Acupuncture
This ancient therapy originating in China involves inserting very thin needles into the body surface at specific points; it is effective in treating many cancer symptoms and side effects.
Acupuncture at a glance
An ancient eastern Asian therapy, acupuncture has become widely accepted in Western medicine. Acupuncture is based on the regulation of energy pathways and circulation within your body. Treatment involves stimulating designated points on the body surface with fine needles.
Acupuncture can improve several cancer-related side effects and symptoms, including anxiety, pain, nausea and vomiting, hot flashes, peripheral neuropathy, and sleep disruption. It has not been studied for treating or reducing risk of cancer, and evidence to date shows modest effects on immune function.
This review summarizes acupuncture. We discuss related therapies in these other reviews.
CancerChoices ratings for acupuncture
We rate acupuncture on seven attributes, with 0 the lowest rating and 5 the highest. We rate the strength of the evidence supporting the use of acupuncture for a medical benefit, such as improving treatment outcomes or managing side effects.
See how we evaluate and rate complementary therapies ›
Improving treatment outcomes
See MoreWe did not find any published evidence that acupuncture has been investigated for improving treatment outcomes.
Optimizing your body terrain
See MoreEvidence of benefit
- Modest evidencesignificant effects in at least three small but well-designed randomized controlled trials (RCTs), or one or more well-designed, mid-sized clinical studies of reasonably good quality (RCTs or observational studies), or several small studies aggregated into a meta-analysis (this is the CancerChoices definition; other researchers and studies may define this differently) of higher markers of immune function during cancer treatment among people with lung cancer treated with acupoint stimulation
- Preliminary evidencesignificant effects in small or poorly designed clinical studies OR conflicting results in adequate studies but a preponderance of evidence of an effect (this is the CancerChoices definition; other researchers and studies may define this differently) of higher markers of immune function without regard to treatment phase among people treated with acupuncture and moxibustion
- Preliminary evidence of higher immune activation after surgery among people treated with warm needle acupuncture and moxibustion
- Preliminary evidence of better hormone balance during chemotherapy among people with gastrointestinal cancer with cachexiaweakness and wasting of the body due to severe chronic illness treated with acupuncture
- Preliminary evidence of a higher marker of inflammatory response during chemotherapy among people with cachexia treated with acupuncture
- Preliminary evidence of less disruption to antioxidanta molecule that can cause a free radical molecule to stabilize and become less reactive; an antioxidant can reduce harmful oxidation from free radicals levels during general anesthesia for radical surgery among people with intestinal cancer treated with acupuncture
- Preliminary evidence of lower inflammation after radical resection of colorectal cancer among people treated with warm needle acupuncture and moxibustion
- Preliminary evidence of better intestinal bacteria after colorectal resection surgery among people with colorectal cancer treated with warm needle acupuncture and moxibustion
No evidence of benefit
- No evidence of effectsoverall, one or more studies did not demonstrate that a treatment or intervention led to an expected outcome; this does not always mean that there is no effect in clinical practice, but that the studies may have been underpowered (too few participants) or poorly designed. Larger, well-designed studies provide more confidence in making assessments. on immune function during hormone therapy among people with breast cancer treated with acupuncture in a combined analysis of studies
- No evidence of an effect on inflammation during hormone therapy among people treated with acupuncture in a combined analysis of studies
Managing side effects and promoting wellness
See MoreGood evidence of benefit
- Good evidencesignificant effects in one large or several mid-sized and well-designed clinical studies (randomized controlled trials (RCTs) with an appropriate placebo or other strong comparison control or observational studies that control for confounds) (this is the CancerChoices definition; other researchers and studies may define this differently) of less depression among people with cancer treated with acupuncture
- Good evidence of less fatigue during or after cancer treatment among people treated with acupuncture
- Good evidence of fewer hot flashes during cancer treatment, including hormone therapy, among people with breast cancer treated with acupuncture
- Good evidence of fewer symptoms and pain related to chemotherapy-induced neuropathy among people treated with acupuncture
- Good evidence of less cancer-related pain without regard to treatment phase among people treated with acupuncture, whether alone or in addition to conventional pain treatments
- Good evidence of less pain related to surgery among people with cancer treated with acupuncture
- Good evidence of less stiffness but no evidence of an effect on quality of life during hormone therapy among people with breast cancer treated with acupuncture
- Good evidence of less sleep disturbance among people treated with acupuncture without regard to treatment phase
- Good evidence of better sleep quality scores during active cancer treatments among people with breast cancer treated with acupuncture compared to controls, although no evidence of an effectoverall, one or more studies did not demonstrate that a treatment or intervention led to an expected outcome; this does not always mean that there is no effect in clinical practice, but that the studies may have been underpowered (too few participants) or poorly designed. Larger, well-designed studies provide more confidence in making assessments. compared to sham acupuncture
Modest evidence of benefit
- Modest evidencesignificant effects in at least three small but well-designed randomized controlled trials (RCTs), or one or more well-designed, mid-sized clinical studies of reasonably good quality (RCTs or observational studies), or several small studies aggregated into a meta-analysis (this is the CancerChoices definition; other researchers and studies may define this differently) of less anxiety before surgery among people treated with acupuncture
- Modest evidence of less therapy-induced bone marrow suppression during cancer treatment among people with lung cancer treated with acupuncture
- Modest evidence of less breathlessness among people with advanced diseases including cancer treated with acupuncture
- Modest evidence of less cancer-related fatigue without regard to treatment phase among people treated with acupuncture
- Modest evidence of less chemotherapy-induced diarrhea or nausea and vomiting among people treated with acupuncture
- Modest but somewhat conflicting evidence of fewer hot flashes without regard to treatment phase among people with cancer, mostly with breast cancer, treated with acupuncture
- Modest evidence of fewer adverse effects among people treated with acupuncture compared to non-hormonal medication for hot flashes
- Modest evidence of less pain related to aromatase inhibitors among people treated with acupuncture
- Modest evidence of better quality of life and physical function without regard to treatment phase among people treated with acupuncture
- Modest evidence of better physical performance and quality of life during conventional treatment among people treated with acupuncture
- Modest evidence of better quality of life among people with advanced disease treated with acupuncture
Preliminary evidence of benefit
- Preliminary evidencesignificant effects in small or poorly designed clinical studies OR conflicting results in adequate studies but a preponderance of evidence of an effect (this is the CancerChoices definition; other researchers and studies may define this differently) of less anxiety or worry, irritation, and tenseness during or after chemotherapy among people treated with acupuncture
- Preliminary evidence of better white blood cell counts after radical resection of colorectal cancer among people treated with warm-needle acupuncture and moxibustion
- Preliminary evidence of better cognitive function due to less sleep disturbance among people with cancer treated with acupuncture
- Preliminary evidence of less nausea and vomiting among people treated with acupuncture without regard to treatment phase
- Preliminary evidence of quicker return of bowel function and less nausea and vomiting after colorectal cancer surgery among people treated with acupuncture
- Preliminary evidence of fewer dry mouth symptoms among people treated with acupuncture
- Preliminary evidence of fewer headaches during or after chemotherapy among people with breast cancer treated with acupuncture
- Preliminary evidence of better function during chemotherapy after colon cancer surgery among people treated with acupuncture
No evidence of benefit
- No evidence of an effectoverall, one or more studies did not demonstrate that a treatment or intervention led to an expected outcome; this does not always mean that there is no effect in clinical practice, but that the studies may have been underpowered (too few participants) or poorly designed. Larger, well-designed studies provide more confidence in making assessments. on pain during chemotherapy, radiotherapy, or hormone therapy among people treated with acupuncture in combined analyses of studies
- No evidence of an effect on gastrointestinal symptoms among people treated with acupuncture in a combined analysis of studies
- No evidence of an effect on mood distress among people with cancer treated with acupuncture in combined analysis of studies
- Modest evidence of less effect than drugs that increase saliva (cholinergic agonists) in relieving symptoms of dry mouth among people with head and neck cancer treated with acupuncture
- No evidence of additional benefit to massage therapy for anxiety, mood, fatigue, nausea, or stress during autologous tissue breast reconstruction among people treated with acupuncture in a preliminary study
Reducing cancer risk
See MoreWe did not find any published evidence that acupuncture has been investigated for reducing risk of cancer or recurrence.
Use by integrative oncology experts
See More- Recommended in clinical practice guidelines
- Widely used by integrative practitioners
Safety
See More- Acupuncture is generally safe and well tolerated, although a few mild adverse events are seen in some people
- People with some conditions, such as bleeding disorders, lymphedema in the target limb, pregnancy, and more, may be advised not to undergo acupuncture
Affordability and access
See More- Available from a trained professional
- Moderate cost (between $500 US and $2000 US/year)
Keep reading about acupuncture
Author
Ms. Hepp is a researcher and communicator who has been writing and editing educational content on varied health topics for more than 20 years. She serves as lead researcher and writer for CancerChoices and also served as the first program manager. Her graduate work in research and cognitive psychology, her master’s degree in instructional design, and her certificate in web design have all guided her in writing and presenting information for a wide variety of audiences and uses. Nancy’s service as faculty development coordinator in the Department of Family Medicine at Wright State University also provided experience in medical research, plus insights into medical education and medical care from the professional’s perspective.
Reviewers
Dr. Ryan served as a research associate for CancerChoices. She is a licensed and board certified naturopathic physician and acupuncturist in Oregon. Dr. Ryan is the founder of Gentle Natural Wellness, a clinic specializing in bridging classical Chinese medicine with naturopathic medicine to provide individualized, compassionate care for people in the community. A Doctorate of Naturopathic Medicine and Master of Science in Oriental Medicine with honors from the National University of Natural Medicine, research in medical anthropology at the University of Hawai’i and George Mason University, language and culture programs at Obirin University (Tokyo) and Sogang University (Seoul), and studies of Chinese herbal medicine and qigong in China have provided a diverse background that has helped form a foundation for her community health and healing path.
Laura Pole is senior clinical consultant for CancerChoices. Laura is an oncology clinical nurse specialist who has been providing integrative oncology clinical care, navigation, consultation, and education services for over 40 years. She is the co-creator and co-coordinator of the Integrative Oncology Navigation Training at Smith Center for Healing and the Arts in Washington, DC. Laura also manages the “Media Watch Cancer News That You Can Use” listserv for Smith Center/Commonweal. In her role as a palliative care educator and consultant, Laura has served as statewide Respecting Choices Faculty for the Virginia POST (Physician Orders for Scope of Treatment) Collaborative as well as provided statewide professional education on palliative and end-of-life care for the Virginia Association for Hospices and Palliative Care.
For CancerChoices, Laura curates content and research, networks with clinical and organizational partners, brings awareness and education of integrative oncology at professional and patient conferences and programs, and translates research into information relevant to the patient experience as well as clinical practice.
Laura sees her work with CancerChoices as a perfect alignment of all her passions, knowledge and skills in integrative oncology care. She is honored to serve you.
Dr. Spitzer is a family physician and cancer survivor. She received her medical degree from Virginia Commonwealth University School of Medicine and specializes in complementary and integrative medicine.
Last update: August 28, 2024
Last full literature review: February 2022
CancerChoices provides information about integrative in cancer care, a patient-centered approach combining the best of conventional care, self care and evidence-informed complementary care in an integrated plan cancer care. We review complementaryin cancer care, complementary care involves the use of therapies intended to enhance or add to standard conventional treatments; examples include supplements, mind-body approaches such as yoga or psychosocial therapy, and acupuncture therapies and self-care lifestyle actions and behaviors that may impact cancer outcomes; examples include eating health-promoting foods, limiting alcohol, increasing physical activity, and managing stress practices to help patients and professionals explore and integrate the best combination of conventionalthe cancer care offered by conventionally trained physicians and most hospitals; examples are chemotherapy, surgery, and radiotherapy and complementary therapies and practices for each person.
Our staff have no financial conflicts of interest to declare. We receive no funds from any manufacturers or retailers gaining financial profit by promoting or discouraging therapies mentioned on this site.