Acupuncture and Epilepsy: What does the research say?

Imagine a treatment that’s been around for thousands of years and might help control a condition as complex as epilepsy. That’s acupuncture. But does it really work? Can sticking tiny needles into your skin actually stop seizures? Let’s dive into what the research says—and trust me, it’s more fascinating than you might think.

Understanding Epilepsy: A Quick Primer

Before we get into the nitty-gritty of acupuncture, let’s make sure we’re on the same page about epilepsy. Epilepsy isn’t just one thing—it’s a spectrum¹. Seizures can be²:

• Generalized seizures: These affect both sides of the brain and can cause everything from staring spells (absence seizures) to full-body convulsions (tonic-clonic seizures).
• Partial (focal) seizures: These start in a specific area of the brain and might cause strange sensations, involuntary movements, or even altered emotions.

Most people with epilepsy can manage their condition with medications, but for those with refractory epilepsy, finding relief is a lot harder³. That’s where alternative therapies like acupuncture come into play.

Acupuncture: More Than Just Needles

Acupuncture is a cornerstone of traditional Chinese medicine (TCM). The idea is that by inserting thin needles into specific points on the body, you can balance the flow of energy, or “qi” (pronounced “chee”)⁴. In TCM, epilepsy is often seen as a disruption in this energy flow, and acupuncture aims to restore balance⁵.

But let’s be real—most of us aren’t thinking about qi when we’re considering treatment options. We want to know if it works and how. So, what does the science say?

What Does the Research Say?

Here’s where things get interesting. There’s a growing body of research exploring acupuncture for epilepsy, and some of it is pretty promising.

• A 2020 systematic review and meta-analysis published in the Journal of Neurology, Neurosurgery & Psychiatry looked at 15 randomized controlled trials involving over 1,200 patients. The verdict? Acupuncture significantly reduced seizure frequency⁶. That’s a big deal.
• Another study from 2018 in Frontiers in Neuroscience used animal models to dig deeper. They found that acupuncture at specific points, like Baihui (GV20) and Dazhui (GV14), helped regulate neurotransmitters like GABA and glutamate—chemicals that play a huge role in seizure activity⁷.
• Clinical experiences also back this up. One study treated 149 patients with acupuncture and saw improvement in 65-88.9% of cases⁸⁹. Another study using acupuncture point injection had an 82.1% effectiveness rate in 145 patients¹⁰.

But hold on—before you run to the nearest acupuncturist, there’s a catch. Many of these studies have limitations, like small sample sizes or less rigorous methodologies. Plus, epilepsy is complex, and what works for one person might not work for another. So, while the research is encouraging, it’s not the final word. More high-quality studies are needed to really nail down how effective and safe acupuncture is for epilepsy.

Summary: Research on using acupuncture for epilepsy is increasing. Some of this research shows promising results, making the topic interesting.

How Might Acupuncture Work for Epilepsy?

Okay, so the research shows promise, but how does acupuncture actually help? The truth is, we’re not entirely sure yet, but there are some theories.

One idea is that acupuncture stimulates specific nerves or areas of the brain, interrupting the abnormal electrical activity that causes seizures¹¹. Think of it like hitting the reset button on your brain’s circuitry. This is similar to vagus nerve stimulation, a treatment already used for some cases of epilepsy.

In fact, some researchers suggest that acupuncture might work by creating a reaction in the brain’s sensory or motor areas, preventing the spread of seizure activity¹². It’s like creating a roadblock for the seizure before it can take over.

Another theory is that acupuncture influences the autonomic nervous system, particularly the vagus nerve¹³, which is known to play a role in seizure control. This could explain why some acupuncture points, especially those on the head and neck, seem particularly effective.

Summary: Research on acupuncture for seizures shows promise. Theories include stimulating nerves/brain areas to reset abnormal electrical activity, creating a roadblock in the brain, and influencing the vagus nerve.

Practical Considerations: Is Acupuncture Right for You?

If you’re thinking about trying acupuncture for epilepsy, here are a few things to keep in mind:

• Safety first: Acupuncture should only be performed by a qualified practitioner. And here’s a big one—never try acupuncture during a seizure. It’s dangerous for both you and the practitioner. Acupuncture is only recommended between seizures, in what’s called the interictal period.
• It’s complementary, not a cure: Acupuncture isn’t a replacement for your meds. It’s a complementary therapy, meaning it can be used alongside traditional treatments. Always keep taking your prescribed medications unless your doctor says otherwise.
• Talk to your doctor: Before you start any new treatment, have a chat with your healthcare provider. They can help you weigh the pros and cons and make sure it’s a safe option for you.
• Specific points matter: Certain acupuncture points like Baihui (on the head), Tai Chong (on the foot), and Feng Long (on the leg) are commonly used for epilepsy¹⁴. But the best points for you will depend on your specific symptoms and the practitioner’s assessment.
• Expectations: Acupuncture isn’t a magic bullet. It might help reduce the frequency or severity of seizures for some people, but it’s not a guaranteed cure. And it might not work for everyone.

When Might Acupuncture Be Most Effective?

Acupuncture could be more effective for certain types of epilepsy, particularly partial (focal) seizures¹⁵. Why? Because partial seizures start in a specific area of the brain, and acupuncture might be able to target that area more precisely.

For example, if your seizures start in the motor cortex (which controls movement), acupuncture points on the opposite side of the body might stimulate the corresponding brain area and help prevent the seizure from spreading.

On the other hand, for generalized seizures that affect the whole brain, acupuncture might be less effective, especially if the seizures are severe or if there are multiple seizure foci¹⁶.

What About the Risks?

Acupuncture is generally considered safe when done by a trained professional. The most common side effects are minor, like soreness or bruising at the needle sites. But there are a few things to watch out for¹⁷:

• Infection: Make sure your practitioner uses sterile needles.
• Bleeding: If you’re on blood thinners, let your practitioner know.
• Dizziness or fainting: Some people feel lightheaded after treatment.

And, as mentioned, never attempt acupuncture during a seizure.

Q&A

Can acupuncture cure epilepsy?

No, acupuncture isn’t a cure for epilepsy. It might help reduce the frequency or severity of seizures in some people, but it’s not a guaranteed fix¹⁸.

Is acupuncture safe for people with epilepsy?

Generally, yes, as long as it’s done by a qualified practitioner and not during a seizure. Always check with your doctor first.

How does acupuncture compare to traditional treatments?

Acupuncture isn’t a replacement for anticonvulsant medications or other standard treatments. It’s best used as a complementary therapy under medical supervision.

Are there specific acupuncture points for epilepsy?

Yes, points like Baihui, Tai Chong, and Feng Long are often used, but the selection depends on your individual symptoms and the practitioner’s expertise¹⁹.

How many sessions will I need?

It varies. Some people see improvement after a few sessions, while others might need ongoing treatment. Your practitioner can give you a better idea based on your condition²⁰.

The Bottom Line

So, is acupuncture the answer to epilepsy? Probably not on its own, but it could be a valuable tool in your treatment toolbox, especially if you’re dealing with refractory epilepsy. The research is promising, but it’s still early days. More studies are needed to confirm how effective and safe it is in the long term.

If you’re curious about trying acupuncture, talk to your doctor and find a qualified practitioner. Just remember: it’s not a replacement for your current treatments, and it’s not a cure. But for some people, it might make a real difference.

Trusted source

1. https://pmc.ncbi.nlm.nih.gov/articles/PMC4561391/ ↩︎
2. https://www.mayoclinic.org/diseases-conditions/epilepsy/symptoms-causes/syc-20350093 ↩︎
3. https://www.hopkinsmedicine.org/health/conditions-and-diseases/epilepsy/refractory-epilepsy ↩︎
4. https://www.mayoclinic.org/tests-procedures/acupuncture/about/pac-20392763 ↩︎
5. 甘斌,李秋琼,黄德弘. 从少阳病论治癫痫[J]. 国际中医中药杂志,2021,43(05)：507-510.
   DOI:10.3760/cma.j.cn115398-20200621-00237 ↩︎
6. 杨正涛, 陈英华, 杨禾材, 李俊峰. 近二十年针灸治疗癫痫病临床取穴规律分析[J]. 中医学, 2025, 14(1): 42-57. https://doi.org/10.12677/tcm.2025.141008 ↩︎
7. https://www.hanspub.org/journal/paperinformation?paperid=104823 ↩︎
8. 彭润生，等。针灸治疗癫痫54例小结。国医论坛 1990；(1)：32。 ↩︎
9. 徐笨人，等。针刺大椎穴治疗癫痫95例。中国针灸 1982；2(2)：4。 ↩︎
10. 郭同经。治疗癫痫的几种方法疗效观察。中华内科杂志 1977；(3)：156。 ↩︎
11. He W, Rong PJ, Li L, Ben H, Zhu B, Litscher G. Auricular Acupuncture May Suppress Epileptic Seizures via Activating the Parasympathetic Nervous System: A Hypothesis Based on Innovative Methods. Evid Based Complement Alternat Med. 2012;2012:615476. doi: 10.1155/2012/615476. Epub 2012 Feb 1. PMID: 22461842; PMCID: PMC3292226. https://pmc.ncbi.nlm.nih.gov/articles/PMC3292226/ ↩︎
12. Chen S, Wang S, Rong P, Liu J, Zhang H, Zhang J. Acupuncture for refractory epilepsy: role of thalamus. Evid Based Complement Alternat Med. 2014;2014:950631. doi: 10.1155/2014/950631. Epub 2014 Dec 7. PMID: 25548594; PMCID: PMC4273587. https://pmc.ncbi.nlm.nih.gov/articles/PMC4273587/ ↩︎
13. https://www.sciencedirect.com/science/article/pii/S0965229923000961 ↩︎
14. Zhang HW, Li JJ, Tang Y, Tian ML, Huang S, Sun MJ. Moxibustion pre-treatment attenuates seizure severity during status epilepticus and counteracts the proconvulsant function of the purinergic P2X7 receptor. Purinergic Signal. 2024 Sep 13. doi: 10.1007/s11302-024-10050-x. Epub ahead of print. PMID: 39271580. https://pubmed.ncbi.nlm.nih.gov/39271580/ ↩︎
15. https://link.springer.com/chapter/10.1007/978-1-4614-3357-6_6 ↩︎
16. https://www.caam.cn/article/823 ↩︎
17. https://www.mayoclinic.org/tests-procedures/acupuncture/about/pac-20392763 ↩︎
18. https://www.defeatingepilepsy.org/living-with-epilepsy-series/acupuncture-and-epilepsy/ ↩︎
19. 杨伟, 李玉堂, 曹铁民. 基于文献的针灸治疗癫痫选穴规律探析 [J] . 国际中医中药杂志, 2019, 41(9) : 998-1001. DOI: 10.3760/cma.j.issn.1673-4246.2019.09.018. ↩︎
20. https://www.wjhospital.com.cn/Html/News/Articles/1053.html(Wangjing Hospital, Chinese Academy of Chinese Medical Sciences) ↩︎