Introduction
Migraine is a common disorder with a 1-year prevalence
of 10%–12% and a lifetime prevalence of 15%–
20%.1 Frequent severe headaches results in diminished
quality of life and long-lasting headaches can lead to depression,
as well as high economic cost due to absence from
work.2 Most patients can be satisfactorily treated with the
treatment of acute attacks, but a relevant minority need
prophylactic interventions because their headaches are too
frequent or are insufficiently controlled with rescue treatment.
Despite the introduction of a wide variety of prophylactic
medications, some patients currently experience
frequent attacks refractory to medications or are unable or
unwilling to use drug prophylaxis. Thus, an alternative safe
and effective treatment modality is needed.
Acupuncture is a traditional Chinese intervention that has
been widely used in the prevention and treatment of migraine
headaches. A Cochrane review suggested that acupuncture
is at least as effective as, or possibly more effective
than, prophylactic drug treatment, and has fewer adverse
effects.3 However, there is no consensus that classic
acupuncture is more effective than sham interventions.4–7
Yamamoto new scalp acupuncture (YNSA) is recently
IntroductionMigraine is a common disorder with a 1-year prevalenceof 10%–12% and a lifetime prevalence of 15%–20%.1 Frequent severe headaches results in diminishedquality of life and long-lasting headaches can lead to depression,as well as high economic cost due to absence fromwork.2 Most patients can be satisfactorily treated with thetreatment of acute attacks, but a relevant minority needprophylactic interventions because their headaches are toofrequent or are insufficiently controlled with rescue treatment.Despite the introduction of a wide variety of prophylacticmedications, some patients currently experiencefrequent attacks refractory to medications or are unable orunwilling to use drug prophylaxis. Thus, an alternative safeand effective treatment modality is needed.Acupuncture is a traditional Chinese intervention that hasbeen widely used in the prevention and treatment of migraineheadaches. A Cochrane review suggested that acupunctureis at least as effective as, or possibly more effectivethan, prophylactic drug treatment, and has fewer adverseeffects.3 However, there is no consensus that classicacupuncture is more effective than sham interventions.4–7Yamamoto new scalp acupuncture (YNSA) is recently
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