Acupuncture: The practice of inserting needles into the body to reduce pain or induce anesthesia. More broadly, acupuncture is a family of procedures involving the stimulation of anatomical locations on or in the skin by a
variety of techniques. There are a number of different approaches to
diagnosis and treatment in American acupuncture that
incorporate medical traditions from China, Japan, Korea,
and other countries. The most thoroughly studied mechanism
of stimulation of acupuncture points employs penetration of
the skin by thin, solid, metallic needles, which are
manipulated manually or by electrical stimulation.
Among the conditions for which acupuncture has been found to be useful is headache. Acupuncture reportedly leads to persisting, clinically relevant benefits for patients with chronic headache, particularly migraine.
The National Institutes of Health (NIH) has issued a consensus statement on acupuncture. The statement indicated that "There is sufficient evidence of acupuncture's value to expand its use into conventional medicine...." The full text of the conclusions of the NIH consensus statement on acupuncture is as follows:

"Acupuncture as a therapeutic intervention is widely practiced in the United States. There have been many studies of its potential usefulness. However, many of these studies provide equivocal results because of design, sample size, and other factors. The issue is further complicated by inherent difficulties in the use of appropriate controls, such as placebo and sham acupuncture groups."

"However, promising results have emerged, for example, efficacy of acupuncture in adult post-operative and chemotherapy nausea and vomiting and in postoperative dental pain. There are other situations such as addiction, stroke rehabilitation, headache, menstrual cramps, tennis elbow, fibromyalgia, myofascial pain, osteoarthritis, low back pain, carpal tunnel syndrome, and asthma for which acupuncture may be useful as an adjunct treatment or an acceptable alternative or be included in a comprehensive management program. Further research is likely to uncover additional areas where acupuncture interventions will be useful."

"Findings from basic research have begun to elucidate the mechanisms of action of acupuncture, including the release of opioids and other peptides in the central nervous system and the periphery and changes in neuroendocrine function. Although much needs to be accomplished, the emergence of plausible mechanisms for the therapeutic effects of acupuncture is encouraging."

"The introduction of acupuncture into the choice of treatment modalities readily available to the public is in its early stages. Issues of training, licensure, and reimbursement remain to be clarified. There is sufficient evidence, however, of its potential value to conventional medicine to encourage further studies."

"There is sufficient evidence of acupuncture's value to expand its use into conventional medicine and to encourage further studies of its physiology and clinical value."

Abdominal pain: Pain in the belly (the abdomen). Abdominal pain can come from conditions affecting a variety of organs. The abdomen is an anatomical area that is bounded by the lower margin of the ribs above, the pelvic bone (pubic ramus) below, and the flanks on each side. Although abdominal pain can arise from the tissues of the abdominal wall that surround the abdominal cavity (the skin and abdominal wall muscles), the term abdominal pain generally is used to describe pain originating from organs within the abdominal cavity (from beneath the skin and muscles). These organs include the stomach, small intestine, colon, liver, gallbladder, and pancreas. Occasionally, pain may be felt in the abdomen even though it is arising from organs that are close to but not within the abdominal cavity, for example, the lower lungs, the kidneys, and the uterus or ovaries. This latter type of pain is called "referred" pain because the pain, though originating outside the abdomen, is being referred to (felt) in the abdominal area.
Abdominal pain can be acute and sudden in onset, or the pain can be chronic and longstanding. Abdominal pain may be minor and of no great significance, or it can reflect a major problem involving one of the organs in the abdomen. The characteristics of the pain--location, timing, duration, etc. are important in diagnosing its cause. Persistent or severe abdominal pain should be evaluated by a physician.
Acute abdominal pain may require urgent surgery such as for a twisted ovarian cyst, ectopic pregnancy, intestinal obstruction, appendicitis, peritonitis, perforated peptic ulcer, perforated diverticulitis, or abdominal aortic aneurysm. Patients with gallbladder disease, pancreatitis, or a kidney stone may also need urgent treatment. Acute or chronic abdominal pain may also call for medical (nonsurgical) therapy.
The causes of abdominal pain depend on sex and age of the patient. A woman may have a twisted ovarian cyst while a man may have testicular torsion with a twisted testis. Abdominal pain in infants and small children may be due to intestinal obstruction from atresia or stenosis of the intestine, esophageal webs, intussusception, volvulus, imperforate anus, and Hirschsprung disease. These causes of abdominal pain are rarely, if ever, encountered in adults.