The debate surrounding acupuncture and dry needling often generates confusion, particularly in Western contexts. Much of this misunderstanding stems from centuries-old mistranslations of ancient Chinese medical texts, leading to the incorrect notion that acupuncture relies on “mystical energies” rather than anatomical and physiological principles recognized by modern science.
Recent scholarly work by experts such as Donald Kendall and Poney Chiang, who are well-versed in both neuroanatomy and Classical Chinese, is helping to dispel these misconceptions. Their research shows that foundational Chinese medical texts, such as the Nei Jing, provide remarkably accurate descriptions of the body’s neurovascular pathways (Jing-luo), motor points (xue), and methods for treating trigger points (Ah shi) located along myofascial tracts (historically referred to as Jing jin, but often mistranslated as “sinew meridians”).
Acupuncture and Dry Needling: A Shared Foundation
When viewed through the lens of these updated translations, it becomes clear that what we now call “dry needling” is not a separate practice but a specialized subset of techniques described in Chinese medicine over 2,000 years ago. For instance, the practice of needling tender points to alleviate muscle pain is well-documented in classical Chinese texts.
Historically, these techniques made their way to Europe during the 1600s, following the return of Jesuit missionaries from China. Despite this historical exchange, the shared roots of acupuncture and dry needling have often been obscured. In Western education systems, both practices are taught in isolation, with acupuncturists and physical therapists focusing on different aspects of the same foundational principles.
Bridging the Divide in Practice
As a practitioner trained in both acupuncture and dry needling, I integrate these methods into my practice to provide comprehensive care. Each approach offers unique strengths:
- Acupuncture points (xue) are ideal for addressing neurovascular and psycho-emotional contributors to pain and dysfunction. These points are located along pathways that align with the nervous and vascular systems, promoting healing and restoring balance.
- Dry needling techniques, which target myofascial tracts (Jing jin) and trigger points (Ah shi), are highly effective for resolving muscle and tendon pain, as well as improving mobility.
By combining these approaches, I can tailor treatments to meet the specific needs of each patient, ensuring they receive the best possible care.
