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Advanced Neurology                                                      ASD treatment through acupuncture



            meridians and viscera. 21-24  According to TCM theory, the   that such integrative strategies could be more effective than
            body’s vital activities are maintained by the circulation   single-modality treatments.
            of qi and blood through meridians, with the head being   Despite these promising results, there is a pressing need
            the convergence point of all meridians. The head houses   for further research to fully understand the underlying
            several vital meridians, such as the governing vessel, the   mechanisms through which acupuncture exerts its
            conception vessel, and the hand and foot taiyang and taiyin   effects on ASD. Detailed studies are required to elucidate
            meridians, forming a complex network. These meridians   how acupuncture influences neurological pathways and
            not only connect the organs and limbs but also regulate   interacts with modern therapeutic techniques. In addition,
            physiological functions and maintain internal homeostasis.   refining treatment protocols to better suit individual
            Scalp acupuncture involves needling specific points on the   needs is crucial. Future research should focus on large-
            scalp along meridians and functional regions, such as the   scale randomized controlled trials to validate the efficacy
            12-head  meridians  and  the  four  Shen  Cong points. By   of integrated approaches, optimize treatment parameters,
            stimulating these points, it can regulate brain function,   and establish standardized practices. By addressing these
            improve blood circulation, and prevent and treat diseases   research gaps, we can develop more targeted and effective
            effectively. 17,18,23,24                           treatment strategies for ASD, potentially improving
              The treatment principles of scalp acupuncture in ASD   outcomes for a broader range of individuals affected by the
            focus on awakening consciousness, replenishing the brain,   disorder.
            and enhancing intelligence. 18,20,23  Liu’s PNRAT employs   This study’s primary strength lies in its innovative
            the seven intelligence-enhancing needles to enhance the   integration of TCM with contemporary therapeutic
            development of cognitive function areas in the cerebral   approaches, offering a multifaceted and comprehensive
            cortex, process emotional disorders in the emotional   treatment strategy for ASD. By incorporating Liu’s
            area, improve language function development in the   PNRAT alongside conventional cognitive and behavioral
            language area, and promote the development of advanced   interventions, this study provides a holistic treatment
            cognitive areas and visual nerve functions. In addition,   framework that addresses the complex and varied needs
            the application of jin jing and yu ye fluid promotes blood   of children with ASD. The inclusion of acupuncture, with
            circulation around the tongue, restoring its flexibility.  its focus on enhancing cognitive, linguistic, and emotional
              Recent research has also emphasized the effectiveness   development, allows for a nuanced exploration of how
            of integrative approaches in managing ASD. Studies have   traditional therapies can complement and potentially
            shown the advantages of integrating acupuncture with   enhance modern approaches. This integrative approach
            behavioral interventions to enhance social communication   not only broadens the  scope of treatment options
            skills and  diminish  stereotypical behaviors  in  children   available for ASD but also provides valuable insights into
            with ASD.  Moreover, acupuncture adjunctive therapy   how combining different modalities can achieve more
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            has been linked to notable enhancements in language   comprehensive and effective outcomes. Furthermore, the
            development and adaptive behavior among individuals   study’s design includes a variety of therapeutic techniques,
            with ASD.  These results highlight the significance of   such as behavior analysis, speech training, and natural
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            including complementary therapies such as acupuncture   situational teaching, which collectively  contribute  to a
            in comprehensive treatment strategies for ASD, aiming to   well-rounded assessment of the therapy’s impact. This
            meet the varied requirements of affected individuals.  multifaceted approach ensures that the results reflect a
              The integration of TCM and modern cognitive and   more  complete  picture  of  the  therapy’s  effectiveness  in
            behavioral interventions offers a holistic approach to   improving various aspects of the disorder.
            managing neurodevelopmental disorders like ASD.      Despite its strengths, the study is not without limitations
            Our findings suggest that combining acupuncture with   that warrant careful consideration. The relatively small
            contemporary therapies can create a comprehensive   sample size is a significant limitation, potentially affecting
            treatment strategy that addresses the cognitive, emotional,   the  generalizability  of  the  findings  and  the  statistical
            and social dimensions of ASD. This integrative approach   power to detect subtle therapeutic effects. The lack of
            leverages  the strengths of both traditional and modern   randomization and a control group further limits the
            methodologies, potentially enhancing treatment outcomes   ability to attribute observed improvements specifically to
            by targeting multiple facets of the disorder simultaneously.   the acupuncture intervention, as other factors or natural
            The substantial improvements observed in cognitive and   variations in the course of ASD could influence the
            behavioral symptoms among participants highlight the   results. In addition, the absence of long-term follow-up
            potential benefits of this combined approach, suggesting   data  restricts  the  understanding  of  whether  the  benefits


            Volume 3 Issue 4 (2024)                         7                                doi: 10.36922/an.3783
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