Treating primary dysmenorrhoea with acupuncture: a narrative review of the relationship between acupuncture ‘dose’ and menstrual pain outcomes
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g.
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests


  • Responses are moderated before posting and publication is at the absolute discretion of BMJ, however they are not peer-reviewed
  • Once published, you will not have the right to remove or edit your response. Removal or editing of responses is at BMJ's absolute discretion
  • If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patient's written consent to publication and send them to the editorial office before submitting your response [Patient consent forms]
  • By submitting this response you are agreeing to our full [Response terms and requirements]

Vertical Tabs

Other responses

  • Published on:
    Re: “Treating primary dysmenorrhoea with acupuncture: a narrative review of the relationship between acupuncture ‘dose’ and menstrual pain outcomes”
    • Chunhong Zhang, botanic physician First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, 300193 Tianjin, China.
    • Other Contributors:
      • Hai Lu, -
      • Ruya Sheng, -

    This work was supported by State Chinese Medicine Administration Bureau (Specific Scientific Research of Chinese Medicine Industry, no. 201407001-6B).

    Disclosure Statement
    No competing financial interests exist.

    Authors’ contributions
    HL drafted, CZ modified and RS translated the manuscript. All authors read and approved the final version accepted for publication.

    Dear Editor,
    We read the above named paper by Armour and Smith with great interest. In order to guide clinical practice, this article provided evidence of a dose-effect relationship in treating primary dysmenorrhoea by acupuncture. However, we still have some concerns about this paper.
    The authors planned to exam the relationship between menstrual outcomes and dose components including neurophysiological dose (number of needles, retention time and mode of stimulation), cumulative dose (total number and frequency of treatments), needle location and treatment timing, but did not reach a clear conclusion [1]. Because dose-effect relationships are important, we would like to express our opinions about acupuncture‘dose’. In 1972, academician Shi Xuemin described a theory of "acupuncture manipulation quantitative arts", which is concerned with studying and determining the best dose of acupuncture for treatment. It includes four aspects: (1) the applied force; (2) the direction of applied force; (3) the optimal duration of reinforcing-reducing...

    Show More
    Conflict of Interest:
    None declared.