Evidence-Based Complementary and Alternative Medicine / 2014 / Article / Tab 1

Review Article

Adverse Events of Auricular Therapy: A Systematic Review

Table 1

Adverse events associated with auricular therapy reported in case reports.

Study and settingAge
(gender)
Reason for ATType of AT
(method and duration)
PractitionerSelected acupointsAEs and severityOutcomesCausality*

Ye, 2014 [22],
Chinese PLA General Hospital, Beijing, China
48 (female)ConstipationMethod: auricular acupressure using auricular plaster with vaccaria seeds
Duration: not reported
PhysicianShenmen, kidney, liver, spleen, stomach, temple, subcortex, forehead, occiputEvent(s): dizziness
Severity: not reported
Recovery after removing taped seedsProbable/likely

Yu and Xie, 2010 [23],
Teda Hospital, Tianjin, China
41 (male)Lumbar muscle strainMethod: auricular acupressure using auricular plaster with vaccaria seeds
Duration: three days per treatment, 4 treatments in total (12 days)
PhysicianHeart, liver, spleen, occiput, shenmen, sympatheticEvent(s): somnolence
Severity: not reported
Recovery after removing taped seedsProbable/likely

Huo et al., 2000 [24],
Chinese PLA 546 Hospital, Xinjiang, China
43 (male)Dilated cardiomyopathyMethod: auricular acupressure using auricular plaster with vaccaria seeds
Duration: three days per treatment, 5 treatments in total (15 days)
Not reportedHeart, liver, lung, shenmen, spleen, sympathetic, occiputEvent(s): somnolence
Severity: not reported
Recovery after removing taped seedsProbable/likely

Ma, 1992 [25],
Ningyang TCM Hospital, Shandong, China
58 (female)Chronic diarrheaMethod: auricular acupressure using auricular plaster with vaccaria seeds
Duration: 30 minutes
Not reportedLarge intestine, small intestine, shenmen, liver, sympathetic, spleenEvent(s): abdominal pain
Severity: severe
Recovery after removing taped seedsPossible

AT: auricular therapy, AE: adverse event, PLA: People's Liberation Army, and TCM: traditional Chinese medicine.
The WHO-Uppsala Monitoring Centre (UMC) System for Standardized Case Causality Assessment: certain—a plausible time relationship that adverse events clearly occurred after receiving AT and disappeared after withdrawal, and these events could not be explained by other health problems or interventions; probable/likely—a reasonable time relationship that the onset of symptoms was most likely related to AT and that was unlikely attributed to other health problems or interventions; possible—a reasonable time relationship that the onset of symptoms was most likely related to AT but that could also be explained by other health problems or interventions, and the information at withdrawal was lacking or unclear; unlikely—there was an improbable time relationship between AT and the adverse event; conditional/unclassified—event occurred but more data were essential for a proper causality assessment; unassessable/unclassifiable—an adverse event was suggested by a report but cannot be judged due to insufficient or contradictory information.

We are committed to sharing findings related to COVID-19 as quickly as possible. We will be providing unlimited waivers of publication charges for accepted research articles as well as case reports and case series related to COVID-19. Review articles are excluded from this waiver policy. Sign up here as a reviewer to help fast-track new submissions.