Study ID and Country Sample size R/A Age: mean (SD) or range R/A Intervention Control Adverse events reported R/A Type of outcomes Allison et al. [17 ] 1995, USA 35/34 19 - 70 AAS Placebo Redness, pain, bleeding BW, Hsu et al. [18 ] 2005, Taiwan 24/22 41.5(11.2)/41.0 (10.0) EA LM Ecchymosis , abdominal discomfort /None BW, BMI Richards et al. [19 ] 1998, Australia 28/32 44.1 (11.7)/43.0 (13.6) AAS Placebo intercurrent illness and discontinued /None BW He et al. [20 ] 2008, China 40/40 18 - 50 Combined therapies# Pharmacotherapy NR BW, BMI Li et al. [21 ] 2006, China 26/30 16.00(1.38)/16.00(1.95) EA LM NR BMI 29/30 15.00(2. 04)/16.00(1.95) AAS Tong et al. [22 ] 2011, China 76/42 35.08(9.31)/34.60(8. 55) Acupuncture Placebo Adverse events VAS BMI Hsu et al. [23 ] 2009, Taiwan 23/22 40.0 (10.5)/39.4 (13.6) AAS Placebo Minor-inflammation , mild tenderness (7)/mild tenderness BW, BMI Hsieh et al. [24 ] 2010, Taiwan 26/26 18 - 20 AAS Placebo NR BMI Hsieh et al. [25 ] 2011, Taiwan 27/28 18 - 20 AAS Placebo NR BW Abdi et al. [26 ] 2012, Iran 86/83 37.29(1.0)/38.73 (1.1) AAS Placebo None BW, BMI Darbandi et al. [27 ] 2012, Iran 43/43 37.57(9.26)/37.65(9.71) AR+ LM Placebo None BW, BMI, He et al. [28 ] 2012, China 30/30 18-54 AR+ LM LM NR BW, BMI Lien et al. [29 ] 2012, Taiwan 24/23 39.2(11.6)/40.7 (9.7) AAS Placebo Dizziness /None BW, BMI Darbandi et al. [30 ] 2014, Iran 20/20 38.0(0.9)/38.0(1.3) EA Placebo(EA) None BW, BMI 20/20 39.0(1.8)/37.9(1.5) AAS Placebo(AAS) Yeh et al. [31 ] 2015, Taiwan 36/34 29.9 (7.7)/32.8 (9.5) EA Placebo NR BMI Chen et al. [32 ] 2007, China 40/40 43.1(13.6)/44.6(10.3) ACE Acupuncture NR BW, BMI Huang et al. [33 ] 2011, China 30/30 NR ACE EA NR BW, BMI Tang et al. [34 ] 2009, China 33/32 21-54/22-55 Combined therapies EA NR BW, BMI Shi et al, [35 ] 2006, China 40/42 17-49/18-51 Combined therapies EA NR BW, BMI Hsu et al. [36 ] 2005, Taiwan 22/20 40.0 (11.5)/41.3 (9.9) EA LM mild Ecchymosis(3), abdominal discomfort /None BW, BMI Güçel et al. [37 ] 2012, Turkey 20/20 34.6±6.3/36.8±7.8 Acupuncture Placebo NR BW, BMI Deng et al. [38 ] 2014, China 30/30 32(7)/33(7) Combined therapies Acupuncture NR BW 30/30 32(7)/33(8) ACE Hassan et al. [39 ] 2014, Egypt 21/30 45.00 (9.32)/43.47 (9.59) AR+ LM LM NR BW, BMI He et al. [40 ] 2014, China 28/28 NR Combined therapies Acupuncture NR BW, BMI Wang et al. [41 ] 2013, China 45/45 31(10)/32(12) EA Acupuncture NR BMI Sujung et al. [42 ] 2014, South Korea 22/15 34.7(11.9)/42.7(10.2) AAS Placebo NR BW, BMI Bu et al. [43 ] 2007, China 32/23 32.1(1.1)/33.4(1.3) Combined therapies Acupuncture NR BW, BMI Shi et al. [44 ] 2005, China 36/32 19~58/18~56 WA EA NR BW Yang et al. [45 ] 2010, China 31/30 18~42/18~48 AR+ LM LM NR BW Cabioglu et al. [46 ] 2005, Turkey 22/12 39.8(5.3)/43.3(4.3) EA Placebo NR BW 22/21 39.8(5.3)/42.7(3.9) LM Cabioglu et al. [47 ] 2006, Turkey 20/15 42.1(4.4)/41.8(4.6) EA Placebo NR BW 20/15 42.1(4.4)/42.9 (4.3) LM Cabioglu et al. [48 ] 2008, Turkey 20/15 40.55 (5.30)/41.47 (4.61) EA Placebo NR BW 20/23 40.55 (5.30)/42.91(4.02) LM Darbandi et al. [49 ] 2013, Iran 42/44 36.50 (9.26)/36.48 (8.69) AR+ LM Placebo NR BW, BMI Fogarty et al. [50 ] 2015, Australia 19/16 >18 AR+ LM Placebo NR BMI