Toward an Integral Energy Medicine Model for Understanding the Vascular Autonomic Signal. Citation: (Agnes 2002)

The Vascular Autonomic Signal (VAS) is a physiological response of the neurovascular system of the body to information being brought into its energy field. This response is palpated on the wall of the radial artery. The discovery of the VAS by Dr. Paul Nogier in 1966 brought an energetic diagnostic tool to the world. Muriel Agnes, founder of the Canadian Institute of Auricular Medicine (CIAM), studied the VAS to explore mechanisms for understanding the VAS. The studies include a clinical demo...


Experimental Results in Auricular Medicine—A New Hypothesis. Citation: (Litscher 2018, 132)

This editorial proposes a multimodal concept for future research on the Vascular Autonomic Signal (VAS) through hypothesis concerning mechanisms of the VAS. Download the paper on Medicines (external link)  Litscher G, Yannacopoulos T, Kreisl P. Nogier Reflex: Physiological and Experimental Results in Auricular Medicine—A New Hypothesis. Medicines 2018;5(4):132. 


Auriculotherapy in Neurology as an Evidence-Based Medicine: A Brief Overview. Citation: (Stanton 2018, 130-132)

Gary Stanton, MD, provides an overview of how ear acupuncture is used in the treatment of various neurologic conditions. Although not comprehensive, this paper offers informative citations (primarily journal articles referenced in PubMed) to demonstrate that auriculotherapy used in neurology is an evidence-based medicine. Read the full paper (external link) Reference: Stanton G. Auriculotherapy in Neurology as an Evidence-Based Medicine: A Brief Overview. Med Acupunct. 2018;30(3):130–132.


Auricular Acupuncture for the Treatment of Pediatric Migraines in the Emergency Department. Citation: (Graff 2018, 258-262)

Headache remains a frequent complaint for children presenting to a pediatric emergency departments and typical treatments such as oral or intravenous medications do not always relieve the pain. An alternative intervention shown to be effective is auricular acupuncture. This pilot study presents a cohort study of patients 8 to 18 years of age treated by ear acupuncture, with all showing improvement or resolution of their migraine headache, Read the entire pilot study (external link) Reference...


Auricular Neuromodulation: The Emerging Concept beyond the Stimulation of Vagus and Trigeminal Nerves. Citation: (Mercante 2018, 10)

In a review of TNS, tVNS and Auricular Stimulation, Benjamina Mercante (and her colleagues Franca Deriu, and Claire-Marie Rangon) present possible sites and mechanisms of action in the Central Nervous System. The paper suggests that with the continuous advancement since the auricular maps of physician Paul Nogier, the field of advanced non-invasive neuromodulation via the ear, due to the innervation by the cervical plexus, may become the most affordable, accurate and powerful gateway to the b...


Auricular Acupuncture as an Alternative Medicine. Citation: (Stanton 2017, 23)

As a result of the increasing worldwide research into auricular acupuncture, the field is now considered by many physicians to be an evidence-based medicine. Gary Stanton at the Department of Neurology, Sleep Medicine and Pain Medicine Services at Emerson Hospital in the USA, offers a summary of the history of auricular acupuncture, its clinical rationale, indications, methods and advantages. See the report (external link). Reference:Stanton G. Auricular Acupuncture as an Alternative Me...


Investigation of a Micro-test for Circulatory Autonomic Nervous System Responses. Citation: (Moser 2017)

Most cells in the body react to signals of the autonomic nervous system. This explains the importance of this unconscious part of our nervous system for homeostatic regulation and hemodynamic balance. Searching for a suitable test for the organismic response to acupuncture, Nogier discovered a cardiovascular reaction, which could be triggered by slightly stimulating certain points mechanically on the human ear (Nogier, 1972). He called it “réflexe auriculo cardiaque” or RAC, known in English ...


Auricular Acupuncture Analgesia in Thoracic Trauma: A Case Report. Citation: (Papadopoulos 2017, 49-52)

In a case of thoracic trauma (rib fractures with pneumothorax and pulmonary contusions) with severe chest pain leading to ineffective ventilation and oxygenation, doctors in emergency department applied auricular acupuncture to ameliorate pain and hopefully improve his functional ability to cough and breathe deeply. The patients pain scores diminished considerably within minutes. Ventilation and oxygenation indices improved to safe limits. Read the full case report (external link) Reference...


A New Method in Auricular Medicine for the Investigation of the Nogier Reflex. Citation: (Litscher 2014, 205-210)

The palpation of the Vascular Autonomic Signal (VAS), also known as the Nogier reflex or Reflex Auriculo-Cardiac (RAC) is an important method used primarily in Auricular Medicine. This article presents a methodological approach for the detection and quantification of the VAS. View the paper. Reference:Litscher G, Bahr F, Litscher D, Min LQ, Hong PJ. A New Method in Auricular Medicine for the Investigation of the Nogier Reflex. Integr Med Int. 2014;1:205–210  


Use of Auricular Acupressure to Improve the Quality of Life in Diabetic Patients with Chronic Kidney Diseases: A Prospective Randomized Controlled Trial. Citation: (Wang, 2014)

In the context of an alarmingly high prevalence of albuminuria — rates indicating there will be 300 million diabetic patients in the year 2025 — this study assesses the effectiveness of simple, standardized protocol-based auricular acupressure for quality of life improvement in these patients with kidney disease. Results of this study indicated that auricular acupressure significantly helped patients with chronic kidney diseases to improve their quality of life outcomes.  Wang S, Chen Z,...


Ear acupuncture and fMRI: a pilot study for assessing the specificity of auricular points. Citation: (Romoli 2014, 189-93)

Research into the clinical specificity of ear acupuncture points representing organs or structures of the body is ongoing. In this pilot study, using functional Magnetic Resonance Imaging (fMRI), researchers study point specificity using two auricular points having different topographical locations and clinical significance: stimulation of Thumb Auricular Acupoint (TAA) and stimulation of Brain Stem Auricular Acupoint (BSAA). The differences in activation patterns between TAA and BSAA stimula...


Role of Low-Level Laser Therapy in Neurorehabilitation. Citation: (Hashmi 2010, 292-305)

Low-level laser therapy (LLLT) or photobiomodulation has been in clinical use not only for wound healing and pain relief, but also the treatment of stroke, myocardial infarction, and degenerative or traumatic brain disorders. This review, which covers the mechanisms of LLLT on a cellular and a tissue level, offers biological context to practitioners who use low-level laser (cold laser) in Auricular Medicine, specifically with relevance to neurology. Sign up for our online LLLT courses and l...