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Open Access Highly Accessed Technical advance

A double-blind placebo needle for acupuncture research

Nobuari Takakura123* and Hiroyoshi Yajima123

Author Affiliations

1 Hanada College: Japan School of Acupuncture, Moxibustion and Physiotherapy 20-1 Sakuragaoka-machi, Shibuya-ku, Tokyo 150-0031, Japan

2 Second Department of Physiology, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8555, Japan

3 The Institute for Oriental Medicine Research Foundation, 28-9 Sakuragaoka-machi, Shibuya-ku, Tokyo 150-0031, Japan

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BMC Complementary and Alternative Medicine 2007, 7:31  doi:10.1186/1472-6882-7-31

Published: 10 October 2007



Placebo needles that can mask acupuncture practitioners to the type of needle used have been considered almost impossible to develop until now.


We designed a double-blind non-penetrating placebo needle, the needle tip of which simply presses against the skin, and a matched penetrating needle. The needles are encased inside an opaque guide tube and the appearance and feel of the pair are designed to be indistinguishable. To validate the masking effect for the practitioner, 10 acupuncturists each applied 23 non-penetrating needles and 17 penetrating needles to the Large Intestine-4 point. After removing each needle, they judged whether the needle was 'penetrating', 'non-penetrating' or 'unidentifiable'. For the validation of patient masking, an acupuncturist randomly applied a non-penetrating/penetrating needle pair to the bilateral Sanjiao-5 points in 60 volunteers. When both applications were completed, we asked them to write down anything that they noticed regarding the needle application and associated sensations.


The mean ± SD of correct/unidentifiable/incorrect answers given by the 10 acupuncturists were 17.0 ± 4.1/6.4 ± 3.6/16.6 ± 3.0, respectively. Regarding patient masking, none of the subjects commented in the questionnaire that they had received a non-penetrating needle. Of 60 penetrating and 60 non-penetrating needle applications, 48 (80.0%) and 25 (41.7%) applications elicited skin penetration sensation and 48 (80.0%) and 20 (33.3%) applications elicited de qi, respectively.


These needles have the potential to mask both practitioners and patients from the type of needle used in acupuncture research.