Discussion
Findings of this study show that both YNSA and TCA can
effectively reduce the frequency and severity of migraine
attacks and improve the response to rescue treatments. Both
methods similarly reduced the need for rescue treatment and
work absence rate and improved daily activities of patients.
Regarding the efficacy and low complication rate of acupuncture
methods,3 this treatment may be appreciated as an
appropriate alternative choice for drug prophylaxis in patients
with migraine. The current results support the idea
that the acupuncture method has little effect on the outcome,
suggesting that point-specific effects play a small role in the
overall response.10 Finally, YNSA, which requires less
needling than TCA does, may be regarded as an efficacious
and feasible modality in experienced hands.
YNSA was introduced by Toshikatsu Yamamoto in 1973.
It is a microsystem of the scalp that uses anatomic and
channel points to treat disorders. YNSA differs from all
other microsystems in that it uses an extra palpatory diagnostic
system, YNSA neck diagnosis, to determine which
channel point should be manipulated. Using this additional
diagnostic tool makes the intervention more specific, with
less needling required.
DiscussionFindings of this study show that both YNSA and TCA caneffectively reduce the frequency and severity of migraineattacks and improve the response to rescue treatments. Bothmethods similarly reduced the need for rescue treatment andwork absence rate and improved daily activities of patients.Regarding the efficacy and low complication rate of acupuncturemethods,3 this treatment may be appreciated as anappropriate alternative choice for drug prophylaxis in patientswith migraine. The current results support the ideathat the acupuncture method has little effect on the outcome,suggesting that point-specific effects play a small role in theoverall response.10 Finally, YNSA, which requires lessneedling than TCA does, may be regarded as an efficaciousand feasible modality in experienced hands.YNSA was introduced by Toshikatsu Yamamoto in 1973.It is a microsystem of the scalp that uses anatomic andchannel points to treat disorders. YNSA differs from allother microsystems in that it uses an extra palpatory diagnosticsystem, YNSA neck diagnosis, to determine whichchannel point should be manipulated. Using this additionaldiagnostic tool makes the intervention more specific, withless needling required.
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