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as the real thing, with an acupuncture needle penetrating into human body.
Even a toothpick poking at traditional pressure points without breaking the skin works magic. Why? What is the significance of the experiments? Nobody knows.
Here is the free abstract of the research (the publisher does not allow non-subscribers to read full text online).
DC Cherkin et al, A Randomized Trial Comparing Acupuncture, Simulated Acupuncture, and Usual Care for Chronic Low Back Pain. Arch Intern Med. 2009;169(9):858-866.
http://archinte.ama-assn.org/cgi/content/abstract/169/9/858?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=&fulltext=acupuncture&searchid=1&FIRSTINDEX=0&resourcetype=HWCIT
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