Acupuncture’s painkilling secret: it’s all in the twist action
Level 3            Advanced
 1     Warmer
In one minute, write down as many words as you can that are related to acupuncture.




Then quickly skim the text to find out how many of your words are mentioned.

 2     Key words
Find the key words in the text and write them next to their meanings. The paragraph numbers are given to
help you.
1.   animal feet that are painful or uncomfortable _______________________ (two words, para 3)
2.   made something happen _______________________ (para 4)
3.   something that reduces inflammation _______________________ (para 4)
4.   having doubts about something that other people think is true or right _______________________ (para 6)
5.   to make something less painful, severe or serious _______________________ (para 7)
6.   to make a problem become worse _______________________ (para 7)
7.   a substance that is not medicine but that a patient who is taking it believes is medicine, and so gets
     better _______________________ (para 7)
8.   prevented something from happening or progressing normally _______________________ (para 8)
9.   nerves, for example in your skin, that send messages to your central nervous system
     _______________________ (para 10)
10. moved in a circle around a fixed central point _______________________ (para 11)
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NEWS LESSONS / Acupuncture’s painkilling secret: it’s all in the twist action / Advanced
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Acupuncture’s painkilling secret: it’s all in the twist action
Level 3            Advanced

    Acupuncture’s painkilling secret                                  8    “The view that acupuncture has little benefit
    revealed: it’s all in the twist action                                 beyond the placebo effect has really hampered
                                                                           research into the technique,” said Maiken
    Ian Sample, science correspondent
                                                                           Nedergaard, a neuroscientist at the University
    31 May, 2010
                                                                           of Rochester medical centre in New York state,
1 Ever since Chinese doctors first poked their                             who led the study.
  patients with sharp objects 4,000 years ago and
                                                                      9    “Some people think any work in this area is
  charged them for the pleasure, acupuncture has
                                                                           junk research, but I think that’s wrong. I was
  been shrouded in mystery.
                                                                           really surprised at the arrogance of some of
2 Tradition has it that the procedure works by                             my colleagues. We can benefit from what has
  improving the flow of qi along invisible energy                          been learned over many thousands of years,”
  channels called meridians, but research published                        Nedergaard said. “I believe we’ve found the main
  today points to a less mystical explanation for the                      mechanism by which acupuncture relieves pain.
  painkilling claims of acupuncture.                                       Adenosine is a very potent anti-inflammatory
                                                                           compound and most chronic pain is caused
3 The answer, according to a team of scientists
                                                                           by inflammation.”
  in New York, follows an extraordinary study in
  which researchers gave regular acupuncture                          10 The scientists gave each mouse a sore paw by
  sessions to mice with sore paws.                                       injecting it with an inflammatory chemical. Half
                                                                         of the mice lacked a gene that is needed to
4 After each half-hour session the mice felt less
                                                                         make adenosine receptors, which are found on
  discomfort in their paws because the needles
                                                                         major nerves.
  triggered the release of a natural painkiller,
  the researchers say. The needles caused                             11 The therapy session involved inserting a fine
  tissue damage that stimulated cells to produce                         needle into an acupuncture point in the knee
  adenosine, an anti-inflammatory chemical, that                         above each mouse’s sore foot. In keeping with
  was effective for up to an hour after the therapy                      traditional practice, the needles were rotated
  was over.                                                              periodically throughout the half-hour session.
5 Modern acupuncture involves inserting fine                          12 To measure how effective the acupuncture was,
  needles into the skin at specific points around the                    the researchers recorded how quickly each
  body. The needles are pushed in a few millimetres                      mouse pulled its sore paw away from a small,
  and then heated, twisted or even electrified to                        bristly brush. The more pain the mice were in,
  produce their claimed medical effects.                                 the faster they pulled away.
6 Acupuncture has spread around the world since                       13 Writing in the journal Nature Neuroscience,
  originating in China, but conventional western                         Nedergaard’s team describes how acupuncture
  medicine has remained steadfastly sceptical.                           reduced pain by two-thirds in normal mice, but
  Although there is now good evidence that                               had no effect on the discomfort of mice that
  acupuncture can relieve pain, many of the other                        lacked the adenosine receptor gene. Without
  health benefits acupuncturists claim are on                            adenosine receptors, the mice were unable to
  shakier ground.                                                        respond to the adenosine released when cells
                                                                         were damaged by acupuncture needles.
7 The latest research gives doctors a sound
  explanation of how sticking needles into the skin                   14 Acupuncture had no effect in either group of
  can alleviate, rather than exacerbate, pain. The                       mice if the needles were not rotated, suggesting
  discovery will challenge the view, widely held                         that the tissues had to be physically damaged to
  among scientists, that any benefits a patient                          release adenosine. Nedergaard said that twisting
  feels after acupuncture are due purely to the                          the needles seems to cause enough damage to
  placebo effect.                                                        make cells release the painkilling chemical.
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© Macmillan Publishers Ltd 2010
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NEWS LESSONS / Acupuncture’s painkilling secret: it’s all in the twist action / Advanced
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Acupuncture’s painkilling secret: it’s all in the twist action
Level 3            Advanced
      This is then picked up by adenosine receptors                         it has not been understood completely, many
      on nearby nerves, which react by damping                              people have remained sceptical.”
      down pain. Further tests on the mice revealed
                                                                       17 Although the study explains how acupuncture
      that levels of adenosine increased 24-times in
                                                                          can alleviate pain, it does not explain the
      the tissues around the acupuncture needles
                                                                          other health benefits that some practitioners
      during and immediately after each session.
                                                                          believe the procedure can achieve. Josephine
15 One of the longstanding mysteries surrounding                          Briggs, the director of the national centre for
   acupuncture is why the technique only seems to                         complementary and alternative medicine at
   alleviate pain if needles are inserted at specific                     the US National Institutes of Health, said, “It’s
   points. Nedergaard believes that most of these                         clear that acupuncture may activate a number
   acupuncture points are along major nerve tracks                        of different mechanisms … It’s an interesting
   and, as such, are parts of the body that have                          contribution to our growing understanding of
   plenty of adenosine receptors.                                         acupuncture.”
16 “There is an attitude among some researchers                             © Guardian News & Media 2010
   that studying alternative medicine is                                    First published in The Guardian, 31/05/2010
   unfashionable,” said Nedergaard. “Because

 3 Comprehension check: Describing a process
Make notes about the experiment described in the article. Use the passive form in your notes about
the stages.

 The experiment:

 Purpose of the experiment:



 Stage 1



 Stage 2



 Stage 3



 Conclusions of the experiment:

 1.



 2.
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© Macmillan Publishers Ltd 2010
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NEWS LESSONS / Acupuncture’s painkilling secret: it’s all in the twist action / Advanced
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Acupuncture’s painkilling secret: it’s all in the twist action
Level 3            Advanced
 4 Language: Therapies and practitioners
Complete the table with the names of the practitioners trained in each therapy. You may use a dictionary or
the internet.

        name of therapy                                name of practitioner
 1.     acupuncture
 2.     phytotherapy (herbalism)
 3.     homeopathy
 4.     massage
 5.     reflexology
 6.     aromatherapy
 7.     hypnosis
 8.     naturopathy
 9.     chiropractic

 5 Discussion
Which of the therapies and treatments above are available in your country/area?
Does your health insurance cover the cost of any of them?
Which of the above practitioners would you consider going to?

 6 Webquest
Look on the internet for acupuncturists in your area/country. What services do they offer? What are
their fees?
Watch a video and read more about acupuncture on these websites:
The British Acupuncture Council
http://www.acupuncture.org.uk/index.php
(This website includes an excellent short video introduction to acupuncture.)
The American Academy of Medical Acupuncture
http://www.medicalacupuncture.org/
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© Macmillan Publishers Ltd 2010
                                                                                                                 M W P
                                                                                                                O DO O
                                                                                                              FR BE C
                                                                                                               N T
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NEWS LESSONS / Acupuncture’s painkilling secret: it’s all in the twist action / Advanced
                                                                                                          O
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                                                                                                        •P
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Acupuncture’s painkilling secret: it’s all in the twist action
Level 3            Advanced

KEY

2 Key words                                                            on the discomfort of mice that lacked the adenosine
                                                                       receptor gene.
1.    sore paws                                                        2. Acupuncture had no effect in either group of mice
2.    triggered                                                        if the needles were not rotated. This suggested that
3.    anti-inflammatory                                                the tissues had to be physically damaged to
4.    sceptical                                                        release adenosine.
5.    alleviate
6.    exacerbate
7.    placebo                                                          4 Language: Therapies and practitioners
8.    hampered
9.    receptors                                                                name of therapy        name of practitioner
10.   rotated                                                           1.     acupuncture            acupuncturist
                                                                        2.     phytotherapy           phytotherapist /
                                                                               (herbalism)            herbalist
Teacher’s notes                                                         3.     homeopathy             homeopath /
                                                                                                      homeopathic
Adenosine
                                                                                                      practitioner
Adenosine plays an important role in biochemical
                                                                        4.     massage                masseur
processes, such as energy transfer, as well as in signal
                                                                        5.     reflexology            reflexologist
transduction. It is also an inhibitory neurotransmitter.
(www.wikipedia.com)                                                     6.     aromatherapy           aromatherapist
                                                                        7.     hypnosis               hypnotist
                                                                        8.     naturopathy            naturopath /
3 Comprehension check: Describing                                                                     naturopathic
  a process                                                                                           practitionerer
                                                                        9.     chiropractic           chiropractor
Purpose of the experiment: to check the painkilling
claims of acupuncture

Stage 1: Mice were given sore paws by scientists
who injected them with an inflammatory chemical.
Half the mice lacked a gene that is needed to make
adenosine receptors.
Stage 2: Fine needles were then inserted into an
acupuncture point above each mouse’s sore paw. The
needles were rotated periodically.
Stage 3: To measure how effective the acupuncture
was, the researchers recorded how quickly each mouse
pulled its sore paw away from a small, bristly brush.

Conclusions of the experiment:
1. The scientists discovered that acupuncture reduced
pain by two-thirds in normal mice, but had no effect
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© Macmillan Publishers Ltd 2010
                                                                                                                                   M W P
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NEWS LESSONS / Acupuncture’s painkilling secret: it’s all in the twist action / Advanced
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Acupuncture's painkilling secret

  • 1.
    Acupuncture’s painkilling secret:it’s all in the twist action Level 3 Advanced 1 Warmer In one minute, write down as many words as you can that are related to acupuncture. Then quickly skim the text to find out how many of your words are mentioned. 2 Key words Find the key words in the text and write them next to their meanings. The paragraph numbers are given to help you. 1. animal feet that are painful or uncomfortable _______________________ (two words, para 3) 2. made something happen _______________________ (para 4) 3. something that reduces inflammation _______________________ (para 4) 4. having doubts about something that other people think is true or right _______________________ (para 6) 5. to make something less painful, severe or serious _______________________ (para 7) 6. to make a problem become worse _______________________ (para 7) 7. a substance that is not medicine but that a patient who is taking it believes is medicine, and so gets better _______________________ (para 7) 8. prevented something from happening or progressing normally _______________________ (para 8) 9. nerves, for example in your skin, that send messages to your central nervous system _______________________ (para 10) 10. moved in a circle around a fixed central point _______________________ (para 11) D • TE DE E SI A L EB LO B W N IA © Macmillan Publishers Ltd 2010 M W P O DO O FR BE C N T O NEWS LESSONS / Acupuncture’s painkilling secret: it’s all in the twist action / Advanced O H •P CA
  • 2.
    Acupuncture’s painkilling secret:it’s all in the twist action Level 3 Advanced Acupuncture’s painkilling secret 8 “The view that acupuncture has little benefit revealed: it’s all in the twist action beyond the placebo effect has really hampered research into the technique,” said Maiken Ian Sample, science correspondent Nedergaard, a neuroscientist at the University 31 May, 2010 of Rochester medical centre in New York state, 1 Ever since Chinese doctors first poked their who led the study. patients with sharp objects 4,000 years ago and 9 “Some people think any work in this area is charged them for the pleasure, acupuncture has junk research, but I think that’s wrong. I was been shrouded in mystery. really surprised at the arrogance of some of 2 Tradition has it that the procedure works by my colleagues. We can benefit from what has improving the flow of qi along invisible energy been learned over many thousands of years,” channels called meridians, but research published Nedergaard said. “I believe we’ve found the main today points to a less mystical explanation for the mechanism by which acupuncture relieves pain. painkilling claims of acupuncture. Adenosine is a very potent anti-inflammatory compound and most chronic pain is caused 3 The answer, according to a team of scientists by inflammation.” in New York, follows an extraordinary study in which researchers gave regular acupuncture 10 The scientists gave each mouse a sore paw by sessions to mice with sore paws. injecting it with an inflammatory chemical. Half of the mice lacked a gene that is needed to 4 After each half-hour session the mice felt less make adenosine receptors, which are found on discomfort in their paws because the needles major nerves. triggered the release of a natural painkiller, the researchers say. The needles caused 11 The therapy session involved inserting a fine tissue damage that stimulated cells to produce needle into an acupuncture point in the knee adenosine, an anti-inflammatory chemical, that above each mouse’s sore foot. In keeping with was effective for up to an hour after the therapy traditional practice, the needles were rotated was over. periodically throughout the half-hour session. 5 Modern acupuncture involves inserting fine 12 To measure how effective the acupuncture was, needles into the skin at specific points around the the researchers recorded how quickly each body. The needles are pushed in a few millimetres mouse pulled its sore paw away from a small, and then heated, twisted or even electrified to bristly brush. The more pain the mice were in, produce their claimed medical effects. the faster they pulled away. 6 Acupuncture has spread around the world since 13 Writing in the journal Nature Neuroscience, originating in China, but conventional western Nedergaard’s team describes how acupuncture medicine has remained steadfastly sceptical. reduced pain by two-thirds in normal mice, but Although there is now good evidence that had no effect on the discomfort of mice that acupuncture can relieve pain, many of the other lacked the adenosine receptor gene. Without health benefits acupuncturists claim are on adenosine receptors, the mice were unable to shakier ground. respond to the adenosine released when cells were damaged by acupuncture needles. 7 The latest research gives doctors a sound explanation of how sticking needles into the skin 14 Acupuncture had no effect in either group of can alleviate, rather than exacerbate, pain. The mice if the needles were not rotated, suggesting discovery will challenge the view, widely held that the tissues had to be physically damaged to among scientists, that any benefits a patient release adenosine. Nedergaard said that twisting feels after acupuncture are due purely to the the needles seems to cause enough damage to placebo effect. make cells release the painkilling chemical. D • TE DE E SI A L EB LO B W N IA © Macmillan Publishers Ltd 2010 M W P O DO O FR BE C N T O NEWS LESSONS / Acupuncture’s painkilling secret: it’s all in the twist action / Advanced O H •P CA
  • 3.
    Acupuncture’s painkilling secret:it’s all in the twist action Level 3 Advanced This is then picked up by adenosine receptors it has not been understood completely, many on nearby nerves, which react by damping people have remained sceptical.” down pain. Further tests on the mice revealed 17 Although the study explains how acupuncture that levels of adenosine increased 24-times in can alleviate pain, it does not explain the the tissues around the acupuncture needles other health benefits that some practitioners during and immediately after each session. believe the procedure can achieve. Josephine 15 One of the longstanding mysteries surrounding Briggs, the director of the national centre for acupuncture is why the technique only seems to complementary and alternative medicine at alleviate pain if needles are inserted at specific the US National Institutes of Health, said, “It’s points. Nedergaard believes that most of these clear that acupuncture may activate a number acupuncture points are along major nerve tracks of different mechanisms … It’s an interesting and, as such, are parts of the body that have contribution to our growing understanding of plenty of adenosine receptors. acupuncture.” 16 “There is an attitude among some researchers © Guardian News & Media 2010 that studying alternative medicine is First published in The Guardian, 31/05/2010 unfashionable,” said Nedergaard. “Because 3 Comprehension check: Describing a process Make notes about the experiment described in the article. Use the passive form in your notes about the stages. The experiment: Purpose of the experiment: Stage 1 Stage 2 Stage 3 Conclusions of the experiment: 1. 2. D • TE DE E SI A L EB LO B W N IA © Macmillan Publishers Ltd 2010 M W P O DO O FR BE C N T O NEWS LESSONS / Acupuncture’s painkilling secret: it’s all in the twist action / Advanced O H •P CA
  • 4.
    Acupuncture’s painkilling secret:it’s all in the twist action Level 3 Advanced 4 Language: Therapies and practitioners Complete the table with the names of the practitioners trained in each therapy. You may use a dictionary or the internet. name of therapy name of practitioner 1. acupuncture 2. phytotherapy (herbalism) 3. homeopathy 4. massage 5. reflexology 6. aromatherapy 7. hypnosis 8. naturopathy 9. chiropractic 5 Discussion Which of the therapies and treatments above are available in your country/area? Does your health insurance cover the cost of any of them? Which of the above practitioners would you consider going to? 6 Webquest Look on the internet for acupuncturists in your area/country. What services do they offer? What are their fees? Watch a video and read more about acupuncture on these websites: The British Acupuncture Council http://www.acupuncture.org.uk/index.php (This website includes an excellent short video introduction to acupuncture.) The American Academy of Medical Acupuncture http://www.medicalacupuncture.org/ D • TE DE E SI A L EB LO B W N IA © Macmillan Publishers Ltd 2010 M W P O DO O FR BE C N T O NEWS LESSONS / Acupuncture’s painkilling secret: it’s all in the twist action / Advanced O H •P CA
  • 5.
    Acupuncture’s painkilling secret:it’s all in the twist action Level 3 Advanced KEY 2 Key words on the discomfort of mice that lacked the adenosine receptor gene. 1. sore paws 2. Acupuncture had no effect in either group of mice 2. triggered if the needles were not rotated. This suggested that 3. anti-inflammatory the tissues had to be physically damaged to 4. sceptical release adenosine. 5. alleviate 6. exacerbate 7. placebo 4 Language: Therapies and practitioners 8. hampered 9. receptors name of therapy name of practitioner 10. rotated 1. acupuncture acupuncturist 2. phytotherapy phytotherapist / (herbalism) herbalist Teacher’s notes 3. homeopathy homeopath / homeopathic Adenosine practitioner Adenosine plays an important role in biochemical 4. massage masseur processes, such as energy transfer, as well as in signal 5. reflexology reflexologist transduction. It is also an inhibitory neurotransmitter. (www.wikipedia.com) 6. aromatherapy aromatherapist 7. hypnosis hypnotist 8. naturopathy naturopath / 3 Comprehension check: Describing naturopathic a process practitionerer 9. chiropractic chiropractor Purpose of the experiment: to check the painkilling claims of acupuncture Stage 1: Mice were given sore paws by scientists who injected them with an inflammatory chemical. Half the mice lacked a gene that is needed to make adenosine receptors. Stage 2: Fine needles were then inserted into an acupuncture point above each mouse’s sore paw. The needles were rotated periodically. Stage 3: To measure how effective the acupuncture was, the researchers recorded how quickly each mouse pulled its sore paw away from a small, bristly brush. Conclusions of the experiment: 1. The scientists discovered that acupuncture reduced pain by two-thirds in normal mice, but had no effect D • TE DE E SI A L EB LO B W N IA © Macmillan Publishers Ltd 2010 M W P O DO O FR BE C N T O NEWS LESSONS / Acupuncture’s painkilling secret: it’s all in the twist action / Advanced CA O H •P