is eliminated. Claire Watkins Acupuncture follows the safe practice guidelines outlined by The British Acupuncture Council and has an operating licence from Durham County Council which ensures that the highest standards of hygiene are upheld. 


The York acupuncture safety study (MacPherson et al., 2001) was published in the British Medical Journal in 2001 and reviews the safety of acupuncture. This prospective survey of 34 000 treatments by traditional acupuncturists, concluded that “Comparison of this adverse event rate for acupuncture with those of drugs routinely prescribed in primary care suggests that acupuncture is a relatively safe form of treatment”.

Acupuncture needles are very fine and you don’t usually feel them as they are inserted. This is because some acupuncture needles are as fine as a human hair. Some patients have described needle insertion feeling like a small nip in more sensitive locations.

Once the needles are inserted you may feel a warmth, tingling or a dull ache, this is a therapeutic feeling and described in Traditional Chinese Medicine (TCM) as ‘De-Qi’. Deeply rooted in ancient Chinese literature is the concept of the “arrival of energy” or Qi during acupuncture, also known as De-Qi. This sensation can be obtained by various needle manipulation methods, bringing Qi to the needle.

Classical texts state that acupuncture is not effective until De-Qi is obtained. Both practitioner and patient can feel De-Qi sensations, however, their experiences of De-Qi are very different. Patients may feel a strong dullness, warmth, or heaviness where the needle has been manipulated, and the practitioner can feel a grasp on the needle like a fish taking bait from a hook.

Since the mid 1980s, researchers have tried to capture De-Qi sensations with a variety of patient sensation questionnaires. But the question of ‘does obtaining De-Qi improve the effectiveness of acupuncture?’ has not been definitively answered with research.

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