Experimental study on changes of histology and ultrastructure of the auricular stomach point in rabbits with acute and chronic gastritis. Citation: (Liu 2021)

Dr. Jihong Liu, MD, at the Preventative Treatment Center of the Foshan Hospital of Traditional Chinese Medicine in Foshan, China, et al. have studied the auricular stomach point of rabbits with acute and chronic gastritis to observe the changes in histological and ultrastructure of the auricular point against those in control groups. Results showed histological changes, including mast cells infiltration, hyperplasia of epidermis and dermis and loosed dense connective tissue, were observed in ...


Patient Feedback on the Effectiveness of Auricular Acupuncture on Pain in Routine Clinical Care: The Experience of 11,406 Veterans. Citation: (Zeliadt 2020, 101-107)

The American Veterans Health Administration (VHA) launched a national initiative to train providers in Battlefield Acupuncture (BFA) treatment as a non-pharmacological approach to pain management, and performed a research project over a 2 year period (2016-2018) to evaluate its effectiveness on immediate pain relief. This project took place at 57 VHA medical centers in the United States. A total of 11,406 veterans were treated with BFA at least once, in some cases 3 times.  More than 75% expe...


Review of Transcutaneous Vagus Nerve Stimulation: Challenges for Translation to Clinical Practice. Citation: (Yap 2020)

Several studies investigating the use of transcutaneous vagus nerve stimulation (tVNS) for disorders tinnitus, migraine and pain show therapeutic effects similar to those produced by the more invasive direct vagus nerve stimulation (VNS). Although VNS is an FDA-approved therapy for the treatment of both depression and epilepsy, it is limited to being a second or third-line treatment option for severe, intervention-resistant cases, due to risks involved with device implantation. In contrast, t...


The anatomical basis for transcutaneous auricular vagus nerve stimulation. Citation: (Butt 2019)

Our metabolic functions (e.g. organs, glands, involuntary muscles) are influenced by the autonomic nervous system (ANS) via sympathetic and parasympathetic divisions. The vagus nerve, the 10th longest of the cranial nerves, is a major component of the parasympathetic nervous system and serves to maintain homeostasis providing bidirectional communication between the body and brain.  The neuroatanomy of the auricular branch of the vagus nerve (ABVN) offers insight for an understanding of the ef...


Current Directions in the Auricular Vagus Nerve Stimulation II – An Engineering Perspective. Citation: (Kaniusas 2019, 772)

Bioelectronic medicine progressively comes into focus as offering a non-pharmaceutical treatment option for various diseases. Here neuromodulation of the vagus nerve (VN) has gained a special interest. In a comprehensive review technical issues, modeling concepts, regulatory and safety requirements, and novel architectures of open and closed-loop aVNS paradigms, Kaniusas and his colleagues focus on the physiological role of VN including a biology-driven rationale for Auricular Vagus Nerve Sti...


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. 


Auricular Chromotherapy in the Treatment of Psychologic Trauma, Phobias, and Panic Disorder. Citation: (Yoshizumi 2018)

The use of auricular methods for application in the field of psychology is supported by research such as the positive treatment results from auricular chromotherapy presented by Alexandre Massao Yoshizumi, MS, Daniel Guillermo Asis, MD, and Fabiola Andrade Luz, PhD. The auricular chromotherapy protocol, a technique developed by Dr. Asis and Dr. Federico Zarragoicoechea (with contributions from Jorge Boucinhas and Rafäel Nogier, MD), shows that simple auricular methods — methods that require l...


Anatomo-Physiologic Basis for Auricular Stimulation. Citation: (Mercante 2018, 141-150)

The human ear (the auricle) offers access for neuromodulation in support of a broad range of therapeutic approaches. Auricular methods work well under both biomedical and biopsychosocial models (for pain and other conditions). From Transcutaneous Electrical Nerve Stimulation,[1] to acupuncture,[3][6] to psychological frameworks such as Polyvagal Theory, Trauma-Informed Care, and Somatic Psychology,[2-3] auricular methods provide an integrative pathway to healing that is grounded in a holistic...


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...


Combined electroacupuncture and auricular acupuncture for postoperative pain after abdominal surgery for gynecological diseases: study protocol for a randomized controlled trial. Citation: (Lam 2018)

Often, study results of acupuncture for relief of postoperative pain do not offer compelling results owing to high risk of bias associated with improper randomization, inadequate control, and lack of blinding and allocation concealment. Systematic reviews do conclude that the evidence for Auricular Acupuncture on reducing postoperative pain is promising [18]. Study protocols such as this, provide an example for integrative medicine practice in a hospital setting for the management of postoper...