Presentation summary

Background :
Migraine is a common neurological disorder that often leads to significant disability. Acupuncture is increasingly recognized as a complementary treatment, with Traditional Chinese Medicine (TCM) and Western  offering distinct approaches. TCM is rooted in meridian theory and Qi regulation, while Western acupuncture relies on neuroanatomical and physiological principles. This study compares the acupuncture point seletcion and clinical outcomes of both approaches in the treatment of migraine.

Methods :
A comparative review of 28 randomized controlled trials, 9 systematic reviews, and classical TCM sources was conducted to identify commonly used acupuncture points for migraine. Frequencies of point usage were recorded, and meta-analytic clinical outcome data were analyzed, including reduction in migraine days, pain intensity, and responder rates.

Results :
Both Traditional Chinese and Western acupuncture approaches frequently target similar anatomical regions formigraine relief, despite differing theoretical foundations. TCM most commonly uses LI4 (86%), GB20 (89%),ST8 (63%), and LR3 (61%), chosen for their effects on Qi and meridians. Western acupuncture favored the occipital nerve area (77%), trapezius and neck muscles (73%), and temporal zones (68%), guided by neurophysiological rationale. Shared use of LI4 and GB20 (56% and 52% in Western protocols) reflects segmental and suprasegmental influences. Clinical outcomes were comparable: TCM reduced migraine daysby 3.1/month and Western by 3.0; pain scores dropped by 2.5 and 2.3 points, respectively. Responder rates(≥50% reduction in frequency) were 61% for TCM and 58% for Western. Both methods were well tolerated,with no serious side effects reported.

Conclusion :
Despite distinct theoretical models, TCM and Western acupuncture share overlapping point selections and demonstrate similar effectiveness in migraine treatment. Both approaches significantly reduce attack frequency and intensity.